lOMoARcPSD|10506160
ATI NUR 436 MIDTERM QUESTION &
ANSWER VERIFIED GRADED A+
Complex Nursing Practice: Adults (Arizona State
University)
, lOMoARcPSD|10506160
1
NUR 436 Experiential Learning Advanced Midterm
Test Plan
There will be 50 questions for 35 points for the Midterm exam. You will have
75 minutes to complete the exam. Review Midterm Test Plan info in Course
module.
The exam will open at 0730 on Respondus Lockdown Browser w/WEBCAM.
Your exam starts once you start the with the exam questions for the 75
minutes.
The test will have Multiple Choice Questions, Multiple Answer Questions and
Medication Calculations. The calculator will be available in Respondus. Install
ALL computer and Respondus updates before the exam.
Clinical Judgment (Nursing Process) (20 questions)
● Focused assessment of children and adults related to circulation,
airway, breathing and age appropriate normal vital signs.
o Adults: Airway, Breathing, Circulation
▪ Vitals: same as adolescent
vitals in chart below
o Children: Appearance, Work of
Breathing, Circulation
● Interpretation of Coder EKG rhythms and treatment of dysrhythmias
(asystole, VF, VT, 3rd degree Heart block/pacers, SVT-vagal maneuvers vs
med administration).
**Using Codeí as an example, when he coded, the oídeí goes as follows: V-tach,
V- fib, asystole
o Asystole:
, lOMoARcPSD|10506160
2
▪ FLAT line, no ventricular contractions, no electrical
activity (do not defib)
▪ Interventions:
● CODE BLUE!
● CPR, ACLS (Epinephrine)
● Rhythm needs a code blue, immediate CPR, ambu-
bag patient, and can give epinephrine. Find the
cause of asystole.
o AЧíopi«c, dcribíillaЧio«, a«d sy«ckío«izcd caídiovcísio«
aíc NOĪ appíopíiaЧc roí Чkis íkyЧkm!!
o V-fib:
▪ No
coordinated
activity, NO
pulse
▪ Interventions:
● CODE BLUE!
always- CPR,
Epi,
Defibrillate, ACLS
o This is a lethal rhythm that should be a code
blue, start ACLS with cpr and ambu-bagging
breaths, defibrillate ASAP, can give
epinephrine.
o V-tach:
▪ Wide
QRS
(>150bp
m)
● Torsades
**wiЧk oí wiЧko»Ч p»lsc
▪ Interventions:
● Oxygen
o VT with a pulse: SYNC Cardioversion,
Amiodarone, Procainamide
▪ This rhythm can turn fatal if not treated
quickly. Can ask patient to bear down, give
amiodarone or procainamide, or can perform
sync cardioversion.
o VT without a pulse: NO PULSE = CODE
BLUE Start CPR, get the defibrillator, Epi
o Hoísadcs dc Poi הЧcs (TdP): Magnesium! CPR, Defibrillate
, lOMoARcPSD|10506160
3
o Identify cause (drugs? electrolytes? hypoxia?)
ATI NUR 436 MIDTERM QUESTION &
ANSWER VERIFIED GRADED A+
Complex Nursing Practice: Adults (Arizona State
University)
, lOMoARcPSD|10506160
1
NUR 436 Experiential Learning Advanced Midterm
Test Plan
There will be 50 questions for 35 points for the Midterm exam. You will have
75 minutes to complete the exam. Review Midterm Test Plan info in Course
module.
The exam will open at 0730 on Respondus Lockdown Browser w/WEBCAM.
Your exam starts once you start the with the exam questions for the 75
minutes.
The test will have Multiple Choice Questions, Multiple Answer Questions and
Medication Calculations. The calculator will be available in Respondus. Install
ALL computer and Respondus updates before the exam.
Clinical Judgment (Nursing Process) (20 questions)
● Focused assessment of children and adults related to circulation,
airway, breathing and age appropriate normal vital signs.
o Adults: Airway, Breathing, Circulation
▪ Vitals: same as adolescent
vitals in chart below
o Children: Appearance, Work of
Breathing, Circulation
● Interpretation of Coder EKG rhythms and treatment of dysrhythmias
(asystole, VF, VT, 3rd degree Heart block/pacers, SVT-vagal maneuvers vs
med administration).
**Using Codeí as an example, when he coded, the oídeí goes as follows: V-tach,
V- fib, asystole
o Asystole:
, lOMoARcPSD|10506160
2
▪ FLAT line, no ventricular contractions, no electrical
activity (do not defib)
▪ Interventions:
● CODE BLUE!
● CPR, ACLS (Epinephrine)
● Rhythm needs a code blue, immediate CPR, ambu-
bag patient, and can give epinephrine. Find the
cause of asystole.
o AЧíopi«c, dcribíillaЧio«, a«d sy«ckío«izcd caídiovcísio«
aíc NOĪ appíopíiaЧc roí Чkis íkyЧkm!!
o V-fib:
▪ No
coordinated
activity, NO
pulse
▪ Interventions:
● CODE BLUE!
always- CPR,
Epi,
Defibrillate, ACLS
o This is a lethal rhythm that should be a code
blue, start ACLS with cpr and ambu-bagging
breaths, defibrillate ASAP, can give
epinephrine.
o V-tach:
▪ Wide
QRS
(>150bp
m)
● Torsades
**wiЧk oí wiЧko»Ч p»lsc
▪ Interventions:
● Oxygen
o VT with a pulse: SYNC Cardioversion,
Amiodarone, Procainamide
▪ This rhythm can turn fatal if not treated
quickly. Can ask patient to bear down, give
amiodarone or procainamide, or can perform
sync cardioversion.
o VT without a pulse: NO PULSE = CODE
BLUE Start CPR, get the defibrillator, Epi
o Hoísadcs dc Poi הЧcs (TdP): Magnesium! CPR, Defibrillate
, lOMoARcPSD|10506160
3
o Identify cause (drugs? electrolytes? hypoxia?)
