@PROFDOCDIGITALLIBRARIES
NR 341/ NR341 FINAL EXAM : (NEW 2025/ 2026
UPDATE) COMPLEX ADULT HEALTH REVIEW | QUESTIONS
& ANSWERS| GRADE A+ | 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
1. Fluid Overload Transfusion Reaction - ANS ✓Cough, dyspnea, pulmonary
congestion, adventitious breath sounds, headache, hypertension, tachycardia,
distended neck veins
PR
2. Maintaining Airway in Trauma Patients - ANS ✓-jaw thrust maneuver for
intubation for cervical injury
-unresponsive patient with get an oral airway so tongue does not occlude airway
O
-log roll patient to the side so they do not vomit and aspirate
FD
3. Unresponsive Patient - ANS ✓CAB first
4. Types of Burns - ANS ✓-thermal
-chemical
O
-electrical
-inhalation
C
5. Thermal Burns - ANS ✓-concern: cardiovascular collapse due to burn shock
-use rule of 9's, parkland formula, how deep are burns
-adults if 20% or more burned = systemic reaction
6. Rule of 9's - ANS ✓Head = 9
Ant Chest = 18
Post Chest = 18
Arm = 9
Leg = 18
,@PROFDOCDIGITALLIBRARIES
7. Parkland Formula - ANS ✓4mL x %BSA x weight (kg)
-half in first 8 hours and half in remaining 16 hours
8. Chemical Burns - ANS ✓-concern: airway
-beefy, cherry red face = chemical and airway problems
9. Electrical Burns - ANS ✓-concern: dysrhythmias, entry and exit wounds,
rhabdomyolysis
10. Inhalation Burns - ANS ✓-concern: upper or lower airway compromise
PR
-upper: stridor
-lower: soot in sputum
-intubate if see upper/lower
-cyanide (synthetic)/carbon monoxide (organic)
O
11. Carbon Monoxide - ANS ✓put on 100% nonrebreather
FD
12. Support each organ: Burns - ANS ✓-Resp: vent
-Kidneys: volume or CRRT if not enough volume since concerned about rhabdo as well
O
-cardio: volume and pressors if we need them, positive inotrope
C
13. Type of ulcer for burns? - ANS ✓curlings ulcer
14. Wound Management: Burns - ANS ✓-sterile and PPE before entering room
-may need an escharotomy or a fasciotomy to release the pressure
-topical ABX - assess for allergies to sulfa
15. Nutritional Support: Burns - ANS ✓-need 5000 cal/day
-high risk for paralytic ileus, may be on TPN
, @PROFDOCDIGITALLIBRARIES
16. Complications for Trauma/Burns: Hypothermia - ANS ✓-concern: cardiovascular
dysfunction, coag problems, dysrhythmias (bradycardia, Afib, Vfib)
-tx: positive inotropes, FFP, warm blankets, warm IV fluids and blood products, convection
air blanket, increase room temp
17. Complications for Trauma/Burns: Compartment Syndrome - ANS ✓-concern:
pain, pallor, paralysis, pulselessness, paresthesia, paralysis, pressure, concern is
decreased BF to tissue and necrosis
-tx: prevent, fasciotomy
18. Complications for Trauma/Burns: Rhabdomyolysis - ANS ✓-concern: acute renal
PR
failure
-tx: fluids, UO needs to be 100-200 mL/hr
19. Complications for Trauma/Burns: Venous Thromboembolism - ANS ✓-concern:
O
PE
-Tx: early mobility, blood thinners
FD
20. Burn Electrolyte Management - ANS ✓-Potassium: d/t cell damage will have
hyperkalemia
O
-tx: kayexalate, D50, insulin, if see cardiac instability would give calcium and possible bicarb
C
21. Hypoglycemia - ANS ✓-BG <70
-causes: meds, NPO, noncompliance
-sx: tachycardia, diaphoresis, hangry, may be asymptomatic if on BBs
-tx: rule of 15
22. Rule of 15 - ANS ✓-give 15 grams or 4 oz (120 mL) of apple juice, re-check BG 15
mins later, if still low repeat, if over 70 give complex carb + protein (graham crackers
and milk, PB, cheese or meal tray)
-call provider to find out cause (could be d/t tapering of a steroid dose and insulin not
