NR341 MS CJE PRACTICE EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Modifiable - ANS Can be changed
Nonmodifiable - ANS Cannot be changed
Aspects of Health - ANS Physical, Emotional, Social, Intellectual, Spiritual, Occupational,
Environmental
Social Environment - ANS Crime vs. safety, poverty vs. prosperity, peace vs. social unrest, and
presence vs. absence of support from social networks
Physical Environment - ANS Access to health care, sanitation, availability of clean water, and
geographic location
Triage Level 1 - ANS Resuscitation
Triage Level 2 - ANS Emergent
Triage Level 3 - ANS Urgent
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Triage Level 4 - ANS Less Urgent
Triage Level 5 - ANS Nonurgent
Primary Survey - ANS Rapid assessment of life threatening conditions; completed
systematically; standard precautions; guided by ABCDE principle
ABCDE Principle - Airway - ANS Maintain airway, head-tilt/chin-lift if unresponsive; DO NOT
perform if potential cervical spine injury; if trauma suspected use modified jaw thrust
maneuver; bag valve mask with 100% O2 with nonrebreather for spontaneous breathers
ABCDE Principle - Breathing - ANS If NOT breathing, manual vent with bag valve mask or
mouth to mouth
ABCDE Principle - Circulation - ANS HR, BP, pulses, cap refill; to restore circulation: CPR,
assess for internal bleed, hemorrhage control; IV access; Isotonic fluids/blood; to alleviate
shock: O2, pressure to bleed, elevate lower extremities, IV fluids & blood, VS, stay with patient
ABCDE Principle - Disability - ANS Assess LOC; GCS; AVPU
ABCDE Principle - Exposure - ANS Complete physical assessment; clothing removed;
hypothermia primary concern
Poisoning - ANS Medical emergency; history, type of poison; respiratory support, circulation,
restore fluids, BP/EKG; ingested poison use activated charcoal, gastric lavage (done within 1
hour), aspiration; diazepam if seizures occur
Rapid Response Team - ANS Respond to emergency when patient has indications of rapid
decline; early recognition before respiratory/cardiac arrest or stroke occurs
Cardiac Arrest - ANS Cardiac emergency
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Vfib/Pulseless VT - ANS Defibrillate, CPR, administer IV antidysrhythmic (epinephrine,
amiodarone, lidocaine, magnesium sulfate)
Ventricular Asystole - ANS Cardiac emergency
Pulseless Electrical Activity (PEA) & Asystole - ANS CPR, if shockable use Defibrillator, IV
access, Epinephrine IVP every 3-5 minutes
Epinephrine - ANS Stimulates alpha 1 (vasoconstrict), beta 1 (increases HR), beta 2
(bronchodilator); used for superficial bleeding, increased BP, AV block, cardiac arrest, & asthma;
adverse effects include hypertension crisis, dysrhythmias, angina
Dopamine - ANS Renal blood vessel dilation, beta 1 (increases HR); used for shock, heart
failure, acute kidney injury; adverse effects include dysrhythmias, angina
Dobutamine - ANS Beta 1 (increases HR); used for heart failure
Cerebral Angiography - ANS Visualization of cerebral blood vessels, assess blood flow in
brain, identify aneurysms; do NOT perform if pregnant, NPO for 4-6 hours prior, assess allergy to
shellfish or iodine, assess bleeding risk/use of anticoagulants, assess BUN & Creatinine; monitor
area for clotting after procedure; void immediately after; may experience metallic taste or
feeling of warmth; movement restricted
CT Scan - ANS Cross section image of cranial cavity; supine, no jewelry; if contrast dye used
take precautions
EEG - ANS Identifies brain wave abnormalities, seizure activity & sleep disorder; wash hair
prior, be sleep deprived, expose to flashing lights or hyperventilate for 3-4 minutes; avoid
stimulants/sedatives 12-24 hours
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, ICP Monitoring - ANS Performed by neurosurgeon in operating room, used for increased ICP,
GCS score of 8 or less, complication of infection.
Intraventricular Catheter - ANS Fluid filled catheter connected to sterile drainage system
inserted into burr hole, allows simultaneous drainage & monitoring by transducer connected to
monitor.
Subarachnoid screw or bolt - ANS Hollow threaded screw or bolt connected to transducer,
placed through burr hole.
Epidural or subdural sensor - ANS Fiber optic sensor inserted through burr hole.
Signs and Symptoms of Increased ICP - ANS Irritability first sign, severe headache, decreased
level of consciousness, dilated/pinpoint pupils, altered breathing pattern (Cheyne-stokes),
hyperventilation, apnea, abnormal posturing.
Lumbar Puncture - ANS Withdraw CSF to diagnose MS, syphilis, meningitis.
Complications of Lumbar Puncture - ANS Headache from leaking CSF, give opioids/pain meds,
increase fluid intake.
MRI Preparation - ANS NPO 4-8 hours prior; remove jewelry, not claustrophobic, give
earplugs; with contrast dyes: assess for allergies for shellfish; no metal implants (IUD, aneurysm
clip, ortho joint, artificial heart valve, pacemaker).
PET & SPECT Scan - ANS Nuclear medicine procedures produce 3D images of head; images
can be static (depicting vessels) or functional (depicting brain activity); captures regional
metabolic processes (tumor activity, dementia).
Radiation Risks - ANS Associated with imaging procedures like PET and SPECT scans.
