NUR 265 TEST 3 REVIEW 2026 – COMPREHENSIVE NURSING
EXAM PREP & STUDY GUIDE
What causes Autonomic Dysreflexia - ANSWER-Stimulation at level of T6 or above
What are some examples of triggers of autonomic dysreflexia - ANSWER-restrictive
clothing; full bladder/neurogenic bladder; fecal impaction; directive pressure s/a
sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - ANSWER-hypertension, 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 - ANSWER-maintain
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 - ANSWER-
Lactated ringers
Chemical burns should be irrigated until - ANSWER-20 minutes or the burn
sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt - ANSWER-citrus 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 - ANSWER-cortical and premotor cortex damage
what kind of brain injury would you expect if an adult client is positive for plantar
infant reflexes - ANSWER-upper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting
infant reflex - ANSWER-frontal lobe damage
what kind of brain injury would you expect if an adult client is positive for sucking
infant reflex - ANSWER-Advance dementia; cortical brain damage
what kind of brain injury would you expect if an adult client is positive for glabella
(persistent blinking) infant reflex - ANSWER-diffuse cortical dysfunction
What is the consensus formula for burns - ANSWER-2-4 ml X TBSA X KG
What S&S are expected for a burn client who is receiving the first 8 hours of fluid
resuscitation - ANSWER-Restlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours - ANSWER-1/2 of
the fluid consensus
What do you need to monitor when resuscitating fluids for burn pt to make sure that
it is working - ANSWER-Urine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning
- ANSWER-100% O2 with a non-rebreather
, How would you treat a circumferential trunk burn that is swelling and why? -
ANSWER-Eschartomies R/T constriction of the chest wall expansion
what are the classification of shock - ANSWER-Cardiogenic; hypovolemic,
neurogenic, and Disruptive
All shock is caused by - ANSWER-inadequate tissue perfusion
Patho of hypovolemic shock - ANSWER-Inadequate circulating blood volume S/A
burns, hemorrhage, dehydration
Patho for cardiogenic shock - ANSWER-Inadequate pumping action of the heart S/A
MI, CHF, PE
What are the 3 subclasses of Distributive shock - ANSWER-Anaphylactic; Septic;
Neurogenic
Patho for neurogenic shock - ANSWER-interference of the nervous system that
controls the blood vessels
Patho for septic shock - ANSWER-Release of vasoactive substance from the immune
system
How much blood loss is required for the patient to be at high risk for hypovolemic
shock - ANSWER-15-25%, or 1/3 of the body blood, or 5L
EXAM PREP & STUDY GUIDE
What causes Autonomic Dysreflexia - ANSWER-Stimulation at level of T6 or above
What are some examples of triggers of autonomic dysreflexia - ANSWER-restrictive
clothing; full bladder/neurogenic bladder; fecal impaction; directive pressure s/a
sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - ANSWER-hypertension, 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 - ANSWER-maintain
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 - ANSWER-
Lactated ringers
Chemical burns should be irrigated until - ANSWER-20 minutes or the burn
sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt - ANSWER-citrus 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 - ANSWER-cortical and premotor cortex damage
what kind of brain injury would you expect if an adult client is positive for plantar
infant reflexes - ANSWER-upper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting
infant reflex - ANSWER-frontal lobe damage
what kind of brain injury would you expect if an adult client is positive for sucking
infant reflex - ANSWER-Advance dementia; cortical brain damage
what kind of brain injury would you expect if an adult client is positive for glabella
(persistent blinking) infant reflex - ANSWER-diffuse cortical dysfunction
What is the consensus formula for burns - ANSWER-2-4 ml X TBSA X KG
What S&S are expected for a burn client who is receiving the first 8 hours of fluid
resuscitation - ANSWER-Restlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours - ANSWER-1/2 of
the fluid consensus
What do you need to monitor when resuscitating fluids for burn pt to make sure that
it is working - ANSWER-Urine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning
- ANSWER-100% O2 with a non-rebreather
, How would you treat a circumferential trunk burn that is swelling and why? -
ANSWER-Eschartomies R/T constriction of the chest wall expansion
what are the classification of shock - ANSWER-Cardiogenic; hypovolemic,
neurogenic, and Disruptive
All shock is caused by - ANSWER-inadequate tissue perfusion
Patho of hypovolemic shock - ANSWER-Inadequate circulating blood volume S/A
burns, hemorrhage, dehydration
Patho for cardiogenic shock - ANSWER-Inadequate pumping action of the heart S/A
MI, CHF, PE
What are the 3 subclasses of Distributive shock - ANSWER-Anaphylactic; Septic;
Neurogenic
Patho for neurogenic shock - ANSWER-interference of the nervous system that
controls the blood vessels
Patho for septic shock - ANSWER-Release of vasoactive substance from the immune
system
How much blood loss is required for the patient to be at high risk for hypovolemic
shock - ANSWER-15-25%, or 1/3 of the body blood, or 5L
