Exam 3: NUR 265/ NUR265 (Latest 2026/2027 Update) Advanced Med-Surg | Questions with 100% Verified Answers | Graded A+ Galen.

Exam 3: NUR 265/ NUR265 (Latest 2026/2027
Update) Advanced Med-Surg | Questions with
100% Verified Answers | Graded A+ Galen.
Question
The nurse is assessing clients for the risk of sustaining TBI. Which of the
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following clients should i,- i,-




the nurse identify as being at greatest risk??
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Answer:
20 yr old college student who participates on the football team
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Question
The nurse is caring for assigned clients. Which of the following
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assessment findings requires the i,- i,- i,-




nurse to notify the PHCP??
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Answer:

the development of asymmetric pupils with no reaction to light in the
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client who has the TBI
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Question

The nurse is caring for a client with a TBI and a skull fracture. The nurse
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noted that the client had
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,developed rhinorrhea (nasal drip) positive for glucose. Which of the
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following actions should the i,- i,- i,-




nurse take next?? i,- i,-




Answer:

Perform a halo sign test i,- i,- i,- i,-




Question

The nurse is providing discharge instructions to a client's partner who
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sustained a mild head i,- i,- i,-




injury due to an MVA. Which of the following statements, if made by the
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partners, would indicate i,- i,-




the need for additional teaching??
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Answer:
i will bring my partner to the ED if they immediately starting vomiting
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Question

The nurse is caring for the following assigned clients. Which client should
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the nurse see first??
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Answer:

The client who has brain injusry and bp change from 110/58 to 134/40
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, Question
The nurse is caring for a client who is 24 hours post-op following a
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craniotomy. The client is i,- i,- i,-




reporting a headache that is rated as an 8 on a scale of 0-10 pain scale.
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Which of the following actions should the nurse take??
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Answer:

Perform a neurological test i,- i,- i,-




Question
The nurse is caring for a client who has encephalitis. It is priority for the
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nurse to follow up if the
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client?

Answer:
has a change in BP from 120/78 to 130/60
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Question

The nurse is caring for a client who has been admitted with suspected
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bacterial meningitis. Which i,- i,-




of the following actions should the nurse take first??
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Answer:
Prepare the client for a lumbar puncture
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