NSG233 Final HESI LauraRuth28 less
condensed Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
Whats flail chest - CORRECT ANSWER complication of blunt trauma
TX is usually supportive
Mild-moderate flail chest: tx by fluid replacement & resolving chest pain
Severe flail: tx w/ ET and mechanical vent
A pt comes in w/ shock, what should RN immediately insert? - CORRECT ANSWER 2 large
bore IV
Use 0.9% Na Cl or LR
Whats hypovolemic shock - CORRECT ANSWER decreased intravascular volume by 15%-
30% (which is roughly 750-1500ml of blood in a 154ib pt)
Whats the most common type of shock - CORRECT ANSWER hypovolemic
What the number 1 sx of ICP? - CORRECT ANSWER mental status changes
What's cardiogenic shock? - CORRECT ANSWER hearts ability to contract and to pump blood
is impaired and O2 is impaired for the heart
Therefore, CO is decreased
Common sx of cariogenic shock - CORRECT ANSWER angina
Arrhythmia
Fatigue
Feeling doomsday
Hemodynamic instability
, Whats the goal of a pt w/ hemorrage shock ? - CORRECT ANSWER stop the bleed
If the cause of the hypovolemia is diarrhea or vomiting, what should RN suspect to be ordered? -
CORRECT ANSWER RX to tx diarrhea or vomiting
If fluid therapy alone does not effectively improve tissue perfusion, why are dopamine or
norepinephrine prescribed? - CORRECT ANSWER achieve a MAP of 65 mm Hg or higher
Whats the most important diagnostic indication of an abdominal aortic aneurysm - CORRECT
ANSWER pulsatile mass in the middle and upper abdomen
What determines the sensitivity of a palpable aneurysm? - CORRECT ANSWER size of the
aneurysm
Abdominal girth of the pt
Skill of the examiner
When the aneurysm is small, ultrasonography is conducted at ___ month intervals until the aneurysm
reaches a size so that surgery to prevent rupture - CORRECT ANSWER 6 month
Describe the position of a pt who underwent a endovascular repair (AAA) - CORRECT
ANSWER supine for 6 hours
HOB may be elevated up to 45 degrees after 2 hours.
Vital signs and Doppler assessment of peripheral pulses are performed how often on AAA post-op
pt's? - CORRECT ANSWER q15 mins
Whats a RN assess for in a pt receiving from AAA - CORRECT ANSWER bleeding
Pulsation
Swelling
Pain
Hematoma formation
Skin changes of lower extremity, lumbar area, buttocks
condensed Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
Whats flail chest - CORRECT ANSWER complication of blunt trauma
TX is usually supportive
Mild-moderate flail chest: tx by fluid replacement & resolving chest pain
Severe flail: tx w/ ET and mechanical vent
A pt comes in w/ shock, what should RN immediately insert? - CORRECT ANSWER 2 large
bore IV
Use 0.9% Na Cl or LR
Whats hypovolemic shock - CORRECT ANSWER decreased intravascular volume by 15%-
30% (which is roughly 750-1500ml of blood in a 154ib pt)
Whats the most common type of shock - CORRECT ANSWER hypovolemic
What the number 1 sx of ICP? - CORRECT ANSWER mental status changes
What's cardiogenic shock? - CORRECT ANSWER hearts ability to contract and to pump blood
is impaired and O2 is impaired for the heart
Therefore, CO is decreased
Common sx of cariogenic shock - CORRECT ANSWER angina
Arrhythmia
Fatigue
Feeling doomsday
Hemodynamic instability
, Whats the goal of a pt w/ hemorrage shock ? - CORRECT ANSWER stop the bleed
If the cause of the hypovolemia is diarrhea or vomiting, what should RN suspect to be ordered? -
CORRECT ANSWER RX to tx diarrhea or vomiting
If fluid therapy alone does not effectively improve tissue perfusion, why are dopamine or
norepinephrine prescribed? - CORRECT ANSWER achieve a MAP of 65 mm Hg or higher
Whats the most important diagnostic indication of an abdominal aortic aneurysm - CORRECT
ANSWER pulsatile mass in the middle and upper abdomen
What determines the sensitivity of a palpable aneurysm? - CORRECT ANSWER size of the
aneurysm
Abdominal girth of the pt
Skill of the examiner
When the aneurysm is small, ultrasonography is conducted at ___ month intervals until the aneurysm
reaches a size so that surgery to prevent rupture - CORRECT ANSWER 6 month
Describe the position of a pt who underwent a endovascular repair (AAA) - CORRECT
ANSWER supine for 6 hours
HOB may be elevated up to 45 degrees after 2 hours.
Vital signs and Doppler assessment of peripheral pulses are performed how often on AAA post-op
pt's? - CORRECT ANSWER q15 mins
Whats a RN assess for in a pt receiving from AAA - CORRECT ANSWER bleeding
Pulsation
Swelling
Pain
Hematoma formation
Skin changes of lower extremity, lumbar area, buttocks
