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NUR 425 Complex Care Exam 2 Blueprint.

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NUR 425 Complex Care Exam 2 Blueprint.NUR 425 Complex Care Exam 2 Blueprint.

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  • September 27, 2023
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  • 2023/2024
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Complex Care Exam 2
Blueprint
NUR 425 Complex Care Exam 2 Blueprint
Exam 2 will cover course content from Week 5 (ABGs) through Week 7
(Intracranial Pressure Monitoring)
To guide your studying, review the learning outcomes for each module listed
at the bottom of this document
Questions will include 47 multiple choice and three select all that apply
questions.



You should know the normal values for (Use your Lewis text for
reference):

 Normal vital signs in adults
o BP: 120/80
o HR: 60-100
o RR: 12-20
o Temp: 97.8-99.1 F
 Normal MAP in adults
o 70-90 mmHg
 Normal PEEP setting
o 5cmH20
 ICP (and be able to define increased ICP)
o 5-15 mmHg
o Increased: 20 mmHg or more persisting for 5+ minutes
 CPP (be able to calculate CPP)
o MAP-ICP=CPP
o CPP: 60-100mmHg
 PaO2/FiO2 ratio
o < 200 mmHg=ARDS
 SaO2
o > 95%
 ABG values
o PaO2 80-100 mmHg
o PaCO2 35-45 mmHg
o PaHCO3 22-26mEq/L
o pH 7.35-7.45

, Understand the significance of the following: Not required to
memorize actual normal ranges

 Tidal volume
o Normal volume of air displaced between normal inhalation and
exhalation when extra effort is not applied
o 8-10mL/kg ideal body weight

Be able to identify/describe the following select breathing patterns
and what they could signify:

 Apnea
o Lack of breathing
o Prolonged respiratory phase or pauses alternating with expiratory
pauses
o Volume of lungs remained unchanged
 Ataxic breathing
o Irregular breathing
o No pattern
 Cheyne stokes
 Kussmaul breathing

The following medications could be tested on this exam. You should
know the medication’s indications, major side effects, and nursing
considerations when administering these:

 Corticosteroids (the general drug category & their use for respiratory
issues)
 Norepinephrine
 Mannitol
 3% NaCl
 0.45% NaCl ("1/2 normal saline")
 Fentanyl
 Pancuronium
 Metoprolol
 Midazolam

Distribution of Questions
Week 5: Wednesday (Arterial Blood Gases): 13 questions **Four
additional questions will incorporate your ABG knowledge and respiratory
failure, ARDS, and/or mechanical ventilation content**

 LO 1 (2 question), LO 2 (1 question) LO 2,3&4: (4 questions) LO 2 & 3
(4 questions), LO 4 (2 questions)

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