NR 341 COMPLEX EXAM 1 questions with correct
answers
Critical care environment Correct Answer-Assist with hearing
aids/glasses-Physical environment and sensory deprivation
Adjust alarms -noise. never turn off alarms
Speak calmly & audible -noise
Encourage family to bring objects from home-Physical environment and
sensory deprivation
Explain procedures in client's primary language-sensory deprivation
The nurse enters the room of a client with a complex health alteration,
after hearing the alarms for the infusion pump, telemetry monitor, and
pulse oximetry sound. In which order should the nurse complete the
listed actions below? Correct Answer-Assess level of consciousness
Assess respiratory status
Palpate for a carotid pulse
Check the pulse oximetry alarm and address any issues noted
,Check the telemetry alarm and address any issues noted
Assess the IV site
Check the infusion pump alarm and address any issues noted
Benzodiazepines Correct Answer-Anxiety
sedation
pain
alcohol withdrawal
Midazolam
Lorazepam
Benzodiazepine AE Correct Answer-Paradoxical (opposite) effect
hypotension
tachycardia
delirium
respiratory depression
Benzodiazepine desired effect Correct Answer-treat delirium
maintain anesthesia and amnesia
, Benzodiazepine reversal agent Correct Answer-Flumazenil (Romazicon)
Opioids Correct Answer-Fentanyl/ Morphine/ Hydromorphone
(delaudid)
Opioid AE Correct Answer-Respiratory Depression
Constipation/ Vomiting
Bradycardia
High Pruritus
Urinary retention
Hypotension
Urticaria (itchy)
Reversal Agent - Naloxone (Narcan)
Best way to assess pain: ask
Always have ambu bag at bedside
Not breathing- CO2 is increased
delirium Correct Answer-Fluctuating change in cognition and behavior
occurring over a short amount of time. preventable and reversible
Risk Factors:
answers
Critical care environment Correct Answer-Assist with hearing
aids/glasses-Physical environment and sensory deprivation
Adjust alarms -noise. never turn off alarms
Speak calmly & audible -noise
Encourage family to bring objects from home-Physical environment and
sensory deprivation
Explain procedures in client's primary language-sensory deprivation
The nurse enters the room of a client with a complex health alteration,
after hearing the alarms for the infusion pump, telemetry monitor, and
pulse oximetry sound. In which order should the nurse complete the
listed actions below? Correct Answer-Assess level of consciousness
Assess respiratory status
Palpate for a carotid pulse
Check the pulse oximetry alarm and address any issues noted
,Check the telemetry alarm and address any issues noted
Assess the IV site
Check the infusion pump alarm and address any issues noted
Benzodiazepines Correct Answer-Anxiety
sedation
pain
alcohol withdrawal
Midazolam
Lorazepam
Benzodiazepine AE Correct Answer-Paradoxical (opposite) effect
hypotension
tachycardia
delirium
respiratory depression
Benzodiazepine desired effect Correct Answer-treat delirium
maintain anesthesia and amnesia
, Benzodiazepine reversal agent Correct Answer-Flumazenil (Romazicon)
Opioids Correct Answer-Fentanyl/ Morphine/ Hydromorphone
(delaudid)
Opioid AE Correct Answer-Respiratory Depression
Constipation/ Vomiting
Bradycardia
High Pruritus
Urinary retention
Hypotension
Urticaria (itchy)
Reversal Agent - Naloxone (Narcan)
Best way to assess pain: ask
Always have ambu bag at bedside
Not breathing- CO2 is increased
delirium Correct Answer-Fluctuating change in cognition and behavior
occurring over a short amount of time. preventable and reversible
Risk Factors:
