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NURS 3310 Midterm Exam Blueprint: Questions and Verified Solutions, Exams of Nursing

A concise review of key concepts for a nursing midterm, focusing on patient assessment, medication administration, infection control, and emergency care. It includes verified answers to potential exam questions, covering topics such as neuropathy, opioid administration, pca pumps, and various precautions for infection control. The material is presented in a question-and-answer format, making it useful for quick review and exam preparation. It also covers topics such as fluid and electrolyte imbalances, acid-base imbalances, and postoperative complications, offering a comprehensive overview of essential nursing concepts. Designed to help nursing students prepare for their exams by providing clear and concise answers to potential questions, enhancing their understanding of critical nursing concepts and procedures.

Typology: Exams

2024/2025

Available from 06/05/2025

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NURS 3310 MIDTERM BLUEPRINT
EXAM QUESTIONS WITH ACCURATE
SOLUTIONS
Neuropathy |pain |what |is |the |Clinical |manifestation |and |Treatment? |- |VERIFIED |ANSWER✔✔-Give |
Gabapentin
Complication |of |opioid/benzodiazepine |administration. |Nursing |priority |- |VERIFIED |ANSWER✔✔-
Prioritize |RR, |responsiveness. |Opioids |can |cause |respiratory |depression
PCA |pomp |(analgesia). |Pain |control |is |inadequate. |Nursing |assessment/action
The |patient |is |not |having |the |pain |control. |What |do |you |do |first |- |VERIFIED |ANSWER✔✔-Assess |the |
pain |level, |location, |and |quality
Nursing |action |when |managing |patient |on |pain |and |patient |fall |asleep. |- |VERIFIED |ANSWER✔✔-Wake |
the |patient |up
PCA |pomp |(analgesia). |Nursing |assessment |as |priority
Which |pt |you're |going |to |be |prioritizing? |- |VERIFIED |ANSWER✔✔-The |pt |that |has |been |having |a |
change |in |rr |(respiratory |depression)
PCA |pomp |(analgesia).
|Nursing |education |about |the |appropriate |direction |while |managing |the |device. |- |VERIFIED |
ANSWER✔✔-Only |the |pt |can |activate |the |PCA |pomp
Opiod |overdose |
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NURS 3310 MIDTERM BLUEPRINT

EXAM QUESTIONS WITH ACCURATE

SOLUTIONS

Neuropathy |pain |what |is |the |Clinical |manifestation |and |Treatment? |- |VERIFIED |ANSWER✔✔-Give | Gabapentin Complication |of |opioid/benzodiazepine |administration. |Nursing |priority |- |VERIFIED |ANSWER✔✔- Prioritize |RR, |responsiveness. |Opioids |can |cause |respiratory |depression PCA |pomp |(analgesia). |Pain |control |is |inadequate. |Nursing |assessment/action The |patient |is |not |having |the |pain |control. |What |do |you |do |first |- |VERIFIED |ANSWER✔✔-Assess |the | pain |level, |location, |and |quality Nursing |action |when |managing |patient |on |pain |and |patient |fall |asleep. |- |VERIFIED |ANSWER✔✔-Wake | the |patient |up PCA |pomp |(analgesia). |Nursing |assessment |as |priority Which |pt |you're |going |to |be |prioritizing? |- |VERIFIED |ANSWER✔✔-The |pt |that |has |been |having |a | change |in |rr |(respiratory |depression) PCA |pomp |(analgesia). |Nursing |education |about |the |appropriate |direction |while |managing |the |device. |- |VERIFIED | ANSWER✔✔-Only |the |pt |can |activate |the |PCA |pomp Opiod |overdose |

4.what |is |the |Opiod |antagonist |- |VERIFIED |ANSWER✔✔-Naloxone Opiod |. |Which |factors |should |be |considered |cautiously |prior |or |while |the |medication |administration? |- | VERIFIED |ANSWER✔✔-Ask |med |history |or |any |upper |respiratory/ |chronic |conditions, |follow |up |with | age. Fentanyl |patch- |Nursing |education |- |VERIFIED |ANSWER✔✔-Make |sure |the |old |patch |is |removes | before |applying |the |new |one, |the |area |has |to |be |shaved, |NEVER |apply |the |new |one |before |removing | the |old |one. |Stay |away |from |hot |water |because |it |will |cause |to |release |rapid |med |to |the |body |and | the |pt |can |have |an |overdose |to |med Opiod. |Side |effect |- |VERIFIED |ANSWER✔✔--Respiratory |depression -constipation -sedation -urinary |retention -slow |gi |tract Neuropathic |pain. | Clinical |manifestation |- |VERIFIED |ANSWER✔✔--Burning |sensation -sensitive |to |touch Post-operative |care. |(post |anesthesia) |. | Nursing |assessment |as |priority |- |VERIFIED |ANSWER✔✔-Airway |and |ventilation

