Test Instructions
Read the article. The test for this CE activity can only be taken online at http://www.nursingcenter.com/CE/AENJ. Tests can no longer be mailed or faxed.
You will need to create (its free!) and login to your personal CE Planner account before taking online tests. Your planner will keep track of all your Lippincott Professional Development online CE activities for you.
There is only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
For questions, contact Lippincott Professional Development: 1-800-787-8985.
* Registration deadline is December 2, 2022.
Provider Accreditation
Lippincott Professional Development will award 1.5 contact hours for this continuing nursing education activity.
Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.5 contact hours. LPD is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223.
Your certificate is valid in all states.
Payment: The registration fee for this test is $17.95.
Disclosure Statement
The authors and planners have disclosed that they have no financial relationships related to this article.
CE TEST QUESTIONS
Purpose: To describe specifically how to evaluate intravascular volume and blood vessels using the Rapid Ultrasound for Shock and Hypotension (RUSH) examination in the emergency department.
Learning Objectives/Outcomes: After completing this continuing education activity, you should be able to:
1. Describe the portion of the RUSH procedure, and the relevant anatomy and physiology, that assesses intravascular volume ("the tank").
2. Identify the portion of the RUSH procedure, and the relevant anatomy and physiology, that assesses blood vessels ("the pipes").
1. Which of the following physiologic responses to inspiration causes blood from the inferior vena cava (IVC) to be suctioned into the thoracic cavity?
a. increased right atrial pressure
b. increased intrathoracic pressure
c. increased intraabdominal pressure
2. Clinicians performing the RUSH protocol use which ultrasound mode to assess changes in the caliber of the vessel during the respirophasic cycle?
a. A
b. B
c. M
3. Patients who have a dilated or noncollapsing IVC, less than 40%-50%, are likely to have which of the following types of shock?
a. obstructive
b. distributive
c. cardiogenic
4. To evaluate the IVC, the clinician uses a low-frequency transducer
a. in the sagittal plane.
b. in the cross-sectional plane.
c. with the indicator pointing caudally.
5. If a patient has an IVC diameter of less than 2 cm and a variability in diameter of more than 40%-50% during inspiration, the estimated central venous pressure is
a. 13-15 cm H2O.
b. 10-12 cm H2O.
c. less than 10 cm H2O.
6. The areas to assess for compromise of "the tank" include the
a. left lower quadrant.
b. right upper quadrant.
c. right lower quadrant.
7. During an evaluation of the integrity of "the tank," an indication of pneumothorax is
a. comet tail artifacts.
b. a clear "seashore sign."
c. the absence of pleural sliding.
8. When detecting the aorta sonographically, the clinician should use which of the following as the main landmark to find the aorta?
a. the spine shadow
b. the pancreas
c. the liver
9. When positioning the probe inferior to the inguinal ligament to assess for deep-vein thrombosis (DVT) in the lower extremities, the clinician will see which vessel medially?
a. the deep femoral artery
b. the common femoral vein
c. the superficial femoral artery
10. Which of the following ultrasound findings supports a diagnosis of DVT?
a. a "wink" back
b. a collapsing of the vasculature
c. an inability to fully compress the vein