NR 340 ESE STUDY GUIDE.

Chamberlain College of Nursing


NR340 ESE STUDY
GUIDE

Instructions: The contents on this guide are intended to help you organize your
preparation for the Evolve Specialty Exam (ESE) for NR340. This is not intended to serve
as a direct reflection of the exact questions that will be presented in the exam. As you
review the topics listed below, be sure that you can
1. understand the pathophysiology;
2. identify the appropriate assessment skills;
3. interpret the appropriate lab or other diagnostic findings;
4. develop a safe and competent plan of care with rationale;
5. associate the nursing implications with the appropriate medications or other
treatments;
6. teach the rationale for all the above; and
7. prioritize especially r/t interventions and use of the nursing process.


Medication Calculations r/t IV (mg/min to ml/hour; mcg/ml, etc.)


Cardiovascular
 Angina—MI (with rationale)
o Assessment
o Diagnostics
o Interventions with rationale, including the effect of the Valsalva maneuver
o Teaching with rationale
o Critical medications: Vasopressin, TNG, Dopamine, Thrombolytics, MSO4
(positive effects with AMI? Rationale –NCLEX question!)


1

, o Rationale for increasing perfusion as a priority for AMI
 Heart failure
o Common cause(s)
o Distinguish right from left failure
o Diagnostics
o Interventions with rationale
 Hypertensive crisis
o Assessment
o Interventions with rationale
o IV medications and implications: Rationale and cautions for medications below
 Thiazide diuretic
 Potassium-sparing diuretic
 Cardiac glycoside
 Inotropic agent (Why is it called vasodilator?)
 Beta-blocker
 ACE inhibitor
 Angiotensin-receptor blocker
 Calcium-channel blocker
 Nitroprusside (Nipride)
o Complications
o Teaching with rationale




2