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NR 341 UPDATED ACTUAL EXAM 2025 STRUCTURED QUESTIONS AND CORRECT ANSWERS ALREADFY RATED A, Exams of Nursing

NR 341 UPDATED ACTUAL EXAM 2025 STRUCTUREDQUESTIONS AND CORRECT ANSWERS ALREADFY RATED AND GRADED A+ Critical Care Nursing - CORRECT ANSWER >>>- deals with human responses to critical illness - focus on both the patient's and family's responses Evolution of Critical Care - CORRECT ANSWER >>>- began with polio units, recovery rooms, and coronary care units - patient outcomes have improved

Typology: Exams

2024/2025

Available from 07/03/2025

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NR 341 UPDATED ACTUAL EXAM 2025 STRUCTURED
QUESTIONS AND CORRECT ANSWERS ALREADFY RATED
AND GRADED A+
Critical Care Nursing - CORRECT ANSWER >>>- deals with human responses to critical illness
- focus on both the patient's and family's responses
Evolution of Critical Care - CORRECT ANSWER >>>- began with polio units, recovery rooms,
and coronary care units
- patient outcomes have improved
eICU - CORRECT ANSWER >>>a new application of critical care from a remote monitoring site
Competencies for Acute and Critical Care Nurses - CORRECT ANSWER >>>- clinical reasoning
- advocacy
- caring
- collaboration
- holistic nursing care
- response to diversity
American Association of Critical Care Nurses - CORRECT ANSWER >>>- largest specialty
organization
- assists NURSES to attain knowledge and influence
- healthy work environment initiative
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Download NR 341 UPDATED ACTUAL EXAM 2025 STRUCTURED QUESTIONS AND CORRECT ANSWERS ALREADFY RATED A and more Exams Nursing in PDF only on Docsity!

NR 341 UPDATED ACTUAL EXAM 2025 STRUCTURED

QUESTIONS AND CORRECT ANSWERS ALREADFY RATED

AND GRADED A+

Critical Care Nursing - CORRECT ANSWER >>> - deals with human responses to critical illness

  • focus on both the patient's and family's responses Evolution of Critical Care - CORRECT ANSWER >>> - began with polio units, recovery rooms, and coronary care units
  • patient outcomes have improved eICU - CORRECT ANSWER >>> a new application of critical care from a remote monitoring site Competencies for Acute and Critical Care Nurses - CORRECT ANSWER >>> - clinical reasoning
  • advocacy
  • caring
  • collaboration
  • holistic nursing care
  • response to diversity American Association of Critical Care Nurses - CORRECT ANSWER >>> - largest specialty organization
  • assists NURSES to attain knowledge and influence
  • healthy work environment initiative

AACN's Vision - CORRECT ANSWER >>> create a healthcare system driven by patient's and family's needs in which critical care nurses make their optimum contributions AACN: Professional Journals - CORRECT ANSWER >>> - Critical Care Nurse

  • American Journal of Critical Care
  • AACN Advanced Critical Care AACN Membership Benefits - CORRECT ANSWER >>> - professional journals
  • evidence-based interventions
  • continuing education Society of Critical Care Medicine - CORRECT ANSWER >>> - multiprofessional membership
  • healthcare system in which all critically ill and injured persons receive care Synergy Model - CORRECT ANSWER >>> nurses are assigned patients based on their acuity and level of experience of critical care nurses on duty Critical Care Certification - CORRECT ANSWER >>> - validate knowledge
  • promote professional excellence
  • help nurses maintain up to date knowledge
  • AACN oversees this CCRN - CORRECT ANSWER >>> adult, neonatal and pediatric intensive care PCCN - CORRECT ANSWER >>> for those working in step-down units

Loudest Activity - CORRECT ANSWER >>> Pneumatic Tube Arrival Modification of Environment - CORRECT ANSWER >>> - noise reduction (soothing music, private areas)

  • adequate lighting (natural lighting, night day synchronization)
  • design new units to promote health and safety Psychosocial Support - CORRECT ANSWER >>> - ensure safety
  • reduce sleep deprivation
  • reduce sensory overload
  • increase pleasant sensory input
  • provide reorientation Discharge from Critical Care - CORRECT ANSWER >>> - fear of abandonment
  • learn new routines
  • new staff
  • new roommates
  • prepare patients Post Critical Care Symptoms - CORRECT ANSWER >>> - fatigue, sleep disturbance
  • pain, muscle weakness
  • poor concentration
  • poor appetite
  • PTSD

Geriatric Concerns - CORRECT ANSWER >>> - diminished ability to adapt or cope with stressors

