Exam 3: NUR 265/ NUR265- Advanced Med-Surg | Actual Exam Questions and Verified Answers| Latest 2025/2026 | 100% Correct- Galen

Exam 3: NUR 265/ NUR265- Advanced Med-Surg
i,- i,- i,- i,- i,- i,- i,-




| Actual Exam Questions and Verified Answers|
i,- i,- i,- i,- i,- i,- i,-




Latest 2025/2026 | 100% Correct- Galen i,- i,- i,- i,- i,-




Clients with a traumatic brain injury usually have injury to other
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



areas like what? C-Spine heart, lungs, facial structures,
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,-



abdomen, bones i,-




What is the leading cause of traumatic head injuries
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- MVA


What are some primary brain injury event
i,- contusion,
i,- i,- i,- i,- i,- i,-i,- i,- i,-



lacerations, damage to blood vessels, acceleration/deceleration
i,- i,- i,- i,- i,- i,-



injuries, foreign object penetration i,- i,- i,-




Which of the primary or secondary is preventable?
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- Secondary


what is the end result of Secondary (indirect) brain injury
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- ICP i,-



and or herniation
i,- i,-




What causes Autonomic Dysreflexia
i,- i,- i,- i,-i,- i,- Stimulation at level of T6 i,- i,- i,- i,- i,-



or above
i,-

,What are some examples of triggers of autonomic dysreflexia
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



restrictive clothing; full bladder/neurogenic bladder; fecal
i,- i,- i,- i,- i,- i,-



impaction; directive pressure s/a sitting in the wheel chair
i,- i,- i,- i,- i,- i,- i,- i,-




signs and systems of Autonomic Dysreflexia
i,- hypertension,
i,- i,- i,- i,- i,-i,- i,- i,-



flushed face, headaches, JVD, bradycardic, diaphoresis, pale ext
i,- i,- i,- i,- i,- i,- i,- i,-



below the level of T6, nausea, dilated pupils, blurred vision,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



restlessness


What is the purpose of fluid resuscitation for a burn victim
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-



maintain vital organ perfusion, reduce edema, minimize effects of
i,- i,- i,- i,- i,- i,- i,- i,- i,-



fluid shifts, prevent hypovolemic shock
i,- i,- i,- i,-




What IV solution is commonly used to resuscitate a pt with a burn
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



i,-Lactated ringers
i,- i,-




Chemical burns should be irrigated until 20 minutes or the
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-



burn sensation continues after the 20 minute marker
i,- i,- i,- i,- i,- i,- i,-




what would you use to remove hot tar or asphalt
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- citrus i,-



petroleum jelly ex; medisol i,- i,- i,-




petroleum jelly i,-




antibiotic ointment i,-

,what kind of brain injury would you expect if an adult client is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



positive for Palmer's infant reflexes
i,- i,- cortical and premotor
i,- i,- i,-i,- i,- i,- i,- i,-



cortex damagei,-




what kind of brain injury would you expect if an adult client is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



positive for plantar infant reflexes
i,- i,- upper motor neuron lesion
i,- i,- i,-i,- i,- i,- i,- i,-




what kind of brain injury would you expect if an adult client is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



positive for rooting infant reflex
i,- i,- frontal lobe damage
i,- i,- i,-i,- i,- i,- i,-




what kind of brain injury would you expect if an adult client is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



positive for sucking infant reflex
i,- i,- Advance dementia; cortical
i,- i,- i,-i,- i,- i,- i,- i,-



brain damage
i,-




what kind of brain injury would you expect if an adult client is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



positive for glabella (persistent blinking) infant reflex
i,- i,- diffuse
i,- i,- i,- i,- i,-i,- i,- i,-



cortical dysfunction
i,-




What is the consensus formula for burns
i,- i,- i,- i,- i,- i,- i,-i,- i,- 2-4 ml X TBSA X KG i,- i,- i,- i,- i,-

, What S&S are expected for a burn client who is receiving the first
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



8 hours of fluid resuscitation
i,- Restlessness, anxiety,
i,- i,- i,- i,-i,- i,- i,- i,-



Hypothermia


how much fluid replacement are you going to give the first 8
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



hours 1/2 of the fluid consensus
i,-i,- i,- i,- i,- i,- i,-




What do you need to monitor when resuscitating fluids for burn
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



pt to make sure that it is working
i,- i,- Urine output i,- i,- i,- i,- i,- i,-i,- i,- i,-




Besides a hyperbaric chamber how would you admin o2 to a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



client with CO poisoning 100% O2 with a non-rebreather
i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-




How would you treat a circumferential trunk burn that is swelling
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



and why? Eschartomies R/T constriction of the chest wall
i,- i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-



expansion


what are the classification of shock
i,- Cardiogenic;
i,- i,- i,- i,- i,-i,- i,- i,-



hypovolemic, neurogenic, and Disruptive i,- i,- i,-




All shock is caused by
i,- i,- i,- i,- i,-i,- i,- inadequate tissue perfusion i,- i,-