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NUR 445 Exam 3 (2025/2026) – 100 Questions with Detailed Answers | Neurology, Stroke, Spinal Cord Injury, Diabetes

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This document provides a complete and detailed question-and-answer study guide for NUR 445 Exam 3 – Nursing in Complex Health Systems, specifically tailored for the 2025/2026 academic year at the University of Phoenix. It contains 100 high-yield clinical questions and accurate answers covering essential medical-surgical and critical care nursing topics, with a strong focus on neurological disorders, trauma, and endocrine emergencies. Major topics include: Acute stroke care, ischemic and hemorrhagic events, tPA protocols, and nursing priorities Traumatic brain injury (TBI), including concussions, hematomas, intracranial pressure (ICP) management, and Glasgow Coma Scale assessment Spinal cord injuries, syndromes (e.g., Brown-Séquard), neurogenic shock, and autonomic dysreflexia Seizures, delirium vs. dementia, and ICU-level neurological interventions Diabetes-related crises, including diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) GI complications, liver failure, pancreatitis, burn care, and trauma-related assessments Every answer includes clinical context to reinforce critical thinking and evidence-based practice. This resource is highly beneficial for: BSN and ADN nursing students preparing for midterms or finals Students in accelerated or RN-to-BSN programs NCLEX-RN candidates Medical-surgical, critical care, and emergency nursing learners It is also suitable for those in courses related to adult health, pathophysiology, critical care, and nursing assessment, looking for an efficient way to review complex systems and acute care scenarios. Keywords: nursing exam review, stroke management, spinal cord injury, traumatic brain injury, neuro ICU nursing, diabetes complications, NCLEX questions, critical care nursing, DKA vs HHS, NUR 445 study guide

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NUR 445-Exam 3 2025/2026 Exam
Questions and Detailed Answers | Get it
100% Correct Answers



A client is hospitalized in ICU after a drug overdose. Which statement

would the nurse interpret as indicating the client has normal mentation?

(Select all that apply.)

1. "Which part of the hospital am I in?"

2. "I just want to die."

3. "I should have swallowed the pills with bourbon."

4. "Get that cat out of here."


5. "My feet are cold." - 🧠ANSWER ✔✔Answer: 1, 2, 3, 5

,A client reports feeling very anxious and not being able to sleep. The nurse

anticipates initially administering a drug from which class to treat these

disorders?

1. Opiate narcotics

2. Benzodiazepines

3. Antidepressants


4. Neuromuscular blockers - 🧠ANSWER ✔✔Answer: 2


Which characteristics would the nurse attribute to delirium rather than

dementia? (Select all that apply.)

1. The client's mentation was clear until he was hospitalized last week.

2. The client does not recognize his children.

3. The client has periods of clarity that alternate with confusion.

4. The client's family reports his confusion has become steadily more

pronounced over the last year

5. The client continually tries to get out of bed stating, "I've got to get off

this - 🧠ANSWER ✔✔Answer: 1, 3

,A nurse is concerned that a hospitalized client may be developing delirium.

Which interventions are indicated? (Select all that apply.)

1. Ask the family to bring the client's eyeglasses from home.

2. Turn room lights down at night to encourage sleep.

3. Maintain bed rest until mentation improves.

4. Remove the television from the room.


5. Review the client's medication list. - 🧠ANSWER ✔✔Answer: 1, 2, 5


The nurse discovers a client having a seizure. What should be the nurse's

initial action?

1. Roll the client onto his or her side.

2. Intubate the client immediately.

3. Administer pentobarbital.


4. Establish an IV line. - 🧠ANSWER ✔✔Answer: 1


A client experiencing continued seizure activity is to be given propofol. The

nurse should prepare for which other intervention?

1. Administration of insulin

2. Mechanical ventilation

3
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, 3. Placement of an oral airway

4. Administration of a neuromuscular blocking agent - 🧠ANSWER

✔✔Answer: 2


A client experienced an episode of vision loss and right-side weakness that

lasted 4 hours before totally resolving. What information should the nurse

provide to this client?

1. "Your symptoms indicate that you have had a subarachnoid

hemorrhage."

2. "While these symptoms have resolved, your risk for a stroke is higher."

3. "These symptoms often occur in older clients and are nothing to worry

about."

4. "Your stroke involved the occipital lobe and your vision will dim over the

next few weeks." - 🧠ANSWER ✔✔Answer: 2


A client suffered a stroke yesterday and has recovered partial function. The

client's spouse says, "I don't understand what is happening. When my

mother had a stroke, she was left in a coma for years before she died."

What is the nurse's best response?

1. "All strokes are different."

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