Droplet |precautions |- |VERIFIED |ANSWER✔✔--Regular |surgical |mask |(3 |ft) |gown |added |if |pt |coughs |or | sneezes -client |wears |surgical |mask |when |out |of |isolation |room. -Private |room -Door |can |be |open: |Meningitis |(bacterial), |Pneumonia |(pneumonia |by |MRSA |requires |droplet | precautions), |Influenza, |common |cold, |diphtheria, |epiglottis, |strep |throat, |scarlet |fever, |mumps, | rubella, |whooping |cough. Airborne |Precautions |- |VERIFIED |ANSWER✔✔-- |Single |room |with |negative |pressure

  • |Closed |door
  • |Particulate |respirator |(fitted |N95 |HEPA |filter) .not |requires |for |measles/varicella |if |staff |is |immune/ |gown |can |be |added |if |client |is |coughing |or | sneezing. -Client |wears |surgical |mask |when |out |of |room. -Measles |(rubeola) -chicken |pox |(varicella) -TB |(tuberculosis) Others: |SARS, |generalized |herpes |zoster Contact |precautions |- |VERIFIED |ANSWER✔✔--always |use |glove |and |gown |sometimes |mask -private |room -door |can |be |open Cover |the |wound |for |transportion Skin: |MRSA, |VRSA, |VRE, |CRE, |Impetigo, |Suppurated |cellulitis, |furuncles, |secreting |ulcers, |Herpes |zoster |and |herpes |simple, |viral |conjunctivitis, |scabies, |pediculosis Enteral: |C.diff, |rotavirus, |norovirus |salmonella, |shigella, |cholera, |Hepatitis |A. RSV= |bronchiolitis

Review |Emergent |category |criteria. | Which |patient |do |you |see |first |- |VERIFIED |ANSWER✔✔-Chest |pain, |respiratory |distress Category | 1 |(RED) |- |VERIFIED |ANSWER✔✔-- |SEE |IMMEDIATELY |

  • |LIFE |THREATENING | Cardiopulmonary |arrest, |anaphylaxis, |active |seizures Category | 2 |(Orange) |- |VERIFIED |ANSWER✔✔-- |seen |within | 10 |min |
  • |imminently |life |threatening |time |sensitive |treatment |needed |, |or |severe |pain | Cardiac |chest |pain, |fever |in |immunocompromised |patient, |respiratory |distress Category | 3 |(Green) |- |VERIFIED |ANSWER✔✔-- |seen |within | 30 |min
  • |potentially |life |threatening |situational |urgency |or |sever |pain | Abdominal |pain, |fractures, |dehydration Category | 4 |(Blue) |- |VERIFIED |ANSWER✔✔--Seen |within | 60 |min
  • |potentially |serious |condition |situational |urgency |or |complex |case | Urinary |tract |infection; |ankle |sprain; |laceration, |simple |(requiring |sutures) Category | 5 |(White) |- |VERIFIED |ANSWER✔✔--seen |within | 120 |min | -less |urgent |or |clinical |administrative |problems |

-respiratory An |unresponsive |patient. |Nursing |assessment |as |priority |- |VERIFIED |ANSWER✔✔-Check |VS, |specifically |pulse Review |the |different |Tag |category |criteria |upon |a |casualty |event |. |Who |do |you |see |first |- |VERIFIED | ANSWER✔✔- Fluid |and |electrolyte |imbalances.which |pt |may |be |at |risk |Hyponatremia.? |- |VERIFIED |ANSWER✔✔- Normal |levels: | 136 |to | 145 |mmo/L Assessment: |Recognize |cues -excitable |cellular |activity -cerebral, |neuromuscular, |intestinal, |cardiovascular |changes Interventions: |take |action -drug |therapy, |nutrition |therapy Fluid |and |electrolyte |imbalances. |Hypercalcemia. |Nursing |action |- |VERIFIED |ANSWER✔✔-Monitor | cardiac |rhythm. |The |pt |will |have |cardiac |dysrythmia |and |can |have |lethal |cardiac |changes Assessment: |cardiovascular |changes, |severe |muscle |weakness, |decreased |DTR, |decreased |peristalsis Intervention: |reduce |calcium |levels, |drug |therapy, |rehydration, |possibly |dialysis, |cardiac |monitoring Acid-base |imbalance. |Metabolic |acidosis. |Sign |and |symptom |of |compensatory |mechanisms? |- | VERIFIED |ANSWER✔✔-Hyperventilation. |Increase |rate |and |depth |of |ventilation. Acid-base |imbalance. |Complication |of |Diuretic |- |VERIFIED |ANSWER✔✔-Metabolic |alkalosis

