NR 341 FINAL UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● The nurse enters the room of a client with a complex health
alteration, after hearing the alarms for the infusion pump, telemetry
monitor, and pulse oximetry sound. In which order should the nurse
complete the listed actions below?
Answer: Assess level of consciousness
Assess respiratory status
Palpate for a carotid pulse
Check the pulse oximetry alarm and address any issues noted
Check the telemetry alarm and address any issues noted
Assess the IV site
Check the infusion pump alarm and address any issues noted
,●● Benzodiazepines
Answer: Anxiety
sedation
pain
alcohol withdrawal
Midazolam
Lorazepam
●● Benzodiazepine AE
Answer: Paradoxical (opposite) effect
hypotension
tachycardia
delirium
respiratory depression
●● Benzodiazepine desired effect
Answer: treat delirium
maintain anesthesia and amnesia
●● Benzodiazepine reversal agent
Answer: Flumazenil (Romazicon)
, ●● Opioids
Answer: Fentanyl/ Morphine/ Hydromorphone (delaudid)
●● Opioid AE
Answer: Respiratory Depression
Constipation/ Vomiting
Bradycardia
High Pruritus
Urinary retention
Hypotension
Urticaria (itchy)
Reversal Agent - Naloxone (Narcan)
Best way to assess pain: ask
Always have ambu bag at bedside
Not breathing- CO2 is increased
●● delirium
Answer: Fluctuating change in cognition and behavior occurring over a
short amount of time. preventable and reversible
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● The nurse enters the room of a client with a complex health
alteration, after hearing the alarms for the infusion pump, telemetry
monitor, and pulse oximetry sound. In which order should the nurse
complete the listed actions below?
Answer: Assess level of consciousness
Assess respiratory status
Palpate for a carotid pulse
Check the pulse oximetry alarm and address any issues noted
Check the telemetry alarm and address any issues noted
Assess the IV site
Check the infusion pump alarm and address any issues noted
,●● Benzodiazepines
Answer: Anxiety
sedation
pain
alcohol withdrawal
Midazolam
Lorazepam
●● Benzodiazepine AE
Answer: Paradoxical (opposite) effect
hypotension
tachycardia
delirium
respiratory depression
●● Benzodiazepine desired effect
Answer: treat delirium
maintain anesthesia and amnesia
●● Benzodiazepine reversal agent
Answer: Flumazenil (Romazicon)
, ●● Opioids
Answer: Fentanyl/ Morphine/ Hydromorphone (delaudid)
●● Opioid AE
Answer: Respiratory Depression
Constipation/ Vomiting
Bradycardia
High Pruritus
Urinary retention
Hypotension
Urticaria (itchy)
Reversal Agent - Naloxone (Narcan)
Best way to assess pain: ask
Always have ambu bag at bedside
Not breathing- CO2 is increased
●● delirium
Answer: Fluctuating change in cognition and behavior occurring over a
short amount of time. preventable and reversible