NR 341 EXAM #2 UPDATED
ACTUAL EXAM QUESTIONS AND
VERIFIED ANSWERS; GET IT 100%
ACCURATE
1 hour sepsis bundle - correct answer- -
includes: lactic acid, blood culture prior to handing
BSABX), fluid bolus 30mL/kg, vasopressors: MAP >65, goal
is to do this in 1 hour
Acute MI: MONA and BB - correct answer- -
morphine, O2, NTG (dilate CA), ASA (chewed)
-BB: cardioprotective - decrease workload of heart
Adenosine - correct answer- -10 second have
life
-18 g in AC, use a stop cock, flush with 20 mL of NS after
-SE: bronchospasm, chest pain, SOB, dizziness
Afterload - correct answer- resistance
,Afterload Measurement (Right Ventricle) - correct
answer- PVR - increased with P.HTN, pulmonary
valve problem, lung disorders (PE, hypoxia) tx: O2,
heparin/TPA for PE, P.HTN -> O2 and ED drugs, COPD ->
treat condition
Afterload Measurement: (Left Ventricle) - correct
answer- -SVR: high in HTN, left ventricular failure,
valve problems (aortic/mitral), cardiogenic shock (BP
meds - ACE/ARB/BB,CCB, arterial dilators)
Afterload measurement: High - correct answer-
meds to treat high BP
Afterload Measurement: Low - correct answer-
meds to treat low BP (vasopressors: epi, vasopressin,
angiotensin II, norepi) - keep goal MAP at 65 or higher
when on vasopressor
AKI: assessment findings - correct answer- -
change in LOC
, -decrease in mental acuity
-crackles, edema
-kussmaul breathing pattern to compensate for metabolic
acidosis
AKI: Hyperkalemia Tx - correct answer- -
remove: kayexalate or need to dialyze
-hide: D50, insulin IV, calcium, and bicarb
-calcium stabilizes ECG, bicarb since pts. are in metabolic
acidosis
AKI: Labs - correct answer- -elevated Cr/BUN,
decreased GFR - expected findings
-electrolyte abnormalities are unexpected findings
AKI: Tx - correct answer- -looking at cause
-may give a fluid bolus and a large dose of diuretics to
challenge kidneys to make urine
-high risk of lethal dysrhythmias, make sure on cardiac
monitor, looking for peaked T waves (K elevated)
ACTUAL EXAM QUESTIONS AND
VERIFIED ANSWERS; GET IT 100%
ACCURATE
1 hour sepsis bundle - correct answer- -
includes: lactic acid, blood culture prior to handing
BSABX), fluid bolus 30mL/kg, vasopressors: MAP >65, goal
is to do this in 1 hour
Acute MI: MONA and BB - correct answer- -
morphine, O2, NTG (dilate CA), ASA (chewed)
-BB: cardioprotective - decrease workload of heart
Adenosine - correct answer- -10 second have
life
-18 g in AC, use a stop cock, flush with 20 mL of NS after
-SE: bronchospasm, chest pain, SOB, dizziness
Afterload - correct answer- resistance
,Afterload Measurement (Right Ventricle) - correct
answer- PVR - increased with P.HTN, pulmonary
valve problem, lung disorders (PE, hypoxia) tx: O2,
heparin/TPA for PE, P.HTN -> O2 and ED drugs, COPD ->
treat condition
Afterload Measurement: (Left Ventricle) - correct
answer- -SVR: high in HTN, left ventricular failure,
valve problems (aortic/mitral), cardiogenic shock (BP
meds - ACE/ARB/BB,CCB, arterial dilators)
Afterload measurement: High - correct answer-
meds to treat high BP
Afterload Measurement: Low - correct answer-
meds to treat low BP (vasopressors: epi, vasopressin,
angiotensin II, norepi) - keep goal MAP at 65 or higher
when on vasopressor
AKI: assessment findings - correct answer- -
change in LOC
, -decrease in mental acuity
-crackles, edema
-kussmaul breathing pattern to compensate for metabolic
acidosis
AKI: Hyperkalemia Tx - correct answer- -
remove: kayexalate or need to dialyze
-hide: D50, insulin IV, calcium, and bicarb
-calcium stabilizes ECG, bicarb since pts. are in metabolic
acidosis
AKI: Labs - correct answer- -elevated Cr/BUN,
decreased GFR - expected findings
-electrolyte abnormalities are unexpected findings
AKI: Tx - correct answer- -looking at cause
-may give a fluid bolus and a large dose of diuretics to
challenge kidneys to make urine
-high risk of lethal dysrhythmias, make sure on cardiac
monitor, looking for peaked T waves (K elevated)
