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NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+/ARIZONA COLLEGE OF NURSING
What medication is used to decrease ICP? - ANSWER-Mannitol
-osmotic diuretic
-reduces ICP by inducing diuresis (creates an osmotic gradient across
the blood-brain barrier [BBB] and increased serum osmolality -> pulls
fluid out of brain cells and shifts it into the intravascular compartment)
What medication would you plan on administering to a patient who is
experiencing bradycardia or heart block? - ANSWER-Atropine
-administer over 1 minute
-therapeutic effect desired = increased HR
-rapid administration may be used during cardiac resuscitation (follow
with 20 mL saline flush)
A patient suffering from a hypertensive crisis enters the ED. What
medication is used to treat this emergent situation? - ANSWER-
Nitroprusside
-arteriole vasodilator
-rapidly lowers BP
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-decreases preload and afterload
What medication prevents the absorption of ammonia from the GI tract
in order to treat hepatic encephalopathy? - ANSWER-Lactulose
-expect more frequent bowel movements
-should see clearing of confusion, apathy, and irritation and improved
mental status (24-48 hours after oral administration)
Under what condition would you administer tPA? - ANSWER-patient
that is suffering from an ischemic stroke
What is mutual support? - ANSWER-assisting others
providing feedback
advocacy behaviors when patient safety is threatened
What is the difference between formal and informal feedback? -
ANSWER-Formal should be retrospective and scheduled in advance
Informal occurs in real time and includes huddles/debriefs
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Explain the phenomenon of alarm fatigue - ANSWER-Frequency of
alarms becomes overwhelming, resulting in delayed response to alarms
and deliberate alarm deactivation which may impact patient safety
What is the purpose of palliative care? - ANSWER-nursing and medical
treatments are combined with control of pain and symptoms
What is the CUS method of advocacy? - ANSWER-I am concerned
I am uncomfortable
This is a safety issue
What does DESC stand for? - ANSWER-Describe the situation
Express what you think and feel
Suggest a solution
Consequences if no changes
What is the normal rate of the SA node, AV node, and ventricular rate?
- ANSWER-SA = 60-100
AV = 40-60
Ventricular = 20-40
What is the normal length of a P wave, QRS complex, and QT interval? -
ANSWER-P = 0.12-0.20 sec
NUR 445 FINAL EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+/ARIZONA COLLEGE OF NURSING
What medication is used to decrease ICP? - ANSWER-Mannitol
-osmotic diuretic
-reduces ICP by inducing diuresis (creates an osmotic gradient across
the blood-brain barrier [BBB] and increased serum osmolality -> pulls
fluid out of brain cells and shifts it into the intravascular compartment)
What medication would you plan on administering to a patient who is
experiencing bradycardia or heart block? - ANSWER-Atropine
-administer over 1 minute
-therapeutic effect desired = increased HR
-rapid administration may be used during cardiac resuscitation (follow
with 20 mL saline flush)
A patient suffering from a hypertensive crisis enters the ED. What
medication is used to treat this emergent situation? - ANSWER-
Nitroprusside
-arteriole vasodilator
-rapidly lowers BP
,2|Page
-decreases preload and afterload
What medication prevents the absorption of ammonia from the GI tract
in order to treat hepatic encephalopathy? - ANSWER-Lactulose
-expect more frequent bowel movements
-should see clearing of confusion, apathy, and irritation and improved
mental status (24-48 hours after oral administration)
Under what condition would you administer tPA? - ANSWER-patient
that is suffering from an ischemic stroke
What is mutual support? - ANSWER-assisting others
providing feedback
advocacy behaviors when patient safety is threatened
What is the difference between formal and informal feedback? -
ANSWER-Formal should be retrospective and scheduled in advance
Informal occurs in real time and includes huddles/debriefs
, 3|Page
Explain the phenomenon of alarm fatigue - ANSWER-Frequency of
alarms becomes overwhelming, resulting in delayed response to alarms
and deliberate alarm deactivation which may impact patient safety
What is the purpose of palliative care? - ANSWER-nursing and medical
treatments are combined with control of pain and symptoms
What is the CUS method of advocacy? - ANSWER-I am concerned
I am uncomfortable
This is a safety issue
What does DESC stand for? - ANSWER-Describe the situation
Express what you think and feel
Suggest a solution
Consequences if no changes
What is the normal rate of the SA node, AV node, and ventricular rate?
- ANSWER-SA = 60-100
AV = 40-60
Ventricular = 20-40
What is the normal length of a P wave, QRS complex, and QT interval? -
ANSWER-P = 0.12-0.20 sec
