Final Exam: NR 341/ NR341 (Latest 2026/ 2027 Update) Complex Adult Health Guide| Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain

Finall Exam:l NRl 341/l NR341l (Latestl
2026/l 2027l Update)l Complexl Adultl
Healthl Guide|l Q/Al |l Gradel A|l 100%l
Correctl (Verifiedl Answers)l -Chamberlain

Q:l Seizures:
Answer:
-l Abnormall electricall dischargel inl thel brain...partiall (simplel partiall orl complexl
partial)...orl generalizedl seizures
-l Statusl epilepticus...seizuresl inl closel proximityl tol onel anotherl thatl lastsl longerl thanl 30l
minutes...twol orl morel withoutl fulll recoveryl isl indicativel ofl SE



Q:l Statusl Epilepticus:
Answer:
-l 20l tol 30l minutesl ofl continuousl seizurel activity
-l Consecutivel seizuresl forl 20l tol 30l minutesl withoutl returnl tol consciousness
-l Causes:l Knownl seizurel disorderl withl medicationl non-compliance,l nol historyl ofl
seizures,l toxic/metabolicl eventsl thatl damagel cerebrall cortex
-l S/S:l HTN,l tachycardia,l cardiacl arrythmias,l hyperglycemia,l hyperthermia,l lacticl acidosis,l
andl possiblel irreversiblel neuronall destruction



Q:l Statusl Epilepticusl Nursingl Interventions:
Answer:
-l Stayl andl protectl patientl froml injury
-l Airwayl andl O2
-l Neurol assessment
-l Cardiacl monitoringl vial ECG
-l Benzodiazepinesl -l FIRSTl LINEl DRUGS...Lorazepaml (Ativan)l isl thel drugl ofl choicel
usuallyl asl al standingl order

,-l Anticonvulsantsl tol stopl seizure:l phenytoin,l phosphenytoinl (Cerebyx)
-l Phenobarbitall isl whenl abovel drugsl arel notl effective,l givenl tol placel pt.l inl inducedl
coma



Q:l Acutel Stroke:
Answer:
-l 3rdl Leadingl Causel ofl Deathl inl US
-l Hemorrhagicl (ICHl andl SAH)l v.l Ischemial (vial Afib/Aflut)l
-l TIMEl ISl ONl THEl ESSENSE...TIMEl =l TISSUE



Q:l Acutel Strokel (cont.):
Answer:
-l Timel isl Brain!
-l Doorl tol Docl =l 10l minutes
-l Accessl tol neurologicall expertisel =l 15l minutes
-l Doorl tol CTl completionl (1stl Prio)l =l 25l minutes
-l Doorl tol CTl interpretl =l 45l minutes
-l Doorl tol treatmentl =l 60l minutes
-l Admissionl tol monitoredl bedl =l 3l hours
-l Goall =l TPAl withinl 3l hoursl ofl onsetl ofl symptomsl withl Ischemicl Strokes



Q:l BEl FAST:
Answer:
-l Balance
-l Eyes
-l Face
-l Arms
-l Speech
-l Timel tol Calll 911



Q:l Leftl vl Rightl Stroke:

,Answer:
-l Left:l languagel problemsl (aphasia),l numbers,l writing,l understanding
-l Right:l attentionl span,l neglectl (impulsiveness),l denial,l andl visual/spatial



Q:l CNSl Infectionsl -l Bacteriall Meningitis:
Answer:
-l Triad:l headache,l stiffl neck,l andl fever
-l Symptomsl ofl meningeall irritation
-l Photosensitivity
-l Craniall nervel palsies
-l Focall neurologicall signs
-l Seizures
-l Increasedl ICP
-l Kernig'sl andl Brudzinski'sl Signs



Q:l Kernig'sl Test:
Answer:

, Q:l Brudinski'sl Test:
Answer:
-l Flexionl ofl thel neckl causesl involuntaryl flexionl ofl thel knee




Q:l Meningitisl Medical/Nursingl Management:
Answer:
-l Appropriatel antibiotic
-l Steroidsl mayl bel usedl tol reducel neurotoxicl effectsl likel dexamethasonel isl usuallyl thel
drugl ofl choice
-l Isolationl precautionsl atl Droplet
-l Avoidl situationsl thatl increasel ICP...nursel shouldl elevatel HOBl 30-45l degrees,l avoidl
Valsalval maneuvers,l preventl coughing,l andl avoidl hypotension
-l Promotionl ofl pt.l comfort
-l Maintainl normall bodyl temperature
-l Diml lights
-l Seizurel precautions



Q:l Autonomicl Dysreflexia:
Answer:
-l Spinall cordl injuryl atl T-6l orl higher
-l Triggeredl byl sustainedl stimulil atl T-6l orl belowl from:l restrictivel clothing,l fulll
bladder/UTI,l pressurel areas,l orl fecall impaction