{"id":116939,"date":"2023-08-26T19:34:50","date_gmt":"2023-08-26T19:34:50","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116939"},"modified":"2023-08-26T19:34:52","modified_gmt":"2023-08-26T19:34:52","slug":"nr324-exam-12-and-final-exam-nr-324-adult-health-1-exam-12-and-final-exam-lates-2023-2024-actual-exam-questions-and-correct-detailed-answers-with-rationales-agrade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/26\/nr324-exam-12-and-final-exam-nr-324-adult-health-1-exam-12-and-final-exam-lates-2023-2024-actual-exam-questions-and-correct-detailed-answers-with-rationales-agrade\/","title":{"rendered":"NR324 EXAM 1,2 AND FINAL EXAM\/NR-324 ADULT HEALTH 1 EXAM 1,2 AND FINAL EXAM LATES 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |AGRADE"},"content":{"rendered":"\n<p>NR324 FINAL EXAM\/NR-324 ADULT HEALTH 1 FINAL EXAM<br>LATEST TEST BANK 2023-2024 ACTUAL EXAM 200<br>QUESTIONS AND CORRECT DETAILED ANSWERS WITH<br>RATIONALES |AGRADE<br>Which diagnostic tool is most helpful in measuring heart function in<br>heart failure patients? &#8211; ANSWER- Echocardiogram (ECHO)<br>What electrolyte is most likely deficient in a patient with Torsades de<br>Point? &#8211; ANSWER- Magnesium<br>A client had a heart stent after having an MI, what med MUST they be<br>on to prevent occlusion of the stent? &#8211; ANSWER- Anticoagulant (Plavix,<br>Brilinta, etc.)<br>A patients heart can&#8217;t contract forcefully enough to expel blood out of<br>the heart, what type of heart failure is this? &#8211; ANSWER- Systolic<br>Which condition causes cor pulmonale (right sided heart failure)? &#8211;<br>ANSWER- Pulmonary hypertension<br>Which medication is used to treatment dysrhythmias, but can caused a<br>dangerous prolonged QT interval? &#8211; ANSWER- Amiodarone<br>Which dysrhythmia is defined by a heart rate &gt; 150 bpm &amp; is treated<br>with adenosine? &#8211; ANSWER- Supraventricular tachycardia<\/p>\n\n\n\n<p>What medication treats symptomatic bradycardia? &#8211; ANSWERAtropine<br>Which medication can help treat all dysrhythmias except for sinus brady<br>&amp; sinus tach? &#8211; ANSWER- Amiodarone<br>A client is experiencing ventricular fibrillation, what is the treatment? &#8211;<br>ANSWER- Defibrillation<br>Which dysrhythmia always requires defibrillation? &#8211; ANSWERVentricular fibrillation<br>When a patient is having premature ventricular contractions (PVCs)<br>what do we assess first? &#8211; ANSWER- SPO2<br>Which electrolyte imbalance can cause Torsades de Point? &#8211; ANSWERMagnesium<br>Which rhythm requires an anticoagulant to prevent emboli? &#8211; ANSWERAtrial fibrillation<br>Which rhythm involves abnormal P waves? &#8211; ANSWER- Atrial<br>fibrillation<\/p>\n\n\n\n<p>A client has a pulse and is experiencing ventricular tachycardia, what is<br>the treatment? &#8211; ANSWER- Cardioversion<br>A client with afib has taken medications &amp; has gotten a cardioversion<br>without success. What is the next treatment option &#8211; ANSWERAblation<br>Abnormalities in which measurement can cause Torsades de Point? &#8211;<br>ANSWER- QT interval<br>Which medication is given IV push in cardiac arrest? &#8211; ANSWEREpinephrine<br>Which rhythm does not require defibrillation? &#8211; ANSWER- Pulseless<br>electrical activity (PEA)<br>Which rhythm could be caused by stimulation of the vagal nerve? &#8211;<br>ANSWER- Sinus bradycardia<br>What labs are used to assess pancreatic function? &#8211; ANSWER- Amylase<br>Lipase<br>What labs are used to assess liver function? &#8211; ANSWER- AST\/ALT<br>Bilirubin<br>Albumin<\/p>\n\n\n\n<p>NR324 EXAM 2\/NR-324 ADULT HEALTH 1 EXAM 2 LATEST VERSION<br>2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED<br>ANSWERS WITH RATIONALES |AGRADE<br>What is BMP &#8211; ANSWER- ( B-type natriuretic peptide) will be<br>increased in there is heart failure<br>What are the cholesterol level &#8211; ANSWER- Total cholesterol &lt;200 LDL- (bad) &lt;130 HDL-( happy ) &gt;40<br>What are the nursing responsibility for cardiac cath &#8211; ANSWER- check<br>site, lay flat, log roll, check pulses, Bed rest for 2 hours<br>How much sodium should a cardio patient get in 24 hours &#8211; ANSWER2300 grams<br>What are the cardiac biomarkers ( troponin) &#8211; ANSWER- Troponin T<br>(cTnT)<br>Troponin I (cTnI)<br>Rises within 4-6 hours, peaks 10-24 hours, detected for up to 10-14 days<br>What are the cardiac biomarkers ( creatine kinase ( CK) &#8211; ANSWERThree isoenzymes<br>CK-MB cardiac specific<\/p>\n\n\n\n<p>Rises in 3-6 hours, peaks in 12-24 hours, returns to baseline within 12-<br>48 hours<br>Cardiac catheterization &#8211; ANSWER- Right-sided to measure pressures<br>Left-sided to evaluate coronary arteries<br>How do the Baroreceptors Factors Influencing BP &#8211; ANSWERSensitive to stretching<br>Send impulses to sympathetic vasomotor center<br>Blood pressure (BP) &#8211; ANSWER- the force exerted by the blood against<br>the walls of the blood vessel, is primarily a function of cardiac output<br>(CO) and systemic vascular resistance.<br>What is the Systolic BP &#8211; ANSWER- the force exerted by the blood<br>against the walls of the blood vessel<br>What is the Diastolic BP &#8211; ANSWER- pressure in the arterial system<br>during ventricular filling<br>What is a normal BP &#8211; ANSWER- &lt;120 \/&lt;80<br>What is prehypertension &#8211; ANSWER- 120\/139\/80-89<br>What is hypertension stage 1 &#8211; ANSWER- 140-149\/90-99<\/p>\n\n\n\n<p>What is hypertension stage 2 &#8211; ANSWER- >160\/>100<br>What are the sign and symptoms of Hypertension &#8211; ANSWER- &#8220;Silent<br>killer&#8221;, Often asymptomatic<br>S\/S reflect effects on target organs\/tissues<br>Fatigue , Activity intolerance, Dizziness, Palpitations, Angina<br>Dyspnea<br>What kind of studies are done for hypertension &#8211; ANSWER- Urinalysis,<br>BUN and serum creatinine, Creatinine clearance<br>Serum electrolytes, glucose, Serum lipid profile, Uric acid levels, ECG,<br>Echocardiogram<br>What does MAP mean &#8211; ANSWER- it is the average pressure in the<br>arterial system<br>if the mean &lt; 60mm HG for adequate tissue prefusion<br>Primary (essential or idiopathic) hypertension &#8211; ANSWER- elevated BP<br>without an identified cause, and it accounts for 90% to 95% of all cases<br>of hypertension.<br>Secondary hypertension &#8211; ANSWER- elevated BP with a specific cause<br>that often can be identified and corrected. relates to a underlying cause<\/p>\n\n\n\n<p>NR324 EXAM 1\/NR-324 ADULT HEALTH 1 EXAM 1 LATEST 2 VERSIONS A AND<br>B 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED<br>ANSWERS|AGRADE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What are possible causes of hypervolemia? known as \u201cfluid overload\u201d and occurs when the body retains<br>more<br>water than it needs.<\/li>\n\n\n\n<li>What are the clinical manifestations of hypervolemia? Crackles, edema, Increased pulses, Jugular vein<br>distention,<br>weight gain<\/li>\n\n\n\n<li>What are remarks that a patient might say if they are experiencing fluid volume overload?<\/li>\n\n\n\n<li>What are the vital signs changes you\u2019ll see with hypervolemia? Increased or slowed HR, increased blood<br>pressure, Edema<\/li>\n\n\n\n<li>What are specific nursing assessments to assess for hypervolemia? Mental status, crackles, SOB, Cough,<br>frothy<br>sputum<\/li>\n\n\n\n<li>What is the treatment for these patients? Reduce fluid intake, reduce sodium intake,<br>o What are the different types of diuretics? Loop diuretics, thiazide diuretics, potassiumsparing<br>diuretics<br>o How would you educate your patient with each type? Thiazide &#8211; Instruct patient to<br>monitor weight weekly and report significant changes. Use sunscreen to prevent<br>photosensitivity reactions. Advise patient to consult health care professional before<br>taking OTC medication concurrently with this therapy. Instruct patient to notify health<br>care professional of medicationregimen before treatment or surgery, Advise patient to<br>contact health care professional immediately if muscle weakness, cramps, nausea,<br>dizziness, or numbness or tingling of<br>extremities occurs.<\/li>\n\n\n\n<li>What are possible causes of hypovolemia? Diarrhea and vomiting are common causes of body fluid loss.<br>Fluid<br>can also be lost as a result of large burns, excessive perspiration, or diuretics.<\/li>\n\n\n\n<li>What are the clinical manifestations of hypovolemia? Headache, fatigue, dizziness, nausea, cold clammy<br>skin,<br>rapid heartbeat, rapid sallow breathing, weak pulse, confusion, little or no output<\/li>\n\n\n\n<li>What are remarks that a patient might say if they are experiencing dehydration?