NUR 355 ACTUAL EXAM 3 (MEDSURG 3) |COMPLETE AND GRADED
QUESTIONS AND ANSWERS 2026 LATEST UPDATED | 100% GRADED
CORRECT | 100% GUARANTEED TO PASS | GET A+
An 82 year old female falls and fractures her left humerus and left proximal femur. To best assess
neurovascular damage of compartment syndrome, it would be most important for the nurse to: -
(ANSWER)Carefully evaluate the patients complaints of pain
A Construction worker sustained a crash injury to his leg while working. The patient's CK was
72,000. HCP orders 0.9 NS to infuse at 500cc/hr. The nurse realizes that this is done to prevent
what complication? - (ANSWER)Acute renal failure
Soccer player is brought to ED for further evaluation after sustaining a direct hit with a soccer
ball to the posterior flank. He admits to having 8/10 pain in the flank area. Vital signs are stable
with BP 110/80 HR 98 RR 22. The nurse anticipates teaching the patient what method to
establish the location and extent of renal parenchymal damage? - (ANSWER)CT scan of the
abdomen and pelvis
The patient is continuing to have continuous seizures right after another without gaining
consciousness. THe nurse would correctly document this as: - (ANSWER)Status epilepticus
,Nurse caring for patient after being treated for emboli after sustaining multiple fractures from a
fall. Which of the following data would the nurse evaluate as the most favorable indication of
resolution of the fat embolism? - (ANSWER)Clear chest radiograph
The family of a spinal cord injured patient rushes into the nurses station saying the client needs
help. On entering the room the nurse notes the patient is diaphoretic with a flushed face and neck
and complains of a severe headache. HR 40 BP 230/100/ the nurse acts quickly, suspecting the
client is experiencing: - (ANSWER)Autonomic dysreflexia
The nurse is caring for a client being treated for a suspected fat embolism after multiple fractures
from MVC. Which of the following data would the nurse evaluate as the most favorable
indication of resolution of the fat embolism? - (ANSWER)Clear mentation
The nurse is examining a client with multiple trauma to the ortho nursing unit. The client has a
comminuted fracture of the right lower extremity and has a plaster cast applied. In positioning
the casted leg, the nurse should: - (ANSWER)Elevate the leg on pillows continuously for 24 to
48 hours
36 year old man brought to ED following MVC. he is unresponsive and requires intubation. CT
scan demonstrates diffuse cerebral edema. What process causes brain injury that is the result of
,increased intracranial pressure by diffuse edema formation? - (ANSWER)Cerebral tissue
hypoxia and ischemia from compression of blood vessels
The female client is admitted to the Ed following a fall from a horse and the physician prescribed
insertion of a foley cath. While preparing for it the nurse notes blood at the urinary meatus, the
nurse should: - (ANSWER)Contact HCP
HCP orders Oxacillin 2 g/ 100ml IVPB q4h. For patients with osteomyelitis of the knee
following a penetrating injury. The medication is to infuse over 30 minutes. What rate would the
IV pump be set? - (ANSWER)200ml
Nurse is evaluating neurological signs of a client in spinal shock following spinal cord injury
from a 20 foot fall. WHich of the following observations by the nurse indicates spinal shock
persists? - (ANSWER)Areflexia
The patient received mannitol following a severe head injury with signs of increased ICP. The
patient would be monitored by the nurse most closely for - (ANSWER)Rebound elevation of
ICP
An 18 year old male presents as a trauma to the ED follows a MVC. To best perform a disability
assessment the nurse would assess the patients - (ANSWER)Glasgow coma scale
, The patient with traumatic brain injury has been discharged with an order for Dilantin to prevent
break through seizures. The nurse would teach the patient that it is most important to: -
(ANSWER)Continue to have annual dental exams
The patient has sustained a complete spinal cord injury at the second cervical vertebrae and is
placed on a ventilator. When planning for long term care the nurse should anticipate that this
patient: - (ANSWER)Will remain on mechanical vent
Patient arrives at the ED with a gunshot wound to the left lower abdominal quadrant. He has an
open wound that is bleeding heavily. His vitals are BP 86/50 P130 RR 32. Which intervention is
most appropriate at this time? - (ANSWER)Prepare the pt. For an emergency exploratory
laparotomy
The patient has been diagnosed with brown- sequard syndrome. The patient would demonstrate
the following clinical signs: - (ANSWER)Loss of motor on the same side, loss of sensory on
the opposite side
The rape victim keeps repeating "why me? Why me?" The best response by the nurse would be: -
