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NUR 436 MIDTERM EXAM QUESTIONS WITH VERIFIED ANSWERS
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NUR 436 MIDTERM EXAM QUESTIONS WITH VERIFIED ANSWERS
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NUR 436 MIDTERM EXAM QUESTIONSWITH VERIFIED ANSWERS
SAM SANDERS - Answer-6 YO MALE
PENICILLIN ALLERGY
CHIEF COMPLAINT---ABDOMINAL PAIN
DIAGNOSED WITH ASTHMA AT AGE OF 4
DIAGNOSIS----APPENDICITIS
MEDICATIONS
• CEFAZOLIN IV PIGGYBACK
• Dextrose 5% in 0.45% Sodium Chloride with Potassium Chloride 20 mEq/1000 mL
(D5 1/2NS with 20 mEq KCL/1000 mL
• ZOFRAN
• MORPHINE PRN
VICTORIA GONZALES - Answer-8 MONTH OLD FEMALE
RESPIRATORY DISTRESS SYNDROME SECONDARY TO FAILURE TO THRIVE
Admitted for elective Tracheostomy and gastrostomy
NO KNOWN ALLERGIES
CODER JOHNSON - Answer-81 YO MALE
CHEST PAIN R/O MI
NO KNOWN ALLERGIES
HYPERTENSION, HYPERLIPIDEMIA
APPENDECTOMY-1968
CHIEF COMPLAINT---CHEST PAIN, NAUSEA, SOB
ARNES ARDING - Answer-61 YO MALE
PNEUMONIA SECONDARY TO RESPIRATORY FAILURE
CHIEF COMPLAINT--LETHARGY, ALOC
Anastasiya Tarasova - Answer-12 YO FEMALE
DKA
CHIEF COMPLAINT--NAUSEA/VOMITING
ALLERGIC TO PEANUTS
DIAGNOSED W TYPE 1 DM 6 MONTHS AGO
ISABELLE CAPSTONE - Answer-6 MONTH OLD FEMALE
CHIEF COMPLAINT--RAPID BREATHING
BRONCHIOLITIS R/O RSV
CECILIA PROCTOR - Answer-59 YO FEMALE
SMALL CELL CARCINOMA OF LUNGS
C-DIFF
, CHIEF COMPLAINT--DIARRHEA
SINUS BRADY - Answer-May need atropine, transcutaneous pacing, dopamine infusion
AFIBRILLATION - Answer-only thing normal is QRS
chronic AFIb anticoagulants
uncontrolled acute AFib cardioversion, amiodarone, beta blockers, CCBs, ablation
AFLUTTER - Answer-Only thing normal is QRS
Atrial rate: regular at 240-320 ventricular rate depends
Uncontrolled acute AFib cardioversion, amiodarone, beta-blockers, CCBs, ablation
SVT - Answer-Rate 150-250
Vagal maneuvers FIRST
Adenosine
May require emergency cardioversion, amiodarone, beta-blockers, CCBs
JUNCTIONAL RHYTHM - Answer-Rate: 40-60
p-wave absent or inverted
pr interval often short if there is one
atropine, transcutaneous pacing, dopamine infusion
1ST DEGREE BLOCK - Answer-pr interval consistenly prolonged
2ND DEGREE BOCK TYPE 1 - Answer-pr interval progressively longer until QRS
dropped
rate usually slower
2ND DEGREE BLOCK TYPE 2 - Answer-occasionally no QRS after p-wave
rate usually slower
3RD DEGREE AV BLOCK - Answer-rate: 20-40
atria and ventricles have no relationship
LETHAL
QRS often wide
EMERGENCY transcutaneous pacing/permanent pacemaker
PVC - Answer-No p wave for PVC
QRS wide
Watch for R on Twhen PVC lands on t-wave, it could trigger VT or VF
VTACH - Answer-Rate:110-250
Wide QRS
Consistently shaped monomorphic
Changing shape polymorphic
EMERGENCY WHEN SUSTAINED
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