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NURS 315 EXAM 2: 2025/2026, WITH CORRECT/ACCURATE ANSWERS

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NURS 315 EXAM 2: 2025/2026, WITH CORRECT/ACCURATE ANSWERS

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NURS 315 EXAM 2: 2025/2026, WITH
CORRECT/ACCURATE ANSWERS


During rehabilitation, a patient with spinal cord injury begins to
ambulate with long leg braces. Which level of injury does the
nurse associate with this degree of recovery?

a. L1-2

b. T6-7

c. T1-2

d. C7-8 - CORRECT ANSWERS- a



A patient with a T4 spinal cord injury has neurogenic shock due to
sympathetic nervous system dysfunction. What would the nurse
recognize as characteristic of this condition?

a. Tachycardia

b. Hypotension

c. Increased cardiac output

d. Peripheral vasoconstriction - CORRECT ANSWERS- b



A patient with spinal cord injury has severe neurologic deficits.
What is the most likely mechanism of injury for this patient?

a. Compression

b. Hyperextension

,c. Flexion-rotation

d. Extension-rotation - CORRECT ANSWERS- c



Two hours after a kidney transplant, the nurse obtains all these
data when assessing the client. Which information is most
important to communicate to the health care provider?

a. The BUN and creatinine levels are elevated.

b. The urine output is 900 to 1100 ml/hr.

c. The blood pressure is 88/50 mmHg.

d. The pain level is 8/10 at incision when client coughs. -
CORRECT ANSWERS- c



Which potential complications would you monitor during postop
period of kidney transplant?

a. Acute tubular necrosis

b. Pneumonia

c. Wound infection

d. Hypokalemia

e. Hypernatremia

f. Diabetes insipidus

g. Dehydration

h. Fluid overload

I. Pneumothorax - CORRECT ANSWERS- a, b, c, d, g, h

,During the assessment of a patient, you note an area of red,
sharply defined plaques covered with silvery scales that are
mildly itchy on the patient's knees and elbows. You would
describe this finding as

a. lentigo.

b. psoriasis.

c. actinic keratosis.

d. seborrheic keratosis. - CORRECT ANSWERS- b



In teaching a patient who is using topical corticosteroids to treat
acute dermatitis, the nurse should tell the patient that (select all
that apply)

a. the cream form is the most efficient system of delivery.

b. short-term use of topical corticosteroids usually does not cause
systemic side effects.

c. use a glove to apply small amounts of creams or ointments to
prevent further infection.

d. abruptly stopping the use of topical corticosteroids may cause
the dermatitis to reappear.

e. systemic side effects from topical corticosteroids are likely if
the patient is malnourished. - CORRECT ANSWERS- b, d



Important patient teaching after a chemical peel includes

a. avoidance of sun exposure.

b. application of firm bandages.

c. limitation of vigorous exercise.

, d. use of moist heat to relieve discomfort. - CORRECT ANSWERS-
a



Vasogenic cerebral edema increases intracranial pressure by

a. shifting fluid in the gray matter.

b. altering the endothelial lining of cerebral capillaries.

c. leaking molecules from the intracellular fluid to the capillaries.

d. altering the osmotic gradient flow into the intravascular
component. - CORRECT ANSWERS- b



A patient with intracranial pressure monitoring has a pressure of
12 mm Hg. The nurse understands that this pressure reflects

a. a severe decrease in cerebral perfusion pressure.

b. an alteration in the production of cerebrospinal fluid.

c. the loss of autoregulatory control of intracranial pressure.

d. a normal balance among brain tissue, blood, and cerebrospinal
fluid. - CORRECT ANSWERS- d



A nurse plans care for the patient with increased intracranial
pressure with the knowledge that the best way to position the
patient is to

a. keep the head of the bed flat.

b. elevate the head of the bed to 30 degrees.

c. maintain patient on the left side with the head supported on a
pillow.

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