NUR 2243 Test 2: A Comprehensive Overview
NUR 2243, titled "Nursing Concepts: Families in Crisis-Complex Health Problems I," is a pivotal course designed to equip nursing students with the knowledge and skills necessary to manage complex health issues within family units. The second examination of this course, commonly referred to as "NUR 2243 Test 2," assesses students' understanding of critical concepts and their ability to apply this knowledge in clinical scenarios.
Structure and Content of NUR 2243 Test 2
The examination typically comprises multiple-choice questions, case studies, and scenario-based queries that evaluate students' critical thinking and clinical decision-making abilities. Topics covered include, but are not limited to, shock management, myocardial infarction (MI) interventions, cardiac arrhythmias, and the administration of vasoactive medications.
Sample Questions from NUR 2243 Test 2
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Shock Management:
- A client in shock has been started on dopamine. What assessment finding requires the nurse to communicate with the provider immediately?
- a. Blood pressure of 98/68 mm Hg
- b. Pedal pulses 1+/4+ bilaterally
- c. Report of chest heaviness
- d. Urine output of 32 mL/hr
- A client in shock has been started on dopamine. What assessment finding requires the nurse to communicate with the provider immediately?
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Myocardial Infarction (MI) Interventions:
- A client had an inferior wall myocardial infarction (MI). The nurse notes the client’s cardiac rhythm as shown below: What action by the nurse is most important?
- Assess the client's blood pressure and level of consciousness.
- A client had an inferior wall myocardial infarction (MI). The nurse notes the client’s cardiac rhythm as shown below: What action by the nurse is most important?
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Cardiac Arrhythmias:
- A nurse is caring for an infant with congenital heart disease. The nurse is monitoring the infant closely for signs of heart failure. Which of the following findings would be most concerning?
- a. Weight gain
- b. Decreased urine output
- c. Tachypnea
- d. All of the above
- A nurse is caring for an infant with congenital heart disease. The nurse is monitoring the infant closely for signs of heart failure. Which of the following findings would be most concerning?
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Vasoactive Medications:
- A client is receiving norepinephrine (Levophed) for shock. What assessment finding best indicates a therapeutic effect from this drug?
- a. Alert and oriented, answering questions
- b. Client denial of chest pain or chest pressure
- c. IV site without redness or swelling
- d. Urine output of 30 mL/hr for 2 hours
- A client is receiving norepinephrine (Levophed) for shock. What assessment finding best indicates a therapeutic effect from this drug?
Utilizing Study Resources
To prepare effectively for NUR 2243 Test 2, students are encouraged to utilize various study materials, including:
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Quizlet Flashcards: Platforms like Quizlet offer a plethora of flashcards tailored to NUR 2243, encompassing key concepts and potential exam questions. For instance, the "2243C Exam 2 Flashcards" set provides a comprehensive review of pertinent topics.
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Study Guides and Practice Exams: Engaging with study guides and practice exams can enhance understanding and retention. Resources such as the "NUR 2243 Exam 2 Study Guide" and "NUR 2243 Exam 2 Review Flashcards" offer structured reviews and practice questions.
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Instructor Materials: Reviewing materials provided by the course instructor, including lecture notes and recommended readings, is crucial for grasping the depth and breadth of the subject matter.
Strategies for Effective Preparation
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Active Recall and Spaced Repetition: Employ active recall techniques by testing oneself on key concepts and utilizing spaced repetition to reinforce memory retention.
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Group Study Sessions: Participating in group study sessions can facilitate collaborative learning, allowing for the exchange of insights and clarification of complex topics.
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Clinical Application: Relating theoretical knowledge to clinical scenarios enhances comprehension and prepares students for practical application in healthcare settings.
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Time Management: Allocating specific time slots for study and adhering to a structured schedule can improve focus and productivity.
Conclusion
NUR 2243 Test 2 serves as a critical assessment of nursing students' proficiency in managing complex health problems within family contexts. By leveraging diverse study resources and employing effective preparation strategies, students can enhance their understanding and performance in this examination. A thorough grasp of the course material, coupled with diligent study practices, is essential for success in NUR 2243 Test 2.
Below are sample Questions and Answers:
1. What are the three buffering systems for Acid/Base balance
Answer
Carbonic Acid
- Bicarbonate System Respiratory Regulation Kidneys
2. How does the Carbonic Acid-Bicarbonate system affect acid/base balanceAnswer
CO2 (acid) combines with water making carbonic acid.This carbonic acid turns into
bicarbonate. Making the body go from acidic to basic.
Bicarbonate can break into carbonic acid, which can convert to CO2 and water going rom basic to
acidic.
3. How does Respiratory drive effect acid/base balance
Answer
Exhale CO2, allowing hydrogen to form with carbonic acid, making bicarbonate.
Exhale too much CO2 and you make too much bicarbonate.
Exhale too little CO2, and you lose too much bicarbonate, causing acidity.
4. How do kidneys effect acid/base balance
Answer
Kidneys excrete or retain hydrogen ions. Excrete more hydrogen (acid), you become more basic.
Excrete less hydrogen (acid), you become acidic.