NUR 265 EXAM 3 ACTUAL PAPER 2026
QUESTIONS SOLUTIONS GRADED A PLUS
CORE REVIEW
◉ What causes encephalitis?
Answer: West Nile Virus
Herpes
◉ What are the s/s of encephalitis?
Answer: High fever, N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
◉ What is used to dx encephalitis?
Answer: lumbar puncture
EEG
CT (looks for mass)
,◉ What are N/I for encephalitis?
Answer: Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
◉ What is the tx for encephalitis?
Answer: acyclovir
◉ What are complications from encephalitis?
Answer: ICP that leads to herniation of brain tissue or death
◉ What is myasthenia gravis?
Answer: Autoimmune disorder that is characterized by weakness in
the muscles
◉ What causes myasthenia gravis?
Answer: lack of Ach receptor sites, leads to lack of nerve impulses
◉ What are s/s of myasthenia gravis?
Answer: difficulty holding up head or brushing teeth
,double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
◉ How is myasthenia gravis diagnosed?
Answer: tensillon test.
s/s improve with Edrophonium .
◉ How does edrophonium work?
Answer: w/in 30-60sec of 1st dose, most show lots of improvement,
lasts 4-5mins
◉ What are n/i for myasthenia gravis?
Answer: assess adls, speech & facial weakness
resp support
keep oxygen equipment & suction at bedside for r/f of resp distress
promote mobility
◉ What is tx for myasthenia gravis?
Answer: plasmapherisis
, anticholinesterases (pyridostigmine) immunosuppressants
◉ What is cholinergic crisis?
Answer: too much cholinesterase inhibitor drug
◉ What are s/s of cholinergic crisis?
Answer: fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
◉ What is tx for cholinergic crisis?
Answer: atropine
DO NOT GIVE ANTICHOLINESTERASE
◉ What is myasthenic crisis?
Answer: too little cholinesterase inhibitor drug
◉ What is the priority with myasthenic crisis?
Answer: resp function
QUESTIONS SOLUTIONS GRADED A PLUS
CORE REVIEW
◉ What causes encephalitis?
Answer: West Nile Virus
Herpes
◉ What are the s/s of encephalitis?
Answer: High fever, N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
◉ What is used to dx encephalitis?
Answer: lumbar puncture
EEG
CT (looks for mass)
,◉ What are N/I for encephalitis?
Answer: Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
◉ What is the tx for encephalitis?
Answer: acyclovir
◉ What are complications from encephalitis?
Answer: ICP that leads to herniation of brain tissue or death
◉ What is myasthenia gravis?
Answer: Autoimmune disorder that is characterized by weakness in
the muscles
◉ What causes myasthenia gravis?
Answer: lack of Ach receptor sites, leads to lack of nerve impulses
◉ What are s/s of myasthenia gravis?
Answer: difficulty holding up head or brushing teeth
,double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
◉ How is myasthenia gravis diagnosed?
Answer: tensillon test.
s/s improve with Edrophonium .
◉ How does edrophonium work?
Answer: w/in 30-60sec of 1st dose, most show lots of improvement,
lasts 4-5mins
◉ What are n/i for myasthenia gravis?
Answer: assess adls, speech & facial weakness
resp support
keep oxygen equipment & suction at bedside for r/f of resp distress
promote mobility
◉ What is tx for myasthenia gravis?
Answer: plasmapherisis
, anticholinesterases (pyridostigmine) immunosuppressants
◉ What is cholinergic crisis?
Answer: too much cholinesterase inhibitor drug
◉ What are s/s of cholinergic crisis?
Answer: fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
◉ What is tx for cholinergic crisis?
Answer: atropine
DO NOT GIVE ANTICHOLINESTERASE
◉ What is myasthenic crisis?
Answer: too little cholinesterase inhibitor drug
◉ What is the priority with myasthenic crisis?
Answer: resp function
