Exam 2: NR341 / NR 341 (Latest Update 2025 /
2026) Complex Adult Health | Questions &
Answers | Grade A | 100% Correct.
Chamberlain
1. A patient with a suspected epidural hematoma arrives post-MVC.
Which action should the nurse prioritize?: Perform hourly neuro checks
2. A patient has a BP of 150/50 and ICP of 30. What is their CPP?: 55
mmHg
3. Which fluid is used during the initial phase of burn resuscitation?:
Lactated Ringers
4. Which symptom is concerning for inhalation injury?: Singed nasal hair
5. A patient weighs 154 lbs and has 30% TBSA burns. How much total
fluid is needed in 24 hours per Parkland formula?: 8400 mL
6. A patient arrives with flail chest. What's the best nursing action?:
Prepare for intubation
,7. Which finding is most concerning in a head trauma patient?: Bruising
behind the ears
8. A construction worker has abdominal evisceration. What do you do
first?: -
Cover with sterile, moist dressing
9. Select all that apply: Signs of neurogenic shock include:
Bradycardia
Warm extremities
Hypotension
Cool, pale skin
Decreased cardiac output: Bradycardia, Hypotension, Decreased cardiac
output
10. Which medication supports contractility in cardiogenic shock?:
Dobutamine
11. Put the stages of shock in order:
Refractory
Initial
,Compensatory
Progressive: Initial
Compensatory
Progressive
Refractory
12. Which ESI level for a teen with RR 8, SpO 86%, BP 90/50, HR 142
after opioid ‚ overdose?: ESI 1
13. Which PPE is first when entering a chemical exposure scene?: Full-
body hazmat suit
14. A 72-year-old requests a refill for hypertension meds, no acute
symptoms. Which ESI?: ESI 5
15. Which of the following indicates early signs of increased ICP?:
Irritability and confusion
16. A patient is receiving mannitol for elevated ICP. Which action is most
important?: Monitor serum sodium
17. Which are contraindications for tPA administration in ischemic
stroke?
, Symptoms started 5 hours ago
INR >1.7
Active internal bleeding
Platelets >150,000
Recent brain surgery: Symptoms started 5 hours ago
INR >1.7
Active internal
bleeding Recent
brain surgery
18. A 60 kg patient has 20% TBSA burns. How much fluid over the first 8
hours using the Parkland Formula?: 2,400 mL
19. Which of the following is a sign of compartment syndrome?: Pain
unrelieved by medication
20. Which are part of the acute phase of burn care?
Escharotomy
Infection monitoring
NG tube nutrition
2026) Complex Adult Health | Questions &
Answers | Grade A | 100% Correct.
Chamberlain
1. A patient with a suspected epidural hematoma arrives post-MVC.
Which action should the nurse prioritize?: Perform hourly neuro checks
2. A patient has a BP of 150/50 and ICP of 30. What is their CPP?: 55
mmHg
3. Which fluid is used during the initial phase of burn resuscitation?:
Lactated Ringers
4. Which symptom is concerning for inhalation injury?: Singed nasal hair
5. A patient weighs 154 lbs and has 30% TBSA burns. How much total
fluid is needed in 24 hours per Parkland formula?: 8400 mL
6. A patient arrives with flail chest. What's the best nursing action?:
Prepare for intubation
,7. Which finding is most concerning in a head trauma patient?: Bruising
behind the ears
8. A construction worker has abdominal evisceration. What do you do
first?: -
Cover with sterile, moist dressing
9. Select all that apply: Signs of neurogenic shock include:
Bradycardia
Warm extremities
Hypotension
Cool, pale skin
Decreased cardiac output: Bradycardia, Hypotension, Decreased cardiac
output
10. Which medication supports contractility in cardiogenic shock?:
Dobutamine
11. Put the stages of shock in order:
Refractory
Initial
,Compensatory
Progressive: Initial
Compensatory
Progressive
Refractory
12. Which ESI level for a teen with RR 8, SpO 86%, BP 90/50, HR 142
after opioid ‚ overdose?: ESI 1
13. Which PPE is first when entering a chemical exposure scene?: Full-
body hazmat suit
14. A 72-year-old requests a refill for hypertension meds, no acute
symptoms. Which ESI?: ESI 5
15. Which of the following indicates early signs of increased ICP?:
Irritability and confusion
16. A patient is receiving mannitol for elevated ICP. Which action is most
important?: Monitor serum sodium
17. Which are contraindications for tPA administration in ischemic
stroke?
, Symptoms started 5 hours ago
INR >1.7
Active internal bleeding
Platelets >150,000
Recent brain surgery: Symptoms started 5 hours ago
INR >1.7
Active internal
bleeding Recent
brain surgery
18. A 60 kg patient has 20% TBSA burns. How much fluid over the first 8
hours using the Parkland Formula?: 2,400 mL
19. Which of the following is a sign of compartment syndrome?: Pain
unrelieved by medication
20. Which are part of the acute phase of burn care?
Escharotomy
Infection monitoring
NG tube nutrition
