NUR 337 FINAL EXAM SPRING 2023 ASU
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
Becca Perez Sim (2) - CORRECT-ANSWERS-S→ 22 y/o F w/dx of postpartum care;
NKA
-B→ hx of IUP 37 wks, no prenatal care, denies past medical hx, no contraception use in
past year, no STI hx, does not know immunizations
-A→ +1 pitting edema of BLE, BUBBLE-LE assess, 2nd degree laceration repaired, non-
distended bladder, lochia moderate clots, female infant delivered via vacuum assist
(PPH), PPH→ IV access, straight cath, type and cross, O2, VS q5, EBL q5-15 min,
fundal massage, methergine
-R→ skin to skin education, latching and breastfeeding education, pain management,
postpartum education, meds (oxytocin, cytotec, methergine)
Jacob Stewart Sim (2) - CORRECT-ANSWERS-S→ 28 y/o M w/dx of non-healing
wound w/secondary chronic pain
-B→ hx of 20lb wt loss in past few months, TBI, wound caused by IED in Afghanistan 6
mo ago, social drinker, admits to illicit drug use, hx of depression, live w/mom but does
not talk to her
-A→ SI risk assess, withdrawn and dismissive, seems upset and angry
-R→ suicide risk watch, infection prevention (gentamicin and rocephin), nutritional
assess, pain management
CBT (2) - CORRECT-ANSWERS-cognitive distortions→ all or nothing thinking,
overgeneralization, discounting the positives, jumping to conclusions,
magnification/minimization, "should statements," labeling, personalization/blame
-how to untwist thinking→ identify distortions, examine the evidence, thinking in grey
shades, define terms, re-attribution, double-standard method, etc.
-best treatment for anxiety
-good if pt can state positives and negatives of actions
, Jackie Daniels Sim (2) - CORRECT-ANSWERS-S→ 76 y/o F w/dx of compound
fracture of L ankle w/altered mental status; allergies weeds and pollen
-B→ hx no chronic illnesses, drinking more frequently per daughter statement, lost
conscious and fell
-A→ CIWA or CAGE, breath sounds diminished bilaterally, WDL other assessments
-R→ pain management, I&O, education for alcohol abuse, meds (ceftriaxone, percocet,
morphine)
Central Line Skills Lab (2) - CORRECT-ANSWERS-best choice for central venous
access device for avid swimmer→ implanted port
-type of central venous access device for immediate fluid and blood replacement→
nontunneled percutaneous central catheter
-10ml flush is best for flushing to prevent rupture
-use pulsatile action when flushing to prevent occlusion
-air embolism→ place on left side in Trendelenburg
-port should be covered with tegaderm
-preparing to obtain blood sample with triple lumen, nurse should turn off distal infusions
for 1-5 mins before obtaining sample
IVP/IVPB Application (2) - CORRECT-ANSWERS-IVP
-You have an order to give 1 mg of Ativan, the vial is 2mg/4mL, and it must be diluted
1:1 and is compatible with 0.9% NS, how much medication will be pulled up and how
much diluent will be pulled up? 2mL of medication and 2mL of diluent
-during IV admin, the med book says to push over 1 minute, therefore you will flush with
2-3mL, push med over 1 minute, then push flush for another minute (2 minutes total)
-IVPB
-You are hanging 1000mL of NS set at a rate of 100mL/hr and VTBI at 900mL, how long
will it take to finish? 9 hrs
-You are IVPB the medication cefazolin, orders say to infuse over 30 mins and the
medication is 1g/50mL, at what rate should you set the pump? 100mL/hr
-remember rate is always in mL/hr
-pump may also show cefazolin as 1000 mg which is the same as 1g
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
Becca Perez Sim (2) - CORRECT-ANSWERS-S→ 22 y/o F w/dx of postpartum care;
NKA
-B→ hx of IUP 37 wks, no prenatal care, denies past medical hx, no contraception use in
past year, no STI hx, does not know immunizations
-A→ +1 pitting edema of BLE, BUBBLE-LE assess, 2nd degree laceration repaired, non-
distended bladder, lochia moderate clots, female infant delivered via vacuum assist
(PPH), PPH→ IV access, straight cath, type and cross, O2, VS q5, EBL q5-15 min,
fundal massage, methergine
-R→ skin to skin education, latching and breastfeeding education, pain management,
postpartum education, meds (oxytocin, cytotec, methergine)
Jacob Stewart Sim (2) - CORRECT-ANSWERS-S→ 28 y/o M w/dx of non-healing
wound w/secondary chronic pain
-B→ hx of 20lb wt loss in past few months, TBI, wound caused by IED in Afghanistan 6
mo ago, social drinker, admits to illicit drug use, hx of depression, live w/mom but does
not talk to her
-A→ SI risk assess, withdrawn and dismissive, seems upset and angry
-R→ suicide risk watch, infection prevention (gentamicin and rocephin), nutritional
assess, pain management
CBT (2) - CORRECT-ANSWERS-cognitive distortions→ all or nothing thinking,
overgeneralization, discounting the positives, jumping to conclusions,
magnification/minimization, "should statements," labeling, personalization/blame
-how to untwist thinking→ identify distortions, examine the evidence, thinking in grey
shades, define terms, re-attribution, double-standard method, etc.
-best treatment for anxiety
-good if pt can state positives and negatives of actions
, Jackie Daniels Sim (2) - CORRECT-ANSWERS-S→ 76 y/o F w/dx of compound
fracture of L ankle w/altered mental status; allergies weeds and pollen
-B→ hx no chronic illnesses, drinking more frequently per daughter statement, lost
conscious and fell
-A→ CIWA or CAGE, breath sounds diminished bilaterally, WDL other assessments
-R→ pain management, I&O, education for alcohol abuse, meds (ceftriaxone, percocet,
morphine)
Central Line Skills Lab (2) - CORRECT-ANSWERS-best choice for central venous
access device for avid swimmer→ implanted port
-type of central venous access device for immediate fluid and blood replacement→
nontunneled percutaneous central catheter
-10ml flush is best for flushing to prevent rupture
-use pulsatile action when flushing to prevent occlusion
-air embolism→ place on left side in Trendelenburg
-port should be covered with tegaderm
-preparing to obtain blood sample with triple lumen, nurse should turn off distal infusions
for 1-5 mins before obtaining sample
IVP/IVPB Application (2) - CORRECT-ANSWERS-IVP
-You have an order to give 1 mg of Ativan, the vial is 2mg/4mL, and it must be diluted
1:1 and is compatible with 0.9% NS, how much medication will be pulled up and how
much diluent will be pulled up? 2mL of medication and 2mL of diluent
-during IV admin, the med book says to push over 1 minute, therefore you will flush with
2-3mL, push med over 1 minute, then push flush for another minute (2 minutes total)
-IVPB
-You are hanging 1000mL of NS set at a rate of 100mL/hr and VTBI at 900mL, how long
will it take to finish? 9 hrs
-You are IVPB the medication cefazolin, orders say to infuse over 30 mins and the
medication is 1g/50mL, at what rate should you set the pump? 100mL/hr
-remember rate is always in mL/hr
-pump may also show cefazolin as 1000 mg which is the same as 1g
