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NURS 551 EXAM| 203 QUESTIONS AND ANSWERS | 2025-2026 | GRADED A+, Exams of Nursing

NURS 551 EXAM| 203 QUESTIONS AND ANSWERS | 2025-2026 | GRADED A+

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2024/2025

Available from 06/13/2025

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NURS 551 EXAM| 203 QUESTIONS AND ANSWERS |
2025-2026 | GRADED A+
What are challenges in rural emergency care?
- Staffing levels
- Multiple roles of rural nurses
- Lower rate of contact with emergency conditions
- "Call back" nature of rural physicians, RNs, and Lab/x-ray technicians
- Recourses availability
- Transport to definitive care
What is triage?
- The process for sorting based on a patient's need for or likely benefit from
immediately medical interventions
- Essenitally, sorting people coming into the ER to know how badly do they
need immediate medical care
What are the 5 levels of the Canadian Triage and Acuity Scale?
1. Resusciation (Threat to life or limb)
2. Emergency (potential threat to life or limb and requiring rapid medical
intervention)
3. Urgent (could potentially progress to an emergent problem)
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Download NURS 551 EXAM| 203 QUESTIONS AND ANSWERS | 2025-2026 | GRADED A+ and more Exams Nursing in PDF only on Docsity!

NURS 551 EXAM| 203 QUESTIONS AND ANSWERS |

2025 - 2026 | GRADED A+

What are challenges in rural emergency care?

  • Staffing levels
  • Multiple roles of rural nurses
  • Lower rate of contact with emergency conditions
  • "Call back" nature of rural physicians, RNs, and Lab/x-ray technicians
  • Recourses availability
  • Transport to definitive care What is triage?
  • The process for sorting based on a patient's need for or likely benefit from immediately medical interventions
  • Essenitally, sorting people coming into the ER to know how badly do they need immediate medical care What are the 5 levels of the Canadian Triage and Acuity Scale?
  1. Resusciation (Threat to life or limb)
  2. Emergency (potential threat to life or limb and requiring rapid medical intervention)
  3. Urgent (could potentially progress to an emergent problem)
  1. Less urgent (conditions related to patient age, distress, or potential to deteriorate)
  2. Nonurgent (Acute or chronic conditions where investigation can be delayed) What is the Primary Survey? A systemic approach to identify life-threatening conditions What are the steps to the primary survey? Airway Breathing Circulation Disability What are the steps to an airway assessment?
  • Clear and open airway
  • Assess for airway obstruction
  • Assess for respiratory distress
  • Check for loose teeth and foreign objects
  • Assess for bleeding, vomit, edema
  • Assess colour, temp, and moisture of skin
  • Assess cap refill
  • Assess for external bleeding
  • Auscultate blood pressure What are the areas of a glasgow coma scale?
  • Eye opening response
  • Verbal response
  • Pain response What is a secondary survey? full exam after determining the patient is stable What is involved in a secondary survey?
  • Exposure and environmental control
  • Full set of vitals
  • Comfort measures
  • History
  • Head to toe assessment

What is a part of exposure and environmental control?

  • Remove necessary clothing if physical trauma is indicated
  • Minimize heat loss When is blood pressure necessary to take on both arms? If patient has experienced chest trauma What are interventions if patient has experienced significant trauma
  • ECG monitoring
  • Sp02 monitoring
  • Indwelling foley catheter
  • NG of OG tube
  • Lab studies What is necessary to ask during patient history?
  • Chief complaint
  • Subjective complaints

What should be included in a chest assessment?

  • Note chest movement
  • Pain in palpation
  • Respiratory distress
  • JVD
  • Obvious cuts, bruises, penetrations, or impaled objects
  • 12 lead ECG What should be included in an abdomen and flank assessment?
  • Examine for obvious injuries
  • Pain on palpation
  • Bowel sounds
  • Distention What should be included in a pelvis and perineum assessment?
  • Palpate for fractures
  • Exmine genitalia for bleeding, injuries, or incontinence
  • Assess bladder distension
  • Presence of hematuria What should be included in an assessment of the extremities?
  • Assess for deformities, swelling, bleeding, ecchymosis, bone protrusions, and fractures
  • Splint if necessary (always above or below the injury)
  • Elevate injured extremities and apply ice
  • Assess CSM What is the difference between pediatric and adult emergency patients?
  • Anotomic variations in size and proportions
  • Physiologic response to pain
  • Patterns of injuries
  • Psychological, emotional, and social needs What is different about the respiratory in children?
  • Hypoxia and inadequate oxygenation are the most common causses of pediatric cardiopulmonary arrest

What is a moderate PRAM score? 5 - 8 What is a severe PRAM score? 9 - 12 What is a dysrhythmia?

