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NUR 425 Complex Care Exam 2 Blueprint.
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NUR 425 Complex Care Exam 2 Blueprint.NUR 425 Complex Care Exam 2 Blueprint.
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Complex Care Exam 2Blueprint
NUR 425 Complex Care Exam 2 Blueprint
Exam 2 will cover course content from Week 5 (ABGs) through Week 7
(Intracranial Pressure Monitoring)
To guide your studying, review the learning outcomes for each module listed
at the bottom of this document
Questions will include 47 multiple choice and three select all that apply
questions.
You should know the normal values for (Use your Lewis text for
reference):
Normal vital signs in adults
o BP: 120/80
o HR: 60-100
o RR: 12-20
o Temp: 97.8-99.1 F
Normal MAP in adults
o 70-90 mmHg
Normal PEEP setting
o 5cmH20
ICP (and be able to define increased ICP)
o 5-15 mmHg
o Increased: 20 mmHg or more persisting for 5+ minutes
CPP (be able to calculate CPP)
o MAP-ICP=CPP
o CPP: 60-100mmHg
PaO2/FiO2 ratio
o < 200 mmHg=ARDS
SaO2
o > 95%
ABG values
o PaO2 80-100 mmHg
o PaCO2 35-45 mmHg
o PaHCO3 22-26mEq/L
o pH 7.35-7.45
, Understand the significance of the following: Not required to
memorize actual normal ranges
Tidal volume
o Normal volume of air displaced between normal inhalation and
exhalation when extra effort is not applied
o 8-10mL/kg ideal body weight
Be able to identify/describe the following select breathing patterns
and what they could signify:
Apnea
o Lack of breathing
o Prolonged respiratory phase or pauses alternating with expiratory
pauses
o Volume of lungs remained unchanged
Ataxic breathing
o Irregular breathing
o No pattern
Cheyne stokes
Kussmaul breathing
The following medications could be tested on this exam. You should
know the medication’s indications, major side effects, and nursing
considerations when administering these:
Corticosteroids (the general drug category & their use for respiratory
issues)
Norepinephrine
Mannitol
3% NaCl
0.45% NaCl ("1/2 normal saline")
Fentanyl
Pancuronium
Metoprolol
Midazolam
Distribution of Questions
Week 5: Wednesday (Arterial Blood Gases): 13 questions **Four
additional questions will incorporate your ABG knowledge and respiratory
failure, ARDS, and/or mechanical ventilation content**
LO 1 (2 question), LO 2 (1 question) LO 2,3&4: (4 questions) LO 2 & 3
(4 questions), LO 4 (2 questions)
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