@PROFDOCDIGITALLIBRARIES
NR 341/ NR341 EXAM 2: 2025/ 2026 COMPLEX ADULT
HEALTH REVIEW | QUESTIONS & ANSWERS| GRADE A+ | 100%
CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Fail chest - ANS ✓Multiple rib fractures that cause paradoxical breathing
2. fail chest manifestations - ANS ✓Paradoxical movement of chest wall, respiratory
distress. May be associated hemothorax, pneumothorax, pulmonary contusion
3. fail chest treatment - ANS ✓O2 as needed to maintain O2 saturation, analgesia.
Stabilize flail segment with positive pressure ventilation (intubation and mechanical
PR
ventilation). Treat associated injuries. Surgical fixation.
4. hemothorax - ANS ✓blood in the pleural cavity
5. hemothorax symptoms - ANS ✓Dyspnea, diminished or absent breath sounds,
O
dullness to percussion, decreased Hgb, shock depending on blood volume lost
6. hemothorax treatment - ANS ✓Chest tube insertion with chest drainage system.
FD
Autotransfusion of collected blood, treatment of hypovolemia as necessary
7. pneumothorax - ANS ✓air in the pleural cavity
8. pneumothorax symptoms - ANS ✓Dyspnea, decreased movement of involved chest
O
wall, diminished or absent breath sounds on the affected side, hyperresonance to
percussion
C
9. pneumothorax treatment - ANS ✓chest tube placement
10. Superficial (first-degree) burn - ANS ✓burns that affect only the epidermis,
characterized by skin that is red but not blistered or actually burned through
11. Deep (second-degree) burn - ANS ✓Destroys the epidermis, dermis, and accessory
organs of the skin
12. Third- and fourth-degree burns - ANS ✓Dry, waxy white, leathery, or hard skin.
Visible thrombosed vessels. Insensitivity to pain because of nerve destruction.
Possible involvement of muscles, tendons, and bones
, @PROFDOCDIGITALLIBRARIES
All skin elements and local nerve endings destroyed. Coagulation necrosis present. Surgical
intervention required for healing
13. Cranial Nerve 1: Olfactory - ANS ✓smell
14. Cranial Nerve II: Optic - ANS ✓-Function: sensory - carries impulse for vision
-Testing procedure: eye chart testing, visual field testing
15. Cranial Nerve III: Oculomotor - ANS ✓--Function: motor - fibers to the superior,
inferior and medial rectus muscles of the eye and to the smooth muscle controlling
lens shape. Medial and vertical eye movements; sensory - proprioception of the eye
-Testing procedure: pupil sizes are compared for shape and equality, pupillary reflex is tested;
visual tracking is tested
PR
16. Cranial Nerve 4: Trochlear - ANS ✓eye movement
17. Cranial Nerve 5: Trigeminal - ANS ✓Function- facial sensation to hot/cold; light
touch, chewing, branches: ophthalmis, maxiallry, mandibular
O
Test- Respective testing of 3 divisions. C;inch jaw & check masseter & temporalis muscles;
jaw and corneal reflex.
FD
18. Cranial Nerve 6: Abducens - ANS ✓lateral eye movement
19. Cranial Nerve 7: Facial - ANS ✓facial expression
20. Cranial Nerve 8: Vestibulocochlear - ANS ✓AUDITORY: HEARING TEST
O
BALANCE: BALANCE AND COORDINATOR TEST
E.G. TICKING WATCH
POSITIVE FOR INABILITY TO HEAR SOUND AT 18-24 INCHES
C
21. Cranial Nerve 9: Glossopharyngeal - ANS ✓SENSORY: TASTE ON POSTERIOR
ASPECT OF TONGUE
E.G. BITTER AND SOUR
INABILITY TO INDENTIFY SUBSTANCES
MOTOR: GAG REFLEX, SWALLOWING
E.G. TONGUE DEPRESSOR
POSITIVE FOR INABILITY TO ELICIT GAG REFLEX
22. Cranial Nerve 10: Vagus - ANS ✓M&S; motor- swallowing, vocal cord movement,
innervates carotids and aortic bodies
sensory- sensation of pharynx/larynx
NR 341/ NR341 EXAM 2: 2025/ 2026 COMPLEX ADULT
HEALTH REVIEW | QUESTIONS & ANSWERS| GRADE A+ | 100%
CORRECT (VERIFIED SOLUTIONS)- CHAMBERLAIN
1. Fail chest - ANS ✓Multiple rib fractures that cause paradoxical breathing
2. fail chest manifestations - ANS ✓Paradoxical movement of chest wall, respiratory
distress. May be associated hemothorax, pneumothorax, pulmonary contusion
3. fail chest treatment - ANS ✓O2 as needed to maintain O2 saturation, analgesia.
