NUR 265 ADVANCED MED SURG EXAM 3
WITH VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE 2025
What is used to increase protein in the body if colloids are contraindicated -
ANSWER-Fresh Frozen plasma
Why does the heart rate decrease with head injury - ANSWER-pressure on the
brain stem
What medications would you give to prevent increasing ICP and Why? -
ANSWER-Anticonvulsants - prevent seizures
antipyretics decrease temp
muscle relaxants decrease shivering
BP- b blockers to increase glucose
steroids decrease cerebral edema
proton pump inhibitors - aspiration pneumonia prevention
IV fluids - tx hypotension
Mannitol - intravascular pressure increase
What IV solution would you never give with a brain injury - ANSWER-
Hypertonic solutions any D5% AND up that is in anything but water
What GCS score indicates a severe head injury - ANSWER-8 or less
,What GCS score indicates that the patient could be brain dead - ANSWER-5 or
less
What assessment can confirm that a patient is brain dead - ANSWER-absents of
two or more autonomic reflexes S/A - gag, blinking, swallowing, movement of
eyes
What is the first sign of meningitis - ANSWER-nuchal rigidity
What is the brudzinski sign - ANSWER-involuntary movements of the hip and
knees when the neck is passively flexed - indication of meningitis
What are the types of spinal cord injury - ANSWER-Flexion, hyperextension,
compression
How would a client receive a flexion spinal injury - ANSWER-when a head hits
a steering wheel or windshield causing hyperflexion, It ruptures the posterior
ligaments
How would a client receive a hyperextension spinal injury - ANSWER-a fall
which chin hits an object and the head is thrown back, rupturing the anterior
ligaments
How would a client receive a compression spinal injury - ANSWER-often
caused by falls or jumps which the person lands on head sacrum or feet, the
force of impact actually fractures vertebrae
Medications for shock - ANSWER-lactated ringers - hypovolemia
Volume expanders - albumin
Vasoactive drugs - dobutimine cardiogen
Epi
, S&S of neurogenic shock - ANSWER-Hypotension, bradycardia, dry skin
What are the 5 noxious stimuli - ANSWER-peripheral, sternal rub, mandible,
supraorbital pressure, trapezius squeeze,
Lab findings for burns - ANSWER-H&H increase - R/T low IVfluids
increase SG, decrease NA, increase BUN, increase K and Ph
how long is the resuscitative phase of burns - ANSWER-24-48 hours - this
phase ends when fluid restoration is complete
Manifestation of decreased CO - ANSWER-decrease UO, Tachycardia,
decrease peripheral pulses, hypotension
In burns, decrease CO occurs - ANSWER-the first 24 hours
Manifestation of upper airway burns - ANSWER-erythematous and edematous
appearance, mucosal blistering
In burns, when does upper airway(burn) obstruction occur - ANSWER-24-48
hours
Manifestations of upper airway obstruction - ANSWER-stridor, dyspnea,
increase workload of breathing, cyanosis
What is an indicator of smoke inhalation in a burn victim - ANSWER-smoke
around face, mouth nares, singed nose hair,
What is the leading cause of traumatic head injuries - ANSWER-MVA
WITH VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE 2025
What is used to increase protein in the body if colloids are contraindicated -
ANSWER-Fresh Frozen plasma
Why does the heart rate decrease with head injury - ANSWER-pressure on the
brain stem
What medications would you give to prevent increasing ICP and Why? -
ANSWER-Anticonvulsants - prevent seizures
antipyretics decrease temp
muscle relaxants decrease shivering
BP- b blockers to increase glucose
steroids decrease cerebral edema
proton pump inhibitors - aspiration pneumonia prevention
IV fluids - tx hypotension
Mannitol - intravascular pressure increase
What IV solution would you never give with a brain injury - ANSWER-
Hypertonic solutions any D5% AND up that is in anything but water
What GCS score indicates a severe head injury - ANSWER-8 or less
,What GCS score indicates that the patient could be brain dead - ANSWER-5 or
less
What assessment can confirm that a patient is brain dead - ANSWER-absents of
two or more autonomic reflexes S/A - gag, blinking, swallowing, movement of
eyes
What is the first sign of meningitis - ANSWER-nuchal rigidity
What is the brudzinski sign - ANSWER-involuntary movements of the hip and
knees when the neck is passively flexed - indication of meningitis
What are the types of spinal cord injury - ANSWER-Flexion, hyperextension,
compression
How would a client receive a flexion spinal injury - ANSWER-when a head hits
a steering wheel or windshield causing hyperflexion, It ruptures the posterior
ligaments
How would a client receive a hyperextension spinal injury - ANSWER-a fall
which chin hits an object and the head is thrown back, rupturing the anterior
ligaments
How would a client receive a compression spinal injury - ANSWER-often
caused by falls or jumps which the person lands on head sacrum or feet, the
force of impact actually fractures vertebrae
Medications for shock - ANSWER-lactated ringers - hypovolemia
Volume expanders - albumin
Vasoactive drugs - dobutimine cardiogen
Epi
, S&S of neurogenic shock - ANSWER-Hypotension, bradycardia, dry skin
What are the 5 noxious stimuli - ANSWER-peripheral, sternal rub, mandible,
supraorbital pressure, trapezius squeeze,
Lab findings for burns - ANSWER-H&H increase - R/T low IVfluids
increase SG, decrease NA, increase BUN, increase K and Ph
how long is the resuscitative phase of burns - ANSWER-24-48 hours - this
phase ends when fluid restoration is complete
Manifestation of decreased CO - ANSWER-decrease UO, Tachycardia,
decrease peripheral pulses, hypotension
In burns, decrease CO occurs - ANSWER-the first 24 hours
Manifestation of upper airway burns - ANSWER-erythematous and edematous
appearance, mucosal blistering
In burns, when does upper airway(burn) obstruction occur - ANSWER-24-48
hours
Manifestations of upper airway obstruction - ANSWER-stridor, dyspnea,
increase workload of breathing, cyanosis
What is an indicator of smoke inhalation in a burn victim - ANSWER-smoke
around face, mouth nares, singed nose hair,
What is the leading cause of traumatic head injuries - ANSWER-MVA
