,2|Page
Nur 445 Final Exam Newest 2025 Actual
Exam Complete Questions And Correct
Answers (Verified Answers), 100%
Guaranteed Pass ||Complete A+ Guide
What medication is used to decrease ICP? - ..........ANSWER.......Mannitol
-osmotic diuretic
-reduces ICP by inducing diuresis (creates an osmotic gradient across the
blood-brain barrier [BBB] and increased serum osmolality -> pulls fluid out of
brain cells and shifts it into the intravascular compartment)
What medication would you plan on administering to a patient who is
experiencing bradycardia or heart block? - ..........ANSWER.......Atropine
-administer over 1 minute
-therapeutic effect desired = increased HR
-rapid administration may be used during cardiac resuscitation (follow with 20
mL saline flush)
,3|Page
A patient suffering from a hypertensive crisis enters the ED. What medication is
used to treat this emergent situation? - ..........ANSWER.......Nitroprusside
-arteriole vasodilator
-rapidly lowers BP
-decreases preload and afterload
What is clonidine used for? - ..........ANSWER.......lowering of BP
Nitroprusside is the preferred agent if BP needs to be lowered quickly
What medication prevents the absorption of ammonia from the GI tract in
order to treat hepatic encephalopathy? - ..........ANSWER.......Lactulose
-expect more frequent bowel movements
-should see clearing of confusion, apathy, and irritation and improved mental
status (24-48 hours after oral administration)
Under what condition would you administer tPA? - ..........ANSWER.......patient
that is suffering from an ischemic stroke
What is mutual support? - ..........ANSWER.......assisting others
, 4|Page
providing feedback
advocacy behaviors when patient safety is threatened
What is the difference between formal and informal feedback? -
..........ANSWER.......Formal should be retrospective and scheduled in advance
Informal occurs in real time and includes huddles/debriefs
Explain the phenomenon of alarm fatigue - ..........ANSWER.......Frequency of
alarms becomes overwhelming, resulting in delayed response to alarms and
deliberate alarm deactivation which may impact patient safety
What is the purpose of palliative care? - ..........ANSWER.......nursing and medical
treatments are combined with control of pain and symptoms
What is the CUS method of advocacy? - ..........ANSWER.......I am concerned
I am uncomfortable
This is a safety issue