Comprehensive RN 2024 Final exam Question and
Answers
TPN education
- nutritional needs are greater than oral or enteral can provide (burn injuries)
- POC BGL
- provides vitamins, minerals w/ cals.
- for hyper metabolic states
- pt w/ egg allergy will be intolerant of lipid solutions.
fluid volume deficit manifestations
VS: hypothermia, tachycardia, thready pulse, hypotension, orthostatic hypotension, decreased CVP,
tachypnea, hypoxia.
NM: dizziness, syncope, confusion, weakness, fatigue
GI: thirst, dry furrowed tongue, N/V, anorexia, acute weight loss.
Renal: oliguria.
Fluid volume excess manifestations
• Pitting edema, sacral edema.
• Dyspnea, crackles, possible pulmonary edema.
• Bounding pulse, weight gain.
• Lethargy, dizziness, headache, confusion.
• Increased CVP, jugular vein distention.
• Increased blood pressure.
decreased BUN, visual disturbances, SOB
,Early decelerations
safe Begin prior to peak of the contraction and end by the end of it. they are caused by head
compression.
no need for intervention if variability is within normal range (6-10) and the FHR is within normal
range.
Late decelerations
Bad (placental insufficiency)
LION: left side. Increase IV. Oxygenation.
umbilical cord prolapse
Initial action = elevate the presenting fetal part to reduce compression on cord
-- can place in knee-chest or deep Trendelenburg position to further relieve compression
vaso-occlusive crisis
Ischemia and pain caused by sickle-shaped red blood cells that obstruct blood flow to a portion of the
body.
visual disturbance, hematuria, painful swelling extremities, fever, tachy, PAIN
Safety for children
-infant: lead poisoning, electrocution, drowning, car seat - on ground.
-toddler: hotdog length wise, no skateboarding.
, -school age: bike, sports, abductions
-adolescent: risky behavior, driving, sex, peer pressure
Lithium Carbonate adverse effects
Expected findings: lethargy, polyuria, fine hand tremors
Emergent: confusion
emergency preparedness plan
notify the incident commander first
Nursing interventions for AV fistulas
- palpate for thrill
- auscultate for bruit
- encourage ROM exercises
- NO labs/IV on affected extremity
Complications of OSA
- weight gain
- enuresis
- HTN
Expected findings for methylenedioxymtheamphetamine (MDMA)
Diaphoresis
Answers
TPN education
- nutritional needs are greater than oral or enteral can provide (burn injuries)
- POC BGL
- provides vitamins, minerals w/ cals.
- for hyper metabolic states
- pt w/ egg allergy will be intolerant of lipid solutions.
fluid volume deficit manifestations
VS: hypothermia, tachycardia, thready pulse, hypotension, orthostatic hypotension, decreased CVP,
tachypnea, hypoxia.
NM: dizziness, syncope, confusion, weakness, fatigue
GI: thirst, dry furrowed tongue, N/V, anorexia, acute weight loss.
Renal: oliguria.
Fluid volume excess manifestations
• Pitting edema, sacral edema.
• Dyspnea, crackles, possible pulmonary edema.
• Bounding pulse, weight gain.
• Lethargy, dizziness, headache, confusion.
• Increased CVP, jugular vein distention.
• Increased blood pressure.
decreased BUN, visual disturbances, SOB
,Early decelerations
safe Begin prior to peak of the contraction and end by the end of it. they are caused by head
compression.
no need for intervention if variability is within normal range (6-10) and the FHR is within normal
range.
Late decelerations
Bad (placental insufficiency)
LION: left side. Increase IV. Oxygenation.
umbilical cord prolapse
Initial action = elevate the presenting fetal part to reduce compression on cord
-- can place in knee-chest or deep Trendelenburg position to further relieve compression
vaso-occlusive crisis
Ischemia and pain caused by sickle-shaped red blood cells that obstruct blood flow to a portion of the
body.
visual disturbance, hematuria, painful swelling extremities, fever, tachy, PAIN
Safety for children
-infant: lead poisoning, electrocution, drowning, car seat - on ground.
-toddler: hotdog length wise, no skateboarding.
, -school age: bike, sports, abductions
-adolescent: risky behavior, driving, sex, peer pressure
Lithium Carbonate adverse effects
Expected findings: lethargy, polyuria, fine hand tremors
Emergent: confusion
emergency preparedness plan
notify the incident commander first
Nursing interventions for AV fistulas
- palpate for thrill
- auscultate for bruit
- encourage ROM exercises
- NO labs/IV on affected extremity
Complications of OSA
- weight gain
- enuresis
- HTN
Expected findings for methylenedioxymtheamphetamine (MDMA)
Diaphoresis
