NR 341 COMPLEX EXAM 1 WITH 100%
CORRECT ANSWERS 2025/2026
Critical care environment correct answers >> Assist with
hearing aids/glasses-Physical environment and sensory
deprivation
Adjust alarms -noise. never turn off alarms
Speak calmly & audible -noise
Encourage family to bring objects from home-Physical
environment and sensory deprivation
Explain procedures in client's primary language-sensory
deprivation
The nurse enters the room of a client with a complex health
alteration, after hearing the alarms for the infusion pump,
telemetry monitor, and pulse oximetry sound. In which order
should the nurse complete the listed actions below? correct
answers >> Assess level of consciousness
Assess respiratory status
Palpate for a carotid pulse
,Check the pulse oximetry alarm and address any issues noted
Check the telemetry alarm and address any issues noted
Assess the IV site
Check the infusion pump alarm and address any issues noted
Benzodiazepines correct answers >> Anxiety
sedation
pain
alcohol withdrawal
Midazolam
Lorazepam
Benzodiazepine AE correct answers >> Paradoxical
(opposite) effect
hypotension
tachycardia
delirium
respiratory depression
Benzodiazepine desired effect correct answers >> treat
delirium
maintain anesthesia and amnesia
, Benzodiazepine reversal agent correct answers >>
Flumazenil (Romazicon)
Opioids correct answers >> Fentanyl/ Morphine/
Hydromorphone (delaudid)
Opioid AE correct answers >> Respiratory Depression
Constipation/ Vomiting
Bradycardia
High Pruritus
Urinary retention
Hypotension
Urticaria (itchy)
Reversal Agent - Naloxone (Narcan)
Best way to assess pain: ask
Always have ambu bag at bedside
Not breathing- CO2 is increased
delirium correct answers >> Fluctuating change in cognition
and behavior occurring over a short amount of time. preventable
and reversible
Risk Factors:
CORRECT ANSWERS 2025/2026
Critical care environment correct answers >> Assist with
hearing aids/glasses-Physical environment and sensory
deprivation
Adjust alarms -noise. never turn off alarms
Speak calmly & audible -noise
Encourage family to bring objects from home-Physical
environment and sensory deprivation
Explain procedures in client's primary language-sensory
deprivation
The nurse enters the room of a client with a complex health
alteration, after hearing the alarms for the infusion pump,
telemetry monitor, and pulse oximetry sound. In which order
should the nurse complete the listed actions below? correct
answers >> Assess level of consciousness
Assess respiratory status
Palpate for a carotid pulse
,Check the pulse oximetry alarm and address any issues noted
Check the telemetry alarm and address any issues noted
Assess the IV site
Check the infusion pump alarm and address any issues noted
Benzodiazepines correct answers >> Anxiety
sedation
pain
alcohol withdrawal
Midazolam
Lorazepam
Benzodiazepine AE correct answers >> Paradoxical
(opposite) effect
hypotension
tachycardia
delirium
respiratory depression
Benzodiazepine desired effect correct answers >> treat
delirium
maintain anesthesia and amnesia
, Benzodiazepine reversal agent correct answers >>
Flumazenil (Romazicon)
Opioids correct answers >> Fentanyl/ Morphine/
Hydromorphone (delaudid)
Opioid AE correct answers >> Respiratory Depression
Constipation/ Vomiting
Bradycardia
High Pruritus
Urinary retention
Hypotension
Urticaria (itchy)
Reversal Agent - Naloxone (Narcan)
Best way to assess pain: ask
Always have ambu bag at bedside
Not breathing- CO2 is increased
delirium correct answers >> Fluctuating change in cognition
and behavior occurring over a short amount of time. preventable
and reversible
Risk Factors:
