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NUR 445 Exam 2 Guide 2025 | Healthcare Systems & Policy | Nursing Leadership Course

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Ace your 2025 NUR 445 Exam 2. This comprehensive study guide covers healthcare policy, organizational systems, budgeting, and regulatory issues for nursing leadership and management courses.

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age 1 of 59




NUR 445 EXAM 2 STUDY GUIDE 2025/2026 COMPLETE

QUESTIONS AND CORRECT DETAILED ANSWERS WITH

RATIONALES || 100% GUARANTEED PASS <RECENT

VERSION>

Which of the following are potential signs or symptoms of

internal bleeding caused by a brown recluse spider bite?

......ANSWER........Internal bleeding caused by a brown recluse

spider bite can manifest as abdominal pain, black or tarry

stools, bloody or dark urine, and chest pain with shortness of

breath. Skin rash and itching, headache and dizziness, joint pain

and swelling, numbness and tingling, and fever and chills are not

typically associated with internal bleeding from a spider bite.


A nurse is assisting with triaging clients following an explosion.

Which of the following clients should the nurse identify as the

,age 2 of 59




highest priority? ......ANSWER........A conscious adult client who

has second-degree burns on both lower legs; respiratory rate is

> 30/min


A charge nurse is discussing the phases of community response to

disaster with nursing staff. Which of the following statements

indicates an understanding of the heroic phase of disaster

response? ......ANSWER........"Personnel are willing to work in

dangerous conditions to provide assistance."


A nurse is assessing an adolescent who experienced blunt

trauma to the abdomen. Which of the following findings is the

nurse's priority? ......ANSWER........Blood pressure 92/50 mm Hg


A nurse is caring for a client who experienced an open, right

femur fracture following a motor-vehicle crash.

......ANSWER........The nurse should identify that the client is most

,age 3 of 59




likely experiencing compartment syndrome. Compartment

syndrome occurs following a fracture due to increased edema of

the extremity or restriction by a cast or splint. It is identified by

the five Ps: pain, pallor, pulselessness, paresthesia, and

paralysis. Compartment syndrome is a medical emergency. The

nurse's priorities are to loosen the dressing to the splint and

assess the client's peripheral pulses. A pulse volume recorder

may be necessary to detect the peripheral pulses. The nurse

should frequently monitor the client's neurovascular function to

detect any changes that may indicate further progression of

compartment syndrome. The nurse should also monitor and treat

the client's pain using prescribed opioids.


A nurse is reviewing treatment protocols for clients exposed to

bioterrorism agents. For which of the following agents should the

, age 4 of 59




nurse plan to administer a vaccine following exposure?

......ANSWER........Smallpox


A nurse is preparing a response protocol for botulism as a

bioterrorism agent. The nurse should prepare the protocol based

on which of the following information? (Select all that apply.)

......ANSWER........Botulism can produce paralysis within 12 to 72

hr following exposure is correct. Botulism is a neurotoxin that can

cause flaccid paralysis within hours of exposure. Notify the

Centers for Disease Control and Prevention (CDC) when more

than three cases are confirmed is incorrect. Due to the threat of

a botulism outbreak, the CDC should be notified if even a single

case is suspected. Botulism is acquired through direct contact with

an infected person is incorrect. Botulism is primarily acquired

through ingestion of a contaminated food source. Vomiting and

diarrhea are expected findings following exposure is correct.

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