NUR 265 EXAM 3 LATEST UPDATE
2025-2026 COMPLETE QUESTIONS
AND CORRECT ANSWERS (LATEST
UPDATE RATED A+) GALEN COLLEGE
OF NURSING
/. What is encephalitis? - Answer-✅inflammation or infection of the brain
/.What causes encephalitis? - Answer-✅West Nile Virus
Herpes
/.What are the s/s of encephalitis? - Answer-✅High fever, N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
/.What is used to dx encephalitis? - Answer-✅lumbar puncture
EEG
CT (looks for mass)
/.What are N/I for encephalitis? - Answer-✅Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
/.What is the tx for encephalitis? - Answer-✅acyclovir
/.What are complications from encephalitis? - Answer-✅ICP that leads to herniation of
brain tissue or death
/.What is myasthenia gravis? - Answer-✅Autoimmune disorder that is characterized by
weakness in the muscles
/.What causes myasthenia gravis? - Answer-✅lack of Ach receptor sites, leads to lack
of nerve impulses
,/.What are s/s of myasthenia gravis? - Answer-✅difficulty holding up head or brushing
teeth
double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
/.How is myasthenia gravis diagnosed? - Answer-✅tensillon test.
s/s improve with Edrophonium .
/.How does edrophonium work? - Answer-✅w/in 30-60sec of 1st dose, most show lots
of improvement, lasts 4-5mins
/.What are n/i for myasthenia gravis? - Answer-✅assess adls, speech & facial
weakness
resp support
keep oxygen equipment & suction at bedside for r/f of resp distress
promote mobility
/.What is tx for myasthenia gravis? - Answer-✅plasmapherisis
anticholinesterases (pyridostigmine) immunosuppressants
/.What is cholinergic crisis? - Answer-✅too much cholinesterase inhibitor drug
/.What are s/s of cholinergic crisis? - Answer-✅fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
/.What is tx for cholinergic crisis? - Answer-✅atropine
DO NOT GIVE ANTICHOLINESTERASE
/.What is myasthenic crisis? - Answer-✅too little cholinesterase inhibitor drug
/.What is the priority with myasthenic crisis? - Answer-✅resp function
/.What are s/s of myasthenic crisis? - Answer-✅increase HR, RR, BP
decrease u/o
no cough or swallow reflex
dry
, /.What time should ChE inhibitor be given? - Answer-✅45-1hr before meals to avoid
aspiration
/.What can tensilon test cause? - Answer-✅cardiac dysrhythmias, have atropine on
hand
/.What is nursing priority with myasthenic crisis? - Answer-✅maintain airway, may
require to intubate
/.What is Guillain-Barre? - Answer-✅an uncommon acute inflammatory disorder that
affects axons and/or myelin sheath (neurons can't impulse)
/.where does Guillain Barre Syndrome start - Answer-✅-Starts in feet and hands
(numbness, tingling)
/.What are causes of Guillain Barre? - Answer-✅bacterial infection
influenza
epstein barr
zika
/.What are s/s of guillain barre? - Answer-✅loss of reflexes
hypotension
labile BP
muscle weakness or paralysis (decreased DTR)
numbness
ataxia
blurred or double vision
palpitations
pain
tachycarida
/.What are complications from guillain barre? - Answer-✅resp & cardiac problems
decreased mobility, DVTs
/.What is tx for guillain barre? - Answer-✅plasmapheresis asap
IV immunoglobulin if can't do plasma right away
/.What do you NOT want to give w/ guillain barre? - Answer-✅CORTICOSTERIODS
/.What are n/i with guillain barre? - Answer-✅priority is airway
monitor abgs
monitor cardiac
monitor for resp distress
pt/ot for immobility
mech vent if needed
2025-2026 COMPLETE QUESTIONS
AND CORRECT ANSWERS (LATEST
UPDATE RATED A+) GALEN COLLEGE
OF NURSING
/. What is encephalitis? - Answer-✅inflammation or infection of the brain
/.What causes encephalitis? - Answer-✅West Nile Virus
Herpes
/.What are the s/s of encephalitis? - Answer-✅High fever, N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
/.What is used to dx encephalitis? - Answer-✅lumbar puncture
EEG
CT (looks for mass)
/.What are N/I for encephalitis? - Answer-✅Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
/.What is the tx for encephalitis? - Answer-✅acyclovir
/.What are complications from encephalitis? - Answer-✅ICP that leads to herniation of
brain tissue or death
/.What is myasthenia gravis? - Answer-✅Autoimmune disorder that is characterized by
weakness in the muscles
/.What causes myasthenia gravis? - Answer-✅lack of Ach receptor sites, leads to lack
of nerve impulses
,/.What are s/s of myasthenia gravis? - Answer-✅difficulty holding up head or brushing
teeth
double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
/.How is myasthenia gravis diagnosed? - Answer-✅tensillon test.
s/s improve with Edrophonium .
/.How does edrophonium work? - Answer-✅w/in 30-60sec of 1st dose, most show lots
of improvement, lasts 4-5mins
/.What are n/i for myasthenia gravis? - Answer-✅assess adls, speech & facial
weakness
resp support
keep oxygen equipment & suction at bedside for r/f of resp distress
promote mobility
/.What is tx for myasthenia gravis? - Answer-✅plasmapherisis
anticholinesterases (pyridostigmine) immunosuppressants
/.What is cholinergic crisis? - Answer-✅too much cholinesterase inhibitor drug
/.What are s/s of cholinergic crisis? - Answer-✅fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
/.What is tx for cholinergic crisis? - Answer-✅atropine
DO NOT GIVE ANTICHOLINESTERASE
/.What is myasthenic crisis? - Answer-✅too little cholinesterase inhibitor drug
/.What is the priority with myasthenic crisis? - Answer-✅resp function
/.What are s/s of myasthenic crisis? - Answer-✅increase HR, RR, BP
decrease u/o
no cough or swallow reflex
dry
, /.What time should ChE inhibitor be given? - Answer-✅45-1hr before meals to avoid
aspiration
/.What can tensilon test cause? - Answer-✅cardiac dysrhythmias, have atropine on
hand
/.What is nursing priority with myasthenic crisis? - Answer-✅maintain airway, may
require to intubate
/.What is Guillain-Barre? - Answer-✅an uncommon acute inflammatory disorder that
affects axons and/or myelin sheath (neurons can't impulse)
/.where does Guillain Barre Syndrome start - Answer-✅-Starts in feet and hands
(numbness, tingling)
/.What are causes of Guillain Barre? - Answer-✅bacterial infection
influenza
epstein barr
zika
/.What are s/s of guillain barre? - Answer-✅loss of reflexes
hypotension
labile BP
muscle weakness or paralysis (decreased DTR)
numbness
ataxia
blurred or double vision
palpitations
pain
tachycarida
/.What are complications from guillain barre? - Answer-✅resp & cardiac problems
decreased mobility, DVTs
/.What is tx for guillain barre? - Answer-✅plasmapheresis asap
IV immunoglobulin if can't do plasma right away
/.What do you NOT want to give w/ guillain barre? - Answer-✅CORTICOSTERIODS
/.What are n/i with guillain barre? - Answer-✅priority is airway
monitor abgs
monitor cardiac
monitor for resp distress
pt/ot for immobility
mech vent if needed
