@PROFDOCDIGITALLIBRARIES
NR 341/ NR341 FINAL EXAM : (NEW 2025/
2026 UPDATE) COMPLEX ADULT HEALTH REVIEW |
QUESTIONS & ANSWERS| GRADE A+ | 100%
CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Who would you give a black tag to in a mass causality - ANS ✓Full cardiac arrest
PR
Open or unresponsive head injury
No pulse
O
2. Leg fracture and large bone (large bones like femur and pelvis) - biggest concern
- ANS ✓fat embolism
FD
3. Treatment for fat embolism - ANS ✓extremity immobilization
O
4. Long bone leg fx or pelvic fx complications - ANS ✓fat embolism or compartment
C
syndrome
5. Rhabdomyolysis - ANS ✓CK lab can show this
Tx → IV fluids to achieve a urine output of 100-200 ml/hr
6. 5 P's - ANS ✓pain, pallor, pulselessness, paraesthesia, paralysis
, @PROFDOCDIGITALLIBRARIES
7. Why be wary of sao2 monitors when pt. Has carbon monoxide poisoning - ANS
✓Cannot distinguish between oxyhemoglobin & carboxyhemoglobin
8. Insulin therapy (DKA & HHS) - ANS ✓Fluid replacement initiate first; monitor K+
Hourly glucose monitoring
Decrease glucose by 50 to 75 mg/dl/hr
When glucose is < 200 mg/dl, adjust infusion to maintain 150 - 200 mg/dl
- keep K+ between 4 - 5
PR
9. Transitioning to subq therapy - ANS ✓Blood glucose < 200 mg/dl - Ketosis must
be resolved before transition
O
Two of the following criteria met (DKA):
Ph > 7.30
FD
HCO3 > 15 meq/L
Anion gap ≤ 12 meq/L
O
10. Insulin therapy - transitioning therapy - ANS ✓Basal/bolus insulin regimen
C
preferred
Long-acting/short- or rapid-acting insulin
Administer subq insulin prior to d/c IV insulin
Monitor Q6-8 hours
Determined by meal schedule, and if NPO, then q6h
11. ARDS and cerebral edema - ANS ✓Caused by rapid intracellular fluid shifts during
IV administration of fluids
NR 341/ NR341 FINAL EXAM : (NEW 2025/
2026 UPDATE) COMPLEX ADULT HEALTH REVIEW |
QUESTIONS & ANSWERS| GRADE A+ | 100%
CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Who would you give a black tag to in a mass causality - ANS ✓Full cardiac arrest
PR
Open or unresponsive head injury
No pulse
O
2. Leg fracture and large bone (large bones like femur and pelvis) - biggest concern
- ANS ✓fat embolism
FD
3. Treatment for fat embolism - ANS ✓extremity immobilization
O
4. Long bone leg fx or pelvic fx complications - ANS ✓fat embolism or compartment
C
syndrome
5. Rhabdomyolysis - ANS ✓CK lab can show this
Tx → IV fluids to achieve a urine output of 100-200 ml/hr
6. 5 P's - ANS ✓pain, pallor, pulselessness, paraesthesia, paralysis
, @PROFDOCDIGITALLIBRARIES
7. Why be wary of sao2 monitors when pt. Has carbon monoxide poisoning - ANS
✓Cannot distinguish between oxyhemoglobin & carboxyhemoglobin
8. Insulin therapy (DKA & HHS) - ANS ✓Fluid replacement initiate first; monitor K+
Hourly glucose monitoring
Decrease glucose by 50 to 75 mg/dl/hr
When glucose is < 200 mg/dl, adjust infusion to maintain 150 - 200 mg/dl
- keep K+ between 4 - 5
PR
9. Transitioning to subq therapy - ANS ✓Blood glucose < 200 mg/dl - Ketosis must
be resolved before transition
O
Two of the following criteria met (DKA):
Ph > 7.30
FD
HCO3 > 15 meq/L
Anion gap ≤ 12 meq/L
O
10. Insulin therapy - transitioning therapy - ANS ✓Basal/bolus insulin regimen
C
preferred
Long-acting/short- or rapid-acting insulin
Administer subq insulin prior to d/c IV insulin
Monitor Q6-8 hours
Determined by meal schedule, and if NPO, then q6h
11. ARDS and cerebral edema - ANS ✓Caused by rapid intracellular fluid shifts during
IV administration of fluids
