NR 341 COMPLEX ADULT HEALTH EXAM 1
AND 2 NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED
What is the purpose of Continuous Renal Replacement Therapy (CRRT)?
| | | | | | | | |
- ✔✔✔ Correct Answer > Dialysis
| | | | |
This is a blood filtering therapy that replaced the normal blood-filtering
| | | | | | | | | |
function of the kidneys in patients with renal failure and acute kidney
| | | | | | | | | | | |
injuries.
|
Neurogenic shock is caused by: - ✔✔✔ Correct Answer > General or
| | | | | | | | | | |
spinal anesthesia
| |
Epidural block |
Cervical spinal cord injury
| | |
The 4 types of burns are: - ✔✔✔ Correct Answer > Thermal
| | | | | | | | | | |
Chemical
|
Electrical
Inhalation
|
,Thermal burns are cause by: - ✔✔✔ Correct Answer > Flames
| | | | | | | | | |
Flash
|
Scald
Contact with hot objects| | |
Neurogenic shock S/SX: - ✔✔✔ Correct Answer > Decreased HR &
| | | | | | | | | |
BP, hypothermia, dry and warm skin, oliguria, neurologic deficit, low CO
| | | | | | | | | | |
CI RAP PAP PAOP SVR SvO2
| | | | | |
Neurogenic shock TX: - ✔✔✔ Correct Answer > Eliminate and treat
| | | | | | | | | |
the cause
| |
Maintain MAP >65 | |
Maintain adequate HR
| | |
VTE prophylaxis
| |
Anaphylactic shock is caused by: - ✔✔✔ Correct Answer > An allergic
| | | | | | | | | | |
reaction
|
Anaphylactic shock S/SX: - ✔✔✔ Correct Answer > 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 Answer > 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 | | |
Packed red blood cells (PRBCs) administration steps: - ✔✔✔ Correct
| | | | | | | | |
Answer > Obtain baseline vital signs prior to administration
| | | | | | | | |
2 RN verification of blood product and patient identification
| | | | | | | |
Administer within 30 minutes of recieving PRBC from the pharmacy
| | | | | | | | |
Remain present for first 15 minutes of administration to monitor for
| | | | | | | | | |
signs of a reaction; transfusion is set to @ 75mL/hr
| | | | | | | | | |
No reaction - increase rate so blood will be transfused over 2 hours
| | | | | | | | | | | |
| Take vital signs after administration
| | | |
Multiple Organ Dysfunction Syndrome (MODS) - ✔✔✔ Correct
| | | | | | |
Answer > The progressive dysfunction of 2 or more organ systems as a
| | | | | | | | | | | | |
result of an uncontrolled inflammatory response to severe illness or
| | | | | | | | | |
injury
|
The presence of altered organ function in an acutely ill patient such
| | | | | | | | | | |
that homeostasis cannot be maintained without interventions.
| | | | | | |
, Multiple organ dysfunction syndrome (MODS) risk factors include: -
| | | | | | | |
✔✔✔ Correct Answer > 1. Patients with impaired immune responses
| | | | | | | | |
2. Older adults (MODS can effect any age)
| | | | | |
3. Patients with chronic illnesses
| | |
4. Patients with malnutrition
| |
5. Patients with prolonged or exaggerated inflammatory responses
| | | | | |
6. Victims of severe trauma
| | |
7. Patients with sepsis | |
8. Patients with cancer | |
9. Prolonged HTN, infection, major surgery, GI ischemia, pancreatitis,
| | | | | | |
burns
|
Multiple organ dysfunction syndrome (MODS) classifications include: -
| | | | | | |
✔✔✔ Correct Answer > Primary
| | | |
Multiple organ injury from a primary insult: trauma, burn, shock,
| | | | | | | | |
infection
|
Secondary
Associated with SIRS
| | |
Develops days - weeks after insult
| | | | |
Sepsis and septic shock are the most common causes
| | | | | | | |
ABCDEFG's of trauma: - ✔✔✔ Correct Answer > Airway
| | | | | | | |
AND 2 NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED
What is the purpose of Continuous Renal Replacement Therapy (CRRT)?