adjusted)
NR 341/ NR341 FINAL EXAM : (NEW 2025/ 2026
UPDATE) COMPLEX ADULT HEALTH REVIEW | QUESTIONS
& ANSWERS| GRADE A+ | 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
1. Fluid Overload Transfusion Reaction - ANS ✓Cough, dyspnea, pulmonary
congestion, adventitious breath sounds, headache, hypertension, tachycardia,
distended neck veins
PR
2. Maintaining Airway in Trauma Patients - ANS ✓-jaw thrust maneuver for
intubation for cervical injury
-unresponsive patient with get an oral airway so tongue does not occlude airway
O
-log roll patient to the side so they do not vomit and aspirate
FD
3. Unresponsive Patient - ANS ✓CAB first
4. Types of Burns - ANS ✓-thermal
-chemical
O
-electrical
-inhalation
C
5. Thermal Burns - ANS ✓-concern: cardiovascular collapse due to burn shock
-use rule of 9's, parkland formula, how deep are burns
-adults if 20% or more burned = systemic reaction
6. Rule of 9's - ANS ✓Head = 9
Ant Chest = 18
Post Chest = 18
Arm = 9
Leg = 18
,@PROFDOCDIGITALLIBRARIES
7. Parkland Formula - ANS ✓4mL x %BSA x weight (kg)
-half in first 8 hours and half in remaining 16 hours
8. Chemical Burns - ANS ✓-concern: airway
-beefy, cherry red face = chemical and airway problems
9. Electrical Burns - ANS ✓-concern: dysrhythmias, entry and exit wounds,
rhabdomyolysis
10. Inhalation Burns - ANS ✓-concern: upper or lower airway compromise
PR
-upper: stridor
-lower: soot in sputum
-intubate if see upper/lower
-cyanide (synthetic)/carbon monoxide (organic)
O
11. Carbon Monoxide - ANS ✓put on 100% nonrebreather
FD
12. Support each organ: Burns - ANS ✓-Resp: vent
-Kidneys: volume or CRRT if not enough volume since concerned about rhabdo as well
O
-cardio: volume and pressors if we need them, positive inotrope
C
13. Type of ulcer for burns? - ANS ✓curlings ulcer
14. Wound Management: Burns - ANS ✓-sterile and PPE before entering room
-may need an escharotomy or a fasciotomy to release the pressure
-topical ABX - assess for allergies to sulfa
15. Nutritional Support: Burns - ANS ✓-need 5000 cal/day
-high risk for paralytic ileus, may be on TPN
, @PROFDOCDIGITALLIBRARIES
16. Complications for Trauma/Burns: Hypothermia - ANS ✓-concern: cardiovascular
dysfunction, coag problems, dysrhythmias (bradycardia, Afib, Vfib)
-tx: positive inotropes, FFP, warm blankets, warm IV fluids and blood products, convection
air blanket, increase room temp
17. Complications for Trauma/Burns: Compartment Syndrome - ANS ✓-concern:
pain, pallor, paralysis, pulselessness, paresthesia, paralysis, pressure, concern is
decreased BF to tissue and necrosis
-tx: prevent, fasciotomy
18. Complications for Trauma/Burns: Rhabdomyolysis - ANS ✓-concern: acute renal
PR
failure
-tx: fluids, UO needs to be 100-200 mL/hr
19. Complications for Trauma/Burns: Venous Thromboembolism - ANS ✓-concern:
O
PE
-Tx: early mobility, blood thinners
FD
20. Burn Electrolyte Management - ANS ✓-Potassium: d/t cell damage will have
hyperkalemia
O
-tx: kayexalate, D50, insulin, if see cardiac instability would give calcium and possible bicarb
C
21. Hypoglycemia - ANS ✓-BG <70
-causes: meds, NPO, noncompliance
-sx: tachycardia, diaphoresis, hangry, may be asymptomatic if on BBs
-tx: rule of 15
22. Rule of 15 - ANS ✓-give 15 grams or 4 oz (120 mL) of apple juice, re-check BG 15
mins later, if still low repeat, if over 70 give complex carb + protein (graham crackers
and milk, PB, cheese or meal tray)
-call provider to find out cause (could be d/t tapering of a steroid dose and insulin not
adjusted)
