NUR 265 TEST 3 Exam 2026 Questions
and Answers Graded A+
What causes Autonomic Dysreflexia - Correct answer-Stimulation at level of T6 or
above
What are some examples of triggers of autonomic dysreflexia - Correct answer-
restrictive clothing; full bladder/neurogenic bladder; fecal impaction; directive
pressure s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - Correct 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 - Correct 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 - Correct
answer-Lactated ringers
,Chemical burns should be irrigated until - Correct answer-20 minutes or the burn
sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt - Correct 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 - Correct answer-cortical and premotor cortex damage
what kind of brain injury would you expect if an adult client is positive for plantar
infant reflexes - Correct answer-upper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting
infant reflex - Correct answer-frontal lobe damage
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
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
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
and Answers Graded A+
What causes Autonomic Dysreflexia - Correct answer-Stimulation at level of T6 or
above
What are some examples of triggers of autonomic dysreflexia - Correct answer-
restrictive clothing; full bladder/neurogenic bladder; fecal impaction; directive
pressure s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - Correct 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 - Correct 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 - Correct
answer-Lactated ringers
,Chemical burns should be irrigated until - Correct answer-20 minutes or the burn
sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt - Correct 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 - Correct answer-cortical and premotor cortex damage
what kind of brain injury would you expect if an adult client is positive for plantar
infant reflexes - Correct answer-upper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting
infant reflex - Correct answer-frontal lobe damage
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
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
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
