NR341 EXAM 3 QUESTIONS WITH CORRECT
ANSWERS 2026
Types of transplants - CORRECT ANSWER -cornea
heart
trachea
lung
liver
bowel
kidney
pancreas
skin
vascular
Reason for increased liver transplants - CORRECT ANSWER -
Cure for hep C; recipients must accept and sign consent to receive organ infected with hep C
Types of patients high risk of hep C AND high risk of potential to donate organs -
CORRECT ANSWER -Drug users
Pathway to organ donation - CORRECT ANSWER -1. ABO compatibility
2. HLA compatibility
3. Sensitization to HLA antigens
4. Donor needs complete physical to look for HIV/AIDS, cancer, hepatitis, glucose intolerance, electr
olyte balances
5. Psychological testing to ensure medication compliance
Referral process - CORRECT ANSWER -
Potential organ donor identified, healthcare team member (nurse) will call 1-800-447-
9477 (Donor Network of Arizona Referral Hotline). Keeping in mind that timely referral of patients
who meet the criteria for donation is crucial to this process.
,The Center for Medicare and Medicaid Services requires facilities and Donor Network of Arizona (D
NA) to identify specific clinical trigger to determine when patients should be referred. Clinical trigg
ers to refer patients within one hour are:
-
When a patient with a severe neuro injury or insult who is ventilated and has a Glasgow Coma Sc
ore < 5.
-
When withdrawal of support being considered before there is a plan to discontinue mechanical or
pharmacological support.
- At time of cardiac death (regardless if the patient has already been referred).
Hospitals should also call DNA at 1-800-447-9477 to report any of the following:
- Brain death testing is being discussed or planned
- Discussion of withdrawal of support
- EOL/Comfort care measures being considered
- if the family inquires about donation.
Who pays for transplants - CORRECT ANSWER -medicare/medicaid
How many lives can be saved by one person? - CORRECT ANSWER -
8 lives with organ, 100 with tissue
Clinical triggers - CORRECT ANSWER -
All patients with a severe brain injury requiring mechanical ventilation
Call immediately if:
- brain death testing being discussed
-
discussionz forz withdrawalz ofz ventilatorz orz vasopressorz supportz isz isz initiatedz byz familyz orz physician
(terminalz weening)
- EOL/comfortz carez measuresz beingz considered
,z
Callz withinz 1z hourz if:
- GCSz 5z orz lessz andz ventilated
- Atz timez ofz cardiacz deathz (always)
Complicationsz ofz brainz deadz donor/ptz -z CORRECTz ANSWERz --z DI
- hyperglycemia
- reducedz thyroidz function
- hypotension
- acidz basez imbalances
Complicationsz ofz transplantz ptz -z CORRECTz ANSWERz --z infection
- rejection
- HTN
- hyperglycemia
- hyperlipidemia
- nephrotoxicity
AZz donorz networkz -z CORRECTz ANSWERz -OPOz /z UNOS
Howz toz knowz ifz ptz isz donorz candidatez (ICUz ptz only)z -z CORRECTz ANSWERz -BRAINz DEATH
- absentz cerebralz &z brainz stemz functionz withz non-survivablez headz injury
- absentz CNz reflexes,z GCSz =z 3z (minimum),z flatz line
-dilatedz unreactivez pupilsz (bewarez ofz atropine)
- EEG:z Noz electricalz activity
- positivez apneaz testz =z noz respiratoryz movementz andz increasedz CO2z level/respiratoryz acidosis
- cerebralz angiography;z noz bloodz flowz seen
- radionuclidez CPPz scan;z allz white
- doz notz feelz painz soz doz notz needz analgesia
- doz notz needz sedation
,z
CIRCULATORYz DEATH
-
patientsz whoz havez codedz andz diez withinz minutesz ofz lifez supportz removalz (notz COPD,z notz terminal
weenz patients)
- circulatoryz collapse
-
Organsz recoveredz aſterz w/dz lifez support:z ptz dies,z limitedz familyz saysz goodbyez andz timez ofz deathz i
s
clocked,z thenz ptz broughtz backz inz toz ORz andz rehookedz upz toz lifez supportz toz oxygenatez organsz and
tissues
- Donorz networkz assumesz HCPz rolez toz determinez howz toz preservez organs
Brainz reflexz testsz -z CORRECTz ANSWERz -
1.z corneal:z cottonz swabz acrossz eyeballz andz normalz responsez isz toz blink;z brainz deadz willz notz blin
k
2
.z oculovestibularz test:z coldz waterz inz ptz ear;z normalz responsez isz eyesz deviatez toz thatz ear
3
.z earz vsz eyez irrigations???z Lookz thisz up
4.z Doll'sz eyes:z turnz patientsz headz andz normalz responsez isz eyesz forz deviatez toz oppositez side.z Brainz
d z eyesz willz followz direction.
