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NUR 265 Exam 3 Study Questions and Answers with Solutions
UPDATED!!!
#1 priority for hypovolemic patient - ANSWER Airway.
12 cranial nerves - ANSWER (1) olfactory (2) optic (3)
oculomotor (4) trochlear (5) trigeminal (6) abducens (7) facial
(8) vestibulocochlear (9) glossopharyngeal (10) vagus (11)
accessory (12) hypoglossal.
Acid-base and electrolyte balance in non-progressive stage -
ANSWER Leads to metabolic acidosis and hyperkalemia.
Acute phase - ANSWER The burn phase that begins once the
patient is hemo-dynamically stable, capillaries are no longer
permeable, and diuresis has begun.
Administration of fluid resuscitation - ANSWER Half of the
prescribed volume is given in the first 8 hours, and then the
remaining dose is spread out over the next 16 hours.
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Adverse reaction of Mannitol - ANSWER Dehydration or
hypovolemia.
Anaphylactic shock as a type of distributive shock - ANSWER
Because massive vasodilation from massive amounts of
histamines.
Appearance of carbon monoxide victim - ANSWER They will
appear cherry red because carbon monoxide is a powerful
vasodilator.
Assessing for papilledema - ANSWER Using an ophthalmoscope
to check for increased blood flow to optic disc in the eye.
Assessment finding for full-thickness injury - ANSWER
Thrombosed blood vessels are visible beneath the skin surface.
Assessment of vital signs in hypovolemia - ANSWER Only an RN,
rather than an LPN or CNA, should assess the vital signs.
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Assessment to avoid acute compartment syndrome in burn
patients - ANSWER A neurovascular check.
Autonomic dysreflexia - ANSWER A condition characterized by
uncontrolled sympathetic output leading to severe
hypertension and other symptoms.
Bacterial meningitis development - ANSWER Bacteria moving
backward through rhinorrhea or otorrhea
Barbiturate coma conditions - ANSWER Considered to control
intracranial hypertension that cannot be controlled by any
other means.
Basilar skull fracture - ANSWER A fracture at the base of the
skull, where it connects to the neck.
Best action for a patient with 45% burns and high hematocrit -
ANSWER Assess the patient's blood pressure and urine output.
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Best first action for drooling patient after burns - ANSWER
Notify rapid response.
Body position in decorticate posturing - ANSWER Arms, wrists,
and fingers are flexed with internal rotation in the legs.
Burn depth as deep as the entire epidermis and dermis -
ANSWER Superficial partial-thickness.
Burn depth as deep as the subcutaneous fat - ANSWER Full-
thickness burn.
Burn depth only as deep as the epidermis - ANSWER Superficial.
Burn that can char the bone - ANSWER Deep full-thickness.
Burn victims' metabolic state - ANSWER False! They are in a
hyper-metabolic state.
Burn with black and brown color - ANSWER Full thickness.
NUR 265 Exam 3 Study Questions and Answers with Solutions
UPDATED!!!
#1 priority for hypovolemic patient - ANSWER Airway.
12 cranial nerves - ANSWER (1) olfactory (2) optic (3)
oculomotor (4) trochlear (5) trigeminal (6) abducens (7) facial
(8) vestibulocochlear (9) glossopharyngeal (10) vagus (11)
accessory (12) hypoglossal.
Acid-base and electrolyte balance in non-progressive stage -
ANSWER Leads to metabolic acidosis and hyperkalemia.
Acute phase - ANSWER The burn phase that begins once the
patient is hemo-dynamically stable, capillaries are no longer
permeable, and diuresis has begun.
Administration of fluid resuscitation - ANSWER Half of the
prescribed volume is given in the first 8 hours, and then the
remaining dose is spread out over the next 16 hours.
, Page |2
Adverse reaction of Mannitol - ANSWER Dehydration or
hypovolemia.
Anaphylactic shock as a type of distributive shock - ANSWER
Because massive vasodilation from massive amounts of
histamines.
Appearance of carbon monoxide victim - ANSWER They will
appear cherry red because carbon monoxide is a powerful
vasodilator.
Assessing for papilledema - ANSWER Using an ophthalmoscope
to check for increased blood flow to optic disc in the eye.
Assessment finding for full-thickness injury - ANSWER
Thrombosed blood vessels are visible beneath the skin surface.
Assessment of vital signs in hypovolemia - ANSWER Only an RN,
rather than an LPN or CNA, should assess the vital signs.
, Page |3
Assessment to avoid acute compartment syndrome in burn
patients - ANSWER A neurovascular check.
Autonomic dysreflexia - ANSWER A condition characterized by
uncontrolled sympathetic output leading to severe
hypertension and other symptoms.
Bacterial meningitis development - ANSWER Bacteria moving
backward through rhinorrhea or otorrhea
Barbiturate coma conditions - ANSWER Considered to control
intracranial hypertension that cannot be controlled by any
other means.
Basilar skull fracture - ANSWER A fracture at the base of the
skull, where it connects to the neck.
Best action for a patient with 45% burns and high hematocrit -
ANSWER Assess the patient's blood pressure and urine output.
, Page |4
Best first action for drooling patient after burns - ANSWER
Notify rapid response.
Body position in decorticate posturing - ANSWER Arms, wrists,
and fingers are flexed with internal rotation in the legs.
Burn depth as deep as the entire epidermis and dermis -
ANSWER Superficial partial-thickness.
Burn depth as deep as the subcutaneous fat - ANSWER Full-
thickness burn.
Burn depth only as deep as the epidermis - ANSWER Superficial.
Burn that can char the bone - ANSWER Deep full-thickness.
Burn victims' metabolic state - ANSWER False! They are in a
hyper-metabolic state.
Burn with black and brown color - ANSWER Full thickness.
