Podcast
Questions and Answers
What medication class is used to reduce blood pressure and may cause dizziness and hypotension?
What medication class is used to reduce blood pressure and may cause dizziness and hypotension?
Which of the following is a primary goal of cardiac rehabilitation?
Which of the following is a primary goal of cardiac rehabilitation?
What is a common cranial nerve deficit observed in stroke patients that can increase the risk for aspiration?
What is a common cranial nerve deficit observed in stroke patients that can increase the risk for aspiration?
What strategy should be utilized to aid a stroke patient with aphasia in communication?
What strategy should be utilized to aid a stroke patient with aphasia in communication?
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Which of the following is a significant risk associated with cerebellum damage in stroke patients?
Which of the following is a significant risk associated with cerebellum damage in stroke patients?
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What does the 'S' in the SBAR method of communication stand for?
What does the 'S' in the SBAR method of communication stand for?
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Which condition is a risk factor for patient falls?
Which condition is a risk factor for patient falls?
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Which intervention is most appropriate for managing symptoms in a dying patient?
Which intervention is most appropriate for managing symptoms in a dying patient?
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What is the first step in creating a teaching plan for discharge?
What is the first step in creating a teaching plan for discharge?
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Which method can be used to evaluate the teaching-learning process effectively?
Which method can be used to evaluate the teaching-learning process effectively?
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Which level of prevention focuses on preventing disease before it occurs?
Which level of prevention focuses on preventing disease before it occurs?
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What barriers may impact a patient's readiness to learn?
What barriers may impact a patient's readiness to learn?
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Which of the following reinforces behaviors that assist with health promotion?
Which of the following reinforces behaviors that assist with health promotion?
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Which of the following is an example of primary prevention?
Which of the following is an example of primary prevention?
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What is the purpose of tertiary prevention?
What is the purpose of tertiary prevention?
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Which symptom might indicate the presence of an infection?
Which symptom might indicate the presence of an infection?
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What is the immediate action to take when managing anaphylaxis?
What is the immediate action to take when managing anaphylaxis?
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When caring for a postoperative patient, what should be assessed at the surgical site?
When caring for a postoperative patient, what should be assessed at the surgical site?
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What should be done before administering any medication to a patient?
What should be done before administering any medication to a patient?
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What is a primary lifestyle change recommended for managing hypertension?
What is a primary lifestyle change recommended for managing hypertension?
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Which of the following describes a method to manage postoperative pain non-pharmacologically?
Which of the following describes a method to manage postoperative pain non-pharmacologically?
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What is a sign that may indicate the necessity for assessing NG tube placement?
What is a sign that may indicate the necessity for assessing NG tube placement?
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Which symptom is commonly associated with a myocardial infarction (MI)?
Which symptom is commonly associated with a myocardial infarction (MI)?
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What is a key distinction between stable and unstable angina that should be addressed in patient education?
What is a key distinction between stable and unstable angina that should be addressed in patient education?
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What is the purpose of cardiac catheterization?
What is the purpose of cardiac catheterization?
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Why might a patient undergo Percutaneous Transluminal Coronary Angioplasty (PTCA)?
Why might a patient undergo Percutaneous Transluminal Coronary Angioplasty (PTCA)?
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Which medication class is commonly prescribed to decrease cardiac workload after a myocardial infarction?
Which medication class is commonly prescribed to decrease cardiac workload after a myocardial infarction?
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Which of the following is NOT considered a modifiable risk factor for coronary artery disease (CAD)?
Which of the following is NOT considered a modifiable risk factor for coronary artery disease (CAD)?
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What should post-cardiac catheterization patients be monitored for at the insertion site?
What should post-cardiac catheterization patients be monitored for at the insertion site?
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What initial action should be taken before assessing a patient's suction?
What initial action should be taken before assessing a patient's suction?
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What is a potential treatment for sinus bradycardia when the patient is symptomatic?
What is a potential treatment for sinus bradycardia when the patient is symptomatic?
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Which rhythm is characterized by visible QRS complexes followed by 'fibs'?
Which rhythm is characterized by visible QRS complexes followed by 'fibs'?
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What treatment option is appropriate when a patient presents with Ventricular Tachycardia and has a pulse?
What treatment option is appropriate when a patient presents with Ventricular Tachycardia and has a pulse?
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What is the recommended course of action for a patient in Ventricular Fibrillation?
What is the recommended course of action for a patient in Ventricular Fibrillation?
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What medication may be ordered for a patient with Atrial Fibrillation at risk for stroke?
What medication may be ordered for a patient with Atrial Fibrillation at risk for stroke?
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Which of the following is a characteristic feature of Ventricular Tachycardia on an EKG strip?
Which of the following is a characteristic feature of Ventricular Tachycardia on an EKG strip?
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What is the first step in managing a patient with Ventricular Tachycardia if there is no pulse?
What is the first step in managing a patient with Ventricular Tachycardia if there is no pulse?
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What is a key indicator that a lung infection may be present?
What is a key indicator that a lung infection may be present?
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Which of the following is a high flow oxygen delivery device?
Which of the following is a high flow oxygen delivery device?
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What diagnostic test is most commonly used to identify consolidation in pneumonia?
What diagnostic test is most commonly used to identify consolidation in pneumonia?
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Which population is at the highest risk for community-acquired pneumonia?
Which population is at the highest risk for community-acquired pneumonia?
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What is a recommended treatment for pneumonia?
What is a recommended treatment for pneumonia?
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The use of a chest tube is primarily to facilitate which function?
The use of a chest tube is primarily to facilitate which function?
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Which of the following conditions poses the highest risk for hospital-acquired pneumonia?
Which of the following conditions poses the highest risk for hospital-acquired pneumonia?
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What is a potential risk associated with hyperkalemia?
