NUR 235 Complete Exam 2 Review 2026 | Latest Update |
Graded A+
1. Describe why IV fluids and a cool moist cloth are the most appropriate
interventions for a patient with nausea, vomiting, and signs of dehydration.
Monitoring vital signs is the only necessary intervention in this
scenario.
Administering antipyretics is the first step in treating dehydration.
IV fluids help to rehydrate the patient and stabilize blood pressure,
while a cool moist cloth can alleviate discomfort.
Oral rehydration is sufficient for all patients experiencing nausea.
2. What is the primary condition associated with the nursing interventions of
stabilizing ABC's, administering 100% O2, and monitoring for signs of
rhabdomyolysis?
Heat stroke
Heat exhaustion
Hypothermia
Frostbite
3. Describe the implications of lethal toxins becoming systemic in terms of
emergency care.
Lethal toxins can cause widespread damage to multiple organ
systems, necessitating urgent and comprehensive medical
intervention.
Lethal toxins do not affect the body if treated quickly.
Lethal toxins can be treated with basic first aid measures.
, Lethal toxins only require treatment at the site of entry.
4. A 17-year-old male patient was stung by an unidentified insect. On scene, the
sting site to his right forearm showed some redness and mild swelling. During
the reassessment, which statement made by the patient would indicate that
venom from the sting is being absorbed into the bloodstream?
"The bite seems to be hurting worse now."
"I think that my arm is more swollen."
"The area around the bite feels numb."
"I feel sick to my stomach and dizzy."
5. What is the primary nursing intervention for a patient experiencing severe
envenomation?
administration of antivenom
monitoring vital signs
wound dressing
pain management
6. What classification would a patient with an asthma attack and chest pain
receive in the Emergency Severity Index (ESI)?
ESI-4
ESI-1
ESI-3
ESI-2
7. A patient at 31°C is in................. hypothermia ?
Normal
, Moderate
Severe
Mild
8. If a patient with moderate hypothermia begins to shiver during the rewarming
process, what should be the nurse's next step?
Administer pain medication to alleviate discomfort.
Increase the temperature of the room immediately.
Continue rewarming while monitoring for complications.
Stop rewarming and assess for other injuries.
9. You are evaluating a middle-aged male patient who was found walking
aimlessly down the street at 3 AM on a wintry night. Witnesses called you to
evaluate him because he 'does not seem right.' During your evaluation, you
find the patient is stumbling, shivering uncontrollably, fumbling with his
zipper, and mumbling words that you cannot comprehend. You determine
that this patient has:
Mild hypothermia
Severe hypothermia
Hypoglycemia
Moderate hypothermia
10. Describe the key nursing interventions that should be implemented for a
patient experiencing moderate hypothermia.
Nursing interventions for moderate hypothermia include performing
CPR immediately.
, Nursing interventions for moderate hypothermia include
rewarming the patient and monitoring vital signs.
Nursing interventions for moderate hypothermia include restricting
fluid intake.
Nursing interventions for moderate hypothermia include
administering antibiotics.
11. Describe the criteria that would classify a patient as ESI-4 in the Emergency
Severity Index.
ESI-4 is for patients needing intensive monitoring and treatment.
ESI-4 is for patients with life-threatening conditions requiring
immediate intervention.
ESI-4 is for patients who require only a brief assessment and are
not in immediate danger.
ESI-4 is for patients who are stable but require urgent care.
12. What is one of the appropriate nursing interventions for a patient with
superficial frostbite?
Ice packs
Cold compresses
Warm soaks
Heat lamps
13. What is the first step a nurse should take after stabilizing the vitals of a
patient with moderate hypothermia?
Administer intravenous fluids
Perform a full body assessment
Graded A+
1. Describe why IV fluids and a cool moist cloth are the most appropriate
interventions for a patient with nausea, vomiting, and signs of dehydration.
Monitoring vital signs is the only necessary intervention in this
scenario.
Administering antipyretics is the first step in treating dehydration.
IV fluids help to rehydrate the patient and stabilize blood pressure,
while a cool moist cloth can alleviate discomfort.
Oral rehydration is sufficient for all patients experiencing nausea.
2. What is the primary condition associated with the nursing interventions of
stabilizing ABC's, administering 100% O2, and monitoring for signs of
rhabdomyolysis?
Heat stroke
Heat exhaustion
Hypothermia
Frostbite
3. Describe the implications of lethal toxins becoming systemic in terms of
emergency care.
Lethal toxins can cause widespread damage to multiple organ
systems, necessitating urgent and comprehensive medical
intervention.
Lethal toxins do not affect the body if treated quickly.
Lethal toxins can be treated with basic first aid measures.
, Lethal toxins only require treatment at the site of entry.
4. A 17-year-old male patient was stung by an unidentified insect. On scene, the
sting site to his right forearm showed some redness and mild swelling. During
the reassessment, which statement made by the patient would indicate that
venom from the sting is being absorbed into the bloodstream?
"The bite seems to be hurting worse now."
"I think that my arm is more swollen."
"The area around the bite feels numb."
"I feel sick to my stomach and dizzy."
5. What is the primary nursing intervention for a patient experiencing severe
envenomation?
administration of antivenom
monitoring vital signs
wound dressing
pain management
6. What classification would a patient with an asthma attack and chest pain
receive in the Emergency Severity Index (ESI)?
ESI-4
ESI-1
ESI-3
ESI-2
7. A patient at 31°C is in................. hypothermia ?
Normal
, Moderate
Severe
Mild
8. If a patient with moderate hypothermia begins to shiver during the rewarming
process, what should be the nurse's next step?
Administer pain medication to alleviate discomfort.
Increase the temperature of the room immediately.
Continue rewarming while monitoring for complications.
Stop rewarming and assess for other injuries.
9. You are evaluating a middle-aged male patient who was found walking
aimlessly down the street at 3 AM on a wintry night. Witnesses called you to
evaluate him because he 'does not seem right.' During your evaluation, you
find the patient is stumbling, shivering uncontrollably, fumbling with his
zipper, and mumbling words that you cannot comprehend. You determine
that this patient has:
Mild hypothermia
Severe hypothermia
Hypoglycemia
Moderate hypothermia
10. Describe the key nursing interventions that should be implemented for a
patient experiencing moderate hypothermia.
Nursing interventions for moderate hypothermia include performing
CPR immediately.
, Nursing interventions for moderate hypothermia include
rewarming the patient and monitoring vital signs.
Nursing interventions for moderate hypothermia include restricting
fluid intake.
Nursing interventions for moderate hypothermia include
administering antibiotics.
11. Describe the criteria that would classify a patient as ESI-4 in the Emergency
Severity Index.
ESI-4 is for patients needing intensive monitoring and treatment.
ESI-4 is for patients with life-threatening conditions requiring
immediate intervention.
ESI-4 is for patients who require only a brief assessment and are
not in immediate danger.
ESI-4 is for patients who are stable but require urgent care.
12. What is one of the appropriate nursing interventions for a patient with
superficial frostbite?
Ice packs
Cold compresses
Warm soaks
Heat lamps
13. What is the first step a nurse should take after stabilizing the vitals of a
patient with moderate hypothermia?
Administer intravenous fluids
Perform a full body assessment
