NUR 265 EXAM 3 EXAMINATION TEST
PRACTICE SOLUTION COMPLETE QUESTIONS
AND ANSWERS 2026 GRADED A+.
◍ What are some examples of triggers of autonomic dysreflexia.
Ans: restrictive clothing; full bladder/neurogenic bladder; fecal
impaction; directive pressure s/a sitting in the wheel chair
◍ signs and systems of Autonomic Dysreflexia. Ans: 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. Ans:
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.
Ans: Lactated ringers
◍ Chemical burns should be irrigated until. Ans: 20 minutes or the
burn sensation continues after the 20 minute marker
◍ what would you use to remove hot tar or asphalt. Ans: 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. Ans: cortical and premotor cortex
damage
◍ what kind of brain injury would you expect if an adult client is
positive for plantar infant reflexes. Ans: upper motor neuron lesion
◍ what kind of brain injury would you expect if an adult client is
positive for rooting infant reflex. Ans: frontal lobe damage
◍ what kind of brain injury would you expect if an adult client is
positive for sucking infant reflex. Ans: 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. Ans: diffuse
cortical dysfunction
◍ What is the consensus formula for burns. Ans: 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. Ans: Restlessness, anxiety,
Hypothermia
,◍ how much fluid replacement are you going to give the first 8
hours. Ans: 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. Ans: Urine output
◍ Besides a hyperbaric chamber how would you admin o2 to a client
with CO poisoning. Ans: 100% O2 with a non-rebreather
◍ How would you treat a circumferential trunk burn that is swelling
and why?. Ans: Eschartomies R/T constriction of the chest wall
expansion
◍ what are the classification of shock. Ans: Cardiogenic;
hypovolemic, neurogenic, and Disruptive
◍ All shock is caused by. Ans: inadequate tissue perfusion
◍ Patho of hypovolemic shock. Ans: Inadequate circulating blood
volume S/A burns, hemorrhage, dehydration
◍ Patho for cardiogenic shock. Ans: Inadequate pumping action of
the heart S/A MI, CHF, PE
, ◍ What are the 3 subclasses of Distributive shock. Ans:
Anaphylactic; Septic; Neurogenic
◍ Patho for neurogenic shock. Ans: interference of the nervous
system that controls the blood vessels
◍ Patho for septic shock. Ans: Release of vasoactive substance from
the immune system
◍ How much blood loss is required for the patient to be at high risk
for hypovolemic shock. Ans: 15-25%, or 1/3 of the body blood, or 5L
◍ clients who experience slow blood loss can. Ans: Tolerate the
blood loss better then a client with rapid blood loss
◍ Signs and symptoms of compensatory shock. Ans: hypotension,
tachycardia, tachypnea, hypothermia, decrease pulse pressure
◍ During compensatory stage of shock, why would you hear
hypoactive bowl sounds and cool and clammy skin. Ans: Body
shunting blood from skin, kidneys and GI to provide adequate blood
volume to the brain and heart
◍ Why would urine output decrease during compensatory stage of
shock. Ans: High production of aldosterone
PRACTICE SOLUTION COMPLETE QUESTIONS
AND ANSWERS 2026 GRADED A+.
◍ What are some examples of triggers of autonomic dysreflexia.
Ans: restrictive clothing; full bladder/neurogenic bladder; fecal
impaction; directive pressure s/a sitting in the wheel chair
◍ signs and systems of Autonomic Dysreflexia. Ans: 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. Ans:
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.
Ans: Lactated ringers
◍ Chemical burns should be irrigated until. Ans: 20 minutes or the
burn sensation continues after the 20 minute marker
◍ what would you use to remove hot tar or asphalt. Ans: 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. Ans: cortical and premotor cortex
damage
◍ what kind of brain injury would you expect if an adult client is
positive for plantar infant reflexes. Ans: upper motor neuron lesion
◍ what kind of brain injury would you expect if an adult client is
positive for rooting infant reflex. Ans: frontal lobe damage
◍ what kind of brain injury would you expect if an adult client is
positive for sucking infant reflex. Ans: 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. Ans: diffuse
cortical dysfunction
◍ What is the consensus formula for burns. Ans: 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. Ans: Restlessness, anxiety,
Hypothermia
,◍ how much fluid replacement are you going to give the first 8
hours. Ans: 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. Ans: Urine output
◍ Besides a hyperbaric chamber how would you admin o2 to a client
with CO poisoning. Ans: 100% O2 with a non-rebreather
◍ How would you treat a circumferential trunk burn that is swelling
and why?. Ans: Eschartomies R/T constriction of the chest wall
expansion
◍ what are the classification of shock. Ans: Cardiogenic;
hypovolemic, neurogenic, and Disruptive
◍ All shock is caused by. Ans: inadequate tissue perfusion
◍ Patho of hypovolemic shock. Ans: Inadequate circulating blood
volume S/A burns, hemorrhage, dehydration
◍ Patho for cardiogenic shock. Ans: Inadequate pumping action of
the heart S/A MI, CHF, PE
, ◍ What are the 3 subclasses of Distributive shock. Ans:
Anaphylactic; Septic; Neurogenic
◍ Patho for neurogenic shock. Ans: interference of the nervous
system that controls the blood vessels
◍ Patho for septic shock. Ans: Release of vasoactive substance from
the immune system
◍ How much blood loss is required for the patient to be at high risk
for hypovolemic shock. Ans: 15-25%, or 1/3 of the body blood, or 5L
◍ clients who experience slow blood loss can. Ans: Tolerate the
blood loss better then a client with rapid blood loss
◍ Signs and symptoms of compensatory shock. Ans: hypotension,
tachycardia, tachypnea, hypothermia, decrease pulse pressure
◍ During compensatory stage of shock, why would you hear
hypoactive bowl sounds and cool and clammy skin. Ans: Body
shunting blood from skin, kidneys and GI to provide adequate blood
volume to the brain and heart
◍ Why would urine output decrease during compensatory stage of
shock. Ans: High production of aldosterone
