1|Page
NUR 265 EXAM 1 NEWEST 2025 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
A nurse assesses a client with a spinal cord injury at level T5. The clients
blood pressure is 184/95 mm Hg, and the client presents with a flushed face
and blurred vision. Which action should the nurse take first?
a. Initiate oxygen via a nasal cannula.
b. Place the client in a supine position.
c. Palpate the bladder for distention.
d. Administer a prescribed beta blocker. - ANSWER-Palpate the bladder for
distention
An emergency room nurse initiates care for a client with a cervical spinal
cord injury who arrives via emergency medical services. Which action should
the nurse take first?
a. Assess level of consciousness.
b. Obtain vital signs.
c. Administer oxygen therapy.
d. Evaluate respiratory status. - ANSWER-Evaluate respiratory status.
,2|Page
An emergency department nurse cares for a client who experienced a spinal
cord injury 1 hour ago. Which prescribed medication should the nurse
prepare to administer?
a. Intrathecal baclofen (Lioresal)
b. Methylprednisolone (Medrol)
c. Atropine sulfate
d. Epinephrine (Adrenalin) - ANSWER-Methylprednisolone (Medrol)
A nurse teaches a client with a lower motor neuron lesion who wants to
achieve bladder control. Which statement should the nurse include in this
clients teaching?
a. Stroke the inner aspect of your thigh to initiate voiding.
b. Use a clean technique for intermittent catheterization.
c. Implement digital anal stimulation when your bladder is full.
d. Tighten your abdominal muscles to stimulate urine flow. - ANSWER-
Tighten your abdominal muscles to stimulate urine flow
A nurse is caring for a client with paraplegia who is scheduled to participate
in a rehabilitation program. The client states, I do not understand the need
for rehabilitation; the paralysis will not go away and it will not get better. How
should the nurse respond?
,3|Page
a. If you dont want to participate in the rehabilitation program, Ill let the
provider know.
b. Rehabilitation programs have helped many clients with your injury. You
should give it a chance.
c. The rehabilitation program will teach you how to maintain the functional
ability you have and prevent further disability.
d. When new discoveries are made regarding paraplegia, people in
rehabilitation programs will benefit first. - ANSWER-The rehabilitation
program will teach you how to maintain the functional ability you have and
prevent further disability.
After teaching a client with a spinal cord injury, the nurse assesses the clients
understanding. Which client statement indicates a correct understanding of
how to prevent respiratory problems at home?
a. Ill use my incentive spirometer every 2 hours while Im awake.
b. Ill drink thinned fluids to prevent choking.
c. Ill take cough medicine to prevent excessive coughing.
d. Ill position myself on my right side so I dont aspirate. - ANSWER-Ill use
my incentive spirometer every 2 hours while Im awake
A nurse assesses a client with early-onset multiple sclerosis (MS). Which
clinical manifestation should the nurse expect to find
, 4|Page
a. Hyperresponsive reflexes
b. Excessive somnolence
c. Nystagmus
d. Heat intolerance - ANSWER-Nystagmus
A nurse cares for a client who presents with an acute exacerbation of multiple
sclerosis (MS). Which prescribed medication should the nurse prepare to
administer?
a. Baclofen (Lioresal)
b. Interferon beta-1b (Betaseron)
c. Dantrolene sodium (Dantrium)
d. Methylprednisolone (Medrol) - ANSWER-Methylprednisolone (Medrol)
A nurse assesses a client with multiple sclerosis after administering
prescribed fingolimod (Gilenya). For which adverse effect should the nurse
monitor?
a. Peripheral edema
b. Black tarry stools
c. Bradycardia
d. Nausea and vomiting - ANSWER-Bradycardia
NUR 265 EXAM 1 NEWEST 2025 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
A nurse assesses a client with a spinal cord injury at level T5. The clients
blood pressure is 184/95 mm Hg, and the client presents with a flushed face
and blurred vision. Which action should the nurse take first?
a. Initiate oxygen via a nasal cannula.
b. Place the client in a supine position.
c. Palpate the bladder for distention.
d. Administer a prescribed beta blocker. - ANSWER-Palpate the bladder for
distention
An emergency room nurse initiates care for a client with a cervical spinal
cord injury who arrives via emergency medical services. Which action should
the nurse take first?
a. Assess level of consciousness.
b. Obtain vital signs.
c. Administer oxygen therapy.
d. Evaluate respiratory status. - ANSWER-Evaluate respiratory status.
,2|Page
An emergency department nurse cares for a client who experienced a spinal
cord injury 1 hour ago. Which prescribed medication should the nurse
prepare to administer?
a. Intrathecal baclofen (Lioresal)
b. Methylprednisolone (Medrol)
c. Atropine sulfate
d. Epinephrine (Adrenalin) - ANSWER-Methylprednisolone (Medrol)
A nurse teaches a client with a lower motor neuron lesion who wants to
achieve bladder control. Which statement should the nurse include in this
clients teaching?
a. Stroke the inner aspect of your thigh to initiate voiding.
b. Use a clean technique for intermittent catheterization.
c. Implement digital anal stimulation when your bladder is full.
d. Tighten your abdominal muscles to stimulate urine flow. - ANSWER-
Tighten your abdominal muscles to stimulate urine flow
A nurse is caring for a client with paraplegia who is scheduled to participate
in a rehabilitation program. The client states, I do not understand the need
for rehabilitation; the paralysis will not go away and it will not get better. How
should the nurse respond?
,3|Page
a. If you dont want to participate in the rehabilitation program, Ill let the
provider know.
b. Rehabilitation programs have helped many clients with your injury. You
should give it a chance.
c. The rehabilitation program will teach you how to maintain the functional
ability you have and prevent further disability.
d. When new discoveries are made regarding paraplegia, people in
rehabilitation programs will benefit first. - ANSWER-The rehabilitation
program will teach you how to maintain the functional ability you have and
prevent further disability.
After teaching a client with a spinal cord injury, the nurse assesses the clients
understanding. Which client statement indicates a correct understanding of
how to prevent respiratory problems at home?
a. Ill use my incentive spirometer every 2 hours while Im awake.
b. Ill drink thinned fluids to prevent choking.
c. Ill take cough medicine to prevent excessive coughing.
d. Ill position myself on my right side so I dont aspirate. - ANSWER-Ill use
my incentive spirometer every 2 hours while Im awake
A nurse assesses a client with early-onset multiple sclerosis (MS). Which
clinical manifestation should the nurse expect to find
, 4|Page
a. Hyperresponsive reflexes
b. Excessive somnolence
c. Nystagmus
d. Heat intolerance - ANSWER-Nystagmus
A nurse cares for a client who presents with an acute exacerbation of multiple
sclerosis (MS). Which prescribed medication should the nurse prepare to
administer?
a. Baclofen (Lioresal)
b. Interferon beta-1b (Betaseron)
c. Dantrolene sodium (Dantrium)
d. Methylprednisolone (Medrol) - ANSWER-Methylprednisolone (Medrol)
A nurse assesses a client with multiple sclerosis after administering
prescribed fingolimod (Gilenya). For which adverse effect should the nurse
monitor?
a. Peripheral edema
b. Black tarry stools
c. Bradycardia
d. Nausea and vomiting - ANSWER-Bradycardia
