PNLE NP3 AND NP4 Final Exam with All
Solved Solutions 2026-2027 Updated.
Burns - Answer 1st, 2nd and 3rd degree burns. Tissue damage cause by extreme heat.
Remember that PAIN is the hardest part for the nurse in caring for a burned victim. Burn
wounds heal by secondary intention.
Classification of Burns - Answer
Nursing Diagnosis for Burns - Answer
Drug use in burns - Answer
Silver sulfadiazine cream - Answer a sulfa medication used to prevent and treat bacterial or
fungal infections
Tx for burns
S/E: Neutropenia, burning
CROSS-ALLERGY: sulfonamides
Electrolyte changes in burn - Answer
Hyperkalemia treatment - Answer Treatment -
Give diuretics, glucose/insulin
Kaexelate
Hyponatermia Treatment - Answer
WHO Pain ladder scale, - Answer
Demerol (meperidine) - Answer -Used for pain management
-Opioid analgesic. Used for chronic pain or intense short term pain episodes.
,Morphine and fentanyl - Answer -Morphine & Fentanyl mimic endorphines and sedate and
reduce pre-op anxiety.
-Side effects = resp depression, sedation, dizzy, hypotension, retention.
-Don't give to patient who had biliary/ colon surgery.
-Phenobarbitor increases CNS depressant.
-Hold if resp rate under 8/min.
Nursing diagnosis after anesthesia - Answer RISK FOR INFECTION or
INEFFECTIVE AIR CLEARANCE
Surgical Monitoring - Answer q30
PACU MONITORING - Answer Q15 ,
**patent airway/breathing; breath sounds, O2, restorations
Circulation: skin color, BP, HR, ECG
GU: input & output
Surgical site for dressings or drains
Pain
Morphine - Answer causes spasms in the sphincter of oddi.
narcotic drug derived from opium, used to treat severe pain
Hepa A - Answer oro-fecal
infectious hepatitis
both A & B have vaccines either passive or active but if already exposed, Give PASSIVE.
Hepa B - Answer is caused by blood exchange
associated with 10% of transfusion acquired hepatitis
, Diabetes mellitus - Answer a group of metabolic disorders characterized by hyperglycemia
resulting from defects in insulin secretion, insulin action, or both
Metformin and contrast medium [stop metformin due to renal toxicity], Insulin rotation and
administration, diabetes r/t footcare. Avoid wearing canvass shoes, check for the sensation, do
not go outside without slippers. PERIPHERAL NEUROPATHY. OHA drugs.
HYPOCALCEMIA - Answer
Hyperkalemia treatment
"KIND" - Answer Kayexalate (orally/ enema)
Insulin
Na HCO3
Diuretics (Furosemide & Thiazides)
Hypokalemia Treatment/Interventions - Answer Never give IVP or IV bolus, can be fatal!
Very irritating and painful infusion, IV bag can hang for 24 hours.
Cardiac monitoring for dysrhythmias
Orthostatic hypotension.
If critical value, notify provider immediatly
Hyperkalemia ECG (K+) - Answer Cardiac changes include:
* Wide, Flat P wave
*Prolonged PR intervals
*a Wide QRS complex
*Narrow, Peaked T waved and a depressed ST segment.
Hypokalemia ECG (K+) - Answer Cardiac changes would include:
*Flattening and Inversion of the T waves
*the apperance of a U wave
*and ST depression.
myocardial infarction (heart attack) - Answer Prolonged coronary blockage
Areas of cell death are repaired with noncontractile scar tissue
Solved Solutions 2026-2027 Updated.
Burns - Answer 1st, 2nd and 3rd degree burns. Tissue damage cause by extreme heat.
Remember that PAIN is the hardest part for the nurse in caring for a burned victim. Burn
wounds heal by secondary intention.
Classification of Burns - Answer
Nursing Diagnosis for Burns - Answer
Drug use in burns - Answer
Silver sulfadiazine cream - Answer a sulfa medication used to prevent and treat bacterial or
fungal infections
Tx for burns
S/E: Neutropenia, burning
CROSS-ALLERGY: sulfonamides
Electrolyte changes in burn - Answer
Hyperkalemia treatment - Answer Treatment -
Give diuretics, glucose/insulin
Kaexelate
Hyponatermia Treatment - Answer
WHO Pain ladder scale, - Answer
Demerol (meperidine) - Answer -Used for pain management
-Opioid analgesic. Used for chronic pain or intense short term pain episodes.
,Morphine and fentanyl - Answer -Morphine & Fentanyl mimic endorphines and sedate and
reduce pre-op anxiety.
-Side effects = resp depression, sedation, dizzy, hypotension, retention.
-Don't give to patient who had biliary/ colon surgery.
-Phenobarbitor increases CNS depressant.
-Hold if resp rate under 8/min.
Nursing diagnosis after anesthesia - Answer RISK FOR INFECTION or
INEFFECTIVE AIR CLEARANCE
Surgical Monitoring - Answer q30
PACU MONITORING - Answer Q15 ,
**patent airway/breathing; breath sounds, O2, restorations
Circulation: skin color, BP, HR, ECG
GU: input & output
Surgical site for dressings or drains
Pain
Morphine - Answer causes spasms in the sphincter of oddi.
narcotic drug derived from opium, used to treat severe pain
Hepa A - Answer oro-fecal
infectious hepatitis
both A & B have vaccines either passive or active but if already exposed, Give PASSIVE.
Hepa B - Answer is caused by blood exchange
associated with 10% of transfusion acquired hepatitis
, Diabetes mellitus - Answer a group of metabolic disorders characterized by hyperglycemia
resulting from defects in insulin secretion, insulin action, or both
Metformin and contrast medium [stop metformin due to renal toxicity], Insulin rotation and
administration, diabetes r/t footcare. Avoid wearing canvass shoes, check for the sensation, do
not go outside without slippers. PERIPHERAL NEUROPATHY. OHA drugs.
HYPOCALCEMIA - Answer
Hyperkalemia treatment
"KIND" - Answer Kayexalate (orally/ enema)
Insulin
Na HCO3
Diuretics (Furosemide & Thiazides)
Hypokalemia Treatment/Interventions - Answer Never give IVP or IV bolus, can be fatal!
Very irritating and painful infusion, IV bag can hang for 24 hours.
Cardiac monitoring for dysrhythmias
Orthostatic hypotension.
If critical value, notify provider immediatly
Hyperkalemia ECG (K+) - Answer Cardiac changes include:
* Wide, Flat P wave
*Prolonged PR intervals
*a Wide QRS complex
*Narrow, Peaked T waved and a depressed ST segment.
Hypokalemia ECG (K+) - Answer Cardiac changes would include:
*Flattening and Inversion of the T waves
*the apperance of a U wave
*and ST depression.
myocardial infarction (heart attack) - Answer Prolonged coronary blockage
Areas of cell death are repaired with noncontractile scar tissue
