NUR 265 TEST 3 questions with correct solutions A+ Grade
2026\2027
What causes Autonomic Dysreflexia
- correct answer Stimulation at level of T6 or above
What are some examples of triggers of autonomic dysreflexia
- correct answer restrictive clothing; full bladder/neurogenic bladder; fecal impaction; directive pressure
s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia
- correct answer hypertension, flushed face, headaches, JVD, bradycardic, diaphoresis, pale ext below
the level of T6, nausea, dilated pupils, blurred vision, restlessness
What is the purpose of fluid resuscitation for a burn victim
- correct answer maintain vital organ perfusion, reduce edema, minimize effects of fluid shifts, prevent
hypovolemic shock
What IV solution is commonly used to resuscitate a pt with a burn
- correct answer Lactated ringers
Chemical burns should be irrigated until
- correct answer 20 minutes or the burn sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt
- correct answer citrus petroleum jelly ex; medisol
petroleum jelly
antibiotic ointment
what kind of brain injury would you expect if an adult client is positive for Palmer's infant reflexes
- correct answer cortical and premotor cortex damage
,what kind of brain injury would you expect if an adult client is positive for plantar infant reflexes
- correct answer upper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting infant reflex
- correct answer frontal lobe damage
what kind of brain injury would you expect if an adult client is positive for sucking infant reflex
- correct answer Advance dementia; cortical brain damage
what kind of brain injury would you expect if an adult client is positive for glabella (persistent blinking)
infant reflex
- correct answer diffuse cortical dysfunction
What is the consensus formula for burns
- correct answer 2-4 ml X TBSA X KG
What S&S are expected for a burn client who is receiving the first 8 hours of fluid resuscitation
- correct answer Restlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours
- correct answer 1/2 of the fluid consensus
What do you need to monitor when resuscitating fluids for burn pt to make sure that it is working
- correct answer Urine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning
- correct answer 100% O2 with a non-rebreather
How would you treat a circumferential trunk burn that is swelling and why?
- correct answer Eschartomies R/T constriction of the chest wall expansion
, what are the classification of shock
- correct answer Cardiogenic; hypovolemic, neurogenic, and Disruptive
All shock is caused by
- correct answer inadequate tissue perfusion
Patho of hypovolemic shock
- correct answer Inadequate circulating blood volume S/A burns, hemorrhage, dehydration
Patho for cardiogenic shock
- correct answer Inadequate pumping action of the heart S/A MI, CHF, PE
What are the 3 subclasses of Distributive shock
- correct answer Anaphylactic; Septic; Neurogenic
Patho for neurogenic shock
- correct answer interference of the nervous system that controls the blood vessels
Patho for septic shock
- correct answer Release of vasoactive substance from the immune system
How much blood loss is required for the patient to be at high risk for hypovolemic shock
- correct answer 15-25%, or 1/3 of the body blood, or 5L
clients who experience slow blood loss can
- correct answer Tolerate the blood loss better then a client with rapid blood loss
Signs and symptoms of compensatory shock
- correct answer hypotension, tachycardia, tachypnea, hypothermia, decrease pulse pressure
During compensatory stage of shock, why would you hear hypoactive bowl sounds and cool and clammy
skin
2026\2027
What causes Autonomic Dysreflexia
- correct answer Stimulation at level of T6 or above
What are some examples of triggers of autonomic dysreflexia
- correct answer restrictive clothing; full bladder/neurogenic bladder; fecal impaction; directive pressure
s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia
- correct answer hypertension, flushed face, headaches, JVD, bradycardic, diaphoresis, pale ext below
the level of T6, nausea, dilated pupils, blurred vision, restlessness
What is the purpose of fluid resuscitation for a burn victim
- correct answer maintain vital organ perfusion, reduce edema, minimize effects of fluid shifts, prevent
hypovolemic shock
What IV solution is commonly used to resuscitate a pt with a burn
- correct answer Lactated ringers
Chemical burns should be irrigated until
- correct answer 20 minutes or the burn sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt
- correct answer citrus petroleum jelly ex; medisol
petroleum jelly
antibiotic ointment
what kind of brain injury would you expect if an adult client is positive for Palmer's infant reflexes
- correct answer cortical and premotor cortex damage
,what kind of brain injury would you expect if an adult client is positive for plantar infant reflexes
- correct answer upper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting infant reflex
- correct answer frontal lobe damage
what kind of brain injury would you expect if an adult client is positive for sucking infant reflex
- correct answer Advance dementia; cortical brain damage
what kind of brain injury would you expect if an adult client is positive for glabella (persistent blinking)
infant reflex
- correct answer diffuse cortical dysfunction
What is the consensus formula for burns
- correct answer 2-4 ml X TBSA X KG
What S&S are expected for a burn client who is receiving the first 8 hours of fluid resuscitation
- correct answer Restlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours
- correct answer 1/2 of the fluid consensus
What do you need to monitor when resuscitating fluids for burn pt to make sure that it is working
- correct answer Urine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning
- correct answer 100% O2 with a non-rebreather
How would you treat a circumferential trunk burn that is swelling and why?
- correct answer Eschartomies R/T constriction of the chest wall expansion
, what are the classification of shock
- correct answer Cardiogenic; hypovolemic, neurogenic, and Disruptive
All shock is caused by
- correct answer inadequate tissue perfusion
Patho of hypovolemic shock
- correct answer Inadequate circulating blood volume S/A burns, hemorrhage, dehydration
Patho for cardiogenic shock
- correct answer Inadequate pumping action of the heart S/A MI, CHF, PE
What are the 3 subclasses of Distributive shock
- correct answer Anaphylactic; Septic; Neurogenic
Patho for neurogenic shock
- correct answer interference of the nervous system that controls the blood vessels
Patho for septic shock
- correct answer Release of vasoactive substance from the immune system
How much blood loss is required for the patient to be at high risk for hypovolemic shock
- correct answer 15-25%, or 1/3 of the body blood, or 5L
clients who experience slow blood loss can
- correct answer Tolerate the blood loss better then a client with rapid blood loss
Signs and symptoms of compensatory shock
- correct answer hypotension, tachycardia, tachypnea, hypothermia, decrease pulse pressure
During compensatory stage of shock, why would you hear hypoactive bowl sounds and cool and clammy
skin