Acute |pancreatitis. |Clinical |manifestation |of |Acid-base |imbalance. |- |VERIFIED |ANSWER✔✔-Acute | pancreatitis |aka |inflammation |of |the |pancreas, |causes |sudden |onset |of |severe |upper |abdominal |pain | often |radiating |to |the |back. Metabolic |acidosis |can |occur |in |acute |pancreatitis |for |multiple |reasons |that |include |lactic |acidosis | resulting |from |shock, |renal |failure. Acid |base |imbalance. |Review |the |labs |and |risk |factor |that |led |to |respiratory |alkalosis. |- |VERIFIED | ANSWER✔✔-Respiratory |Alkalosis: |Excessive |loss |of |CO2 |through |hyperventilation Hallmark= |ABG |result |with |an |elevated |pH |coupled |with |a |low |carbon |dioxide |level Assessment: |Recognize |Cues -Hypocalcemia |and |hypokalemia -CNS, |neuromuscular, |cardiovascular, |respiratory |signs |and |symptoms Arterial |blood |pH |above |7.45, |decrease |in |free |hydrogen |ion |level |of |the |blood, |excess |bases, | especially |biocarbonate Skin. |Review |different |pressure |ulcers |(classification |and |defining |characteristic) STAGE | 1 |- |VERIFIED |ANSWER✔✔-skin |is |unbroken |but |inflamed Skin. |Review |different |pressure |ulcers |(classification |and |defining |characteristic) STAGE | 2 |- |VERIFIED |ANSWER✔✔-skin |is |broken |to |epidermis |or |dermis Skin. |Review |different |pressure |ulcers |(classification |and |defining |characteristic) STAGE | 3 |- |VERIFIED |ANSWER✔✔-ulcer |extends |to |subcutaneous |fat |layer

Face |shields HIV. |Prevention |of |drug |resistance |- |VERIFIED |ANSWER✔✔-Poor |adherence, |compliance Type |I |Hypersensitivity |reaction. |Nursing |action |- |VERIFIED |ANSWER✔✔-Anaphylactic |reaction. |How |to |identify |and |what |to |do |with |the |pt. Hormone |therapy. |Complication. |Clinical |manifestation |- |VERIFIED |ANSWER✔✔-Thromboembolism, | DVT, |warmth, |pressure, |swollen |and |red Superior |Vena |Cava |Syndrome. |Nursing |action | what |are |you |going |to |be |assessing |? |- |VERIFIED |ANSWER✔✔-Life |threatening |condition. Level |of |consciousness, |RR, |VS. Ecchymosis: |- |VERIFIED |ANSWER✔✔-blood |or |bleeding |under |the |skin |due |to |trauma |of |any |kind. | (aka |bruise) Actinic |lentigo |aka |solar |lentigo |- |VERIFIED |ANSWER✔✔-flat |tan, |brown, |or |black |spots |on |the |skin | common |with |age. -older |adults, |people |with |fair |skin, |and |people |who've |spent |lots |of |time |in |the |sun |are |most |prone | to |liver |spots. -the |main |symptom |is |a |dark |spot |on |the |skin. Petechia |- |VERIFIED |ANSWER✔✔-tiny |round |brown |purple |spots |due |to |bleeding |under |the |skin, |may | be |in |a |small |area |due |to |minor |trauma |or |widespread |due |to |blood-clotting |disorder. Senile |Angiomas |- |VERIFIED |ANSWER✔✔-red |moles |or |cherry |angiomas, |are |common |skin |growths | that |can |develop |on |most |areas |of |your |body. |They |are |found |on |people |aged | 30 |or |older. | Noncancerous

Nursing |assessment/action |for |a |non-healing |pressure |injury |(right |ankle) What |kind |of |action? |- |VERIFIED |ANSWER✔✔-Assess |pain, |circulation. |Check |if |circulation |is |going |in | that |area. Scabies. |Clinical |manifestation. |Treatment |- |VERIFIED |ANSWER✔✔-Permethrin |cream Assistive |personnel |(AP) |Scope |of |skill. |- |VERIFIED |ANSWER✔✔-Obtaining |and |documenting |VS, | including |temp, |pulse, |respirations, |BP |and |pain |level

