Exam 3 Practice
Questions &
Rationales for NUR
265: Complex
Mobility &
Cognition
Updated 2026
,
, lOMoAR cPSD| 64664050
1
EXAM 3 Practice Questions NUR 265
Unit 7 Complex Mobility, Sensation, and Cognition
Unit 8 Shock, Tissue Integrity (BURNS)
1.) The nurse is caring for an adult client who was recently admitted with a head injury following a motor vehicle
crash. One hour ago, the client's vital signs (VS) were temperature (T): 98.6° F; pulse (P): 110; respirations (R): 26;
blood pressure (BP): 128/68 mm Hg. Which of the following findings is a priority for the nurse to follow up?
P: 90; R: 32; BP: 130/72 mm Hg.P: 120; R:
26, BP: 110/70 mm_ Hg.
P: 56; R: 14; BP: 166/52 mm Hg. P: 64, R:
30; BP: 148/78m Hg.
2.) The nurse is caring for a client who sustained a closed head injury, is receiving mechanical ventilation, and is at
risk for developing increased intracranial pressure (ICP). Which of the following actions should the nurse take when
caring for this client?
Perform passive range of motion (ROM) to the client's hips and knees.
Log roll the client during turning and repositioning.
Elevate the foot of the client's bed.
Notify the charge nurse if the client's PaCO2, decreases from 39 to 35 mm Hg.
3.) The newly hired nurse is caring for a client who was admitted 12 hours ago with a traumatic brain injury (TBI),
is intubated, and is at risk for developing increased intracranial pressure (ICP).
Which interventions from the box below should the nurse include in the client's plan of care?
1 Avoid clustering client care activities.
2 Maintain the head in a flexed position.
3 Provide a quiet environment by limiting visitors.
4 Have the client cough and deep breathe every hour.
5 Hyper oxygenate the client before and after suctioning.
6. Avoid maintaining hips in a flexed position.
1, 3, 4, 5.
1, 3, 5, 6.
1, 2, 4, 6. 2, 4,
6.
4.) The nurse working in the intensive care unit (ICU) is assessing a client who sustained a basilar skull fracture 24
hours ago. It is most important to follow up with the primary health care provider (PHCP) if the client
becomes irritable and restless. has bruises under the eyes. is
unable to name the state capital. reports having a persistent
headache since admission.
5.) The nurse is assessing a client who has experienced a mild traumatic brain injury (TBI). Which findings from
the box below are consistent with this diagnosis?
1 Dizziness and gait problems.
2 A widened pulse pressure.
3 Increased sensitivity to light or noise.
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Questions &
Rationales for NUR
265: Complex
Mobility &
Cognition
Updated 2026
,
, lOMoAR cPSD| 64664050
1
EXAM 3 Practice Questions NUR 265
Unit 7 Complex Mobility, Sensation, and Cognition
Unit 8 Shock, Tissue Integrity (BURNS)
1.) The nurse is caring for an adult client who was recently admitted with a head injury following a motor vehicle
crash. One hour ago, the client's vital signs (VS) were temperature (T): 98.6° F; pulse (P): 110; respirations (R): 26;
blood pressure (BP): 128/68 mm Hg. Which of the following findings is a priority for the nurse to follow up?
P: 90; R: 32; BP: 130/72 mm Hg.P: 120; R:
26, BP: 110/70 mm_ Hg.
P: 56; R: 14; BP: 166/52 mm Hg. P: 64, R:
30; BP: 148/78m Hg.
2.) The nurse is caring for a client who sustained a closed head injury, is receiving mechanical ventilation, and is at
risk for developing increased intracranial pressure (ICP). Which of the following actions should the nurse take when
caring for this client?
Perform passive range of motion (ROM) to the client's hips and knees.
Log roll the client during turning and repositioning.
Elevate the foot of the client's bed.
Notify the charge nurse if the client's PaCO2, decreases from 39 to 35 mm Hg.
3.) The newly hired nurse is caring for a client who was admitted 12 hours ago with a traumatic brain injury (TBI),
is intubated, and is at risk for developing increased intracranial pressure (ICP).
Which interventions from the box below should the nurse include in the client's plan of care?
1 Avoid clustering client care activities.
2 Maintain the head in a flexed position.
3 Provide a quiet environment by limiting visitors.
4 Have the client cough and deep breathe every hour.
5 Hyper oxygenate the client before and after suctioning.
6. Avoid maintaining hips in a flexed position.
1, 3, 4, 5.
1, 3, 5, 6.
1, 2, 4, 6. 2, 4,
6.
4.) The nurse working in the intensive care unit (ICU) is assessing a client who sustained a basilar skull fracture 24
hours ago. It is most important to follow up with the primary health care provider (PHCP) if the client
becomes irritable and restless. has bruises under the eyes. is
unable to name the state capital. reports having a persistent
headache since admission.
5.) The nurse is assessing a client who has experienced a mild traumatic brain injury (TBI). Which findings from
the box below are consistent with this diagnosis?
1 Dizziness and gait problems.
2 A widened pulse pressure.
3 Increased sensitivity to light or noise.
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