Stabilize flail segment with positive pressure ventilation (intubation and mechanical
PR
ventilation). Treat associated injuries. Surgical fixation.
4. hemothorax - ANS ✓blood in the pleural cavity
5. hemothorax symptoms - ANS ✓Dyspnea, diminished or absent breath sounds,
O
dullness to percussion, decreased Hgb, shock depending on blood volume lost
6. hemothorax treatment - ANS ✓Chest tube insertion with chest drainage system.
FD
Autotransfusion of collected blood, treatment of hypovolemia as necessary
7. pneumothorax - ANS ✓air in the pleural cavity
8. pneumothorax symptoms - ANS ✓Dyspnea, decreased movement of involved chest
O
wall, diminished or absent breath sounds on the affected side, hyperresonance to
percussion
C
9. pneumothorax treatment - ANS ✓chest tube placement
10. Superficial (first-degree) burn - ANS ✓burns that affect only the epidermis,
characterized by skin that is red but not blistered or actually burned through
11. Deep (second-degree) burn - ANS ✓Destroys the epidermis, dermis, and accessory
organs of the skin
12. Third- and fourth-degree burns - ANS ✓Dry, waxy white, leathery, or hard skin.
Visible thrombosed vessels. Insensitivity to pain because of nerve destruction.
Possible involvement of muscles, tendons, and bones
, @PROFDOCDIGITALLIBRARIES
All skin elements and local nerve endings destroyed. Coagulation necrosis present. Surgical
intervention required for healing
13. Cranial Nerve 1: Olfactory - ANS ✓smell
14. Cranial Nerve II: Optic - ANS ✓-Function: sensory - carries impulse for vision
-Testing procedure: eye chart testing, visual field testing
15. Cranial Nerve III: Oculomotor - ANS ✓--Function: motor - fibers to the superior,
inferior and medial rectus muscles of the eye and to the smooth muscle controlling
lens shape. Medial and vertical eye movements; sensory - proprioception of the eye
-Testing procedure: pupil sizes are compared for shape and equality, pupillary reflex is tested;
visual tracking is tested
PR
16. Cranial Nerve 4: Trochlear - ANS ✓eye movement
17. Cranial Nerve 5: Trigeminal - ANS ✓Function- facial sensation to hot/cold; light
touch, chewing, branches: ophthalmis, maxiallry, mandibular
O
Test- Respective testing of 3 divisions. C;inch jaw & check masseter & temporalis muscles;
jaw and corneal reflex.
FD
18. Cranial Nerve 6: Abducens - ANS ✓lateral eye movement
19. Cranial Nerve 7: Facial - ANS ✓facial expression
20. Cranial Nerve 8: Vestibulocochlear - ANS ✓AUDITORY: HEARING TEST
O
BALANCE: BALANCE AND COORDINATOR TEST
E.G. TICKING WATCH
POSITIVE FOR INABILITY TO HEAR SOUND AT 18-24 INCHES
C
21. Cranial Nerve 9: Glossopharyngeal - ANS ✓SENSORY: TASTE ON POSTERIOR
ASPECT OF TONGUE
E.G. BITTER AND SOUR
INABILITY TO INDENTIFY SUBSTANCES
MOTOR: GAG REFLEX, SWALLOWING
E.G. TONGUE DEPRESSOR
POSITIVE FOR INABILITY TO ELICIT GAG REFLEX
22. Cranial Nerve 10: Vagus - ANS ✓M&S; motor- swallowing, vocal cord movement,
innervates carotids and aortic bodies
sensory- sensation of pharynx/larynx