(ANSWER)"We are here to help you get through this"
QUESTIONS AND ANSWERS 2026 LATEST UPDATED | 100% GRADED
CORRECT | 100% GUARANTEED TO PASS | GET A+
An 82 year old female falls and fractures her left humerus and left proximal femur. To best assess
neurovascular damage of compartment syndrome, it would be most important for the nurse to: -
(ANSWER)Carefully evaluate the patients complaints of pain
A Construction worker sustained a crash injury to his leg while working. The patient's CK was
72,000. HCP orders 0.9 NS to infuse at 500cc/hr. The nurse realizes that this is done to prevent
what complication? - (ANSWER)Acute renal failure
Soccer player is brought to ED for further evaluation after sustaining a direct hit with a soccer
ball to the posterior flank. He admits to having 8/10 pain in the flank area. Vital signs are stable
with BP 110/80 HR 98 RR 22. The nurse anticipates teaching the patient what method to
establish the location and extent of renal parenchymal damage? - (ANSWER)CT scan of the
abdomen and pelvis
The patient is continuing to have continuous seizures right after another without gaining
consciousness. THe nurse would correctly document this as: - (ANSWER)Status epilepticus
,Nurse caring for patient after being treated for emboli after sustaining multiple fractures from a
fall. Which of the following data would the nurse evaluate as the most favorable indication of
resolution of the fat embolism? - (ANSWER)Clear chest radiograph
The family of a spinal cord injured patient rushes into the nurses station saying the client needs
help. On entering the room the nurse notes the patient is diaphoretic with a flushed face and neck
and complains of a severe headache. HR 40 BP 230/100/ the nurse acts quickly, suspecting the
client is experiencing: - (ANSWER)Autonomic dysreflexia
The nurse is caring for a client being treated for a suspected fat embolism after multiple fractures
from MVC. Which of the following data would the nurse evaluate as the most favorable
indication of resolution of the fat embolism? - (ANSWER)Clear mentation
The nurse is examining a client with multiple trauma to the ortho nursing unit. The client has a
comminuted fracture of the right lower extremity and has a plaster cast applied. In positioning
the casted leg, the nurse should: - (ANSWER)Elevate the leg on pillows continuously for 24 to
48 hours
36 year old man brought to ED following MVC. he is unresponsive and requires intubation. CT
scan demonstrates diffuse cerebral edema. What process causes brain injury that is the result of
,increased intracranial pressure by diffuse edema formation? - (ANSWER)Cerebral tissue
hypoxia and ischemia from compression of blood vessels
The female client is admitted to the Ed following a fall from a horse and the physician prescribed
insertion of a foley cath. While preparing for it the nurse notes blood at the urinary meatus, the
nurse should: - (ANSWER)Contact HCP
HCP orders Oxacillin 2 g/ 100ml IVPB q4h. For patients with osteomyelitis of the knee
following a penetrating injury. The medication is to infuse over 30 minutes. What rate would the
IV pump be set? - (ANSWER)200ml
Nurse is evaluating neurological signs of a client in spinal shock following spinal cord injury
from a 20 foot fall. WHich of the following observations by the nurse indicates spinal shock
persists? - (ANSWER)Areflexia
The patient received mannitol following a severe head injury with signs of increased ICP. The
patient would be monitored by the nurse most closely for - (ANSWER)Rebound elevation of
ICP
An 18 year old male presents as a trauma to the ED follows a MVC. To best perform a disability
assessment the nurse would assess the patients - (ANSWER)Glasgow coma scale
, The patient with traumatic brain injury has been discharged with an order for Dilantin to prevent
break through seizures. The nurse would teach the patient that it is most important to: -
(ANSWER)Continue to have annual dental exams
The patient has sustained a complete spinal cord injury at the second cervical vertebrae and is
placed on a ventilator. When planning for long term care the nurse should anticipate that this
patient: - (ANSWER)Will remain on mechanical vent
Patient arrives at the ED with a gunshot wound to the left lower abdominal quadrant. He has an
open wound that is bleeding heavily. His vitals are BP 86/50 P130 RR 32. Which intervention is
most appropriate at this time? - (ANSWER)Prepare the pt. For an emergency exploratory
laparotomy
The patient has been diagnosed with brown- sequard syndrome. The patient would demonstrate
the following clinical signs: - (ANSWER)Loss of motor on the same side, loss of sensory on
the opposite side
The rape victim keeps repeating "why me? Why me?" The best response by the nurse would be: -
(ANSWER)"We are here to help you get through this"
