NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
what kind of brain injury would you expect if an adult client is positive for sucking
infant reflex - correct 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 - correct answer diffuse cortical dysfunction
What is the consensus formula for burns - correct 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 - correct answer Restlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours - correct 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 - correct answer Urine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning
- correct answer 100% O2 with a non-rebreather
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
How would you treat a circumferential trunk burn that is swelling and why? - correct
answer Eschartomies R/T constriction of the chest wall expansion
what are the classification of shock - correct answer Cardiogenic; hypovolemic,
neurogenic, and Disruptive
All shock is caused by - correct answer inadequate tissue perfusion
Patho of hypovolemic shock - correct answer Inadequate circulating blood volume
S/A burns, hemorrhage, dehydration
Patho for cardiogenic shock - correct answer Inadequate pumping action of the
heart S/A MI, CHF, PE
What are the 3 subclasses of Distributive shock - correct answer Anaphylactic; Septic;
Neurogenic
Patho for neurogenic shock - correct answer interference of the nervous system that
controls the blood vessels
Patho for septic shock - correct answer Release of vasoactive substance from the
immune system
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
How much blood loss is required for the patient to be at high risk for hypovolemic
shock - correct answer 15-25%, or 1/3 of the body blood, or 5L
clients who experience slow blood loss can - correct answer Tolerate the blood loss
better then a client with rapid blood loss
Signs and symptoms of compensatory shock - correct answer hypotension,
tachycardia, tachypnea, hypothermia, decrease pulse pressure
During compensatory stage of shock, why would you hear hypoactive bowl sounds
and cool and clammy skin - correct answer Body 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
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
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
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
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
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
what kind of brain injury would you expect if an adult client is positive for sucking
infant reflex - correct 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 - correct answer diffuse cortical dysfunction
What is the consensus formula for burns - correct 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 - correct answer Restlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours - correct 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 - correct answer Urine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning
- correct answer 100% O2 with a non-rebreather
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
How would you treat a circumferential trunk burn that is swelling and why? - correct
answer Eschartomies R/T constriction of the chest wall expansion
what are the classification of shock - correct answer Cardiogenic; hypovolemic,
neurogenic, and Disruptive
All shock is caused by - correct answer inadequate tissue perfusion
Patho of hypovolemic shock - correct answer Inadequate circulating blood volume
S/A burns, hemorrhage, dehydration
Patho for cardiogenic shock - correct answer Inadequate pumping action of the
heart S/A MI, CHF, PE
What are the 3 subclasses of Distributive shock - correct answer Anaphylactic; Septic;
Neurogenic
Patho for neurogenic shock - correct answer interference of the nervous system that
controls the blood vessels
Patho for septic shock - correct answer Release of vasoactive substance from the
immune system
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
How much blood loss is required for the patient to be at high risk for hypovolemic
shock - correct answer 15-25%, or 1/3 of the body blood, or 5L
clients who experience slow blood loss can - correct answer Tolerate the blood loss
better then a client with rapid blood loss
Signs and symptoms of compensatory shock - correct answer hypotension,
tachycardia, tachypnea, hypothermia, decrease pulse pressure
During compensatory stage of shock, why would you hear hypoactive bowl sounds
and cool and clammy skin - correct answer Body 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
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
, NUR 265 Exam 3 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
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
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
