NUR 434 FINAL EXAM | QUESTIONS AND ANSWERS |
2026 UPDATE | WITH COMPLETE SOLUTION
mannitol Answer - cerebral edema treatment (monitor ICP: normal 5-15, and
measure UO)
beta blockers Answer - -olol meds
decrease SA node automaticity, slow AV conduction, block SNS
used for hypertensive emergency
atropine Answer - used for bradycardia and heart blocks
amiodarone Answer - acts on cardiac tissue to prolong duration of action
potential refractory period without altering the resting membrane potential
used for life threatening ventricular dysrhythmias, supra-ventricular
dysrhythmias, and a fib
amiodarone side effects Answer - dizziness, hypotension, bradycardia, sinus
arrest, pulmonary toxicity
amiodarone nursing implications Answer - correct serum potassium and
magnesium levels prior to initiation of drug
monitor for hypotension during initial titration phase and when increasing dose
(slow infusion if bradycardia or hypotension occurs)
,sustained monitoring is essential due to long half-life
epinephrine Answer - used for pulseless vtach, asystole, heart blocks
norepinephrine Answer - vasopressor
first choice for septic shock
nitroprusside Answer - htn emergency
vasodilator
clonidine Answer - htn urgency
lactulose Answer - hepatic encephalopathy treatment
helps get rid of buildup of ammonia
vitamin k Answer - coagulopathy treatment (INR)
advocacy Answer - advocate for the patient
invoked when a team members viewpoints dont coincide with that of a
decision maker
assertion Answer - clearly assets concerns and suggestions
five step process:
1. open the discussion
2. state the concern
3. state the problem- real or percieved
4. offer a solution
, 5. obtain an agreement
feedback Answer - information provided for the purpose of improving team
performance
formal feedback Answer - retrospective and typically scheduled in advance
ex. collaborative discussions, case conferences, individual performance
informal feedback Answer - typically in real time, focuses on knowledge and
practical skills development
ex. huddles, debriefs
task assistance Answer - team members foster a climate in which it is expected
that assistance will be actively sought and offered as a method for reducing the
occurrence of error
asystole nursing care Answer - check patient (leads may be off)
call for help
CPR/ACLS and epi
treat underlying cause
DONT SHOCK
vtach s/sx Answer - regular
rate >100bpm
p waves: none
PRI: none
QRS complex: wide and bizarre (>0.12 sec)
2026 UPDATE | WITH COMPLETE SOLUTION
mannitol Answer - cerebral edema treatment (monitor ICP: normal 5-15, and
measure UO)
beta blockers Answer - -olol meds
decrease SA node automaticity, slow AV conduction, block SNS
used for hypertensive emergency
atropine Answer - used for bradycardia and heart blocks
amiodarone Answer - acts on cardiac tissue to prolong duration of action
potential refractory period without altering the resting membrane potential
used for life threatening ventricular dysrhythmias, supra-ventricular
dysrhythmias, and a fib
amiodarone side effects Answer - dizziness, hypotension, bradycardia, sinus
arrest, pulmonary toxicity
amiodarone nursing implications Answer - correct serum potassium and
magnesium levels prior to initiation of drug
monitor for hypotension during initial titration phase and when increasing dose
(slow infusion if bradycardia or hypotension occurs)
,sustained monitoring is essential due to long half-life
epinephrine Answer - used for pulseless vtach, asystole, heart blocks
norepinephrine Answer - vasopressor
first choice for septic shock
nitroprusside Answer - htn emergency
vasodilator
clonidine Answer - htn urgency
lactulose Answer - hepatic encephalopathy treatment
helps get rid of buildup of ammonia
vitamin k Answer - coagulopathy treatment (INR)
advocacy Answer - advocate for the patient
invoked when a team members viewpoints dont coincide with that of a
decision maker
assertion Answer - clearly assets concerns and suggestions
five step process:
1. open the discussion
2. state the concern
3. state the problem- real or percieved
4. offer a solution
, 5. obtain an agreement
feedback Answer - information provided for the purpose of improving team
performance
formal feedback Answer - retrospective and typically scheduled in advance
ex. collaborative discussions, case conferences, individual performance
informal feedback Answer - typically in real time, focuses on knowledge and
practical skills development
ex. huddles, debriefs
task assistance Answer - team members foster a climate in which it is expected
that assistance will be actively sought and offered as a method for reducing the
occurrence of error
asystole nursing care Answer - check patient (leads may be off)
call for help
CPR/ACLS and epi
treat underlying cause
DONT SHOCK
vtach s/sx Answer - regular
rate >100bpm
p waves: none
PRI: none
QRS complex: wide and bizarre (>0.12 sec)
