NUR 2243 FINAL EXAM QUESTIONS AND
ANSWERS LATEST 2025-2026 UPDATE
S/sx of hyperthermia - Answer-sweaty red skin, tachypnea, tachycardia
Murmur is best heard on - Answer-right side of sternal border
PVC strip - Answer-dips after PQRS, occurs before next beat
Teaching for heart failure pt - Answer-- restrict salt in diet
- check weight at same time every day
V-tach - Answer-- unstable tx: synchronous SHOCK (cardioversion),
CPR, O2,
- stable tx: O2
- 150-250 BPM
- can lead to cardiac arrest
V-fib - Answer-- tx: asynchronous SHOCK(defib), CPR, O2,
antidysrhythmics
- chaotic rapid rhythm
- fatal if not treated in 3-5 mins!
, Normal Sinus Rhythm (NSR) - Answer-ECG of a healthy heart shows
an organized, uniform rhythm; 60-100 BPM
Pt with heart failure is prescribed enalapril (Vasotec), what would be
the primary teaching? - Answer-no salt substitutes; enalapril is
potassium sparing so extra potassium can cause hyperkalemia
Subcutaneous emphysema is an indication that - Answer-air is escaping
into the chest wall from a damaged lung
A patient has a tracheostomy that is 3 days old. Upon assessment, the
nurse notes that the patient's face is puffy and the eyelids are swollen.
What action by the nurse takes priority? - Answer-O2 sat, call rapid if pt
unstable
A pt in the ER dies suddenly and unexpectedly. What considerations
should the nurse take regarding the family? - Answer-allow them time in
a quiet room to say goodbye
Priority interventions for malignant hyperthermia - Answer-dantrolene
sodium and 10% reg. insulin
The nurse knows a pt's chest tube is properly connected to the water
seal and functioning properly when - Answer-there is a fluctuation every
time the pt takes a breath
, Autonomic Dysreflexia - Answer-- caused by SCI
- 1st assessment is bladder distension
S/sx of autonomic dysreflexia - Answer-- pounding headache
- diaphoresis
- bradycardia
- HTN (systolic BP can reach 300)
when the trigger/stimuli resolves the s/sx will resolve
Hepatitis A is caused by - Answer-fecal-oral contamination, usually
food
ex: contaminated seafood not fully cooked, fruit/veggies overseas
washed with contaminated water
Hepatitis B is caused by - Answer-unprotected sex, needle sticks (IV
drug user), blood transfusion
Who is most at risk for Hep B infection? - Answer-20 year old with
multiple sexual partners
Hepatitis C is caused by - Answer-blood contact with infected person;
cannot be spread casually
ANSWERS LATEST 2025-2026 UPDATE
S/sx of hyperthermia - Answer-sweaty red skin, tachypnea, tachycardia
Murmur is best heard on - Answer-right side of sternal border
PVC strip - Answer-dips after PQRS, occurs before next beat
Teaching for heart failure pt - Answer-- restrict salt in diet
- check weight at same time every day
V-tach - Answer-- unstable tx: synchronous SHOCK (cardioversion),
CPR, O2,
- stable tx: O2
- 150-250 BPM
- can lead to cardiac arrest
V-fib - Answer-- tx: asynchronous SHOCK(defib), CPR, O2,
antidysrhythmics
- chaotic rapid rhythm
- fatal if not treated in 3-5 mins!
, Normal Sinus Rhythm (NSR) - Answer-ECG of a healthy heart shows
an organized, uniform rhythm; 60-100 BPM
Pt with heart failure is prescribed enalapril (Vasotec), what would be
the primary teaching? - Answer-no salt substitutes; enalapril is
potassium sparing so extra potassium can cause hyperkalemia
Subcutaneous emphysema is an indication that - Answer-air is escaping
into the chest wall from a damaged lung
A patient has a tracheostomy that is 3 days old. Upon assessment, the
nurse notes that the patient's face is puffy and the eyelids are swollen.
What action by the nurse takes priority? - Answer-O2 sat, call rapid if pt
unstable
A pt in the ER dies suddenly and unexpectedly. What considerations
should the nurse take regarding the family? - Answer-allow them time in
a quiet room to say goodbye
Priority interventions for malignant hyperthermia - Answer-dantrolene
sodium and 10% reg. insulin
The nurse knows a pt's chest tube is properly connected to the water
seal and functioning properly when - Answer-there is a fluctuation every
time the pt takes a breath
, Autonomic Dysreflexia - Answer-- caused by SCI
- 1st assessment is bladder distension
S/sx of autonomic dysreflexia - Answer-- pounding headache
- diaphoresis
- bradycardia
- HTN (systolic BP can reach 300)
when the trigger/stimuli resolves the s/sx will resolve
Hepatitis A is caused by - Answer-fecal-oral contamination, usually
food
ex: contaminated seafood not fully cooked, fruit/veggies overseas
washed with contaminated water
Hepatitis B is caused by - Answer-unprotected sex, needle sticks (IV
drug user), blood transfusion
Who is most at risk for Hep B infection? - Answer-20 year old with
multiple sexual partners
Hepatitis C is caused by - Answer-blood contact with infected person;
cannot be spread casually
