NR341 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2025

NR341 EXAM 1 QUESTIONS WITH
CORRECT ANSWERS 2025
BradenGScaleG-GCORRECTGANSWERG--GAGtoolGforGpredictingGpressureGulcerGrisk

-G<12GisGsevere-highGrisk

-GLookGatGLOC,Gmobility,Gself-feedingGskills,Gnutrition/nourishment



PalliativeGvsGhospiceGcareG-GCORRECTGANSWERG-PalliativeGcare

-GCanGbeGprovidedGfromGtheGtimeGofGdiagnosis;GForGanyGchronicGdisease

-GCanGbeGgivenGsimultaneouslyGwithGcurativeGtreatment.

-GImproveGQualityGofGlife



HospiceGcare

-GForGterminalGillnessesGwithG<G6GmoGprognosisG

-GImproveGEndGofGLife




BothGservicesGhaveGfoundationsGinGtheGsameGphilosophyGofGreducingGtheGseverityGofGtheGsymptomsGofGaGs
icknessGorGoldGage.



AlbuminG-GCORRECTGANSWERG--G3.5-5.5Gg/dL

-GHasGlongGhalfGlifeG(2GweeksG-G20Gdays)



Pre-albuminG-GCORRECTGANSWERG--G16-40Gmg/dL

-G<G16GisGmalnourished;GwantGoverG20

-
GWeGlookGatGthisGnumberGinGcriticalGcareGtoGdetermineGnutritionGbecauseGitGhasGaGshorterGhalfGlikeG(fewGd

ays)

-GwatchGtrends

,WhyGareGcriticalGcareGpatientsGmalnourished?G-GCORRECTGANSWERG--
GSurgery,Gtrauma,Gsepsis,GotherGhyperGmetabolicGstatesGleadGtoGmalnutrition



-GMayGhaveGdysphasia,GbeGNPO,GrequireGfastingGbloodGwork

1.GFeedG2.GEnteralG(IfGgutGworks,GuseGit)G3.GTPN/restGgut



TPN:GPeripheralGvsGCentralG-GCORRECTGANSWERG--
GtotalGparenteralGnutritionG(IVGfeeding)GviaGPICCGorGcentralGline



-GHasG20%GglucoseG—
>GaccuchecksGq4hrGANDGriskGofGinfection:GstopGinfusion,GcultureGdrainage,GcleanGcatheter,GpullGlineGout.GP
eripheralG<G20%,GcentralG20-50%Gdextrose

-GIfGbagGisGemptyGandGtheGnextGbagGisn'tGready,GgiveGD10GorGD20GtoGpreventGhypoglycemia



PERIPHERAL

-GrequiresGperipheralGIVGaccess

-GMayGnoGmeetGallGnutritionGsupport

-GStillGaGhyperosmolarGsolution;GisGonlyGrecommendedGforGaGfewGdays;GstillGtoughGonGveins

-GContains:GsterileGwaterGaddedGforGtheGcorrectG24-
hourGvolume,GaminoGacidGforGproteinG(noGmoreGthanG5%GofGtheGtotalGconcentration),GdextroseGforGcarbsG(
noGmoreGthanG10%GfinalGconcentrationGdueGtoGperipheralGaccess),GelectrolytesGbasedGoffGdailyGmorningGl
abs,GvitaminsG(makeGbagGyellow),GtraceGelements,GinsulinG(addedGasGneededGtoGcontrolGglucose),GlipidsGas
GfatG(mixedGwithGinfusionGorGadministeredGseparately,GcomesGinG10GorG20%,GincreasesGcaloriesGwithoutGin

creasingGosmolality,GnoGbacteriaGstaticGpropertiesGsoGneedGtoGuseGstrictGsterileGtechnique,GtubingGisGonlyG
goodGforGlipidGinfusion,GneedGtoGknowGtheGtriglycerideGlevels).G



CENTRAL

-GrequiresGlarge,Ghigh-flowGvesselGaccessGsuchGasGSVC:GcentralGlineGinGneck,Gchest,Gport,GorGPICC

-
GCentralGlineGcare:GdressingGchangeGeveryG7Gdays,GifGdressingGisGliftingGonGedgesGthenGitGisGnoGlongerGintact

GandGmustGbeGchangedGviaGstrictGsterileGtechniqueGviaGspecializedGteam.GLineGcapsGareGpressurizedGtoGkee

pGlineGfromGclottingGandGtheGcapGneedsGtoGbeGchangedGeveryG72-
96Ghours.GFlushGcentralGlinesGusingGpushGpauseGmethodGwithG10GmLGorGsterileGsaline.G

-GPICCGlinesGhaveGanGincreasedGriskGforGDVTS:GMONITORGFORGTHIS

-GcanGbeGusedGforGmonths

-Gcontents:GsameGasGperipheralGEXCEPTGdextroseGisGgreaterGthanG10-70%,GnoGaminoGacidGdifferences