What is a potential risk associated with hyperkalemia?
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Study Notes
NUR 351 Final Exam Study Guide
- Test Format: 100 questions total, including 18 psych/mental health, 9 pediatrics, and 73 medical-surgical questions.
Week 3-4: Foundations of Medical-Surgical Nursing & Health Promotion/Teaching/Learning
- SBAR Method: Component method of communication (Situation, Background, Assessment, Recommendation).
- Prioritize Patients: Identify patients at risk for falls, infections, etc., understanding why (impaired mobility, orthostatic hypotension).
- Dying Patient Interventions: Focus on pain management, symptom control, and maintaining a calm, quiet, and peaceful environment.
- Patient Teaching Plan: Assess patient readiness to learn, identify barriers impacting learning (like acceptance of information, cognitive abilities, or emotional state), and evaluate the teaching process using direct observation, return demonstration method etc.
Week 5: Immunity & Perioperative Nursing
- Infection Signs: Malaise, fatigue, warm/flushed skin, fever, elevated WBC, tachycardia, purulent drainage.
- Anaphylaxis Management: Wheezing (possibly stridor), pruritus (rash), urticaria (itching) treat with IM epinephrine ASAP.
- Important Postoperative Interventions: Monitor for signs of infection at surgical site including redness, warmth, swelling, increased drainage, or odor. Encourage pain management, including pain medication, or non-pharmacological comfort measures. Assess & monitor NG tube placement by auscultating bowel sounds & assessing for proper placement.
Week 6: Dysrhythmias & Hypertension
- Rhythm Interpretation: Review rhythm strips for sinus rhythms (bradycardia HR <60, tachycardia HR > 100) and abnormal rhythms.
- Sinus Bradycardia Treatment: Avoid valsalva maneuver; if symptomatic, administer atropine; treat underlying causes.
- Sinus Tachycardia Treatment: Identify and treat the underlying cause. Beta-blockers might be used.
- Atrial/Ventricular Rhythms: Understand the associated rhythms, and their treatment.
Week 7: Myocardial Infarction (MI)
- MI Symptoms: Chest pain, neck/jaw/shoulder pain, fatigue, shortness of breath, abdominal pain (women may experience vague symptoms).
- Angina Education: Explain the difference between stable and unstable angina.
Week 8: Neuro/Stroke
- Elderly Stroke Assessments: Understand that some symptoms of stroke may mask or mimic aging effects (e.g. slower processing, weakness as normal aging changes).
- Cranial Nerve Deficits: Deficits in cranial nerves IX, X, XI, and XII indicate risk for dysphagia (risk for aspiration). Cranial nerve deficits in VIII indicate a risk for ataxia and possible gait impairments. Deficits in cranial nerve II indicate possible risk for falls due to visual field loss. Patients presenting with cerebellar damage may also be at increased risk of falls.
- Stroke Patient Care: Focus on airway management (use of HOB elevation, supportive measures, etc.), patient communication strategies, and fall prevention.
Week 10: Adult Respiration System & Related Conditions
- Pneumonia Risk Factors: Elderly patients, smokers, chronic respiratory diseases, immune-compromised individuals (HIV/AIDS), prolonged immobility.
- Bronchoscopy: Procedure for visualization of respiratory tract.
- Sputum Analysis: Analysis to detect abnormal cells.
Week 12: Fluids & Electrolytes, Acid-Base, Acute Renal Failure
- Electrolyte Imbalances: Treat the underlying cause, monitor for symptoms (especially in the central nervous and cardiovascular systems). Be aware of potassium and sodium levels and their effects on the heart and brain.
- Fluid Volume Overload: Monitor I & O, weight. Monitor for edema, elevated heart rate (tachycardia), and respiratory complaints (tachypnea, crackles).
- Acute Kidney Injury (AKI): Recognize the symptoms, including reduced urine output and associated factors.
- Treatment of Pneumonia: Implement thin secretion therapies, antibiotics (Ensure full completion of course of antibiotics), supplemental oxygen therapy, Bronchodilators.
Week 13: Acute Pancreatitis, Peptic Ulcer Disease & Upper GI Bleed
- Peptic Ulcer Symptoms: Common symptom is epigastric pain, and symptoms commonly happen after meals.
- Peptic Ulcer Complications: Most common complications are GI bleeds/hemorrhage.
- H. Pylori Treatment: Use prescribed antibiotics to treat bacterial infections.
Week 14: Sepsis & Shock
- Sepsis Bundle Interventions: Implement interventions within 1 hour of recognizing sepsis to improve chances of survival.
- Fluid Resuscitation: Use crystalloids like lactated Ringer’s at the rate of 30 mL/kg.
- DIC (Disseminated Intravascular Coagulation): Monitor and treat patients to prevent worsening conditions.
- Sepsis Symptoms: Compensatory mechanisms for shock/sepsis like decreased urine excretion, tachycardia (increased heart rate), and vasoconstriction (reduced blood flow in extremeities) are common symptoms.
Additional Information
- Know Meds: Identify which class medications belong in. Examples given for different categories of medications.
- Mental Health: Review Mental Status Exam (MSE) sections and relevant terms. Understand bipolar disorder characteristics/interventions and suicide assessment and management.
- Pediatric Topics: Review specific assessment findings, patient care interventions, and complications for the respiratory, and other related topics.
- Immunization Schedule: Understand the schedule, contraindications, and possible reactions for immunizations.
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Description
Prepare for the NUR 351 final exam with this comprehensive study guide covering key topics in medical-surgical nursing, health promotion, and patient teaching. The exam consists of a diverse set of questions, including psych/mental health, pediatrics, and various nursing interventions. Focus on critical components such as SBAR communication and patient prioritization to excel in your nursing journey.
