NUR 265
Exam 3 2026 | Galen College of Nursing
Questions, Answers & Detailed Rationales
This Exam Includes
➢ NUR 265 Exam 3 practice questions
➢ Answers with detailed rationales
➢ Key NUR 265 concepts for Exam 2 review
, NUR 265 Exam 3 2026 | Galen College
of Nursing Questions, Answers &
Detailed Rationales
Question 1
A nurse working in the emergency department is admitting a patient
who has a traumatic brain injury (TBI) from a motor vehicle crash.
Which priority information should the nurse notify the primary care
provider about?
A. The patient takes warfarin daily
B. The patient has a history of hypertension
C. The patient reports a headache
D. The patient has a Glasgow Coma Scale score of 15
Correct Answer: A
Rationale: Warfarin is an anticoagulant (blood thinner). A patient with
a TBI who takes warfarin is at high risk for intracranial hemorrhage. This
is the priority to report to the PCP because it directly affects the
,patient's risk for bleeding and requires immediate intervention, such as
reversal agents or closer monitoring.
Question 2
A newly hired nurse is caring for a patient who has a closed head injury,
is on a ventilator, and is at risk for increased intracranial pressure (ICP).
Which action by the new nurse requires intervention?
A. Maintaining the head in a midline/neutral position
B. Raising the foot of the patient's bed
C. Suctioning the patient as needed
D. Administering prescribed pain medication
Correct Answer: B
Rationale: Raising the foot of the bed (Trendelenburg position)
impedes venous drainage from the head, which can increase ICP. The
head of the bed should be elevated to promote venous return.
Maintaining the head in a midline/neutral position is appropriate to
prevent increased ICP.
Question 3
, A new nurse is caring for a patient admitted 12 hours ago with a TBI
who is at risk for increased ICP. Which action by the new nurse requires
intervention?
A. Clustering patient care activities
B. Maintaining a quiet environment
C. Elevating the head of the bed
D. Administering prescribed stool softeners
Correct Answer: A
Rationale: Clustering nursing care activities can increase ICP because it
creates prolonged stimulation and stress for the patient. Care activities
should be spaced out to allow rest periods between interventions.
Maintaining a quiet environment, elevating the head of the bed, and
administering stool softeners are appropriate interventions to prevent
increased ICP.
Question 4
A nurse is assessing patients for the risk of sustaining a TBI. Which
patient should the nurse identify as being at the greatest risk?
A. A 20-year-old college student who is on the football team
B. A 45-year-old office worker
Exam 3 2026 | Galen College of Nursing
Questions, Answers & Detailed Rationales
This Exam Includes
➢ NUR 265 Exam 3 practice questions
➢ Answers with detailed rationales
➢ Key NUR 265 concepts for Exam 2 review
, NUR 265 Exam 3 2026 | Galen College
of Nursing Questions, Answers &
Detailed Rationales
Question 1
A nurse working in the emergency department is admitting a patient
who has a traumatic brain injury (TBI) from a motor vehicle crash.
Which priority information should the nurse notify the primary care
provider about?
A. The patient takes warfarin daily
B. The patient has a history of hypertension
C. The patient reports a headache
D. The patient has a Glasgow Coma Scale score of 15
Correct Answer: A
Rationale: Warfarin is an anticoagulant (blood thinner). A patient with
a TBI who takes warfarin is at high risk for intracranial hemorrhage. This
is the priority to report to the PCP because it directly affects the
,patient's risk for bleeding and requires immediate intervention, such as
reversal agents or closer monitoring.
Question 2
A newly hired nurse is caring for a patient who has a closed head injury,
is on a ventilator, and is at risk for increased intracranial pressure (ICP).
Which action by the new nurse requires intervention?
A. Maintaining the head in a midline/neutral position
B. Raising the foot of the patient's bed
C. Suctioning the patient as needed
D. Administering prescribed pain medication
Correct Answer: B
Rationale: Raising the foot of the bed (Trendelenburg position)
impedes venous drainage from the head, which can increase ICP. The
head of the bed should be elevated to promote venous return.
Maintaining the head in a midline/neutral position is appropriate to
prevent increased ICP.
Question 3
, A new nurse is caring for a patient admitted 12 hours ago with a TBI
who is at risk for increased ICP. Which action by the new nurse requires
intervention?
A. Clustering patient care activities
B. Maintaining a quiet environment
C. Elevating the head of the bed
D. Administering prescribed stool softeners
Correct Answer: A
Rationale: Clustering nursing care activities can increase ICP because it
creates prolonged stimulation and stress for the patient. Care activities
should be spaced out to allow rest periods between interventions.
Maintaining a quiet environment, elevating the head of the bed, and
administering stool softeners are appropriate interventions to prevent
increased ICP.
Question 4
A nurse is assessing patients for the risk of sustaining a TBI. Which
patient should the nurse identify as being at the greatest risk?
A. A 20-year-old college student who is on the football team
B. A 45-year-old office worker
