Final Exam 150 Self-Assessment Questions and Answers

NUR2755 / NUR 2755 Multidimensional Care IV / MDC 4 Final Exam 150 +Self-Assessment Questions and Answers 2024 -Rasmussen College

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• What will we HEAR with a pneumothorax? Expected finding
• Diminished breath sounds

• What do you see with a flail chest? The most distinctive sign??
• Paradoxical chest movements

• What is the initial reaction for a low-pressure alarm, what would you check

first??

• low pressure alarm = not getting enough oxygen. Bag the patient manually.

• High pressure alarm, absent breath sounds in right upper chest what is it

likely to be??

• Pneumothorax

• Patient has head to toe trauma and at risk for developing ARDS, what is the

earliest sign?

• Increased respiratory rate

• What is the most common first symptom with a patient with a PE?
• Chest pain

• Pain response in an unconscious patient? (peripheral pain response)
• Squeezing the nail beds

• What are measures for a patient with a head injury, how do we prevent

increase intracranial pressure?

• Decrease

stimulus Slow movements Don't cough hard or blow nose Deep Breaths Slow exhale to help with pain control 2 / 4

• Patient has clear fluid coming from nose, what tests would we do or see?
• Positive for glucose

Yellow halo on white linen or filter paper

• Patient with spinal cord injury, how to lessen change of AD?
• Bowel/Bladder Program

• How to know if spinal shock is still continuing in a spinal cord injury patient?
• Absent/decreased reflexes

**Protect the head!

• Patient is having a seizure, what would you do?
• Left side

Lay flat loosen clothing padded side rails protect head suction at bedside

SAFETY!

• Patient had a stroke and having homonymous hemianopsia after, how do

we help them?

• Check all fields (turn head side to side)

14. Myasthenia Gravis: how do we prevent chlorogenic crisis?

• Medication regimen

15. Parkinson's: how to help maintain mobility??

• encourage mobility
• Bradykinesia (Slow Movement)
• rocking back and forth to get up helps with this

17. Gillian Barre Syndrome: what would be something that could have

happened in the recent history that you would want to ask that happened??

• Infections/Virus in the last month 3 / 4

• What can you do for a Gillian Barre Syndrome patient??
• Active listening

Support System Encourage/Positive Feedback

• How does paralysis occur with Gillian Barre Syndrome??
• Ascending

(bottom up)

• First signs of meningitis?
• Positive Kernig sign

Positive Nuchal rigidity Positive Brudzinski sign

21. Halo device: should a patient drive?

• NO- patient should NOT drive

• Why teach patient to deep breath and cough after surgery
• prevent pneumonia

• Normal drainage for surgical site?
• Clear (serous) or pale/red/watery (serosanguineous)

• Worrisome sign of post op patient??
• Restlessness

• Clearly if patient is presenting to ER with heat exhaustion, what is the

priority action of the nurse?

• IV Fluids

• Action is patient has bee sting. . if available?
• Epi

• Community disaster preparedness, what would be an organization to help?
• *Medical Reserve Corporation*
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