NR341 EXAM 3 QUESTIONS WITH CORRECT
ANSWERS 2026
Types of transplants - CORRECT ANSWER -cornea
heart
trachea
lung
liver
bowel
kidney
pancreas
skin
vascular
Reason for increased liver transplants - CORRECT ANSWER -
Cure for hep C; recipients must accept and sign consent to receive organ infected with hep C
Types of patients high risk of hep C AND high risk of potential to donate organs -
CORRECT ANSWER -Drug users
Pathway to organ donation - CORRECT ANSWER -1. ABO compatibility
2. HLA compatibility
3. Sensitization to HLA antigens
4. Donor needs complete physical to look for HIV/AIDS, cancer, hepatitis, glucose intolerance, electr
olyte balances
5. Psychological testing to ensure medication compliance
Referral process - CORRECT ANSWER -
Potential organ donor identified, healthcare team member (nurse) will call 1-800-447-
9477 (Donor Network of Arizona Referral Hotline). Keeping in mind that timely referral of patients
who meet the criteria for donation is crucial to this process.
,The Center for Medicare and Medicaid Services requires facilities and Donor Network of Arizona (D
NA) to identify specific clinical trigger to determine when patients should be referred. Clinical trigg
ers to refer patients within one hour are:
-
When a patient with a severe neuro injury or insult who is ventilated and has a Glasgow Coma Sc
ore < 5.
-
When withdrawal of support being considered before there is a plan to discontinue mechanical or
pharmacological support.
- At time of cardiac death (regardless if the patient has already been referred).
Hospitals should also call DNA at 1-800-447-9477 to report any of the following:
- Brain death testing is being discussed or planned
- Discussion of withdrawal of support
- EOL/Comfort care measures being considered
- if the family inquires about donation.
Who pays for transplants - CORRECT ANSWER -medicare/medicaid
How many lives can be saved by one person? - CORRECT ANSWER -
8 lives with organ, 100 with tissue
Clinical triggers - CORRECT ANSWER -
All patients with a severe brain injury requiring mechanical ventilation
Call immediately if:
- brain death testing being discussed
-
discussionc forc withdrawalc ofc ventilatorc orc vasopressorc supportc isc isc initiatedc byc familyc orc physician
(terminalc weening)
- EOL/comfortc carec measuresc beingc considered
,c
Callc withinc 1c hourc if:
- GCSc 5c orc lessc andc ventilated
- Atc timec ofc cardiacc deathc (always)
Complicationsc ofc brainc deadc donor/ptc -c CORRECTc ANSWERc --c DI
- hyperglycemia
- reducedc thyroidc function
- hypotension
- acidc basec imbalances
Complicationsc ofc transplantc ptc -c CORRECTc ANSWERc --c infection
- rejection
- HTN
- hyperglycemia
- hyperlipidemia
- nephrotoxicity
AZc donorc networkc -c CORRECTc ANSWERc -OPOc /c UNOS
Howc toc knowc ifc ptc isc donorc candidatec (ICUc ptc only)c -c CORRECTc ANSWERc -BRAINc DEATH
- absentc cerebralc &c brainc stemc functionc withc non-survivablec headc injury
- absentc CNc reflexes,c GCSc =c 3c (minimum),c flatc line
-dilatedc unreactivec pupilsc (bewarec ofc atropine)
- EEG:c Noc electricalc activity
- positivec apneac testc =c noc respiratoryc movementc andc increasedc CO2c level/respiratoryc acidosis
- cerebralc angiography;c noc bloodc flowc seen
- radionuclidec CPPc scan;c allc white
- doc notc feelc painc soc doc notc needc analgesia
- doc notc needc sedation
,c
CIRCULATORYc DEATH
-
patientsc whoc havec codedc andc diec withinc minutesc ofc lifec supportc removalc (notc COPD,c notc terminal
weenc patients)
- circulatoryc collapse
-
Organsc recoveredc aſterc w/dc lifec support:c ptc dies,c limitedc familyc saysc goodbyec andc timec ofc deathc i
s
clocked,c thenc ptc broughtc backc inc toc ORc andc rehookedc upc toc lifec supportc toc oxygenatec organsc and
tissues
- Donorc networkc assumesc HCPc rolec toc determinec howc toc preservec organs
Brainc reflexc testsc -c CORRECTc ANSWERc -
1.c corneal:c cottonc swabc acrossc eyeballc andc normalc responsec isc toc blink;c brainc deadc willc notc blin
k
2
.c oculovestibularc test:c coldc waterc inc ptc ear;c normalc responsec isc eyesc deviatec toc thatc ear
3
.c earc vsc eyec irrigations???c Lookc thisc up
4.c Doll'sc eyes:c turnc patientsc headc andc normalc responsec isc eyesc forc deviatec toc oppositec side.c Brainc
d c eyesc willc followc direction.
