2025 NR341 EXAM 3 QUESTIONS WITH CORRECT ANSWERS

NR341 EXAM 3 QUESTIONS WITH CORRECT
ANSWERS 2025
TypesMofMtransplantsM-MCORRECTMANSWERM-cornea

heart

trachea

lung

liver

bowel

kidney

pancreas

skin

vascular



ReasonMforMincreasedMliverMtransplantsM-MCORRECTMANSWERM-
CureMforMhepMC;MrecipientsMmustMacceptMandMsignMconsentMtoMreceiveMorganMinfectedMwithMhepMC



TypesMofMpatientsMhighMriskMofMhepMCMANDMhighMriskMofMpotentialMtoMdonateMorgansM-
MCORRECTMANSWERM-DrugMusers




PathwayMtoMorganMdonationM-MCORRECTMANSWERM-1.MABOMcompatibility

2.MHLAMcompatibility

3.MSensitizationMtoMHLAMantigens

4.MDonorMneedsMcompleteMphysicalMtoMlookMforMHIV/AIDS,Mcancer,Mhepatitis,MglucoseMintolerance,Melectr
olyteMbalances

5.MPsychologicalMtestingMtoMensureMmedicationMcompliance



ReferralMprocessM-MCORRECTMANSWERM-
PotentialMorganMdonorMidentified,MhealthcareMteamMmemberM(nurse)MwillMcallM1-800-447-
9477M(DonorMNetworkMofMArizonaMReferralMHotline).MKeepingMinMmindMthatMtimelyMreferralMofMpatientsM
whoMmeetMtheMcriteriaMforMdonationMisMcrucialMtoMthisMprocess.

,TheMCenterMforMMedicareMandMMedicaidMServicesMrequiresMfacilitiesMandMDonorMNetworkMofMArizonaM(D
NA)MtoMidentifyMspecificMclinicalMtriggerMtoMdetermineMwhenMpatientsMshouldMbeMreferred.MClinicalMtrigg
ersMtoMreferMpatientsMwithinMoneMhourMare:

-
MWhenMaMpatientMwithMaMsevereMneuroMinjuryMorMinsultMwhoMisMventilatedMandMhasMaMGlasgowMComaMSc
oreM<M5.

-
MWhenMwithdrawalMofMsupportMbeingMconsideredMbeforeMthereMisMaMplanMtoMdiscontinueMmechanicalMor
MpharmacologicalMsupport.



-MAtMtimeMofMcardiacMdeathM(regardlessMifMtheMpatientMhasMalreadyMbeenMreferred).



HospitalsMshouldMalsoMcallMDNAMatM1-800-447-9477MtoMreportManyMofMtheMfollowing:M

-MBrainMdeathMtestingMisMbeingMdiscussedMorMplanned

-MDiscussionMofMwithdrawalMofMsupport

-MEOL/ComfortMcareMmeasuresMbeingMconsidered

-MifMtheMfamilyMinquiresMaboutMdonation.



WhoMpaysMforMtransplantsM-MCORRECTMANSWERM-medicare/medicaid



HowMmanyMlivesMcanMbeMsavedMbyMoneMperson?M-MCORRECTMANSWERM-
8MlivesMwithMorgan,M100MwithMtissue



ClinicalMtriggersM-MCORRECTMANSWERM-
AllMpatientsMwithMaMsevereMbrainMinjuryMrequiringMmechanicalMventilation



CallMimmediatelyMif:

-MbrainMdeathMtestingMbeingMdiscussed

-
MdiscussionMforMwithdrawalMofMventilatorMorMvasopressorMsupportMisMisMinitiatedMbyMfamilyMorMphysicianM
(terminalMweening)

-MEOL/comfortMcareMmeasuresMbeingMconsidered

,CallMwithinM1MhourMif:

-MGCSM5MorMlessMandMventilated

-MAtMtimeMofMcardiacMdeathM(always)



ComplicationsMofMbrainMdeadMdonor/ptM-MCORRECTMANSWERM--MDI

-Mhyperglycemia

-MreducedMthyroidMfunction

-Mhypotension

-MacidMbaseMimbalances



ComplicationsMofMtransplantMptM-MCORRECTMANSWERM--Minfection

-Mrejection

-MHTN

-Mhyperglycemia

-Mhyperlipidemia

-Mnephrotoxicity



AZMdonorMnetworkM-MCORRECTMANSWERM-OPOM/MUNOS



HowMtoMknowMifMptMisMdonorMcandidateM(ICUMptMonly)M-MCORRECTMANSWERM-BRAINMDEATH

-MabsentMcerebralM&MbrainMstemMfunctionMwithMnon-survivableMheadMinjury

-MabsentMCNMreflexes,MGCSM=M3M(minimum),MflatMline

-dilatedMunreactiveMpupilsM(bewareMofMatropine)

-MEEG:MNoMelectricalMactivity

-MpositiveMapneaMtestM=MnoMrespiratoryMmovementMandMincreasedMCO2Mlevel/respiratoryMacidosis

-McerebralMangiography;MnoMbloodMflowMseen

-MradionuclideMCPPMscan;MallMwhite

-MdoMnotMfeelMpainMsoMdoMnotMneedManalgesia

-MdoMnotMneedMsedation

, CIRCULATORYMDEATH

-
MpatientsMwhoMhaveMcodedMandMdieMwithinMminutesMofMlifeMsupportMremovalM(notMCOPD,MnotMterminalM
weenMpatients)

-McirculatoryMcollapse

-
MOrgansMrecoveredMafterMw/dMlifeMsupport:MptMdies,MlimitedMfamilyMsaysMgoodbyeMandMtimeMofMdeathMis
Mclocked,MthenMptMbroughtMbackMinMtoMORMandMrehookedMupMtoMlifeMsupportMtoMoxygenateMorgansMandM

tissues

-MDonorMnetworkMassumesMHCPMroleMtoMdetermineMhowMtoMpreserveMorgans



BrainMreflexMtestsM-MCORRECTMANSWERM-
1.Mcorneal:McottonMswabMacrossMeyeballMandMnormalMresponseMisMtoMblink;MbrainMdeadMwillMnotMblink

2.MoculovestibularMtest:McoldMwaterMinMptMear;MnormalMresponseMisMeyesMdeviateMtoMthatMear

3.MearMvsMeyeMirrigations???MLookMthisMup

4.MDoll'sMeyes:MturnMpatientsMheadMandMnormalMresponseMisMeyesMforMdeviateMtoMoppositeMside.MBrainMd
eadMeyesMwillMfollowMdirection.

5.MswallowMandMgagMreflex:MmustMbeMabsentMforMbrainMdeadMtoMbeMdetermined

6.MbabinskiMreturnsMuponMbrainMdeath,MsoMpositiveMbabinskiMisMveryMbad

7.MapneaMtest:MdetermineMifMptMhasManyMspontaneousMrespirations.MHyperoxygenateMforM30Mminutes;MN
OTMextubatingMpatient,MjustMturningMoffMvent.MKeepMoffMforM4Mmin



apneaMtestM-MCORRECTMANSWERM--
MRTMstopsMventilatorMbutMcontinuesMO2MtherapyMtoMlookMforMrespiratoryMmovementMorMtriggerMtoMbreat

he.M

-MDoneMforM8-10MminutesMsoMthere'sMtimeMforMCO2MlevelMtoMriseMandMrespiratoryMcanMdoMABG

-MEveryoneMrequiredMatMbedsideMtoMwatchMforMlossMofMhemodynamicMstability

-
MpositiveMresultMifMnoMrespiratoryMmovementMandMincreasingMCO2M=MnoMventilationMhappeningMwithinMp
atient