NR 341 FINAL EXAM WITH 100%
CORRECT ANSWERS 2025/2026
Organ Donation Triggers correct answers >> 1. talk about
ventilator withdrawal/terminal wean
2. comfort care measures
3. GCS < or = 5
4. Brain death testing
5. Positive apnea test
Apnea Test correct answers >> -ran for 8-10 mins
-take patient off vent but keep O2
-positive: no respiratory movement = increased CO2
Support for Organ Donation correct answers >> -thyroid:
levoythyroxine
-DI: DDAVP/vasopressin/desmopressin and monitor UO
-pancreas:(BG will run high) insulin, q 1 hour accu checks
-blood pressure: disconnect with SNS, neuro storm, put patient on
levophed and vasopressin
-respiratory: vent dependent, maintain Hgb around 10
Serum CO2 correct answers >> HCO3
,Nursing role for the donor patient correct answers >>
scripted and consistent
Brain death testing correct answers >> A: Apnea test
B: EEG
C: Cerebral angiography
D: Radionuclide cerebral perfusion scan
-will have A and C or D
Circulatory Death correct answers >> -after heart stops
-OD's
Organ Recipient Meds correct answers >> 1. Prednisone
2. Tacrolimus/Cyclosporine (need lab draws for therapeutic levels
and nephrotoxic)
3. Mycophenolate Mofetil
Organ Recipient Precautions correct answers >> -need to
wear a mask
-no raw fruit or veg unless properly washed
-no fresh flowers/plants
-no pet therapy
Complications to Immunusuppressants correct answers >> 1.
HTN - put on BP meds
2. Nephrotoxicity - keep all lab appointments
, 3. Hyperlipidemia - put on meds to control levels
4. Hyperglycemia - taught BG control
5. Infection - BS ABX, antifungal, antiviral
Rejection correct answers >> -need to biopsy first
Kidney Biopsy correct answers >> -apply a pressure dressing
-keep patient on effected side
-bed rest for 24 hrs
-assess for bleeding, flank pain, hematocrit, labs
-avoid lifting objects for 5-7 days
Liver Biopsy correct answers >> -need to coach the patient
how to breathe through the procedure since the liver is accessed
through the ribs
-monitor for bleeding and pneumothorax
-keep patient lying on right side for minimum of 2 hours
Primary Survey correct answers >> -done in 1-2 mins to set
priority for patient
-LOC: AVPU
-A: Airway -> fire, chemical, C spine injury
-B: Breathing -> contusion, fractured ribs, flail chest, neuro
dysfunction to not able to move diaphragm deep enough,
abdominal trauma affected diaphragm
-C: Circulation -> control hemorrhage, 2 large bore IVs and
administer fluids
CORRECT ANSWERS 2025/2026
Organ Donation Triggers correct answers >> 1. talk about
ventilator withdrawal/terminal wean
2. comfort care measures
3. GCS < or = 5
4. Brain death testing
5. Positive apnea test
Apnea Test correct answers >> -ran for 8-10 mins
-take patient off vent but keep O2
-positive: no respiratory movement = increased CO2
Support for Organ Donation correct answers >> -thyroid:
levoythyroxine
-DI: DDAVP/vasopressin/desmopressin and monitor UO
-pancreas:(BG will run high) insulin, q 1 hour accu checks
-blood pressure: disconnect with SNS, neuro storm, put patient on
levophed and vasopressin
-respiratory: vent dependent, maintain Hgb around 10
Serum CO2 correct answers >> HCO3
,Nursing role for the donor patient correct answers >>
scripted and consistent
Brain death testing correct answers >> A: Apnea test
B: EEG
C: Cerebral angiography
D: Radionuclide cerebral perfusion scan
-will have A and C or D
Circulatory Death correct answers >> -after heart stops
-OD's
Organ Recipient Meds correct answers >> 1. Prednisone
2. Tacrolimus/Cyclosporine (need lab draws for therapeutic levels
and nephrotoxic)
3. Mycophenolate Mofetil
Organ Recipient Precautions correct answers >> -need to
wear a mask
-no raw fruit or veg unless properly washed
-no fresh flowers/plants
-no pet therapy
Complications to Immunusuppressants correct answers >> 1.
HTN - put on BP meds
2. Nephrotoxicity - keep all lab appointments
, 3. Hyperlipidemia - put on meds to control levels
4. Hyperglycemia - taught BG control
5. Infection - BS ABX, antifungal, antiviral
Rejection correct answers >> -need to biopsy first
Kidney Biopsy correct answers >> -apply a pressure dressing
-keep patient on effected side
-bed rest for 24 hrs
-assess for bleeding, flank pain, hematocrit, labs
-avoid lifting objects for 5-7 days
Liver Biopsy correct answers >> -need to coach the patient
how to breathe through the procedure since the liver is accessed
through the ribs
-monitor for bleeding and pneumothorax
-keep patient lying on right side for minimum of 2 hours
Primary Survey correct answers >> -done in 1-2 mins to set
priority for patient
-LOC: AVPU
-A: Airway -> fire, chemical, C spine injury
-B: Breathing -> contusion, fractured ribs, flail chest, neuro
dysfunction to not able to move diaphragm deep enough,
abdominal trauma affected diaphragm
-C: Circulation -> control hemorrhage, 2 large bore IVs and
administer fluids