ead
5.c swallowc andc gagc reflex:c mustc bec absentc forc brainc deadc toc bec determined
6.c babinskic returnsc uponc brainc death,c soc positivec babinskic isc veryc bad
7.c apneac test:c determinec ifc ptc hasc anyc spontaneousc respirations.c Hyperoxygenatec forc 30c minutes;c N
OTc extubatingc patient,c justc turningc offc vent.c Keepc offc forc 4c min
apneac testc -c CORRECTc ANSWERc --
RTc stopsc ventilatorc butc continuesc O2c therapyc toc lookc forc respiratoryc movementc orc triggerc toc breat
he.
- Donec forc 8-
10c minutesc soc there'sc timec forc CO2c levelc toc risec andc respiratoryc canc doc ABG
-
Everyonec requiredc atc bedsidec toc watchc forc lossc ofc hemodynamicc stability
-
positivec resultc ifc noc respiratoryc movementc andc increasingc CO2c =c noc ventilationc happeningc withinc p
atient
ANSWERS 2026
Types of transplants - CORRECT ANSWER -cornea
heart
trachea
lung
liver
bowel
kidney
pancreas
skin
vascular
Reason for increased liver transplants - CORRECT ANSWER -
Cure for hep C; recipients must accept and sign consent to receive organ infected with hep C
Types of patients high risk of hep C AND high risk of potential to donate organs -
CORRECT ANSWER -Drug users
Pathway to organ donation - CORRECT ANSWER -1. ABO compatibility
2. HLA compatibility
3. Sensitization to HLA antigens
4. Donor needs complete physical to look for HIV/AIDS, cancer, hepatitis, glucose intolerance, electr
olyte balances
5. Psychological testing to ensure medication compliance
Referral process - CORRECT ANSWER -
Potential organ donor identified, healthcare team member (nurse) will call 1-800-447-
9477 (Donor Network of Arizona Referral Hotline). Keeping in mind that timely referral of patients
who meet the criteria for donation is crucial to this process.
,The Center for Medicare and Medicaid Services requires facilities and Donor Network of Arizona (D
NA) to identify specific clinical trigger to determine when patients should be referred. Clinical trigg
ers to refer patients within one hour are:
-
When a patient with a severe neuro injury or insult who is ventilated and has a Glasgow Coma Sc
ore < 5.
-
When withdrawal of support being considered before there is a plan to discontinue mechanical or
pharmacological support.
- At time of cardiac death (regardless if the patient has already been referred).
Hospitals should also call DNA at 1-800-447-9477 to report any of the following:
- Brain death testing is being discussed or planned
- Discussion of withdrawal of support
- EOL/Comfort care measures being considered
- if the family inquires about donation.
