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NUR 401 Final Exam: Questions With Complete Solutions
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NUR 401 Final Exam: Questions With Complete Solutions
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NUR 401 Final Exam: Questions With CompleteSolutions
What is transcutaneous pacing and when would it be used? Right Ans -
external pacing for a medical emergency, and its used for
bradydysrhhythmias: sinus brady, and AV blocks 2 & 3
What is cardiogenic shock and what makes it different than other types of
shock? Right Ans - hearts ability to contract and pump blood is impaired
and the supply of oxygen is inadequate for perfusion of heart and the tissues.
CO is compromised, stroke volume and HR decrease or become erratic, BP
falls and tissue perfusion is reduced. The ventricle then does not fully eject
volume of blood during systole because its muscles are weakened, so fluid
accumulates in the lungs.
What is albumin, what is it used for, and how does it work? Right Ans -
Albumin is a large protein in the blood, excreted by the liver, that excerpts
oncotic pressure to keep fluid inside.
What complications should the nurse monitor for on a patient who receives a
mass transfusion? Right Ans - A transfusion reaction, DIC, hypothermia,
fluid overload
What are esophageal varices and what are the associated complications?
Right Ans - Abnormal, dilated veins in the esophagus. Complications include
bloody stools, bloody vomit, abdominal pain, pale skin, dizziness
What is the difference between DKA and HHS? Right Ans - DKA: Type 1 DM,
ketones in urine, low pH
HHS: Type 2 DM, no ketones
What symptoms might you see in a patient who has an electrolyte imbalance
from taking too many laxatives? Right Ans - irritability, confusion, seizures,
tremors, postural HTN, dry/clammy skin, dizziness, coma, and in some cases
personality changes
What assessment do you conduct on a patient you suspect may be having a
stroke? Right Ans - BEFAST
, B: balance
E: eyes
F: face
A: arms
S: speech
T: time
What would the vital signs look like for a patient who sustained a third degree
burn 48 hours ago? Right Ans - high everything, because of pain
A patient is brought into the ED following a skateboarding accident with a
suspected TBI. What precautions will the nurse take? Right Ans - HOB 30
degrees, no suctioning, no hip or neck flexion, remove pillow, give scheduled
zofran, nothing to increase icp!
What does cardiac output have to do with shock? Right Ans - decreased
cardiac output means insufficient oxygen for proper perfusion of brain and
other tissues, leading to shock.
A patient has undergone surgery for a GI obstruction w/ small bowel
resection. The nurse notes AMS, tachypnea, and warm skin. What would the
nurse suspect? Right Ans - SEPSIS
The nurse is caring for a patient with a chest tube and notes dark red blood in
the atrium. What should the nurse do? Right Ans - NOTHING its old blood!
What are signs and symptoms a patient with a PE will show? Right Ans -
dyspnea, chest pain, anxiety, fever, tachycardia, apprehension, cough,
diaphoresis, hemoptysis, and syncope.
What are the symptoms of spinal shock? Right Ans - Hypotension, bladder
and bowel distension, increased of decreased pulse, respiratory irregularities,
and temperature increase, flacid paralysis, and loss of reflex ability below
injury level
What are the s/s of compartment syndrome? Right Ans - Pallor, Pain,
Pulseless, Paresthesia, Paralysis
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