NR 340 Evolve Specialty Exam (ESE) Study Guide

NR 340 Evolve Specialty Exam (ESE) Study Guide



Instructions: The contents on this guide are intended to help you organize your

preparation for the Evolve Specialty Exam (ESE) for NR340. This is not intended

to serve as a direct reflection of the exact questions that will be presented in the

exam. As you review the topics listed below, be sure that you can

1. understand the pathophysiology;

2. identify the appropriate assessment skills;

3. interpret the appropriate lab or other diagnostic findings;

4. develop a safe and competent plan of care with rationale;

5. associate the nursing implications with the appropriate medications or

other treatments;

6. teach the rationale for all the above; and

7. prioritize especially r/t interventions and use of the nursing process.



Medication Calculations r/t IV (mg/min to ml/hour; mcg/ml, etc.)



Cardiovascular

 Angina—MI (with rationale)

o Assessment

o Diagnostics

o Interventions with rationale, including the effect of the Valsalva maneuver



1

, o Teaching with rationale

o Critical medications: Vasopressin, TNG, Dopamine, Thrombolytics,

MSO4 (positive effects with AMI? Rationale –NCLEX question!)

o Rationale for increasing perfusion as a priority for AMI

 Heart failure

o Common cause(s)

o Distinguish right from left failure

o Diagnostics

o Interventions with rationale

 Hypertensive crisis

o Assessment

o Interventions with rationale

o IV medications and implications: Rationale and cautions for medications

below

 Thiazide diuretic

 Potassium-sparing diuretic

 Cardiac glycoside

 Inotropic agent (Why is it called vasodilator?)

 Beta-blocker

 ACE inhibitor

 Angiotensin-receptor blocker

 Calcium-channel blocker

 Nitroprusside (Nipride)


2