NURS 6202 FINAL EXAM QUESTIONS AND ANSWERS | NURS
6202 FINAL STUDY GUIDE & PRACTICE TEST 2026/2027
A patient with orthopedic trauma complains of severe unrelenting pain in the affected extremity not
relieved by analgesics. What is the nurse most concerned about? - ANS ✔✔Compartment syndrome
Why is an ORIF done instead of letting a hip heal over time? - ANS ✔✔Prevent complications and early
ambulation
Hypovolemia in burns is caused by - ANS ✔✔Capillary bed leakage
A patient weighing 68 kg has a 50% TBSA burn. Using the Parkland (Baxter) formula for fluid replacement
how many cc/hr should the nurse administer in the first 8 hours? [TBSA burned x Wt (kg) x 4mL]
___________ - ANS ✔✔The Parkland Formula is for the first 24 hours. To determine the 8-hour, you
need to divide the results by 2.
68 x 50 x 4 = 13,600 in 24 hours, 6,800 in first 8 hours, and 6,800 in the next 16 hours. That works out to
850 cc/hr for the first 8 hours.
T/F
Nurses should discourage use of any alternative or complementary therapy. - ANS ✔✔False (allow
holistic care)
The cause of organ failure and cellular dysfunction in shock is: - ANS ✔✔Inadequate cellular perfusion
Would you use vasopressor (dopamine) in cardiogenic shock? - ANS ✔✔Yes. Vasoconstriction to increase
BP
Would you use inotropic agent (dobutamine) in cardiogenic shock? - ANS ✔✔Yes. Increase force of
myocardial contraction to increase CO
Would you use IV rate of 500 cc/hr decreased ability to pump blood in cardiogenic shock? - ANS ✔✔No.
There is a decreased ability to pump blood
A pt arrives in the ED after an accident. What is the first thing you assess? - ANS ✔✔Airway
What is MODS? - ANS ✔✔Multiple organ dysfunction syndrome (failure of 2 or more organ systems)
Does anaphylactic shock cause symptoms due to increased peripheral resistance? - ANS ✔✔No. Massive
vasodilation, release of mediators, increased capillary permeability
Why is PEEP used in a patient with ARDS? - ANS ✔✔To prevent alveolar collapse by keeping lungs
expanded during expiration
The most common cause of death in patients recovering from acute renal failure is? - ANS ✔✔Infection
, What type of headache may be accompanied by nausea, vomiting and irritability? - ANS ✔✔Migraine
What symptoms would you expect to observe in a client with a suspected diagnosis of Parkinson's
Disease? - ANS ✔✔Bradykinesia, rigidity, tremors
Which of the following nursing diagnoses are included in the plan of care in the patient with ALS?
A. Alteration in comfort
B. Fluid volume, excess
C. Impaired bowel elimination
D. Potential for injury
E. Ineffective breathing pattern
F. Ineffective coping strategies - ANS ✔✔A. Alteration in comfort
C. Impaired bowel elimination
D. Potential for injury
E. Ineffective breathing pattern
F. Ineffective coping strategies
What is a definition of symptom cluster in a cancer patient? - ANS ✔✔>3 related symptoms that occur at
the same time
A lower motor neuron lesion will cause flaccidity or spasticity? - ANS ✔✔Flaccidity
A patient with a complete cervical cord injury complains of a throbbing headache. What are we
concerned about? - ANS ✔✔Autonomic dysreflexia
What is a first step for bladder training in a paraplegic? - ANS ✔✔Clamp the foley for 2 hours
T/F
A patient diagnosed with an epidural hematoma is likely to need emergency surgery. - ANS ✔✔True
IV Mannitol is an osmotic diuretic used to: - ANS ✔✔Decrease ICP
At what point following a fracture does the nurse need to most carefully evaluate the patient for the
development of a fat embolism?
