NR 341 Complex Adult Health final 2025 Questions With
Complete Solutions
3 hour sepsis bundle includes: Correct Answers Measure
lactate level
Draw blood cultures
Administer broad spectrum ABX
Administer 30mL/kg crystalloid fluid bolus
6 hour sepsis bundle includes: Correct Answers Measure
lactate level
Draw blood cultures
Administer broad spectrum ABX
Administer 30mL/kg crystalloid fluid bolus
If persistent hypotension after fluid resuscitation:
Add vasopressors
Measure CVP & SvO2
Remeasure lactate level
A postrenal block is: Correct Answers Obstruction of urine
output.
Causes:
Enlarged prostate
Kidney stones
Bladder tumor
Bladder injury
A prerenal block is: Correct Answers An interruption on the
way to the kidneys.
ABCDEFG's of trauma: Correct Answers Airway
,Breathing & ventilation
Circulation with hemorrhage control
Disability or neurological status
Exposure with environmental considerations
Full set of V/S and family presence
Get resuscitation adjuncts
Acute burn phase care: Correct Answers Begins 36-72 hours
after time of burn
Priority care includes:
Assessing and maintaining respiratory, cardiovascular, and
gastrointestinal systems
Wound care
Pain control
Psychosocial interventions
Afterload Correct Answers How hard the heart has to contract
to push the blood into the body
Albumin Correct Answers 3.5 - 5.5g/dL (35 - 55g/L)
Low signifies inflammation, shock, and malnutrition
High signifies acute infections, burns, and stress from surgery or
a heart attack
Amiodarone Correct Answers Antiarrhythmics
Treats ventricular dysrhythmias
Do not drink grapefruit juice with this medication
Monitor pulse daily and report abnormalities
An intrarenal block is: Correct Answers Direct damage to the
kidneys.
,Anaphylactic shock is caused by: Correct Answers An allergic
reaction
Anaphylactic shock S/SX: Correct Answers Elevated HR,
dysrhythmias, decreased BP, angina, tachypnea, warm flushed
skin, oliguria, restlessness, change in LOC, seizures, N/V/D, abd
cramping, dyspnea, cough, stridor, wheezing, dysphagia,
urticaria, angioedema, hives, low CO CI RAP PAP PAOP SCR
SvO2, elevated IgE
Anaphylactic shock TX: Correct Answers Remove offending
agent
Flush skin with water
Volume expanding fluid (IV of LR or NS)
Maintain airway
Maintain MAP >65
Modify/Block epinephrine, antihistamines, steroids
Are meningitis patients placed on contact precautions? Correct
Answers Yes
Droplet
Can be discontinued after first 24 hours of antibiotic treatment
AST Correct Answers >20u/L
Hepatic impairment
Atropine Correct Answers Antiarrhythmics
Treats bradycardia
Frequent monitoring of V/S & ECG
, BUN Correct Answers >20mg/dL
Hypoperfusion
GI bleeding and catabolism
Burn injury degrees & depths: Correct Answers 1st degree:
superficial
2nd degree: superficial partial-thickness to deep partial-
thickness
3rd degree: full thickness
4th degree: full thickness
Burn victim electrolyte imbalances include: Correct Answers
Decreased HCT
Hyponatremia from diuresis; resolves within 1 week after onset
Hypokalemia
Hypoproteinemia
Leukopenia r/t topical antimicrobial agent silver sulfadiazine
Hyperglycemia
C-Reactive Protein Correct Answers >3.0mg/L
Inflammation
Calcium Correct Answers 8.5 - 10.2mg/dL
Weakens bones, creates kidney stones, interferes with how your
heart and brain work.
Calcium Gluconate Correct Answers Prevents and treats
cardiac toxicity related to increased K+ levels
Cardiac Output (CO) Correct Answers CO=HRxSV
Complete Solutions
3 hour sepsis bundle includes: Correct Answers Measure
lactate level
Draw blood cultures
Administer broad spectrum ABX
Administer 30mL/kg crystalloid fluid bolus
6 hour sepsis bundle includes: Correct Answers Measure
lactate level
Draw blood cultures
Administer broad spectrum ABX
Administer 30mL/kg crystalloid fluid bolus
If persistent hypotension after fluid resuscitation:
Add vasopressors
Measure CVP & SvO2
Remeasure lactate level
A postrenal block is: Correct Answers Obstruction of urine
output.
Causes:
Enlarged prostate
Kidney stones
Bladder tumor
Bladder injury
A prerenal block is: Correct Answers An interruption on the
way to the kidneys.
ABCDEFG's of trauma: Correct Answers Airway
,Breathing & ventilation
Circulation with hemorrhage control
Disability or neurological status
Exposure with environmental considerations
Full set of V/S and family presence
Get resuscitation adjuncts
Acute burn phase care: Correct Answers Begins 36-72 hours
after time of burn
Priority care includes:
Assessing and maintaining respiratory, cardiovascular, and
gastrointestinal systems
Wound care
Pain control
Psychosocial interventions
Afterload Correct Answers How hard the heart has to contract
to push the blood into the body
Albumin Correct Answers 3.5 - 5.5g/dL (35 - 55g/L)
Low signifies inflammation, shock, and malnutrition
High signifies acute infections, burns, and stress from surgery or
a heart attack
Amiodarone Correct Answers Antiarrhythmics
Treats ventricular dysrhythmias
Do not drink grapefruit juice with this medication
Monitor pulse daily and report abnormalities
An intrarenal block is: Correct Answers Direct damage to the
kidneys.
,Anaphylactic shock is caused by: Correct Answers An allergic
reaction
Anaphylactic shock S/SX: Correct Answers Elevated HR,
dysrhythmias, decreased BP, angina, tachypnea, warm flushed
skin, oliguria, restlessness, change in LOC, seizures, N/V/D, abd
cramping, dyspnea, cough, stridor, wheezing, dysphagia,
urticaria, angioedema, hives, low CO CI RAP PAP PAOP SCR
SvO2, elevated IgE
Anaphylactic shock TX: Correct Answers Remove offending
agent
Flush skin with water
Volume expanding fluid (IV of LR or NS)
Maintain airway
Maintain MAP >65
Modify/Block epinephrine, antihistamines, steroids
Are meningitis patients placed on contact precautions? Correct
Answers Yes
Droplet
Can be discontinued after first 24 hours of antibiotic treatment
AST Correct Answers >20u/L
Hepatic impairment
Atropine Correct Answers Antiarrhythmics
Treats bradycardia
Frequent monitoring of V/S & ECG
, BUN Correct Answers >20mg/dL
Hypoperfusion
GI bleeding and catabolism
Burn injury degrees & depths: Correct Answers 1st degree:
superficial
2nd degree: superficial partial-thickness to deep partial-
thickness
3rd degree: full thickness
4th degree: full thickness
Burn victim electrolyte imbalances include: Correct Answers
Decreased HCT
Hyponatremia from diuresis; resolves within 1 week after onset
Hypokalemia
Hypoproteinemia
Leukopenia r/t topical antimicrobial agent silver sulfadiazine
Hyperglycemia
C-Reactive Protein Correct Answers >3.0mg/L
Inflammation
Calcium Correct Answers 8.5 - 10.2mg/dL
Weakens bones, creates kidney stones, interferes with how your
heart and brain work.
Calcium Gluconate Correct Answers Prevents and treats
cardiac toxicity related to increased K+ levels
Cardiac Output (CO) Correct Answers CO=HRxSV