Who pays for transplants - CORRECT ANSWER -medicare/medicaid
How many lives can be saved by one person? - CORRECT ANSWER -
8 lives with organ, 100 with tissue
Clinical triggers - CORRECT ANSWER -
All patients with a severe brain injury requiring mechanical ventilation
Call immediately if:
- brain death testing being discussed
-
discussionc forc withdrawalc ofc ventilatorc orc vasopressorc supportc isc isc initiatedc byc familyc orc physician
(terminalc weening)
- EOL/comfortc carec measuresc beingc considered
,c
Callc withinc 1c hourc if:
- GCSc 5c orc lessc andc ventilated
- Atc timec ofc cardiacc deathc (always)
Complicationsc ofc brainc deadc donor/ptc -c CORRECTc ANSWERc --c DI
- hyperglycemia
- reducedc thyroidc function
- hypotension
- acidc basec imbalances
Complicationsc ofc transplantc ptc -c CORRECTc ANSWERc --c infection
- rejection
- HTN
- hyperglycemia
- hyperlipidemia
- nephrotoxicity
AZc donorc networkc -c CORRECTc ANSWERc -OPOc /c UNOS
Howc toc knowc ifc ptc isc donorc candidatec (ICUc ptc only)c -c CORRECTc ANSWERc -BRAINc DEATH
- absentc cerebralc &c brainc stemc functionc withc non-survivablec headc injury
- absentc CNc reflexes,c GCSc =c 3c (minimum),c flatc line
-dilatedc unreactivec pupilsc (bewarec ofc atropine)
- EEG:c Noc electricalc activity
- positivec apneac testc =c noc respiratoryc movementc andc increasedc CO2c level/respiratoryc acidosis
- cerebralc angiography;c noc bloodc flowc seen
- radionuclidec CPPc scan;c allc white
- doc notc feelc painc soc doc notc needc analgesia
- doc notc needc sedation
,c
CIRCULATORYc DEATH
-
patientsc whoc havec codedc andc diec withinc minutesc ofc lifec supportc removalc (notc COPD,c notc terminal
weenc patients)
- circulatoryc collapse
-
Organsc recoveredc aſterc w/dc lifec support:c ptc dies,c limitedc familyc saysc goodbyec andc timec ofc deathc i
s
clocked,c thenc ptc broughtc backc inc toc ORc andc rehookedc upc toc lifec supportc toc oxygenatec organsc and
tissues
- Donorc networkc assumesc HCPc rolec toc determinec howc toc preservec organs
Brainc reflexc testsc -c CORRECTc ANSWERc -
1.c corneal:c cottonc swabc acrossc eyeballc andc normalc responsec isc toc blink;c brainc deadc willc notc blin
k
2
.c oculovestibularc test:c coldc waterc inc ptc ear;c normalc responsec isc eyesc deviatec toc thatc ear
3
.c earc vsc eyec irrigations???c Lookc thisc up
4.c Doll'sc eyes:c turnc patientsc headc andc normalc responsec isc eyesc forc deviatec toc oppositec side.c Brainc
d c eyesc willc followc direction.
ead
5.c swallowc andc gagc reflex:c mustc bec absentc forc brainc deadc toc bec determined
6.c babinskic returnsc uponc brainc death,c soc positivec babinskic isc veryc bad
7.c apneac test:c determinec ifc ptc hasc anyc spontaneousc respirations.c Hyperoxygenatec forc 30c minutes;c N
OTc extubatingc patient,c justc turningc offc vent.c Keepc offc forc 4c min
apneac testc -c CORRECTc ANSWERc --
RTc stopsc ventilatorc butc continuesc O2c therapyc toc lookc forc respiratoryc movementc orc triggerc toc breat
he.
- Donec forc 8-
10c minutesc soc there'sc timec forc CO2c levelc toc risec andc respiratoryc canc doc ABG
-
Everyonec requiredc atc bedsidec toc watchc forc lossc ofc hemodynamicc stability
-
positivec resultc ifc noc respiratoryc movementc andc increasingc CO2c =c noc ventilationc happeningc withinc p
atient
