NSG 4100 EXAM 4 2026 UPDATE
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
S/S of Clabsi? - ANS--Decreased Urine Ourtput
-pain
-Decreased Mental Status
-fever
Who is at greatest Risk for Septic Shock? - ANS--Burn Patient
-Surgeries/invasive procedures
-Chronic Illness (DM, hepatitis, CKD)
Neurogenic Shock Causes? - ANS-Spinal cord injury, spinal
anesthesia
Neurogenic Shock MGMT? - ANS--SCI stabalization
-HOB at least 30 degrees with spinal or epidural anesthesia
-Prevent further damage: immobilization
Anaphylactic shock Patho and defining characteristics? - ANS-Mast cells
release potent vasoactive substances
s/s: 2 or more s/s- RR compromise, decreased BP, GI distress, skin
or mucosal irritation
Types of Shock:
,Obstructive - ANS-Pulmonary embolis, cardiac tamponade, tension
pneumothorax
Blood is not allowed to circulate to the heart
What is a crystalloid? - ANS-IV solutions that contain electrolytes
and other substances that closely mimic the body's extracellular
fluid (ECF)
used to replace depleted fluids and to promote urine output.
Examples: Lactated Ringers & 0.9% Sodium Chloride NS
What is Tumor Lysis Syndrome? - ANS-Large number of cancer cells
die within a short period, releasing their contents into the blood.
Expected Diagnostics for a patient that has been diagnosed with Tumor
Lysis Syndrome? - ANS-DX: ***Hyper-kalemia, Hyper-phosphatemia,
Hyper-uricemia, HYPOcalcemia
Your patient is diagnosed with Tumor Lysis Syndrom. What is one
intervention that is contraindicated and why? - ANS-Potassium
Sparring Diuretics (especially if k+ >6.5 due to already high
levels of potassium as these diuretics do not lower potassium.
Nursing Management for for Tumor Lysis Syndrome? - ANS--Aggressive
Fluids
-Dialysis
-Allopurinol, kayexalate, Phosphate Binders
*Seizure Precautions: Pad siderails
What is standard precautions? - ANS-Appropriate hand hygiene,
glove use. Designed for all patients. Primary strategy for
preventing hospital acquired infections
, What is Transmission Based Precautions? - ANS-Designed care for
patients with known or suspected infectious diseases:
ex: Airborne, droplet, or contact
Nursing interventions for Domestic Violence in the emergency room? -
ANS--Separate patient
-Asking assessment questions in private
-Nurses needs to recognize signs of abuse
*Don't judge
What is Mass casualty planning? - ANS--Incident in which there are a
mass number of injuries & Deaths in one location that is caused
by an outside incidence
"Greatest good for the greatest number of patients"
A catastrophic disaster has occurred 5 miles from the hospital you are
working in. The hospital's disaster plan is activated & the wounded are
brought to the hospital. You are helping triage the survivors. One of the
wounded is able to walk around and has minor lacerations on the arms,
hand, chest and legs. You would place what color tag on this survivor? -
ANS-Green
While triaging the wounded from a disaster, you note that one of the
wounded is not breathing, radial pulse is absent, capillary refill >2
seconds and does not respond to your commands. What color tag is
assigned? - ANS-Black
NATO:
Black - ANS-o Or Death not expecting patient to live/survive=
PULSELESS OR NOT BREATHING
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
S/S of Clabsi? - ANS--Decreased Urine Ourtput
-pain
-Decreased Mental Status
-fever
Who is at greatest Risk for Septic Shock? - ANS--Burn Patient
-Surgeries/invasive procedures
-Chronic Illness (DM, hepatitis, CKD)
Neurogenic Shock Causes? - ANS-Spinal cord injury, spinal
anesthesia
Neurogenic Shock MGMT? - ANS--SCI stabalization
-HOB at least 30 degrees with spinal or epidural anesthesia
-Prevent further damage: immobilization
Anaphylactic shock Patho and defining characteristics? - ANS-Mast cells
release potent vasoactive substances
s/s: 2 or more s/s- RR compromise, decreased BP, GI distress, skin
or mucosal irritation
Types of Shock:
,Obstructive - ANS-Pulmonary embolis, cardiac tamponade, tension
pneumothorax
Blood is not allowed to circulate to the heart
What is a crystalloid? - ANS-IV solutions that contain electrolytes
and other substances that closely mimic the body's extracellular
fluid (ECF)
used to replace depleted fluids and to promote urine output.
Examples: Lactated Ringers & 0.9% Sodium Chloride NS
What is Tumor Lysis Syndrome? - ANS-Large number of cancer cells
die within a short period, releasing their contents into the blood.
Expected Diagnostics for a patient that has been diagnosed with Tumor
Lysis Syndrome? - ANS-DX: ***Hyper-kalemia, Hyper-phosphatemia,
Hyper-uricemia, HYPOcalcemia
Your patient is diagnosed with Tumor Lysis Syndrom. What is one
intervention that is contraindicated and why? - ANS-Potassium
Sparring Diuretics (especially if k+ >6.5 due to already high
levels of potassium as these diuretics do not lower potassium.
Nursing Management for for Tumor Lysis Syndrome? - ANS--Aggressive
Fluids
-Dialysis
-Allopurinol, kayexalate, Phosphate Binders
*Seizure Precautions: Pad siderails
What is standard precautions? - ANS-Appropriate hand hygiene,
glove use. Designed for all patients. Primary strategy for
preventing hospital acquired infections
, What is Transmission Based Precautions? - ANS-Designed care for
patients with known or suspected infectious diseases:
ex: Airborne, droplet, or contact
Nursing interventions for Domestic Violence in the emergency room? -
ANS--Separate patient
-Asking assessment questions in private
-Nurses needs to recognize signs of abuse
*Don't judge
What is Mass casualty planning? - ANS--Incident in which there are a
mass number of injuries & Deaths in one location that is caused
by an outside incidence
"Greatest good for the greatest number of patients"
A catastrophic disaster has occurred 5 miles from the hospital you are
working in. The hospital's disaster plan is activated & the wounded are
brought to the hospital. You are helping triage the survivors. One of the
wounded is able to walk around and has minor lacerations on the arms,
hand, chest and legs. You would place what color tag on this survivor? -
ANS-Green
While triaging the wounded from a disaster, you note that one of the
wounded is not breathing, radial pulse is absent, capillary refill >2
seconds and does not respond to your commands. What color tag is
assigned? - ANS-Black
NATO:
Black - ANS-o Or Death not expecting patient to live/survive=
PULSELESS OR NOT BREATHING
