NR 341 FINAL EXAM ,EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
high school student comes to ed with headache, fever, and neck pain - CORRECT-
ANSWERSexpect lumbar puncture bc indicative of bacterial meningitis
Status epileptics medication - CORRECT-ANSWERSbenzodiazepines (Lorazepam
(ativan) is drug of choice)
When the first line drugs are not effective for status epileptics, given to place pt in
induced coma - CORRECT-ANSWERSphenobarbital
Delirium nursing interventions - CORRECT-ANSWERSquiet environment, reorient,
speak slowly, dark room, maintain consistent routine, identify threats to safety
what to monitor following electrical burns - CORRECT-ANSWERStelemetry for 24
hours
Priority for facial burns - CORRECT-ANSWERSairway/intubate
Patients with burns on face/neck are at risk for what? - CORRECT-ANSWERSairway
obstruction
Patient has VS showing infection on burn site - what to do? - CORRECT-ANSWERSget
burn and wound culture
process of getting blood cultures for burns - CORRECT-ANSWERSDo blood cultures
before any antibiotics are given
Burns stress ulcers and prevention - CORRECT-ANSWERSCurling's ulcer; NG tube is
the prevention
priority for carbon monoxide burns - CORRECT-ANSWERSoxygen with non rebreather
mask
other priority for burns - CORRECT-ANSWERSfluids
, superficial burn (1st degree) - CORRECT-ANSWERSlike a sunburn (epidermis and
maybe small portion of dermis)
Partial thickness burn (2nd °) - CORRECT-ANSWERSepidermis and most of dermis
Full thickness burn (3rd °) - CORRECT-ANSWERSSame as partial thickness but may
extend into subcutaneous tissue; nerve damage
- Thick, dry leathery appearance
Deep Full thickness burn (4th °) - CORRECT-ANSWERSDestruction of all layers plus
muscles, tendons & bones
- Black with no edema
Escharectomy - CORRECT-ANSWERSsurgical removal of eschar
priority intervention for DKA - CORRECT-ANSWERSfluids
interventions for DKA and HHS - CORRECT-ANSWERSinsulin drip w/ regular insulin,
*check blood glucose every hour!! , monitor labs, electrolyte replacement
- fluid replacement:
First use 0.9% NS
Then 0.45% NS
Dextrose added when glucose approaches 200 mg/dL
- electrolyte replacement
Potassium
Maintain between 4-5 mEq/:
Phosphorus (K-phos replacement)
Magnesium
difference between DKA and HHS - CORRECT-ANSWERSDKA → occurs Type 1 DM,
BG > 350, metabolic acidosis, kussmaul's respirations, fruity breath, flushed/dry skin,
orthostatic hypotension, ketones in urine, weight loss
HHS → occurs in Type 2 DM, NO ketoacidosis, BG average > 600, more electrolyte
imbalances and renal dysfunction, higher serum osmolarity than DKA
Insulin drip - CORRECT-ANSWERSmonitor glucose every hour, check electrolytes
every few hours
for mass causality - CORRECT-ANSWERSgreatest good for greatest number of people
CORRECT QUESTIONS AND ANSWERS
2025
high school student comes to ed with headache, fever, and neck pain - CORRECT-
ANSWERSexpect lumbar puncture bc indicative of bacterial meningitis
Status epileptics medication - CORRECT-ANSWERSbenzodiazepines (Lorazepam
(ativan) is drug of choice)
When the first line drugs are not effective for status epileptics, given to place pt in
induced coma - CORRECT-ANSWERSphenobarbital
Delirium nursing interventions - CORRECT-ANSWERSquiet environment, reorient,
speak slowly, dark room, maintain consistent routine, identify threats to safety
what to monitor following electrical burns - CORRECT-ANSWERStelemetry for 24
hours
Priority for facial burns - CORRECT-ANSWERSairway/intubate
Patients with burns on face/neck are at risk for what? - CORRECT-ANSWERSairway
obstruction
Patient has VS showing infection on burn site - what to do? - CORRECT-ANSWERSget
burn and wound culture
process of getting blood cultures for burns - CORRECT-ANSWERSDo blood cultures
before any antibiotics are given
Burns stress ulcers and prevention - CORRECT-ANSWERSCurling's ulcer; NG tube is
the prevention
priority for carbon monoxide burns - CORRECT-ANSWERSoxygen with non rebreather
mask
other priority for burns - CORRECT-ANSWERSfluids
, superficial burn (1st degree) - CORRECT-ANSWERSlike a sunburn (epidermis and
maybe small portion of dermis)
Partial thickness burn (2nd °) - CORRECT-ANSWERSepidermis and most of dermis
Full thickness burn (3rd °) - CORRECT-ANSWERSSame as partial thickness but may
extend into subcutaneous tissue; nerve damage
- Thick, dry leathery appearance
Deep Full thickness burn (4th °) - CORRECT-ANSWERSDestruction of all layers plus
muscles, tendons & bones
- Black with no edema
Escharectomy - CORRECT-ANSWERSsurgical removal of eschar
priority intervention for DKA - CORRECT-ANSWERSfluids
interventions for DKA and HHS - CORRECT-ANSWERSinsulin drip w/ regular insulin,
*check blood glucose every hour!! , monitor labs, electrolyte replacement
- fluid replacement:
First use 0.9% NS
Then 0.45% NS
Dextrose added when glucose approaches 200 mg/dL
- electrolyte replacement
Potassium
Maintain between 4-5 mEq/:
Phosphorus (K-phos replacement)
Magnesium
difference between DKA and HHS - CORRECT-ANSWERSDKA → occurs Type 1 DM,
BG > 350, metabolic acidosis, kussmaul's respirations, fruity breath, flushed/dry skin,
orthostatic hypotension, ketones in urine, weight loss
HHS → occurs in Type 2 DM, NO ketoacidosis, BG average > 600, more electrolyte
imbalances and renal dysfunction, higher serum osmolarity than DKA
Insulin drip - CORRECT-ANSWERSmonitor glucose every hour, check electrolytes
every few hours
for mass causality - CORRECT-ANSWERSgreatest good for greatest number of people