ead
5.z swallowz andz gagz reflex:z mustz bez absentz forz brainz deadz toz bez determined
6.z babinskiz returnsz uponz brainz death,z soz positivez babinskiz isz veryz bad
7.z apneaz test:z determinez ifz ptz hasz anyz spontaneousz respirations.z Hyperoxygenatez forz 30z minutes;z N
OTz extubatingz patient,z justz turningz offz vent.z Keepz offz forz 4z min
apneaz testz -z CORRECTz ANSWERz --
RTz stopsz ventilatorz butz continuesz O2z therapyz toz lookz forz respiratoryz movementz orz triggerz toz breat
he.
- Donez forz 8-
10z minutesz soz there'sz timez forz CO2z levelz toz risez andz respiratoryz canz doz ABG
-
Everyonez requiredz atz bedsidez toz watchz forz lossz ofz hemodynamicz stability
-
positivez resultz ifz noz respiratoryz movementz andz increasingz CO2z =z noz ventilationz happeningz withinz p
atient
ANSWERS 2026
Types of transplants - CORRECT ANSWER -cornea
heart
trachea
lung
liver
bowel
kidney
pancreas
skin
vascular
Reason for increased liver transplants - CORRECT ANSWER -
Cure for hep C; recipients must accept and sign consent to receive organ infected with hep C
Types of patients high risk of hep C AND high risk of potential to donate organs -
CORRECT ANSWER -Drug users
Pathway to organ donation - CORRECT ANSWER -1. ABO compatibility
2. HLA compatibility
3. Sensitization to HLA antigens
4. Donor needs complete physical to look for HIV/AIDS, cancer, hepatitis, glucose intolerance, electr
olyte balances
5. Psychological testing to ensure medication compliance
Referral process - CORRECT ANSWER -
Potential organ donor identified, healthcare team member (nurse) will call 1-800-447-
9477 (Donor Network of Arizona Referral Hotline). Keeping in mind that timely referral of patients
who meet the criteria for donation is crucial to this process.
,The Center for Medicare and Medicaid Services requires facilities and Donor Network of Arizona (D
NA) to identify specific clinical trigger to determine when patients should be referred. Clinical trigg
ers to refer patients within one hour are:
-
When a patient with a severe neuro injury or insult who is ventilated and has a Glasgow Coma Sc
ore < 5.
-
When withdrawal of support being considered before there is a plan to discontinue mechanical or
pharmacological support.
- At time of cardiac death (regardless if the patient has already been referred).
Hospitals should also call DNA at 1-800-447-9477 to report any of the following:
- Brain death testing is being discussed or planned
- Discussion of withdrawal of support
- EOL/Comfort care measures being considered
- if the family inquires about donation.
Who pays for transplants - CORRECT ANSWER -medicare/medicaid
How many lives can be saved by one person? - CORRECT ANSWER -
8 lives with organ, 100 with tissue
Clinical triggers - CORRECT ANSWER -
All patients with a severe brain injury requiring mechanical ventilation
Call immediately if:
- brain death testing being discussed
-
discussionz forz withdrawalz ofz ventilatorz orz vasopressorz supportz isz isz initiatedz byz familyz orz physician
(terminalz weening)
- EOL/comfortz carez measuresz beingz considered
,z
Callz withinz 1z hourz if:
- GCSz 5z orz lessz andz ventilated
- Atz timez ofz cardiacz deathz (always)
Complicationsz ofz brainz deadz donor/ptz -z CORRECTz ANSWERz --z DI
- hyperglycemia
- reducedz thyroidz function
- hypotension
- acidz basez imbalances
Complicationsz ofz transplantz ptz -z CORRECTz ANSWERz --z infection
- rejection
- HTN
- hyperglycemia
- hyperlipidemia
- nephrotoxicity
AZz donorz networkz -z CORRECTz ANSWERz -OPOz /z UNOS
Howz toz knowz ifz ptz isz donorz candidatez (ICUz ptz only)z -z CORRECTz ANSWERz -BRAINz DEATH
- absentz cerebralz &z brainz stemz functionz withz non-survivablez headz injury
- absentz CNz reflexes,z GCSz =z 3z (minimum),z flatz line
-dilatedz unreactivez pupilsz (bewarez ofz atropine)
- EEG:z Noz electricalz activity
- positivez apneaz testz =z noz respiratoryz movementz andz increasedz CO2z level/respiratoryz acidosis
- cerebralz angiography;z noz bloodz flowz seen
- radionuclidez CPPz scan;z allz white
- doz notz feelz painz soz doz notz needz analgesia
- doz notz needz sedation
,z
CIRCULATORYz DEATH
-
patientsz whoz havez codedz andz diez withinz minutesz ofz lifez supportz removalz (notz COPD,z notz terminal
weenz patients)
- circulatoryz collapse
-
Organsz recoveredz aſterz w/dz lifez support:z ptz dies,z limitedz familyz saysz goodbyez andz timez ofz deathz i
s
clocked,z thenz ptz broughtz backz inz toz ORz andz rehookedz upz toz lifez supportz toz oxygenatez organsz and
tissues
- Donorz networkz assumesz HCPz rolez toz determinez howz toz preservez organs
Brainz reflexz testsz -z CORRECTz ANSWERz -
1.z corneal:z cottonz swabz acrossz eyeballz andz normalz responsez isz toz blink;z brainz deadz willz notz blin
k
2
.z oculovestibularz test:z coldz waterz inz ptz ear;z normalz responsez isz eyesz deviatez toz thatz ear
3
.z earz vsz eyez irrigations???z Lookz thisz up
4.z Doll'sz eyes:z turnz patientsz headz andz normalz responsez isz eyesz forz deviatez toz oppositez side.z Brainz
d z eyesz willz followz direction.
ead
5.z swallowz andz gagz reflex:z mustz bez absentz forz brainz deadz toz bez determined
6.z babinskiz returnsz uponz brainz death,z soz positivez babinskiz isz veryz bad
7.z apneaz test:z determinez ifz ptz hasz anyz spontaneousz respirations.z Hyperoxygenatez forz 30z minutes;z N
OTz extubatingz patient,z justz turningz offz vent.z Keepz offz forz 4z min
apneaz testz -z CORRECTz ANSWERz --
RTz stopsz ventilatorz butz continuesz O2z therapyz toz lookz forz respiratoryz movementz orz triggerz toz breat
he.
- Donez forz 8-
10z minutesz soz there'sz timez forz CO2z levelz toz risez andz respiratoryz canz doz ABG
-
Everyonez requiredz atz bedsidez toz watchz forz lossz ofz hemodynamicz stability
-
positivez resultz ifz noz respiratoryz movementz andz increasingz CO2z =z noz ventilationz happeningz withinz p
atient
