Galen College of Nursing NUR 155 Exam 3 Comprehensive Study Set | Practice Questions, Correct Answers, and Complete Exam Review | Updated 2026/27

1. infection--lung transplant - ANSWER bloody sputum elevated HR elevated temp 2. allergic reaction - ANSWER stop the infusion** admin epi--impaired airway** stabbing with epi through clothes on top of thigh; carry 2 epi and call 911** maintain airway--intubate** 3. Lupus - ANSWER inflammatory connective tissue disorder 4. lupus: hallmark sign - ANSWER butterfly rash 5. lupus exacerbation - ANSWER fever and fatigue 6. fibromyalgia - ANSWER chronic pain disorder low impact exercise plenty of rest take antidepressant if prescribed 7. autoimmune flare trigger - ANSWER stress on body causes infection 8. lupus - ANSWER take temp every day wash skin with mild soap avoid sunlight 9. lyme disease - ANSWER long sleeves DEET 10. scleroderma - ANSWER leather-like edamatous skin/hard shiny skin impaired swallow issues lower GI affects--diarrhea 11. emergent - ANSWER life threatening limb threatening ABC's and amputation and STROKE 12. urgent - ANSWER not immediately life threatening new onset respiratory** GI, etc new onset abdominal pain** 13. non urgent - ANSWER they are not going anywhere anytime soon **simple fractures, strains/pains, PCP stuff** 14. Abdominal trauma: kidney - ANSWER -injury to flank monitor for flank pain, bleeding, and hematuria REPORT IMMEDIATELY 15. Abdominal trauma: bladder - ANSWER -monitor urine output -dont remove foley after surgery -ruptured bladder needs surgical repair 16. heat exhaustion: Interventions - ANSWER -rehydrate with electrolytes (NO SALT TABLETS) -cool with cold packs, cool water, fans -keep from passing out 17. complication: heat stroke--hallmark sign - ANSWER temp higher than 104F 18. -confusion 19. complication: heat stroke--interventions - ANSWER IV fluids and urinary catheter insertion (with temp probe) -remove clothes, provide cooling blankets and ice packs to axillae, groin, head, and neck -no oral thermometer** -bladder = central/core temp hypothermia: hallmark sign - ANSWER temp lower than 95F 20. hypothermia: mild - ANSWER shivering, slowed speech, mental slowness 21. hypothermia: moderate - ANSWER confusion, stupor, decreased ability to clot 22. hypothermia: severe - ANSWER bradycardia, hypotension, death 23. hypothermia: assess - ANSWER -core temp -cardiac rythm -mental status 24. Hypothermia: interventions - ANSWER -warm trunk first; cardiopulmonary bypass or hemodialysis -warm blood may be necessary in severe cases -warm IV fluids, heated O2 -administer drugs with caution **no mass vasodilation; warm slowly 25. Frostbite: assess - ANSWER -core temp -pain during rewarming 26. frostbite: interventions - ANSWER -rewarm in water that 104-108F -admin pain meds before rewarming--extremely painful -elevate affected extremity -monitor for compartment syndrome and infection 27. altitude sickness: hallmark sign - ANSWER headache, nausea, vomiting--feeling "hungover" 28. Altitude sickness: assess - ANSWER -respiratory rate--watch for hyperventilation -exertional dyspnea 29. Altitude sickness: interventions - ANSWER -apply O2 -monitor for complications --high altitude cerebral edema and pulmonary edema 30. Drowning: assess - ANSWER immediately ABCDE s/sx of infection s/sx of ARDS 31. Drowing: interventions - ANSWER -protect airway -promote oxygenation (may need to vent with high PEEP if surfactant is gone) -monitor for complications 32. mass casualty triage: RED - ANSWER emergent threats to life only but can be saved 33. mass casualty triage: yellow - ANSWER urgent, major injuries will require treatment but are not life threatening 34. mass casualty triage: Green - ANSWER non-urgent, no treatment required for minor injuries 35. mass casualty triage: BLACK - ANSWER expectant; expected to die 36. Cutaneous anthrax: hallmark sign - ANSWER raised vesicle on skin that opens, bleeds, and sinks inward to necrose dermal tissue 37. cutaneous anthrax: assess - ANSWER -skin -exposure history 38. cutaneous anthrax: interventions - ANSWER -culture wound -oral antibiotics if no systemic infection -Iv antibiotics if systemic illness -wound on face or neck -pregnancy 39. inhalation anthrax: assess - ANSWER not transmisable from person to person** -exposure hx -blood culture/chest Xray for Dx 40. Inhalation Anthrax: interventions - ANSWER -likely targets should be vaccinated before exposure -start antibiotics (cipro or doxycycline AND rifampin, clindamycin, or vancomycin)******* IMMEDIATELY** 41. Hemoglobin - ANSWER 12-18 42. hematocrit - ANSWER 37-52% 43. White blood cell Count (WBC) - ANSWER 5-10 44. platelet count - ANSWER 150-400 45. Red blood cell count (RBC) - ANSWER 4.2-6.1 46. Promthrombin time (PT) - ANSWER 11-12.5 47. (normal on coumadin = 16.5-31.25) 48. INR - ANSWER 0.9-1.2 (1.8-3.6 therapeutic