  • greater risk for negative outcomes Calgary Family Assessment - CORRECT ANSWER >>> - structural (decision maker)
  • developmental (stage)
  • functional (how they interact) EPICS Approach: Addressing Family Needs - CORRECT ANSWER >>> - Evaluate
  • Plan
  • Involve
  • Communicate
  • Support VALUE: Addressing Family Needs - CORRECT ANSWER >>> - Value what they tell you
  • Acknowledge emotions
  • Listen to family
  • Understand the patient as a person
  • Elicit questions form family members Family Present During Codes - CORRECT ANSWER >>> allows them to witness everything that has been done Ethical Decision Making Process - CORRECT ANSWER >>> - assess
  • consider options
  • develop plan with patient

Extraordinary Care - CORRECT ANSWER >>> - complex, invasive, experimental treatments

  • ACLS, dialysis, unproved therapies What is in between ordinary and extraordinary care? - CORRECT ANSWER >>> feeding tube for hydration CPR Issues - CORRECT ANSWER >>> - DNR is needed to not initiate a code
  • advance directives are useful
  • family presence during codes is promoted Withholding - CORRECT ANSWER >>> not initiating Withdrawal - CORRECT ANSWER >>> weaning or removing Helping Families make Decisions - CORRECT ANSWER >>> - communicate frequently
  • engage in consistent, honest communication
  • base decisions on patient's wishes
  • provide support Self Determination Act - CORRECT ANSWER >>> - right to initiate advance directive
  • right to consent or refuse treatment Advance Directive - CORRECT ANSWER >>> - communication about preference for treatments if patient is incapacitated
  • living will (treatment desired and withheld)
  • durable power of attorney for health care

Organ and Tissue Transplantation - CORRECT ANSWER >>> - brain dead are often candidates

  • everyone has a right to donate organs
  • conflict of patient's designation versus family member's view
  • designated requestors seek consent Living Will - CORRECT ANSWER >>> treatment desired and what should be withheld Durable Power of Attorney for Health Care - CORRECT ANSWER >>> - determines who makes decisions
  • healthcare surrogate or proxy Medical Futility - CORRECT ANSWER >>> situation in which therapy or interventions will not provide a foreseeable possibility to improve the patient's health Palliative Care - CORRECT ANSWER >>> - designed to relieve symptoms that negatively affect patient and family
  • implemented with all patients, not just the dying Nursing Interventions for Palliative Care - CORRECT ANSWER >>> - frequent repositioning
  • good hygiene
  • skin care
  • creation of peaceful environment
  • pain relief Terminal Weaning - CORRECT ANSWER >>> - ventilator withdrawal

ABCDE Delirium Bundle - CORRECT ANSWER >>> - awakening

  • breathing coordination
  • choice of sedation
  • delirium monitoring
  • early mobility Fetanyl - CORRECT ANSWER >>> fastest onset Morphine - CORRECT ANSWER >>> longest duration Epidural - CORRECT ANSWER >>> - opioid or local anesthetic
  • facilitates mobility and pulmonary hygiene NSAIDS - CORRECT ANSWER >>> - decrease need for opioid
  • risks of GI bleeding and renal (ibuprofen) or liver (acetaminophen) insufficiency Pharmacological Treatment for Anxiety - CORRECT ANSWER >>> - benzodiazepine
  • propofol
  • dexmedetomidine Ventilation - CORRECT ANSWER >>> movement of O2 and CO2 in and out of the alveoli Oropharyngeal Sizing - CORRECT ANSWER >>> - hold airway against side of patients face
  • extend from the corner of the patient's mouth to the angle of the jaw

Oropharyngeal - CORRECT ANSWER >>> - keeps tongue from falling back and blocking the upper airway

  • used in unresponsive patients with no gag reflex Oropharyngeal Airway Insertion - CORRECT ANSWER >>> - open mouth
  • insert with tip pointing up to avoid pushing tongue back
  • once tip reaches soft palate, rotate 180 degrees
  • top should rest on patient's lips Nasopharyngeal Airways - CORRECT ANSWER >>> - curved, flexile rubber or plastic tubes inserted into nostril
  • used on responsive patients
  • relieves upper airway obstruction and facilitates passage of suction catheter Nasopharyngeal Airway Insertion - CORRECT ANSWER >>> - lubricate and insert into nostril that appears most open
  • insert until the flange is against the nostril opening
  • check to ensure airflow
  • good if they need to be suctioned frequently Suctioning - CORRECT ANSWER >>> - suction intermittenly (10-15 sec)
  • suction only as far into the mouth as you can see and only when catheter is withdrawn
  • suction only as far into the nose as the distance from the tip of the nose to the earlobe
  • pre oxygenate before suctioning Hypoxemic Respiratory Failure Type 1 - CORRECT ANSWER >>> - when you don't have enough oxygen in your blood but your levels of carbon dioxide are close to normal
  • sedation and paralysis indicated ARDS Interventions - CORRECT ANSWER >>> - sedation and comfort
  • oxygenation
  • prone
  • fluids and electrolytes
  • nutrition Contraindications for an Artificial Airway - CORRECT ANSWER >>> when a patient has a DNR order Intubation Procedure - CORRECT ANSWER >>> - pre-oxygenate 100%
  • do not allow more than 30 second attempts
  • not successful wait 3-5 minutes before reattempt Intubation: Confirming Tube Position - CORRECT ANSWER >>> - auscultation
  • bilateral chest rise
  • tube location at teeth
  • CO2 detector (gold is good)
  • XRAY Ventilatory Associated Pneumonia (VAP) - CORRECT ANSWER >>> - 10 - 20% develop VAP
  • mortality can be as high as 80%
  • only with patients on ventilators VAP Bundle - CORRECT ANSWER >>> - HOB 30-45 degrees
  • interrupt sedation daily to assess readiness to wean
  • provide daily oral care with chlorhexidine
  • provide prophylaxis for DVT and PUD Nasoendotracheal Advantages - CORRECT ANSWER >>> - comfortable for prolonged intubation
  • suitable for oral surgery
  • blind intubation
  • can take oral feedings
  • resists kinking Nasoendotracheal Disadvantages - CORRECT ANSWER >>> - trauma to nasal mucosa
  • risk for sinusitis
  • risk for bacteremia
  • smaller diameter than oral route Contraindications for Nasoendotracheal Intubation - CORRECT ANSWER >>> - basilar skull fracture
  • coagulopathy
  • nasal cavity obstruction
  • retropharyngeal abscess Tracheostomy - CORRECT ANSWER >>> - allows person to breath without nose or mouth
  • used primarily in situation where a prolonged need for airway support is anticipated Assist/Control Mode - CORRECT ANSWER >>> - delivers preset volumes, rate and flow rate

