NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
Why would urine output decrease during compensatory stage of shock - correct
answer High production of aldosterone
why do RR increase in compensatory stage of shock - correct answer The body is
going into acidotic state trying to blow it off Kussmals
What is the byproduct of anaerobic metabolism that is developing in what stage of
shock - correct answer Lactic acid, Compensatory
Why would you not give someone with impaired hepatic function lactated ringers -
correct answer Because it does not convert lactic acid into bicarb fast enough could
go into acidosis
why would you check for high levels of sodium nd glucose in the compensatory stage
of shock - correct answer Because of the release of alderstone and catecholamines
which is used to regulate blood volume
What stage of shock that lactic acid is at the highest - correct answer progressive
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
What happends to the body when build up of lactic acid occurs - correct answer
increase capillary permeability; relaxation of capillary spincter; blood is retaining in
the cap beds
S&S of the progressive stage of shock - correct answer Hypoxia, alveolar collapse,
pulmonary edema, cardiac dysrhythmias, ischemic heart, ARF, DIC, Mental status
change
Patho of the progressive stage of shock - correct answer organ suffering from
hypoxia, vasoconstriction decrease cell perfusion, GFR cannot be maintained
How do you calculate MAP - correct answer Systolic (2 X diastolic) / 3
Manis of shock - correct answer decrease LOC, Confusion, pale mottled cool skin,
poor skin turgor, cyanosis(late) Delay cap refill, decrease UO, CO, and BP, rapid and
threadie pulse, increase RR, dyspnea, diaphoresis, hypothermia
Septic shock can lead to - correct answer SIRS
S&S of Hypovolemic shock - correct answer decrease urine osmolality, and SG (R/T
NA and H2O retention), increase SNS response (S/A rapid RR increase pulse rate.)
Decrease tissue perfusion, Pale appearance, diaphoretic, cyanosis(late)
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
Pt with a hernia repair comes back post op VS; 99/50 HR; 115 RR; 28, Pain 5 O2 89% -
What would you do first - correct answer 1) Treat O2 levels by Raising HOB and
applying O2
2) Treat hypotension; Fluid replacement (LR)
3) manage pain
What will determine what you would do for your patient first - correct answer the
results of your head to toe assessment.
what is the number one causative factor of MODS - correct answer a precipitating
event S/A AAA rupture, aspiration, sepsis
After a few days of the precipitating event, what are some other S&S of MODS -
correct answer low grade fever, tachycardia, increasing cardiac contractility Increased
neutrophils and dyspnea, increase o2 consumption
mental status changes hyperglycemia, needs PEEP with in 7-10 day BUN bilirubin and
creatinine levels increase, polyuria
What do you need to look out for with a patient experiencing MODS - correct answer
Infection RT high levels of glucose in the body
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
how would you treat a patient with mods - correct answer Treat the cause, Control
the mediators of inflammation, Protect the organs.
What Organ of the body MODS usually affected first, second - correct answer Lungs,
GI
What are some of the functions of the midbrain - correct answer Visual reflexes,
auditory reflexes
what is the function of the brain stem - correct answer secrete serotonin, reflex
center S/A respiratory, vasomotor, cardiac, swallowing, sneezing, vomiting
The temporal lobe function include - correct answer Memory, auditory, spoken
language
The right temporal lobe stores language in what form - correct answer music, animal
sounds, other noises
the left temporal lobe stores language in what form - correct answer spoken
the wernickes area if affected by traumatic brain injury will have what type of
manifestations in the patient - correct answer hears "word salad" but speaks clear
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
Why would urine output decrease during compensatory stage of shock - correct
answer High production of aldosterone
why do RR increase in compensatory stage of shock - correct answer The body is
going into acidotic state trying to blow it off Kussmals
What is the byproduct of anaerobic metabolism that is developing in what stage of
shock - correct answer Lactic acid, Compensatory
Why would you not give someone with impaired hepatic function lactated ringers -
correct answer Because it does not convert lactic acid into bicarb fast enough could
go into acidosis
why would you check for high levels of sodium nd glucose in the compensatory stage
of shock - correct answer Because of the release of alderstone and catecholamines
which is used to regulate blood volume
What stage of shock that lactic acid is at the highest - correct answer progressive
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
What happends to the body when build up of lactic acid occurs - correct answer
increase capillary permeability; relaxation of capillary spincter; blood is retaining in
the cap beds
S&S of the progressive stage of shock - correct answer Hypoxia, alveolar collapse,
pulmonary edema, cardiac dysrhythmias, ischemic heart, ARF, DIC, Mental status
change
Patho of the progressive stage of shock - correct answer organ suffering from
hypoxia, vasoconstriction decrease cell perfusion, GFR cannot be maintained
How do you calculate MAP - correct answer Systolic (2 X diastolic) / 3
Manis of shock - correct answer decrease LOC, Confusion, pale mottled cool skin,
poor skin turgor, cyanosis(late) Delay cap refill, decrease UO, CO, and BP, rapid and
threadie pulse, increase RR, dyspnea, diaphoresis, hypothermia
Septic shock can lead to - correct answer SIRS
S&S of Hypovolemic shock - correct answer decrease urine osmolality, and SG (R/T
NA and H2O retention), increase SNS response (S/A rapid RR increase pulse rate.)
Decrease tissue perfusion, Pale appearance, diaphoretic, cyanosis(late)
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
Pt with a hernia repair comes back post op VS; 99/50 HR; 115 RR; 28, Pain 5 O2 89% -
What would you do first - correct answer 1) Treat O2 levels by Raising HOB and
applying O2
2) Treat hypotension; Fluid replacement (LR)
3) manage pain
What will determine what you would do for your patient first - correct answer the
results of your head to toe assessment.
what is the number one causative factor of MODS - correct answer a precipitating
event S/A AAA rupture, aspiration, sepsis
After a few days of the precipitating event, what are some other S&S of MODS -
correct answer low grade fever, tachycardia, increasing cardiac contractility Increased
neutrophils and dyspnea, increase o2 consumption
mental status changes hyperglycemia, needs PEEP with in 7-10 day BUN bilirubin and
creatinine levels increase, polyuria
What do you need to look out for with a patient experiencing MODS - correct answer
Infection RT high levels of glucose in the body
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
how would you treat a patient with mods - correct answer Treat the cause, Control
the mediators of inflammation, Protect the organs.
What Organ of the body MODS usually affected first, second - correct answer Lungs,
GI
What are some of the functions of the midbrain - correct answer Visual reflexes,
auditory reflexes
what is the function of the brain stem - correct answer secrete serotonin, reflex
center S/A respiratory, vasomotor, cardiac, swallowing, sneezing, vomiting
The temporal lobe function include - correct answer Memory, auditory, spoken
language
The right temporal lobe stores language in what form - correct answer music, animal
sounds, other noises
the left temporal lobe stores language in what form - correct answer spoken
the wernickes area if affected by traumatic brain injury will have what type of
manifestations in the patient - correct answer hears "word salad" but speaks clear
