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NUR 265
TEST 3
Verified Questions & Answers
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WHAT’S INSIDE:
Nur 265 Test 3.
250+ Bonuses Questions & Answers.
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Ideal For Exam Prep & Concept Reinforcement.
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,NUR 265 TEST 3
Question 1
What causes autonomic dysreflexia?
A) Stimulation below T6
B) Stimulation at level of T6 or above
C) Stimulation at level of L1 or below
D) Stimulation of peripheral nerves only
Answer: B
Rationale: Autonomic dysreflexia is triggered by noxious stimuli below the level of spinal cord
injury, but the reflex arc must be intact at T6 or above. This causes massive sympathetic discharge
leading to dangerous hypertension.
Question 2
Which of the following is a trigger for autonomic dysreflexia?
A) Loose clothing
B) Full bladder/neurogenic bladder
C) Warm environment
D) Adequate hydration
Answer: B
Rationale: Full bladder or neurogenic bladder distension is one of the most common triggers.
Other triggers include restrictive clothing, fecal impaction, and direct pressure from sitting.
Question 3
Which sign/symptom is characteristic of autonomic dysreflexia?
A) Hypertension and flushed face
B) Hypotension and pallor
C) Tachycardia and cool skin
D) Bradycardia and cyanosis
,Answer: A
Rationale: Classic presentation includes severe hypertension, flushed face, headache,
diaphoresis above the lesion, and pale extremities below T6. Bradycardia occurs due to
baroreceptor reflex.
Question 4
What is the purpose of fluid resuscitation for a burn victim?
A) Increase body temperature
B) Prevent infection
C) Maintain vital organ perfusion and reduce edema
D) Decrease pain
Answer: C
Rationale: Fluid resuscitation maintains organ perfusion, reduces edema, minimizes fluid
shifts, and prevents hypovolemic shock. Burn injuries cause massive fluid shifts into interstitial
spaces.
Question 5
Which IV solution is commonly used to resuscitate a burn patient?
A) Normal saline
B) Lactated Ringer's
C) D5W
D) Hypertonic saline
Answer: B
Rationale: Lactated Ringer's is the preferred fluid because its composition closely resembles
plasma. It helps replace lost electrolytes and maintain acid base balance.
Question 6
Chemical burns should be irrigated until:
A) 10 minutes
, B) 20 minutes or until burning sensation stops
C) 5 minutes
D) 30 minutes
Answer: B
Rationale: Irrigation should continue for at least 20 minutes or until the burning sensation
stops, whichever is longer. This ensures complete removal of the chemical agent.
Question 7
What would you use to remove hot tar or asphalt?
A) Cold water
B) Alcohol
C) Citrus petroleum jelly or Medi sol
D) Soap and water
Answer: C
Rationale: Citrus based petroleum products like Medi sol or antibiotic ointments dissolve tar
and asphalt without causing further tissue damage. Do not pull tar off mechanically.
Question 8
An adult client positive for Palmer's infant reflexes indicates damage to:
A) Temporal lobe
B) Occipital lobe
C) Cortical and premotor cortex
D) Brainstem
Answer: C
Rationale: Persistence of primitive reflexes in adults indicates cortical and premotor cortex
damage. These reflexes should disappear in infancy as the brain matures.
Question 9
NUR 265
TEST 3
Verified Questions & Answers
100% Guarantee Pass ~Galen
WHAT’S INSIDE:
Nur 265 Test 3.
250+ Bonuses Questions & Answers.
Verified Rationales.
Ideal For Exam Prep & Concept Reinforcement.
Graded A+.
100% Guarantee Pass.
,NUR 265 TEST 3
Question 1
What causes autonomic dysreflexia?
A) Stimulation below T6
B) Stimulation at level of T6 or above
C) Stimulation at level of L1 or below
D) Stimulation of peripheral nerves only
Answer: B
Rationale: Autonomic dysreflexia is triggered by noxious stimuli below the level of spinal cord
injury, but the reflex arc must be intact at T6 or above. This causes massive sympathetic discharge
leading to dangerous hypertension.
Question 2
Which of the following is a trigger for autonomic dysreflexia?
A) Loose clothing
B) Full bladder/neurogenic bladder
C) Warm environment
D) Adequate hydration
Answer: B
Rationale: Full bladder or neurogenic bladder distension is one of the most common triggers.
Other triggers include restrictive clothing, fecal impaction, and direct pressure from sitting.
Question 3
Which sign/symptom is characteristic of autonomic dysreflexia?
A) Hypertension and flushed face
B) Hypotension and pallor
C) Tachycardia and cool skin
D) Bradycardia and cyanosis
,Answer: A
Rationale: Classic presentation includes severe hypertension, flushed face, headache,
diaphoresis above the lesion, and pale extremities below T6. Bradycardia occurs due to
baroreceptor reflex.
Question 4
What is the purpose of fluid resuscitation for a burn victim?
A) Increase body temperature
B) Prevent infection
C) Maintain vital organ perfusion and reduce edema
D) Decrease pain
Answer: C
Rationale: Fluid resuscitation maintains organ perfusion, reduces edema, minimizes fluid
shifts, and prevents hypovolemic shock. Burn injuries cause massive fluid shifts into interstitial
spaces.
Question 5
Which IV solution is commonly used to resuscitate a burn patient?
A) Normal saline
B) Lactated Ringer's
C) D5W
D) Hypertonic saline
Answer: B
Rationale: Lactated Ringer's is the preferred fluid because its composition closely resembles
plasma. It helps replace lost electrolytes and maintain acid base balance.
Question 6
Chemical burns should be irrigated until:
A) 10 minutes
, B) 20 minutes or until burning sensation stops
C) 5 minutes
D) 30 minutes
Answer: B
Rationale: Irrigation should continue for at least 20 minutes or until the burning sensation
stops, whichever is longer. This ensures complete removal of the chemical agent.
Question 7
What would you use to remove hot tar or asphalt?
A) Cold water
B) Alcohol
C) Citrus petroleum jelly or Medi sol
D) Soap and water
Answer: C
Rationale: Citrus based petroleum products like Medi sol or antibiotic ointments dissolve tar
and asphalt without causing further tissue damage. Do not pull tar off mechanically.
Question 8
An adult client positive for Palmer's infant reflexes indicates damage to:
A) Temporal lobe
B) Occipital lobe
C) Cortical and premotor cortex
D) Brainstem
Answer: C
Rationale: Persistence of primitive reflexes in adults indicates cortical and premotor cortex
damage. These reflexes should disappear in infancy as the brain matures.
Question 9