<\/li>\n\n\n\n<li>What are the vital signs changes you\u2019ll see with hypervolemia? High temperature, increased heart rate,<br>decreased blood pressure, and faster breathing ,<\/li>\n\n\n\n<li>What are specific nursing assessments to assess for hypovolemia? including thirst, weight loss, dry<br>mucousmembranes, sunken-appearing eyes, decreased skin turgor, increased capillary refill time,<br>hypotension and<br>postural hypotension, tachycardia, weak and thready peripheral pulses, flat neck veins<\/li>\n\n\n\n<li>What is the treatment for these patients? Replacement of fluids<\/li>\n\n\n\n<li>What are way\u2019s to measure fluid volume status? In and outs<\/li>\n\n\n\n<li>Which measurement is the best way to measure total body fluid gains\/loss? Daily weight<\/li>\n\n\n\n<li>What are lab value ranges, action in the body, clinical manifestation and treatments of the following:<br>Sodium 135-145 mEq\/L<br>seizuresPotassium 3.5-<br>5mEq\/L Magnesium 1.5-2.5<br>mEq\/L Phosphorus 2.4-<br>4.4mg\/dL Calcium 8.6-10.2<br>mEq\/L<\/li>\n<\/ol>\n\n\n\n<p>3<br>3<br>3<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"16\">\n<li>Know how to interpret ABG results and evaluate priority ABG\u2019s (aka terrible ABGs, which ABG result<br>you would<br>assess first)<br>PH:7.35-<br>7.45<br>CO2:45-35<br>HCO3:22-<br>26<br>Partial comp- all three values&gt; OUT OF RANGE<br>Fully comp- pH is NORMAL; CO2 &amp; HCO3 are OUT<br>OF RANGEUncomp- pH &amp; CO2 are OUT OF<br>RANGE; HCO3 are NORMAL<\/li>\n\n\n\n<li>Evaluate pH<\/li>\n\n\n\n<li>Analyze PaCO2<\/li>\n\n\n\n<li>Analyze HCO3\u2013<\/li>\n\n\n\n<li>Determine if CO2 or HCO3\u2013 matches the alteration<\/li>\n\n\n\n<li>Decide if the body is attempting to compensate<\/li>\n\n\n\n<li>What type of clinical manifestations and treatments would you expect with each:<br>o Metabolic acidosis-Carbonic acid deficit caused by Hypoxemia from acute pulmonary<br>disordersHyperventilation.<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Increased CO2 excretion by lungs<\/li>\n\n\n\n<li>Kussmaul respirations (deep and rapid)<\/li>\n\n\n\n<li>Kidneys excrete acid<br>o Metabolic alkalosis-Base bicarbonate excess caused by Prolonged vomiting or gastric suction<\/li>\n\n\n\n<li>Gain of HCO \u2013<br>\u25aa Compensatory mechanisms<\/li>\n\n\n\n<li>Renal excretion of HCO \u2013<\/li>\n\n\n\n<li>Decreased respiratory rate to increase plasma CO2 (limited)<br>o Respiratory acidosis- Carbonic acid excess caused by<\/li>\n\n\n\n<li>Hypoventilation<\/li>\n\n\n\n<li>Respiratory failure<br>\u25aa Compensation<\/li>\n\n\n\n<li>Kidneys conserve HCO \u2013<br>and secrete H<br>+<br>into urine<br>o Respiratory alkalosis- Carbonic acid deficit caused by Hypoxemia from acute pulmonary disorders<br>\u25aa Hyperventilation<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\" start=\"16\">\n<li>Describe each of the IV fluids (ECF\/ICF changes), names of IV fluids in each category (ex. LR, 0.9<br>NS, 0.45 NS,etc.), when they are used and nursing assessment associated with each:<br>o Hypotonic- H2O into cells swell.<br>\u25aa Solutions:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D5W<\/li>\n\n\n\n<li>0.45% NaCL<br>o normal daily losses<br>\u25aa due to potential cellular swelling, monitor patients for changes in mentation that may<br>indicatecerebral edema.<br>o Hypertonic- H2O out of cell shrinks<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>NR324 FINAL EXAM\/NR-324 ADULT HEALTH 1 FINAL EXAMLATEST TEST BANK 2023-2024 ACTUAL EXAM 200QUESTIONS AND CORRECT DETAILED ANSWERS WITHRATIONALES |AGRADEWhich diagnostic tool is most helpful in measuring heart function inheart failure patients? &#8211; ANSWER- Echocardiogram (ECHO)What electrolyte is most likely deficient in a patient with Torsades dePoint? &#8211; ANSWER- MagnesiumA client had a heart stent [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116939","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116939","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116939"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116939\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116939"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116939"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116939"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}