NUR 436 midterm ASU Questions With Complete Solutions
ABC assessment Correct Answers -Airway: breath sounds,
voice
(Swallow screen: sit upright, swallow 3 oz of water, assess for
coughing/choking)
-Breathing: RR, chest movement, lung auscultation, O2 sat
-Circulation: palpate pulse, heart auscultation, EKG, BP, cap
refill, skin color, dry/moist
Adult resuscitation (review ALS handouts in module 3B)
Correct Answers -Ensure proper chest compressions and high
quality, change compressor after 2 mins (4 rounds of 30 second
CPR)
-CPR: 30 seconds of compressions, 2 breaths, repeat
-Shockable rhythm: shock, CPR 2 mins, shock, CPR 2 min,
repeat
--Epi every 3-5 mins 1mg
--Can also push amiodarone or lidocaine
--LifePak will advise shock/ no shock needed
-Non-shockable rhythm: Epi, CPR 2mins, shock advised?,
repeat
-Post cardiac arrest: maintain airway and
respiratory/hemodynamic parameters, EKG monitoring, brain
CT, critical care management
Adults vital signs Correct Answers BP: 120/80
HR: 60-100
,RR: 12-20
O2: above 95%
Temp: 98.6 (between 97-99 ok)
Albuterol Correct Answers -Indications: asthma, bronchospasm
-Education: take as prescribed and when needed, don't overuse,
report ADR (chest pain, palpitations, tremors), avoid caffeine,
causes shakiness and fast HR
-Assessment: CV/pulmonary, O2, ABC
Amniodarone Correct Answers -Indications: arrhythmias/
dysrhythmias (SLOW down HR)
-Education: don't take with pregnancy, no hazardous activity
until effects are known, monitor HR and BP, regular eye exams
and limit sun exposure (if taking over time)
-Assessment: BP (hypOtension), HR (bradycardia), EKG,
CV/pulmonary
Appropriate communication responses to challenging situations,
end of life conversations, and the Five Wishes Correct Answers
-THERAPEUTIC COMMUNICATION
-Address pain, coping/ stress, values/ beliefs, needs
-End of life: DNR/DNI, MPOA, spouse will make decisions if
patient unable to, 5 wishes, grief counseling, what to do with
body once passed, Will, hospice/palliative options
-Five Wishes: person I want to make care decisions for me when
I cant, kind of medical treatment I want or don't want, how
comfortable I want to be, how I want people to treat me, what I
want my loved ones to know
, Appropriate use of the 5 rights of Delegation Correct Answers -
Right task, time, person, directions and communication,
supervision and evaluation
-Do NOT delegate what you can EAT - educate, assess, teach
-Know the scope of practice for RN, PCA/CNA, LPN
-Delegate more stable and predictable patients
Calculate pediatric fluid bolus requirements Correct Answers -
20mL/kg determines amount of fluid
-Divide bolus/hr if provided
-Monitor for wheezing, dyspnea, fluid overload
-May be given in angiocatheter or central line
-Rapid infusion for shock, dehydration, burns
Calculate pediatric fluid maintenance Correct Answers 1.
100mL x (first 10 kg)
2. 50mL x (next 10 kg)
3. 20mL x (leftover kg)
4. add all together for mL/day
Calculate pediatric insulin - carb counting Correct Answers 1.
(current blood sugar - target blood sugar) / insulin sensitivity
factor = units of fast acting insulin to correct a. high
-only use current blood sugar if above target
2. total carb amount in meal / carb ratio number = units of fast
acting insulin to cover the carbs
3. answer from step 1 + answer from step 2 = fast acting insulin
for correcting and covering
4. round answer from step 3
- 0.0-0.2: round down to whole number
- 0.3-0.7: round to 0.5
ABC assessment Correct Answers -Airway: breath sounds,
voice
(Swallow screen: sit upright, swallow 3 oz of water, assess for
coughing/choking)
-Breathing: RR, chest movement, lung auscultation, O2 sat
-Circulation: palpate pulse, heart auscultation, EKG, BP, cap
refill, skin color, dry/moist
Adult resuscitation (review ALS handouts in module 3B)
Correct Answers -Ensure proper chest compressions and high
quality, change compressor after 2 mins (4 rounds of 30 second
CPR)
-CPR: 30 seconds of compressions, 2 breaths, repeat
-Shockable rhythm: shock, CPR 2 mins, shock, CPR 2 min,
repeat
--Epi every 3-5 mins 1mg
--Can also push amiodarone or lidocaine
--LifePak will advise shock/ no shock needed
-Non-shockable rhythm: Epi, CPR 2mins, shock advised?,
repeat
-Post cardiac arrest: maintain airway and
respiratory/hemodynamic parameters, EKG monitoring, brain
CT, critical care management
Adults vital signs Correct Answers BP: 120/80
HR: 60-100
,RR: 12-20
O2: above 95%
Temp: 98.6 (between 97-99 ok)
Albuterol Correct Answers -Indications: asthma, bronchospasm
-Education: take as prescribed and when needed, don't overuse,
report ADR (chest pain, palpitations, tremors), avoid caffeine,
causes shakiness and fast HR
-Assessment: CV/pulmonary, O2, ABC
Amniodarone Correct Answers -Indications: arrhythmias/
dysrhythmias (SLOW down HR)
-Education: don't take with pregnancy, no hazardous activity
until effects are known, monitor HR and BP, regular eye exams
and limit sun exposure (if taking over time)
-Assessment: BP (hypOtension), HR (bradycardia), EKG,
CV/pulmonary
Appropriate communication responses to challenging situations,
end of life conversations, and the Five Wishes Correct Answers
-THERAPEUTIC COMMUNICATION
-Address pain, coping/ stress, values/ beliefs, needs
-End of life: DNR/DNI, MPOA, spouse will make decisions if
patient unable to, 5 wishes, grief counseling, what to do with
body once passed, Will, hospice/palliative options
-Five Wishes: person I want to make care decisions for me when
I cant, kind of medical treatment I want or don't want, how
comfortable I want to be, how I want people to treat me, what I
want my loved ones to know
, Appropriate use of the 5 rights of Delegation Correct Answers -
Right task, time, person, directions and communication,
supervision and evaluation
-Do NOT delegate what you can EAT - educate, assess, teach
-Know the scope of practice for RN, PCA/CNA, LPN
-Delegate more stable and predictable patients
Calculate pediatric fluid bolus requirements Correct Answers -
20mL/kg determines amount of fluid
-Divide bolus/hr if provided
-Monitor for wheezing, dyspnea, fluid overload
-May be given in angiocatheter or central line
-Rapid infusion for shock, dehydration, burns
Calculate pediatric fluid maintenance Correct Answers 1.
100mL x (first 10 kg)
2. 50mL x (next 10 kg)
3. 20mL x (leftover kg)
4. add all together for mL/day
Calculate pediatric insulin - carb counting Correct Answers 1.
(current blood sugar - target blood sugar) / insulin sensitivity
factor = units of fast acting insulin to correct a. high
-only use current blood sugar if above target
2. total carb amount in meal / carb ratio number = units of fast
acting insulin to cover the carbs
3. answer from step 1 + answer from step 2 = fast acting insulin
for correcting and covering
4. round answer from step 3
- 0.0-0.2: round down to whole number
- 0.3-0.7: round to 0.5
