NUR 265 NURSING CONCEPTS TEST 4 2026
PRACTICE TEST SHEET FULL SOLUTIONS
CORRECT ANSWERS PREPARATION SET
◉ What are some examples of triggers of autonomic dysreflexia.
Answer: restrictive clothing; full bladder/neurogenic bladder; fecal
impaction; directive pressure s/a sitting in the wheel chair
◉ signs and systems of Autonomic Dysreflexia.
Answer: hypertension, flushed face, headaches, JVD, bradycardic,
diaphoresis, pale ext below the level of T6, nausea, dilated pupils,
blurred vision, restlessness
◉ What is the purpose of fluid resuscitation for a burn victim.
Answer: maintain vital organ perfusion, reduce edema, minimize
effects of fluid shifts, prevent hypovolemic shock
◉ What IV solution is commonly used to resuscitate a pt with a burn.
Answer: Lactated ringers
◉ Chemical burns should be irrigated until.
,Answer: 20 minutes or the burn sensation continues after the 20
minute marker
◉ what would you use to remove hot tar or asphalt.
Answer: citrus petroleum jelly ex; medisol
petroleum jelly
antibiotic ointment
◉ what kind of brain injury would you expect if an adult client is
positive for Palmer's infant reflexes.
Answer: cortical and premotor cortex damage
◉ what kind of brain injury would you expect if an adult client is
positive for plantar infant reflexes.
Answer: upper motor neuron lesion
◉ what kind of brain injury would you expect if an adult client is
positive for rooting infant reflex.
Answer: frontal lobe damage
◉ what kind of brain injury would you expect if an adult client is
positive for sucking infant reflex.
Answer: Advance dementia; cortical brain damage
,◉ what kind of brain injury would you expect if an adult client is
positive for glabella (persistent blinking) infant reflex.
Answer: diffuse cortical dysfunction
◉ What is the consensus formula for burns.
Answer: 2-4 ml X TBSA X KG
◉ What S&S are expected for a burn client who is receiving the first
8 hours of fluid resuscitation.
Answer: Restlessness, anxiety, Hypothermia
◉ how much fluid replacement are you going to give the first 8
hours.
Answer: 1/2 of the fluid consensus
◉ What do you need to monitor when resuscitating fluids for burn
pt to make sure that it is working.
Answer: Urine output
◉ Besides a hyperbaric chamber how would you admin o2 to a
client with CO poisoning.
Answer: 100% O2 with a non-rebreather
, ◉ How would you treat a circumferential trunk burn that is swelling
and why?.
Answer: Eschartomies R/T constriction of the chest wall expansion
◉ what are the classification of shock.
Answer: Cardiogenic; hypovolemic, neurogenic, and Disruptive
◉ All shock is caused by.
Answer: inadequate tissue perfusion
◉ Patho of hypovolemic shock.
Answer: Inadequate circulating blood volume S/A burns,
hemorrhage, dehydration
◉ Patho for cardiogenic shock.
Answer: Inadequate pumping action of the heart S/A MI, CHF, PE
◉ What are the 3 subclasses of Distributive shock.
Answer: Anaphylactic; Septic; Neurogenic
◉ Patho for neurogenic shock.
PRACTICE TEST SHEET FULL SOLUTIONS
CORRECT ANSWERS PREPARATION SET
◉ What are some examples of triggers of autonomic dysreflexia.
Answer: restrictive clothing; full bladder/neurogenic bladder; fecal
impaction; directive pressure s/a sitting in the wheel chair
◉ signs and systems of Autonomic Dysreflexia.
Answer: hypertension, flushed face, headaches, JVD, bradycardic,
diaphoresis, pale ext below the level of T6, nausea, dilated pupils,
blurred vision, restlessness
◉ What is the purpose of fluid resuscitation for a burn victim.
Answer: maintain vital organ perfusion, reduce edema, minimize
effects of fluid shifts, prevent hypovolemic shock
◉ What IV solution is commonly used to resuscitate a pt with a burn.
Answer: Lactated ringers
◉ Chemical burns should be irrigated until.
,Answer: 20 minutes or the burn sensation continues after the 20
minute marker
◉ what would you use to remove hot tar or asphalt.
Answer: citrus petroleum jelly ex; medisol
petroleum jelly
antibiotic ointment
◉ what kind of brain injury would you expect if an adult client is
positive for Palmer's infant reflexes.
Answer: cortical and premotor cortex damage
◉ what kind of brain injury would you expect if an adult client is
positive for plantar infant reflexes.
Answer: upper motor neuron lesion
◉ what kind of brain injury would you expect if an adult client is
positive for rooting infant reflex.
Answer: frontal lobe damage
◉ what kind of brain injury would you expect if an adult client is
positive for sucking infant reflex.
Answer: Advance dementia; cortical brain damage
,◉ what kind of brain injury would you expect if an adult client is
positive for glabella (persistent blinking) infant reflex.
Answer: diffuse cortical dysfunction
◉ What is the consensus formula for burns.
Answer: 2-4 ml X TBSA X KG
◉ What S&S are expected for a burn client who is receiving the first
8 hours of fluid resuscitation.
Answer: Restlessness, anxiety, Hypothermia
◉ how much fluid replacement are you going to give the first 8
hours.
Answer: 1/2 of the fluid consensus
◉ What do you need to monitor when resuscitating fluids for burn
pt to make sure that it is working.
Answer: Urine output
◉ Besides a hyperbaric chamber how would you admin o2 to a
client with CO poisoning.
Answer: 100% O2 with a non-rebreather
, ◉ How would you treat a circumferential trunk burn that is swelling
and why?.
Answer: Eschartomies R/T constriction of the chest wall expansion
◉ what are the classification of shock.
Answer: Cardiogenic; hypovolemic, neurogenic, and Disruptive
◉ All shock is caused by.
Answer: inadequate tissue perfusion
◉ Patho of hypovolemic shock.
Answer: Inadequate circulating blood volume S/A burns,
hemorrhage, dehydration
◉ Patho for cardiogenic shock.
Answer: Inadequate pumping action of the heart S/A MI, CHF, PE
◉ What are the 3 subclasses of Distributive shock.
Answer: Anaphylactic; Septic; Neurogenic
◉ Patho for neurogenic shock.