,TPNGadministrationG-GCORRECTGANSWERG--
GpharmacyGwillGmakeGwholeGhospitalGTPNGneedsGatGoneGtimeGandGdeliverGtoGunitG2GhoursGpriorGtoGadmini

strationGtime

-GHospitalsGhaveGsetGtimeGforGchanging/startingGTPNGtypicallyGafterG5pm

-
GTheGwholeGvolumeGisGinGbagGisGonlyGenoughGtoGprimeGtheGtubingGandGadministerGforG24Ghours;GifGHCPGor

dersGincreaseGinGvolume,GcannotGbeGincreasedGuntilGnewGbag

-GTPNGandGlipidsGbothGrequireGaGfilterGtoGbeGaddedGtoGtheGtuning

-GTPNGandGlipidsGmayGbeGY'dGtogetherGbutGlipidsGareGtheGONLYGsolutionGthatGcanGbeGgivenGwithGTPN

-GcommonGcomplicationGisGelectrolyteGimbalanceGsinceGmorningGlabsGareGdrawnGaroundG4-
5GamGandGTPNGgetsGhungGaroundG12GhoursGafter.GICUGriskGisGacuteGkidneyGinjuryGwhichGwillGleadGtoGpotass
iumGretentionG—
>GmayGhaveGtoGstopGtubeGfeedingGandGhangGD10GorGD20GdependingGonGproviderGpreference.



TPNGcomplicationsG-GCORRECTGANSWERG--
GCentralGline:GpneumothoraxGorGpunctureGofGarteryGonGinsertion,Gobstruction,GairGembolism,Ginfection:GST

ATGchestGX-rayGafterGinsertion

-
GelectrolyteGimbalance:GhyperGorGhypoglycemia,GhyperGorGhypokalemia,Ghypophosphatemia,Ghypocalcemi

a,GHHS,GfluidGoverload

-GRefeedingGsyndrome



TPNGnursingGactionsG-GCORRECTGANSWERG-MonitorGforGinfectionsGinGcentralGlineGsite,Gfever,Gchills,GWBCs

-GstrictGasepticGtechniqueGwhenGsettingGupGtubingGandGaccessingGIV

-changeGfluidsGeveryG24Ghours,GchangeGtubingGeveryG24GhoursGorGasGdirectedGbyGfacility

-GmonitorGglucoseGeveryG6Ghours

-
GnotifyGproviderGofGweightGgainG>G1GkgGperGdayGandGanticipateGdecreaseGinGvolumeGgivenGtoGpatientGand/

orGdiureticG

-
GmonitorGlabsGasGordered:GnoteGinGtheGICUGcriticallyGillGptsGatGriskGforGAKIGwhichGwillGcauseGhyperkalemiaGs

oGanticipateGD10WGorGD20WGuntilGnextGbagGisGready

, WhenGtoGstartGnutritionG-GCORRECTGANSWERG--GFirstG24-
48GhoursGasGpatientsGareGusuallyGhyperGmetabolic.G

-GstressGhormonesGincreaseGbloodGglucose,GheartGrate,GrespiratoryGrate



SignsGofGpoorGnutritionG-GCORRECTGANSWERG--GlowGtransferrinG/Giron

-GlowGCBCGasGtheseGcellsGareGmadeGofGprotein

-GlowGalbumin

-GlowGprealbuminG

-GclientGisGfatigued,GnoGenergy,GtiresGeasily

-GdecreasedGmuscleGmass

-GunableGtoGweanGfromGventilatorGbcGlowGenergyGreserveGtoGhandleGthisGsituation

-GpoorGwoundGhealing

-GlowGBradenGscore

-GskinGbreakdown

-GvitaminGdeficiencies



ARDSG-GCORRECTGANSWERG--GDecreasedGcompliance,GincreasedGWOB

-GPEEPGopensGclosedGalveoliGandGpreventsGclosure

-GDecreasedGPaO2GdespiteGincreasedGFiO2

-GInflammatoryGresponseG—>Ghardened/stiffGandGstuckGalveoliG—
>GdecreasedGgasGexchange.GThisGisGwhyGPEEPGworks.GTooGmuchGpressureGwillGruptureGalveoli

-GARDSGisGanGinflammatoryGprocessG(secondaryGillness)GcausedGbyGsomethingGelse.G

-GOccursGatGalveolarGlevel

-GdecreasedGsurfactant,GwhiteoutGX-Ray,GdecreasedGcomplianceG(stiffGlungGdisease),Gnon-
cardiogenicGpulmonaryGedema



-GTHEREGAREGNOGDRUGSGFORGARDSG

-GProneGpt

-GincreasedGPEEPG(normalGisG5-15)

-GAPRV