| | | | | | | | |
- ✔✔✔ Correct Answer > Dialysis
| | | | |
This is a blood filtering therapy that replaced the normal blood-filtering
| | | | | | | | | |
function of the kidneys in patients with renal failure and acute kidney
| | | | | | | | | | | |
injuries.
|
Neurogenic shock is caused by: - ✔✔✔ Correct Answer > General or
| | | | | | | | | | |
spinal anesthesia
| |
Epidural block |
Cervical spinal cord injury
| | |
The 4 types of burns are: - ✔✔✔ Correct Answer > Thermal
| | | | | | | | | | |
Chemical
|
Electrical
Inhalation
|
,Thermal burns are cause by: - ✔✔✔ Correct Answer > Flames
| | | | | | | | | |
Flash
|
Scald
Contact with hot objects| | |
Neurogenic shock S/SX: - ✔✔✔ Correct Answer > Decreased HR &
| | | | | | | | | |
BP, hypothermia, dry and warm skin, oliguria, neurologic deficit, low CO
| | | | | | | | | | |
CI RAP PAP PAOP SVR SvO2
| | | | | |
Neurogenic shock TX: - ✔✔✔ Correct Answer > Eliminate and treat
| | | | | | | | | |
the cause
| |
Maintain MAP >65 | |
Maintain adequate HR
| | |
VTE prophylaxis
| |
Anaphylactic shock is caused by: - ✔✔✔ Correct Answer > An allergic
| | | | | | | | | | |
reaction
|
Anaphylactic shock S/SX: - ✔✔✔ Correct Answer > 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 Answer > 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 | | |
Packed red blood cells (PRBCs) administration steps: - ✔✔✔ Correct
| | | | | | | | |
Answer > Obtain baseline vital signs prior to administration
| | | | | | | | |
2 RN verification of blood product and patient identification
| | | | | | | |
Administer within 30 minutes of recieving PRBC from the pharmacy
| | | | | | | | |
Remain present for first 15 minutes of administration to monitor for
| | | | | | | | | |
signs of a reaction; transfusion is set to @ 75mL/hr
| | | | | | | | | |
No reaction - increase rate so blood will be transfused over 2 hours
| | | | | | | | | | | |
| Take vital signs after administration
| | | |
Multiple Organ Dysfunction Syndrome (MODS) - ✔✔✔ Correct
| | | | | | |
Answer > The progressive dysfunction of 2 or more organ systems as a
| | | | | | | | | | | | |
result of an uncontrolled inflammatory response to severe illness or
| | | | | | | | | |
injury
|
The presence of altered organ function in an acutely ill patient such
| | | | | | | | | | |
that homeostasis cannot be maintained without interventions.
| | | | | | |
, Multiple organ dysfunction syndrome (MODS) risk factors include: -
| | | | | | | |
✔✔✔ Correct Answer > 1. Patients with impaired immune responses
| | | | | | | | |
2. Older adults (MODS can effect any age)
| | | | | |
3. Patients with chronic illnesses
| | |
4. Patients with malnutrition
| |
5. Patients with prolonged or exaggerated inflammatory responses
| | | | | |
6. Victims of severe trauma
| | |
7. Patients with sepsis | |
8. Patients with cancer | |
9. Prolonged HTN, infection, major surgery, GI ischemia, pancreatitis,
| | | | | | |
burns
|
Multiple organ dysfunction syndrome (MODS) classifications include: -
| | | | | | |
✔✔✔ Correct Answer > Primary
| | | |
Multiple organ injury from a primary insult: trauma, burn, shock,
| | | | | | | | |
infection
|
Secondary
Associated with SIRS
| | |
Develops days - weeks after insult
| | | | |
Sepsis and septic shock are the most common causes
| | | | | | | |
ABCDEFG's of trauma: - ✔✔✔ Correct Answer > Airway
| | | | | | | |