High Pressure Volume - CORRECT ANSWER >>> - blockage in the circuit

  • patient biting ETT
  • mucus plug
  • patient coughing
  • bag patient Low Minute Volume Alarm - CORRECT ANSWER >>> - apnea (CPAP)
  • disconnection of the patient from the ventilator
  • bag patient Accidental Extubation - CORRECT ANSWER >>> - ensure ambu bag is attached to oxygen and it is on
  • attach face mask to ambu bag
  • ensure good seal
  • supply patient with ventilation Norcuron (Cecuronium Bromide) - CORRECT ANSWER >>> neuromuscular blocking agent Dexamethasone - CORRECT ANSWER >>> corticosteroid that prevents the release of substance in the body that cause inflammation Ipratropium - CORRECT ANSWER >>> relaxes muscles around the airways so that they open up and you can breath easily Rapid Response - CORRECT ANSWER >>> - failure to recognize causes death
  • implemented to address changes in condition before cardiac or respiratory arrest

When to call RRT? - CORRECT ANSWER >>> changes in

  • heart rate, systolic BP
  • RR, oxygen saturation
  • mental status
  • urinary output
  • lab values Code Blue - CORRECT ANSWER >>> - cardiac or respiratory arrest
  • lifesaving resuscitation and intervention needed Sequence of Events: BLS - CORRECT ANSWER >>> - advance directives
  • airway open
  • breathing (O2)
  • chest compressions ACLS: Airway and Breathing - CORRECT ANSWER >>> - airway management
  • manual ventilation
  • intubation
  • delivery of tidal volume Bag Valve Mask - CORRECT ANSWER >>> - connected to an oxygen source set at 15L/min
  • ever 5-6 seconds ACLS: Circulation - CORRECT ANSWER >>> - large bore IV's
  • biggest veins

Uncompensated - CORRECT ANSWER >>> PaCO2 or HCO3 are abnormal and pH is abnormal Intubation Equipment - CORRECT ANSWER >>> - o2 flowmeter and o2 tubing

  • suction apparatus
  • suction catheter
  • ambu bag
  • laryngoscope
  • stylet
  • stethoscope
  • tape
  • syringe
  • magil forceps
  • towels for position What you need to know about your intubation - CORRECT ANSWER >>> - mode
  • size
  • position at the teeth Leader of the Code - CORRECT ANSWER >>> - physician
  • directs code
  • makes diagnoses and treatment decisions Primary Nurse - CORRECT ANSWER >>> - provides info
  • measures vitals
  • assists with procedures
  • administers meds

Second Nurse - CORRECT ANSWER >>> - coordinates crash cart

  • prepares meds
  • assembles equipment Nursing Supervisor - CORRECT ANSWER >>> - controls crowd
  • contacts attending physician
  • assists with meds and procedures
  • ensures a bed is available it critical care
  • assists with transfer Nurse or Assistant - CORRECT ANSWER >>> records events Role of Nurse During Intubation - CORRECT ANSWER >>> - makes sure RSI available
  • inform patient what is going on
  • preoxygenate patient Reversible Causes of Cardiac Arrest: H - CORRECT ANSWER >>> - hypovolemia (decreased amount of circulating blood)
  • hypoxia
  • hydrogen ion (acidosis)
  • hypo/hyperkalemia
  • hypothermia Reversible Causes of Cardiac Arrest: T - CORRECT ANSWER >>> - tension pneumothorax
  • tamponade (fluid collecting in sac around heart)