A. The first 2-3 hours
B. The first 8 hours
C. The first 24-48 hours
D. For the first week following the injury - ANS ✔✔C. The first 24-48 hours
When caring for a patient with a fracture, the most common symptom and reliable clinical indicator of
compartment syndrome that the nurse should be observing for is:
A. Paresthesia and skin pallor of affected limb
B. Decreased capillary refill of the affected limb
C. Petechiae of conjunctiva and axilla
D. Severe, unrelenting pain in the affected limb - ANS ✔✔D. Severe, unrelenting pain in the affected limb
6202 FINAL STUDY GUIDE & PRACTICE TEST 2026/2027
A patient with orthopedic trauma complains of severe unrelenting pain in the affected extremity not
relieved by analgesics. What is the nurse most concerned about? - ANS ✔✔Compartment syndrome
Why is an ORIF done instead of letting a hip heal over time? - ANS ✔✔Prevent complications and early
ambulation
Hypovolemia in burns is caused by - ANS ✔✔Capillary bed leakage
A patient weighing 68 kg has a 50% TBSA burn. Using the Parkland (Baxter) formula for fluid replacement
how many cc/hr should the nurse administer in the first 8 hours? [TBSA burned x Wt (kg) x 4mL]
___________ - ANS ✔✔The Parkland Formula is for the first 24 hours. To determine the 8-hour, you
need to divide the results by 2.
68 x 50 x 4 = 13,600 in 24 hours, 6,800 in first 8 hours, and 6,800 in the next 16 hours. That works out to
850 cc/hr for the first 8 hours.
T/F
Nurses should discourage use of any alternative or complementary therapy. - ANS ✔✔False (allow
holistic care)
The cause of organ failure and cellular dysfunction in shock is: - ANS ✔✔Inadequate cellular perfusion
Would you use vasopressor (dopamine) in cardiogenic shock? - ANS ✔✔Yes. Vasoconstriction to increase
BP
Would you use inotropic agent (dobutamine) in cardiogenic shock? - ANS ✔✔Yes. Increase force of
myocardial contraction to increase CO
Would you use IV rate of 500 cc/hr decreased ability to pump blood in cardiogenic shock? - ANS ✔✔No.
There is a decreased ability to pump blood
A pt arrives in the ED after an accident. What is the first thing you assess? - ANS ✔✔Airway
What is MODS? - ANS ✔✔Multiple organ dysfunction syndrome (failure of 2 or more organ systems)
Does anaphylactic shock cause symptoms due to increased peripheral resistance? - ANS ✔✔No. Massive
vasodilation, release of mediators, increased capillary permeability
Why is PEEP used in a patient with ARDS? - ANS ✔✔To prevent alveolar collapse by keeping lungs
expanded during expiration
The most common cause of death in patients recovering from acute renal failure is? - ANS ✔✔Infection
, What type of headache may be accompanied by nausea, vomiting and irritability? - ANS ✔✔Migraine
What symptoms would you expect to observe in a client with a suspected diagnosis of Parkinson's
Disease? - ANS ✔✔Bradykinesia, rigidity, tremors
Which of the following nursing diagnoses are included in the plan of care in the patient with ALS?
A. Alteration in comfort
B. Fluid volume, excess
C. Impaired bowel elimination
D. Potential for injury
E. Ineffective breathing pattern
F. Ineffective coping strategies - ANS ✔✔A. Alteration in comfort
C. Impaired bowel elimination
D. Potential for injury
E. Ineffective breathing pattern
F. Ineffective coping strategies
What is a definition of symptom cluster in a cancer patient? - ANS ✔✔>3 related symptoms that occur at
the same time
A lower motor neuron lesion will cause flaccidity or spasticity? - ANS ✔✔Flaccidity
A patient with a complete cervical cord injury complains of a throbbing headache. What are we
concerned about? - ANS ✔✔Autonomic dysreflexia
What is a first step for bladder training in a paraplegic? - ANS ✔✔Clamp the foley for 2 hours
T/F
A patient diagnosed with an epidural hematoma is likely to need emergency surgery. - ANS ✔✔True
IV Mannitol is an osmotic diuretic used to: - ANS ✔✔Decrease ICP
At what point following a fracture does the nurse need to most carefully evaluate the patient for the
development of a fat embolism?
A. The first 2-3 hours
B. The first 8 hours
C. The first 24-48 hours
D. For the first week following the injury - ANS ✔✔C. The first 24-48 hours
When caring for a patient with a fracture, the most common symptom and reliable clinical indicator of
compartment syndrome that the nurse should be observing for is:
A. Paresthesia and skin pallor of affected limb
B. Decreased capillary refill of the affected limb
C. Petechiae of conjunctiva and axilla
D. Severe, unrelenting pain in the affected limb - ANS ✔✔D. Severe, unrelenting pain in the affected limb
