NUR 265 TEST 3 EXAM WITH CORRET
QUESTIONS AND ANSWERS 2025
What causes Autonomic Dysreflexia - CORRECT-ANSWERSStimulation at level of T6
or above
What are some examples of triggers of autonomic dysreflexia - CORRECT-
ANSWERSrestrictive clothing; full bladder/neurogenic bladder; fecal impaction;
directive pressure s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - CORRECT-ANSWERShypertension,
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 - CORRECT-
ANSWERSmaintain 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 - CORRECT-
ANSWERSLactated ringers
Chemical burns should be irrigated until - CORRECT-ANSWERS20 minutes or the burn
sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt - CORRECT-ANSWERScitrus
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 - CORRECT-ANSWERScortical and premotor cortex damage
what kind of brain injury would you expect if an adult client is positive for plantar infant
reflexes - CORRECT-ANSWERSupper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting infant
reflex - CORRECT-ANSWERSfrontal lobe damage
what kind of brain injury would you expect if an adult client is positive for sucking infant
reflex - CORRECT-ANSWERSAdvance dementia; cortical brain damage
what kind of brain injury would you expect if an adult client is positive for glabella
(persistent blinking) infant reflex - CORRECT-ANSWERSdiffuse cortical dysfunction
What is the consensus formula for burns - CORRECT-ANSWERS2-4 ml X TBSA X KG
What S&S are expected for a burn client who is receiving the first 8 hours of fluid
resuscitation - CORRECT-ANSWERSRestlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours - CORRECT-
ANSWERS1/2 of the fluid consensus
What do you need to monitor when resuscitating fluids for burn pt to make sure that it is
working - CORRECT-ANSWERSUrine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning -
CORRECT-ANSWERS100% O2 with a non-rebreather
How would you treat a circumferential trunk burn that is swelling and why? -
CORRECT-ANSWERSEschartomies R/T constriction of the chest wall expansion
what are the classification of shock - CORRECT-ANSWERSCardiogenic; hypovolemic,
neurogenic, and Disruptive
, All shock is caused by - CORRECT-ANSWERSinadequate tissue perfusion
Patho of hypovolemic shock - CORRECT-ANSWERSInadequate circulating blood
volume S/A burns, hemorrhage, dehydration
Patho for cardiogenic shock - CORRECT-ANSWERSInadequate pumping action of the
heart S/A MI, CHF, PE
What are the 3 subclasses of Distributive shock - CORRECT-ANSWERSAnaphylactic;
Septic; Neurogenic
Patho for neurogenic shock - CORRECT-ANSWERSinterference of the nervous system
that controls the blood vessels
Patho for septic shock - CORRECT-ANSWERSRelease of vasoactive substance from the
immune system
How much blood loss is required for the patient to be at high risk for hypovolemic shock
- CORRECT-ANSWERS15-25%, or 1/3 of the body blood, or 5L
clients who experience slow blood loss can - CORRECT-ANSWERSTolerate the blood
loss better then a client with rapid blood loss
Signs and symptoms of compensatory shock - CORRECT-ANSWERShypotension,
tachycardia, tachypnea, hypothermia, decrease pulse pressure
During compensatory stage of shock, why would you hear hypoactive bowl sounds and
cool and clammy skin - CORRECT-ANSWERSBody 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 - CORRECT-
ANSWERSHigh production of aldosterone
QUESTIONS AND ANSWERS 2025
What causes Autonomic Dysreflexia - CORRECT-ANSWERSStimulation at level of T6
or above
What are some examples of triggers of autonomic dysreflexia - CORRECT-
ANSWERSrestrictive clothing; full bladder/neurogenic bladder; fecal impaction;
directive pressure s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - CORRECT-ANSWERShypertension,
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 - CORRECT-
ANSWERSmaintain 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 - CORRECT-
ANSWERSLactated ringers
Chemical burns should be irrigated until - CORRECT-ANSWERS20 minutes or the burn
sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt - CORRECT-ANSWERScitrus
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 - CORRECT-ANSWERScortical and premotor cortex damage
what kind of brain injury would you expect if an adult client is positive for plantar infant
reflexes - CORRECT-ANSWERSupper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting infant
reflex - CORRECT-ANSWERSfrontal lobe damage
what kind of brain injury would you expect if an adult client is positive for sucking infant
reflex - CORRECT-ANSWERSAdvance dementia; cortical brain damage
what kind of brain injury would you expect if an adult client is positive for glabella
(persistent blinking) infant reflex - CORRECT-ANSWERSdiffuse cortical dysfunction
What is the consensus formula for burns - CORRECT-ANSWERS2-4 ml X TBSA X KG
What S&S are expected for a burn client who is receiving the first 8 hours of fluid
resuscitation - CORRECT-ANSWERSRestlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours - CORRECT-
ANSWERS1/2 of the fluid consensus
What do you need to monitor when resuscitating fluids for burn pt to make sure that it is
working - CORRECT-ANSWERSUrine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning -
CORRECT-ANSWERS100% O2 with a non-rebreather
How would you treat a circumferential trunk burn that is swelling and why? -
CORRECT-ANSWERSEschartomies R/T constriction of the chest wall expansion
what are the classification of shock - CORRECT-ANSWERSCardiogenic; hypovolemic,
neurogenic, and Disruptive
, All shock is caused by - CORRECT-ANSWERSinadequate tissue perfusion
Patho of hypovolemic shock - CORRECT-ANSWERSInadequate circulating blood
volume S/A burns, hemorrhage, dehydration
Patho for cardiogenic shock - CORRECT-ANSWERSInadequate pumping action of the
heart S/A MI, CHF, PE
What are the 3 subclasses of Distributive shock - CORRECT-ANSWERSAnaphylactic;
Septic; Neurogenic
Patho for neurogenic shock - CORRECT-ANSWERSinterference of the nervous system
that controls the blood vessels
Patho for septic shock - CORRECT-ANSWERSRelease of vasoactive substance from the
immune system
How much blood loss is required for the patient to be at high risk for hypovolemic shock
- CORRECT-ANSWERS15-25%, or 1/3 of the body blood, or 5L
clients who experience slow blood loss can - CORRECT-ANSWERSTolerate the blood
loss better then a client with rapid blood loss
Signs and symptoms of compensatory shock - CORRECT-ANSWERShypotension,
tachycardia, tachypnea, hypothermia, decrease pulse pressure
During compensatory stage of shock, why would you hear hypoactive bowl sounds and
cool and clammy skin - CORRECT-ANSWERSBody 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 - CORRECT-
ANSWERSHigh production of aldosterone