X-ray - ANS Reveal fracture or curvature; no pregnant patients, no jewelry.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Modifiable - ANS Can be changed
Nonmodifiable - ANS Cannot be changed
Aspects of Health - ANS Physical, Emotional, Social, Intellectual, Spiritual, Occupational,
Environmental
Social Environment - ANS Crime vs. safety, poverty vs. prosperity, peace vs. social unrest, and
presence vs. absence of support from social networks
Physical Environment - ANS Access to health care, sanitation, availability of clean water, and
geographic location
Triage Level 1 - ANS Resuscitation
Triage Level 2 - ANS Emergent
Triage Level 3 - ANS Urgent
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Triage Level 4 - ANS Less Urgent
Triage Level 5 - ANS Nonurgent
Primary Survey - ANS Rapid assessment of life threatening conditions; completed
systematically; standard precautions; guided by ABCDE principle
ABCDE Principle - Airway - ANS Maintain airway, head-tilt/chin-lift if unresponsive; DO NOT
perform if potential cervical spine injury; if trauma suspected use modified jaw thrust
maneuver; bag valve mask with 100% O2 with nonrebreather for spontaneous breathers
ABCDE Principle - Breathing - ANS If NOT breathing, manual vent with bag valve mask or
mouth to mouth
ABCDE Principle - Circulation - ANS HR, BP, pulses, cap refill; to restore circulation: CPR,
assess for internal bleed, hemorrhage control; IV access; Isotonic fluids/blood; to alleviate
shock: O2, pressure to bleed, elevate lower extremities, IV fluids & blood, VS, stay with patient
ABCDE Principle - Disability - ANS Assess LOC; GCS; AVPU
ABCDE Principle - Exposure - ANS Complete physical assessment; clothing removed;
hypothermia primary concern
Poisoning - ANS Medical emergency; history, type of poison; respiratory support, circulation,
restore fluids, BP/EKG; ingested poison use activated charcoal, gastric lavage (done within 1
hour), aspiration; diazepam if seizures occur
Rapid Response Team - ANS Respond to emergency when patient has indications of rapid
decline; early recognition before respiratory/cardiac arrest or stroke occurs
Cardiac Arrest - ANS Cardiac emergency
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Vfib/Pulseless VT - ANS Defibrillate, CPR, administer IV antidysrhythmic (epinephrine,
amiodarone, lidocaine, magnesium sulfate)
Ventricular Asystole - ANS Cardiac emergency
Pulseless Electrical Activity (PEA) & Asystole - ANS CPR, if shockable use Defibrillator, IV
access, Epinephrine IVP every 3-5 minutes
Epinephrine - ANS Stimulates alpha 1 (vasoconstrict), beta 1 (increases HR), beta 2
(bronchodilator); used for superficial bleeding, increased BP, AV block, cardiac arrest, & asthma;
adverse effects include hypertension crisis, dysrhythmias, angina
Dopamine - ANS Renal blood vessel dilation, beta 1 (increases HR); used for shock, heart
failure, acute kidney injury; adverse effects include dysrhythmias, angina
Dobutamine - ANS Beta 1 (increases HR); used for heart failure
Cerebral Angiography - ANS Visualization of cerebral blood vessels, assess blood flow in
brain, identify aneurysms; do NOT perform if pregnant, NPO for 4-6 hours prior, assess allergy to
shellfish or iodine, assess bleeding risk/use of anticoagulants, assess BUN & Creatinine; monitor
area for clotting after procedure; void immediately after; may experience metallic taste or
feeling of warmth; movement restricted
CT Scan - ANS Cross section image of cranial cavity; supine, no jewelry; if contrast dye used
take precautions
EEG - ANS Identifies brain wave abnormalities, seizure activity & sleep disorder; wash hair
prior, be sleep deprived, expose to flashing lights or hyperventilate for 3-4 minutes; avoid
stimulants/sedatives 12-24 hours
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, ICP Monitoring - ANS Performed by neurosurgeon in operating room, used for increased ICP,
GCS score of 8 or less, complication of infection.
Intraventricular Catheter - ANS Fluid filled catheter connected to sterile drainage system
inserted into burr hole, allows simultaneous drainage & monitoring by transducer connected to
monitor.
Subarachnoid screw or bolt - ANS Hollow threaded screw or bolt connected to transducer,
placed through burr hole.
Epidural or subdural sensor - ANS Fiber optic sensor inserted through burr hole.
Signs and Symptoms of Increased ICP - ANS Irritability first sign, severe headache, decreased
level of consciousness, dilated/pinpoint pupils, altered breathing pattern (Cheyne-stokes),
hyperventilation, apnea, abnormal posturing.
Lumbar Puncture - ANS Withdraw CSF to diagnose MS, syphilis, meningitis.
Complications of Lumbar Puncture - ANS Headache from leaking CSF, give opioids/pain meds,
increase fluid intake.
MRI Preparation - ANS NPO 4-8 hours prior; remove jewelry, not claustrophobic, give
earplugs; with contrast dyes: assess for allergies for shellfish; no metal implants (IUD, aneurysm
clip, ortho joint, artificial heart valve, pacemaker).
PET & SPECT Scan - ANS Nuclear medicine procedures produce 3D images of head; images
can be static (depicting vessels) or functional (depicting brain activity); captures regional
metabolic processes (tumor activity, dementia).
Radiation Risks - ANS Associated with imaging procedures like PET and SPECT scans.
X-ray - ANS Reveal fracture or curvature; no pregnant patients, no jewelry.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
