NR 341 Exam #1 Questions With Complete Solutions
3 second strip Correct Answers R x 20
ABCDEF Bundle Correct Answers -prevent delirium
Absolute Refractory period Correct Answers -first half of T
wave
-not enough repolarization so no stimulus can happen
AC Mode of Ventilation Correct Answers -most common form
of ventilation
-consistent volume/breath
-will have minimum amount of respirations/min, patient can still
breathe spontaneously
-need a pressure alarm
-concern is hyperventilation or respiratory alkalosis
amitriptyline Correct Answers -good for neuropathic pain
-TCA
-very sedating -blocks pain message
Apnea Alarm Correct Answers -patient not breathing
enough /min, machine will be programmed to an automatic RR
-if unable to fix, bag patient, and call for help
APRV Correct Answers -newer setting
-time and pressure
-allows for inhalation to have one pressure and exhalation to
have a lower pressure
-can still breathe spontaneously
,-ARDS
ARDS PEEP Correct Answers -will have increased PEEP
-normal is 5-15
-keeps alveoli open
Atrial Fibrillation Correct Answers no p wave, no PR interval,
QRS still narrow, QT is normal
Autonomic Dysreflexia Correct Answers -excessive,
uncontrolled sympathetic response
-injuries above T6
-caused from a stimulus below T6
-occurs after spinal shock has resolved
-cause: distended bladder, constipation, tight clothing, painful
sitmuli
-sx: severe hypertension, bradycardia, severe HA and blurred
vision, flushing above injury, pale below injury, nausea, anxiety
-NI: PREVENT, place patient in a sitting position, asses for
cause, alleviate cause, treat BP (nifedipine and nitrates), teach
patient to recognize and report sx
A nurse on a medical-surgical unit is caring for a group of
clients. The nurse should notify the rapid response team for
which of the following clients?
A.Client who has a pressure injury of the right heel whose blood
glucose is 300 mg/dL
B.Client who reports calf pain and shortness of breath
, C.Client who has blood on a pressure dressing in the femoral
area following a cardiac catheterization
D.Client who has dark red coloration of left toes and absent
pedal pulse
B
A nurse is caring for a client who has ingested a toxic agent.
Which of the following actions should the nurse plan to take?
(SATA)
A.Induce vomiting
B.Instill activated charcoal
C.Perform a gastric lavage with aspiration
D.Administer syrup of ipecac
E.Infuse IV fluids
BCE
A nurse in the emergency department is caring for a client who
fell through the ice on a pond and is unresponsive and breathing
slowly. Which of the following actions should the nurse take?
(SATA)
A.Remove wet clothing
B.Maintain normal room temperature
C.Apply warm blankets
D.Use a rapid rewarming water of 40 to 42 degree Celsius
E.Infuse warmed IV fluids
3 second strip Correct Answers R x 20
ABCDEF Bundle Correct Answers -prevent delirium
Absolute Refractory period Correct Answers -first half of T
wave
-not enough repolarization so no stimulus can happen
AC Mode of Ventilation Correct Answers -most common form
of ventilation
-consistent volume/breath
-will have minimum amount of respirations/min, patient can still
breathe spontaneously
-need a pressure alarm
-concern is hyperventilation or respiratory alkalosis
amitriptyline Correct Answers -good for neuropathic pain
-TCA
-very sedating -blocks pain message
Apnea Alarm Correct Answers -patient not breathing
enough /min, machine will be programmed to an automatic RR
-if unable to fix, bag patient, and call for help
APRV Correct Answers -newer setting
-time and pressure
-allows for inhalation to have one pressure and exhalation to
have a lower pressure
-can still breathe spontaneously
,-ARDS
ARDS PEEP Correct Answers -will have increased PEEP
-normal is 5-15
-keeps alveoli open
Atrial Fibrillation Correct Answers no p wave, no PR interval,
QRS still narrow, QT is normal
Autonomic Dysreflexia Correct Answers -excessive,
uncontrolled sympathetic response
-injuries above T6
-caused from a stimulus below T6
-occurs after spinal shock has resolved
-cause: distended bladder, constipation, tight clothing, painful
sitmuli
-sx: severe hypertension, bradycardia, severe HA and blurred
vision, flushing above injury, pale below injury, nausea, anxiety
-NI: PREVENT, place patient in a sitting position, asses for
cause, alleviate cause, treat BP (nifedipine and nitrates), teach
patient to recognize and report sx
A nurse on a medical-surgical unit is caring for a group of
clients. The nurse should notify the rapid response team for
which of the following clients?
A.Client who has a pressure injury of the right heel whose blood
glucose is 300 mg/dL
B.Client who reports calf pain and shortness of breath
, C.Client who has blood on a pressure dressing in the femoral
area following a cardiac catheterization
D.Client who has dark red coloration of left toes and absent
pedal pulse
B
A nurse is caring for a client who has ingested a toxic agent.
Which of the following actions should the nurse plan to take?
(SATA)
A.Induce vomiting
B.Instill activated charcoal
C.Perform a gastric lavage with aspiration
D.Administer syrup of ipecac
E.Infuse IV fluids
BCE
A nurse in the emergency department is caring for a client who
fell through the ice on a pond and is unresponsive and breathing
slowly. Which of the following actions should the nurse take?
(SATA)
A.Remove wet clothing
B.Maintain normal room temperature
C.Apply warm blankets
D.Use a rapid rewarming water of 40 to 42 degree Celsius
E.Infuse warmed IV fluids
