NSG 4100 EXAM 4 Knowledge test Exam Toolkit Questions and Verified Marking Scheme 2024/2025
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Course
NSG 4100
Institution
NSG 4100
NSG 4100 EXAM 4 Knowledge test Exam Toolkit Questions and Verified Marking Scheme 2024/2025
What is the treatment for Spinal Cord injury? - correct answer Methylprednisone
What is the treatment for Increased ICP? - correct answer Mannitol
What is the treatment for Neurogenic Shock? - corre...
NSG 4100 EXAM 4 Knowledge test Exam Toolkit
Questions and Verified Marking Scheme
2024/2025
What is the treatment for Spinal Cord injury? - correct answer Methylprednisone
What is the treatment for Increased ICP? - correct answer Mannitol
What is the treatment for Neurogenic Shock? - correct answer Atropine Sulfate
What is the treatment for Autonomic Dysreflexia? - correct answer Hydralizine IV
What is the difference between Hospice and Pallative Care? - correct answer Hospice
care occurs when the person has <6 m to live and may not be actively dying, the goal is
to allow for comfortability with no life-saving methods "Care NOT Cure"
Pallative care occurs when the person has >6m to live and may not be actively dying,
the goal is to improve quality of life by using holistic care; Gradual decline Chronic
illness (DM, Heart disease, dementia)
Describe the Sepsis bundle that should be completed within 3 hours? - correct answer
1) Measure Lactate Level
2) Obtain Blood cultures
3) administration of broad spectrum ABX
4) Administer fluids 30 ml/kg crystalloid for hypotension or lactate >4
Describe the Sepsis bundle that should be completed within 6 hours? - correct answer
5) Apply vasopressors (for hypotension that does not respond to fluids) Maintain MAP
>65 mm Hg
6) if lactate is >4 (36 mg/dl)
,-measure CVP
-measure Scvo2
7) remeasure Lactate if initial lactate was elevated
A patient is diagnosed with hypovolemic shock. Which is a priority action? - correct
answer Monitor for dysrhythmias
The patient has severe burns to 40% of the total body surface area. HR is increasing,
BP is dropping and RR shallow. What type of shock is this patient going into? - correct
answer Hypovolemic
With Septic shock blood vessels ___________ causing blood pressure to __________ -
correct answer 1. Vasodilate 2.Drop
The three- hour sepsis bundle includes two diagnostic tests and two interventions. What
are they? - correct answer - Two diagnostic tests are: Blood cultures and Lactic levels
-Two interventions are: Abx and IV fluids
What is the fluid of choice for IVF resuscitation? - correct answer NS at 30 ml/kg
You are caring for a newly admitted patient in the ED who suffered burns to the upper
half of their body. Which of the following interventions is a priorty? - correct answer
Assess hemodynamic status
A 25 year old female patient has sustained burns to the back of the right arm, posterior
trunk (thorax), front of the left leg, anterior head and neck, and perineum. Using the
Rule of Nines, calculate the total body surface area that is burned? - correct answer
37%
, A 68 year old male patient has partial thickness burns to the front and back of the right
and left leg. Front of right arm and anterior trunk. Using the rule of Nines, calculate the
total body surface area that is burned? - correct answer 58.5%
Which of the following lab results would you expect in a burn client? - correct answer
Potassium 5.9
During the emergent phase of burn care which assessment will be most useful in
determine whether the patient is receiving adequate fluid infusion? - correct answer
Measure hourly urine output
The nurse is caring for a patient admitted with burns over 30% of the body surface
assesses that urine output has dramatically increased. Which action by the nurse would
best ensure adequate kidney function? - correct answer Continue to monitor the urine
output
A patient had severe burns to high right hand a few days ago. He states that the gauze
feels like it's sticking to his skin. What is the next appropriate action? - correct answer
Loosen the gauze and apply moistened gauze to the site
Which statesmen below correctly describes surgical debridement of burns? - correct
answer Scalpels, forceps, scissors and other instruments to cut dead tissue from the
wound
Which is an incorrect statement about burn injury care? - correct answer Beefy red
tissue indicated tissue death
A patient is admitted to the burn unit with burns to the head, face and hands. Initially,
wheezes are heard but an hour later, the lung sounds are decreased and no wheezes
are audible. What is the best action for the nurse to take? - correct answer Notify the
health care provider and prepare for endotracheal intubation
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