NUR 265 EXAM 3 QUESTIONS & ANSWERS 2026-2027 | LATEST VERIFIED EXAM … EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NUR 265 Exam 3 Questions
& Answers 2026-2027 |
Latest Verified Exam
(Rationales)
Verified Answers Exam Ready With Rationales
46 QUESTIONS
DOCUMENT OVERVIEW
This document contains 46 verified exam questions with correct answers and detailed rationales focused
on trauma and critical care nursing. Each question and answer combination provides in-depth explanations
to enhance understanding of key concepts. It is suitable for students preparing for exams, reviewing course
material, and obtaining certification in nursing.
CONTENTS
01 Traumatic Brain Injury Q1–Q9
02 General Nursing Assessment Q10–Q13
03 Spinal Cord Injury Q14–Q18
Page 1
, 04 Neurological Disorders Q19–Q23
05 Burn Management Q24–Q35
06 Shock Management Q36–Q46
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 46
The nurse is working in the emergency department and is admitting a client who has a sustained TBI,
following a motor vehicle crash, it is a priority for the nurse to notify the primary health care provider if the
client
CORRECT ANSWER
takes prescribed warfarin daily
RATIONALE
Anticoagulation therapy with warfarin increases the risk of intracranial hemorrhage in clients with traumatic brain
injury, necessitating immediate communication with the primary healthcare provider to assess the need for reversal
and further management. Monitoring coagulation status and potential bleeding complications is critical in this
scenario.
Q2 QUESTION 2 OF 46
The charge nurse observes a newly hired nurse caring for a client who sustained a closed head
injury, is receiving mechanical ventilation, and is at risk for developing ICP. Which of the following
actions, if performed by the newly hired nurse, requires intervention by the charge nurse?
CORRECT ANSWER
raising the foot of the clients bed
RATIONALE
Elevating the foot of the bed can increase intracranial pressure (ICP) by compromising venous drainage from the
brain, which is critical in patients with head injuries. Maintaining the head of the bed elevated at 30 to 45 degrees is a
standard intervention to facilitate venous return and minimize ICP.
Page 2
, Q3 QUESTION 3 OF 46
The newly hired nurse is caring for a client who was admitted 12 hours ago with a TBI and is at risk
for developing ICP. It requires intervention by the nurse preceptor if the newly hired nurse is observed
CORRECT ANSWER
Clustering client care activities
RATIONALE
Clustering client care activities can increase intracranial pressure (ICP) by causing stress and elevating metabolic
demand, which is particularly detrimental in patients with traumatic brain injury. Effective management requires
spacing interventions to minimize stress and allow for optimal cerebral perfusion.
Q4 QUESTION 4 OF 46
The nurse is assessing clients for the risk of sustaining TBI. Which of the following clients should
the nurse identify as being at greatest risk?
CORRECT ANSWER
20 yr old college student who participates on the football team
RATIONALE
High-contact sports like football significantly increase the risk of traumatic brain injury (TBI) due to repeated
impacts to the head and body, making athletes particularly vulnerable. Additionally, young adults are at a higher risk
for TBI due to factors such as risk-taking behaviors and lack of experience in injury prevention.
Q5 QUESTION 5 OF 46
The nurse is caring for a client with a TBI and a skull fracture. The nurse noted that the client had
developed rhinorrhea (nasal drip) positive for glucose. Which of the following actions should the
nurse take next?
CORRECT ANSWER
Perform a halo sign test
Page 3
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NUR 265 Exam 3 Questions
& Answers 2026-2027 |
Latest Verified Exam
(Rationales)
Verified Answers Exam Ready With Rationales
46 QUESTIONS
DOCUMENT OVERVIEW
This document contains 46 verified exam questions with correct answers and detailed rationales focused
on trauma and critical care nursing. Each question and answer combination provides in-depth explanations
to enhance understanding of key concepts. It is suitable for students preparing for exams, reviewing course
material, and obtaining certification in nursing.
CONTENTS
01 Traumatic Brain Injury Q1–Q9
02 General Nursing Assessment Q10–Q13
03 Spinal Cord Injury Q14–Q18
Page 1
, 04 Neurological Disorders Q19–Q23
05 Burn Management Q24–Q35
06 Shock Management Q36–Q46
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 46
The nurse is working in the emergency department and is admitting a client who has a sustained TBI,
following a motor vehicle crash, it is a priority for the nurse to notify the primary health care provider if the
client
CORRECT ANSWER
takes prescribed warfarin daily
RATIONALE
Anticoagulation therapy with warfarin increases the risk of intracranial hemorrhage in clients with traumatic brain
injury, necessitating immediate communication with the primary healthcare provider to assess the need for reversal
and further management. Monitoring coagulation status and potential bleeding complications is critical in this
scenario.
Q2 QUESTION 2 OF 46
The charge nurse observes a newly hired nurse caring for a client who sustained a closed head
injury, is receiving mechanical ventilation, and is at risk for developing ICP. Which of the following
actions, if performed by the newly hired nurse, requires intervention by the charge nurse?
CORRECT ANSWER
raising the foot of the clients bed
RATIONALE
Elevating the foot of the bed can increase intracranial pressure (ICP) by compromising venous drainage from the
brain, which is critical in patients with head injuries. Maintaining the head of the bed elevated at 30 to 45 degrees is a
standard intervention to facilitate venous return and minimize ICP.
Page 2
, Q3 QUESTION 3 OF 46
The newly hired nurse is caring for a client who was admitted 12 hours ago with a TBI and is at risk
for developing ICP. It requires intervention by the nurse preceptor if the newly hired nurse is observed
CORRECT ANSWER
Clustering client care activities
RATIONALE
Clustering client care activities can increase intracranial pressure (ICP) by causing stress and elevating metabolic
demand, which is particularly detrimental in patients with traumatic brain injury. Effective management requires
spacing interventions to minimize stress and allow for optimal cerebral perfusion.
Q4 QUESTION 4 OF 46
The nurse is assessing clients for the risk of sustaining TBI. Which of the following clients should
the nurse identify as being at greatest risk?
CORRECT ANSWER
20 yr old college student who participates on the football team
RATIONALE
High-contact sports like football significantly increase the risk of traumatic brain injury (TBI) due to repeated
impacts to the head and body, making athletes particularly vulnerable. Additionally, young adults are at a higher risk
for TBI due to factors such as risk-taking behaviors and lack of experience in injury prevention.
Q5 QUESTION 5 OF 46
The nurse is caring for a client with a TBI and a skull fracture. The nurse noted that the client had
developed rhinorrhea (nasal drip) positive for glucose. Which of the following actions should the
nurse take next?
CORRECT ANSWER
Perform a halo sign test
Page 3