  • Abnormal cardiac rhythm How does the autonomic nervous system control cardiac rhythm?
  • Rate of impulse formation
  • Speed of conduction
  • Strength of contraction How does the parasympathetic nervous system control cardiac rhythm?
  • Decreases rate
  • Slows impulse conduction
  • Decreases force of contraction How does the sympathetic nervous system control cardiac rhythm?
  • Increases rate
  • Increases force of contraction What do the leads in a 12 lead ECG do?
  • 6 lead measure electrical forces in the frontal plane
  • 6 leads measure electrical forces in the horizontal plane What should the nurse do after assessing the ECG strip?
  • Match the rhythm with the patient
  • Assess patient med history, S/S, and labs What is telemetry monitoring? Observation of heart rate and rhythm at a distant site
  • Metabolic conditions
  • Accessory pathways What tests are used to evaluate dysrhythmias?
  • ECG
  • Holter monitor
  • Event recorder monitoring
  • Exercise treadmil testing What is sinus bradycardia?
  • Sinus node fires <60 bpm
  • Normal rhythm in aerobically trained athletes
  • P waves present, normal QRS complex What does sinus bradycardia occur in response to?
  • Carotid sinus massage
  • Valsalva's maneuver
  • Hypothermia
  • Increased intraocular pressure
  • Increased vagal tone
  • Administration of parasympathomimetic drugs What is the valsalva maneuver?
  • Drug-free way to quickly return an abnormal heart rhythm to normal
  • Plug nose, breath out strian for 15-20 seconds, breath out through mouth What diseases does sinus bradycardia occur in?
  • Hypothyroidism
  • Increases intracranial pressure
  • Inferior wall MI What are symptoms of sinus bradycardia?
  • Hypotension
  • Pale, cool skin
  • Weakness
  • Angina
  • Dizziness or syncope
  • Confusion or disorientation
  • Heart failure
  • Hyperthydroidism
  • Anxiety and fear What are signs and symptoms of sinus tachycardia?
  • Dizziniess
  • Dyspnea
  • Hypotension due to decreased CO
  • May lead to angina What is the treatment of sinus tachycardia?
  • B adrenergic blockers to reduce HR and myocardial oxygen consumptions
  • Antipyretics and analgesics to treat fever and pain if applicable
  • Treatment of anxiety if applicable What is premature atrial contraction (PAC)?
  • Caused by contraction originating from ectopic focus in the atrium
  • P waves are premature and abnormal
  • QRS complex will come after the p wave
  • P waves can be hidden in the preceding T wave, so might not be able to see the p wave What is another named for premature atrial contraction?
  • Heart palpitation What causes premature atrial contraction?
  • Emotional stress
  • Physcial fatigue
  • Caffiene, tobacco, and alcohol
  • Hypoxia
  • Elctrolyte imbalances
  • Hyperthyroidism
  • COPD
  • Heart disease What is the clinical significance of premature atrial contraction?
  • Isolated PACs are not significant in those with a healthy heart
  • Can be a warning of more serious dysrhythmias is those with heart disease

What does a paroxysmal supraventricular tachycardia ECG strip look like?

  • SVT occurs
  • Narrow QRS complex
  • Either absent p waves or small inverted p waves
  • P waves may be buried in t waves
  • Faster than 130 bpm What can cause paroxysmal supraventricular tachycardia?
  • Overexertion
  • Emotional stress
  • Stimulants
  • Digitalis toxicity
  • Rheumatic heart disease
  • Coronary Artery Disease
  • Cor pulmonale What is the treatment of paroxysmal supraventricular tachycardia?
  • Valsalva maneuvres
  • IV adenosine

What is atrial flutter?

  • Identified by recurring, regular sawtooth flutter waves
  • Caused by a single ectopic focus firing
  • 250 - 400 bpm
  • PR interval in unidentifiable
  • QRS complex are uniform in shape but irregular in rate What causes atrial flutter?
  • Coronary artery disease
  • Hypertension
  • Mitral valve disorders
  • Pulmonary embolus
  • Chronic lung disease
  • Cor pulmonale
  • Cardiomyopathy
  • Hyperthyroidism What is the treatment for atrial flutter?
  • Calcium channel blockers or adrenergic blockers to slow HR