Page 1 of 129
,Page 2 of 129
NUR 265 Exam 3 Versions 1 & 2 New Galen
College of Nursing | Study Guide with
Practice Questions, Answers & Detailed
Explanations
SUMMARIZED EXAM COVERAGE
Traumatic Brain Injury (TBI)
• Assessment priorities for closed head injuries
• Intracranial pressure (ICP) monitoring and interventions
• Signs of increasing ICP (pupillary changes, vital sign changes)
• Cranial nerve assessment and neurological checks
• Medication considerations (warfarin, anticoagulants)
• Rhinorrhea assessment and halo sign testing
• Discharge teaching for mild head injuries
Spinal Cord Injury (SCI)
• Autonomic dysreflexia recognition and management
• Cardiovascular changes and blood pressure management
• Levels of injury and functional implications
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• Immediate priorities in suspected SCI
• Medication considerations (Mannitol)
Neurological Disorders
• Myasthenia Gravis: medication timing, cholinergic crisis, medications (Atropine)
• Trigeminal Neuralgia: treatment and patient teaching
• Bell's Palsy: management and medication considerations
• Guillain-Barré Syndrome: pathophysiology, respiratory complications
• Encephalitis: monitoring and assessment priorities
• Meningitis: diagnostic procedures and interventions
• ALS: palliative care, advanced directives, breathing considerations
Burn Injuries
• Fluid resuscitation priorities and monitoring
• Airway management and respiratory complications
• Electrical burns and cardiac monitoring
• Circumferential burns and perfusion assessment
• Infection prevention and wound care
• Laboratory value interpretation (sodium, potassium)
• Pressure garment teaching and compliance
• Types of burns (thermal, electrical, full thickness)
Shock States
• Hypovolemic shock: fluid resuscitation, positioning, medication response
• Septic shock: diagnostic procedures, medication administration
• Cardiogenic shock: medication management, monitoring
• Obstructive shock: causes and recognition
• Distributive shock: risk factors and assessment
• Medication administration (dopamine, norepinephrine)
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• Communication with family during refractory shock
Pharmacology and Interventions
• Anticoagulant considerations (warfarin, enoxaparin)
• Medication timing (Myasthenia Gravis medications)
• Atropine administration for cholinergic crisis
• Mannitol use and considerations
• Inotrope and vasopressor therapy monitoring
EXAM VERSION 1
Questions 1-125
1. The nurse is caring for a client with a traumatic brain injury who is receiving mechanical
ventilation. Which assessment finding indicates the client is experiencing increased intracranial
pressure?
A) Blood pressure 110/70 with pulse 62
B) Blood pressure 154/40 with pulse 52
C) Blood pressure 120/80 with pulse 88
D) Blood pressure 100/60 with pulse 72
Correct Answer: B
Rationale: Cushing's triad (increased systolic BP, widened pulse pressure, bradycardia)
indicates increased ICP. Option B shows elevated systolic pressure with diastolic drop creating
widened pulse pressure and bradycardia, classic signs of increasing intracranial pressure
requiring immediate intervention.
,Page 2 of 129
NUR 265 Exam 3 Versions 1 & 2 New Galen
College of Nursing | Study Guide with
Practice Questions, Answers & Detailed
Explanations
SUMMARIZED EXAM COVERAGE
Traumatic Brain Injury (TBI)
• Assessment priorities for closed head injuries
• Intracranial pressure (ICP) monitoring and interventions
• Signs of increasing ICP (pupillary changes, vital sign changes)
• Cranial nerve assessment and neurological checks
• Medication considerations (warfarin, anticoagulants)
• Rhinorrhea assessment and halo sign testing
• Discharge teaching for mild head injuries
Spinal Cord Injury (SCI)
• Autonomic dysreflexia recognition and management
• Cardiovascular changes and blood pressure management
• Levels of injury and functional implications
,Page 3 of 129
• Immediate priorities in suspected SCI
• Medication considerations (Mannitol)
Neurological Disorders
• Myasthenia Gravis: medication timing, cholinergic crisis, medications (Atropine)
• Trigeminal Neuralgia: treatment and patient teaching
• Bell's Palsy: management and medication considerations
• Guillain-Barré Syndrome: pathophysiology, respiratory complications
• Encephalitis: monitoring and assessment priorities
• Meningitis: diagnostic procedures and interventions
• ALS: palliative care, advanced directives, breathing considerations
Burn Injuries
• Fluid resuscitation priorities and monitoring
• Airway management and respiratory complications
• Electrical burns and cardiac monitoring
• Circumferential burns and perfusion assessment
• Infection prevention and wound care
• Laboratory value interpretation (sodium, potassium)
• Pressure garment teaching and compliance
• Types of burns (thermal, electrical, full thickness)
Shock States
• Hypovolemic shock: fluid resuscitation, positioning, medication response
• Septic shock: diagnostic procedures, medication administration
• Cardiogenic shock: medication management, monitoring
• Obstructive shock: causes and recognition
• Distributive shock: risk factors and assessment
• Medication administration (dopamine, norepinephrine)
, Page 4 of 129
• Communication with family during refractory shock
Pharmacology and Interventions
• Anticoagulant considerations (warfarin, enoxaparin)
• Medication timing (Myasthenia Gravis medications)
• Atropine administration for cholinergic crisis
• Mannitol use and considerations
• Inotrope and vasopressor therapy monitoring
EXAM VERSION 1
Questions 1-125
1. The nurse is caring for a client with a traumatic brain injury who is receiving mechanical
ventilation. Which assessment finding indicates the client is experiencing increased intracranial
pressure?
A) Blood pressure 110/70 with pulse 62
B) Blood pressure 154/40 with pulse 52
C) Blood pressure 120/80 with pulse 88
D) Blood pressure 100/60 with pulse 72
Correct Answer: B
Rationale: Cushing's triad (increased systolic BP, widened pulse pressure, bradycardia)
indicates increased ICP. Option B shows elevated systolic pressure with diastolic drop creating
widened pulse pressure and bradycardia, classic signs of increasing intracranial pressure
requiring immediate intervention.
