NUR 410 Nursing Concepts Synthesis Exam
4 (Psych, Critical Care, Leadership, &
Community) UPDATED ACTUAL Exam
Questions and CORRECT Answers
How do we manage alcohol withdrawal? - CORRECT ANSWER --Using CIWA to assess
-Delirium tremens 2-3 days
-We want safety precautions (Seizure, falls, etc.)
-Aspiration risk for these patients
-Medications used to treat withdrawal are benzo's and other meds (diazepam, chlordiazepoxide
& clonidine, carbamazepine)
What are the causes, symptoms, and treatment plans for Serotonin Syndrome? - CORRECT
ANSWER --Causes: Toxic level of serotonin related to anti-depressants, Use of OTC
meds like St. John's Wort, and Inadequate time to flush meds out before starting a new one wit
serotonin reuptake/increase
-Symptoms: Mental confusion, difficulty concentrating, abdominal pain, diarrhea, agitation,
**fever**, anxiety, hallucinations, **hyperreflexia**, incoordination, diaphoresis, tremors
-Treatment: Starts symptomatic treatment (Blocking serotonin receptors with cyprohepatadine,
treat muscle rigidity with benzos, anticonvulsants for safety, cooling blankets, artificial
ventilation), hold medications once symptoms start
What are the guidelines when it comes to using restraints? - CORRECT ANSWER --Used
only when other interventions have failed
-Doctor's order required, in emergency order can be given afterwards, and a new order is needed
each time
What are the guidelines when it comes to monitoring restraints? - CORRECT ANSWER --
Monitor VS, I&O, assess mental status, pain, and injuries
, -Clearly stated expectations for release of restraints
-Documents condition q 15-30 minutes
-Maximum time for 18 years and up is 4 hours; 9 to 17 years is 2 hours; 8 years and under is 1
hour maximum
What is Disulfiram? - CORRECT ANSWER -Alcohol deterrent maintenance/aversion
therapy that is started after withdrawal is completed
-liver function should be monitored on this drug
-Patient should read labels as they cant have anything with alcohol as an ingredient
Identify home safety measures for home care for alzheimer's patients. - CORRECT
ANSWER --Remove scatter rugs
-Install locks that are not easily opened
-Lock water heater and turn temp down
-Provide good lighting especially on stairs
-Install handrails, mark step edges with bright tape
-Place mattress on floor
-Remove clutter, clear, wide pathways in rooms, secure electrical cords to baseboards, lock
cupboards
-Handrails in the bathrooms
-Support caregivers with legal advice, respite, support groups, long terms care options.
What is the opiate withdrawal timeline (start-1month)? - CORRECT ANSWER -Start:
Last Dose is taken
72 Hours: Physical symptoms at peak (Chills, fever, body aches, diarrhea, insomnia, muscle
pain, nausea, dilated pupils
4 (Psych, Critical Care, Leadership, &
Community) UPDATED ACTUAL Exam
Questions and CORRECT Answers
How do we manage alcohol withdrawal? - CORRECT ANSWER --Using CIWA to assess
-Delirium tremens 2-3 days
-We want safety precautions (Seizure, falls, etc.)
-Aspiration risk for these patients
-Medications used to treat withdrawal are benzo's and other meds (diazepam, chlordiazepoxide
& clonidine, carbamazepine)
What are the causes, symptoms, and treatment plans for Serotonin Syndrome? - CORRECT
ANSWER --Causes: Toxic level of serotonin related to anti-depressants, Use of OTC
meds like St. John's Wort, and Inadequate time to flush meds out before starting a new one wit
serotonin reuptake/increase
-Symptoms: Mental confusion, difficulty concentrating, abdominal pain, diarrhea, agitation,
**fever**, anxiety, hallucinations, **hyperreflexia**, incoordination, diaphoresis, tremors
-Treatment: Starts symptomatic treatment (Blocking serotonin receptors with cyprohepatadine,
treat muscle rigidity with benzos, anticonvulsants for safety, cooling blankets, artificial
ventilation), hold medications once symptoms start
What are the guidelines when it comes to using restraints? - CORRECT ANSWER --Used
only when other interventions have failed
-Doctor's order required, in emergency order can be given afterwards, and a new order is needed
each time
What are the guidelines when it comes to monitoring restraints? - CORRECT ANSWER --
Monitor VS, I&O, assess mental status, pain, and injuries
, -Clearly stated expectations for release of restraints
-Documents condition q 15-30 minutes
-Maximum time for 18 years and up is 4 hours; 9 to 17 years is 2 hours; 8 years and under is 1
hour maximum
What is Disulfiram? - CORRECT ANSWER -Alcohol deterrent maintenance/aversion
therapy that is started after withdrawal is completed
-liver function should be monitored on this drug
-Patient should read labels as they cant have anything with alcohol as an ingredient
Identify home safety measures for home care for alzheimer's patients. - CORRECT
ANSWER --Remove scatter rugs
-Install locks that are not easily opened
-Lock water heater and turn temp down
-Provide good lighting especially on stairs
-Install handrails, mark step edges with bright tape
-Place mattress on floor
-Remove clutter, clear, wide pathways in rooms, secure electrical cords to baseboards, lock
cupboards
-Handrails in the bathrooms
-Support caregivers with legal advice, respite, support groups, long terms care options.
What is the opiate withdrawal timeline (start-1month)? - CORRECT ANSWER -Start:
Last Dose is taken
72 Hours: Physical symptoms at peak (Chills, fever, body aches, diarrhea, insomnia, muscle
pain, nausea, dilated pupils