  • |bathing, |grooming |etc -feeding |and |assisting |with |fluid |and |nutritional |intake -mobility |assistance Clostridium |difficile |infection. |Risk |factor. |Infection |control |precaution |- |VERIFIED |ANSWER✔✔-Long | term |use |of |antibiotics |is |high |risk |of |clostridium Most |common |site |of |cancer |in |adult |women? |- |VERIFIED |ANSWER✔✔-breast |cancer Most |common |site |of |cancer |in |adult |men? |- |VERIFIED |ANSWER✔✔-prostate |cancer AIDS. |Defining |criteria |- |VERIFIED |ANSWER✔✔-CD |count |less |than | 200 Unlicensed |assistive |personnel |(UAP) |Scope |of |skill |- |VERIFIED |ANSWER✔✔-Ø |ADL's |activities Ø |feeding |not |for |PT |with |dysphagia Ø |VS Ø |urinary |output Ø |recording |I&O |(IMPUT |AND |OUTPUT) Ø |ambulation |of |stable |PT Ø |skin |barrier |and |tap |water |enemas |(no |flip |enema |bc |it |contains |med) Ø |CPR

-reducing |sun |exposure |can |help |reduce |risk

  • |it |is |most |common |on |the |face, |lips, |ears, |back |of |hands, |forearms, |scalp, |and |neck Melanoma: |aka |malignant |melanoma |- |VERIFIED |ANSWER✔✔--most |serious |type |of |skin |cancer -Melanoma |occurs |when |the |pigment-producing |cells |that |give |color |to |the |skin |become |cancerous. | They |can |occur |anywhere |in |the |body Treatment: |surgery, |radiation, |meds, |chemo. Burns. |Diet |for |fast |healing |process |- |VERIFIED |ANSWER✔✔--Beef -chicken | -pork -eggs -beans -nuts -milk -yogurt | -cheese -fruits |and |vegetables. Skin |lesion. |Diagnostic |test |- |VERIFIED |ANSWER✔✔-biopsy Drowning. |Clinical |manifestation |sign |and |symptoms |- |VERIFIED |ANSWER✔✔-Blue |skin, |pulmonary | edema, |crackles |in |the |lungs Inflammation. |Clinical |manifestations |- |VERIFIED |ANSWER✔✔-Redness, |swelling, |loss |of |function IV |chemotherapy |medication. |PPE |- |VERIFIED |ANSWER✔✔-Goggles, |gloves, |gown

Assistive |personnel |(AP) |Scope |of |skill |- |VERIFIED |ANSWER✔✔-Pt |with |thrombocytopenia |will |be |a | very |high |risk |of |bleeding, |pt |will |have |prolonged |bleeding |due |to |skin |breakdown, |blood |in |urine Which |could |be |some |actions |delegated |to |AP Which |factors |must |be |present |to |transmit |infection? |- |VERIFIED |ANSWER✔✔-Pathogenic |agent, | reservoir, |portal |of |exit, |transmission, |portal |of |entry, |host |susceptibility Nursing |education |for |a |patient |with |an |internal |radiation |implant |- |VERIFIED |ANSWER✔✔-Avoid | people |that |are |pregnant |visiting |the |pt. |Stay | 6 |ft |apart |from |pt |or |bedside Intravenous |vesicant |Complication. |Nursing |action |- |VERIFIED |ANSWER✔✔-The |injection |should |be | stopped |immediately |and |the |IV |tubing |disconnected. |Avoid |applying |pressure |to |the |site, |and |do |not |flush |the |line. |Leave |the |original |catheter |in |place, |and |attempt |to |aspirate |as |much |of |the |infiltrated |drug |as |possible. Correct |sequence |for |putting |on |PPE |- |VERIFIED |ANSWER✔✔-1-gown | 2-mask |or |respirator | 3-goggles |or |face |shield 4-gloves Correct |sequence |for |REMOVING |PPE |- |VERIFIED |ANSWER✔✔-1-gloves | 2-goggles |or |face |shield 3-gown | 4-mask |or |respirator | 5-wash |hands |or |use |any |alcohol |based |hand |sanitizer |immediately |after |removing |all |PPE Situation-Background-Assessment-Recommendation |(SBAR) |format |- |VERIFIED |ANSWER✔✔-- | Situation: |Clearly |and |briefly |describe |the |current |situation.

  • |Background: |Provide |clear, |relevant |background |information |on |the |patient.