NUR 355 Exam 2 Study Guide - 08.23

NUR 355 Exam 2 (Modules 3-4) – Outline for Success
Please Note: This outline may not be all inclusive. The purpose of this outline is to help guide you to
being successful on this examination. There may be additional information included on this exam that
is NOT listed below. Refer to your Canvas course, instructor, and other additional resources for all
relevant and necessary information. For reference of what was included in the module outline, please
see the bottom of this document.
Use the table below to assist in preparing for the exam. Be prepared/able to answer questions
pertaining to any of the 5 categories below for the nursing process/clinical judgement.
EX: Be able to Assess/Recognize Cues for changes in the gastrointestinal system for the topic being
covered (pediatric care, postpartum care, adult health etc.)
Nursing Process Clinical Judgment

Assessment Recognizing Cues
Analyzing Cues
Diagnosis/Analysis
Prioritizing Hypotheses
Planning (SMART Goals) Generating Solutions
Implementation Take Action
Evaluation Evaluate Outcomes
Using the following exemplars and concepts answer the questions below to prepare for the exam:
Pain / Inflammation Immunity / Infection

Assessments / Interventions Assessments / Interventions
Pain assessments Therapy induced deficiencies
Pain management Allergic reactions / anaphylaxis
Complementary / alternative MRSA
care
Rheumatoid Arthritis HIV / AIDS
Osteoarthritis Influenza
Gout Neutropenia
Lupus Hepatitis B
Fibromyalgia C-Diff
Recognizing cues What findings are most significant?
What additional information is needed to decide what is

wrong with this patient?
What data are relevant/not relevant?
What information should be collected first? As a priority in

the assessment?
What findings need follow up?
What questions should the nurse ask (the patient, the family,
others) in the assessment?
Analyzing cues What patient problems/conditions/diagnoses are consistent

with these findings?
What findings did you expect?
What additional information would help you better

understand the significance of these findings?
Are there data of particular concern to you? Why?
Identifying possible What are possible explanations of the patient’s condition?

problems/generating Explain your thinking.
hypotheses
Based on the information in the scenario, what are all
possible problems the patient might have?
Considering possible problems of this patient, what is the

priority? Why?
If the patient’s symptoms were X, how would that change

your thinking about the patient’s condition?
Identifying Which outcomes are most important for this patient? In this
interventions/generating situation?
solutions
What interventions are indicated?
What evidence supports each of these interventions?
In what ways will the interventions promote the expected

outcomes of care?
Are there interventions to avoid? Which ones and why?
Implementing What interventions are most appropriate?

interventions/taking action
What interventions should be done first? Why?
What actions should be taken now?
What information would you teach the patient/caregiver

prior to discharge?
What information, event, or situation should be reported

immediately to the manager/health care team/other? Why?
Module 3 – Pain and Inflammation

 Pain:
o Pain management
o Definition of pain
o Processing pain messages
o Factors shaping the pain experience
o Comprehensive assessment strategies
o Nursing management, options, and special populations
o Pharmacologic interventions
o Nonpharmacologic interventions
o Complementary / Alternative care initiatives
o Pain specialists
 Complementary and alternative care initiatives:
o Classification of CAM
o Nursing implications
 Coordinating care for patients with connective tissue disorders:
o Osteoarthritis
o Rheumatoid arthritis
o Scleroderma
o Lupus
o Gout
o Fibromyalgia
Module 4 – Immunity and Infection

 Immunity Function:
o Overview of anatomy and physiology
o Assessment of the immune system
o Diagnostic studies
o Age-related changes
 Immune Disorders:
o Primary immune dysfunction: B-Cell and T-Cell deficiencies
o Secondary immune dysfunction: Therapy induced deficiencies
o Excessive immune response
 Multidrug-Resistant Organism infectious disorders:
o Multidrug-resistant organisms
o Management of multidrug-resistant organisms
 HIV / AIDS:
o Human immunodeficiency virus
For each of the concepts or exemplars students should be able to identify:
Priority Assessments
Critical Cues
Priority actions/Interventions
Outcomes

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NUR 355 Exam 2 (Modules 3-4) – Outline for Success

Nursing Process Clinical Judgment

Pain / Inflammation Immunity / Infection

What additional information is needed to decide what is

What data are relevant/not relevant?

What information should be collected first? As a priority in

What findings need follow up?

Analyzing cues What patient problems/conditions/diagnoses are consistent

What findings did you expect?

What additional information would help you better

Are there data of particular concern to you? Why?

Identifying possible What are possible explanations of the patient’s condition?

Considering possible problems of this patient, what is the

If the patient’s symptoms were X, how would that change

What evidence supports each of these interventions?

In what ways will the interventions promote the expected

Are there interventions to avoid? Which ones and why?

Implementing What interventions are most appropriate?

What actions should be taken now?

What information would you teach the patient/caregiver

What information, event, or situation should be reported

Module 3 – Pain and Inflammation

Module 4 – Immunity and Infection

For each of the concepts or exemplars students should be able to identify:

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