NUR 265 Exam 3 | Questions and Answers | 2026 Update | 100% Correct – Galen College Neuro, Exams of Nursing

NUR 265 Exam 3 | Questions and Answers | 2026 Update | 100% Correct – Galen College Neuro l, Exams of Nursing Graded A+| Validate Pass NUR 265 Exam 3 | Questions and Answers | 2026 Update | 100% Correct – Galen College Neuro l, Exams of Nursing Graded A+| Validate Pass

Typology: Exams

2025/2026

Available from 07/02/2026

Noted-mind-2
Noted-mind-2 🇺🇸

4.4K documents

1 / 10

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
NUR 265 Exam 3 | Questions and Answers |
2026 Update | 100% Correct – Galen College
Neuro l, Exams of Nursing Graded A+|
Validate Pass
The nurse is working in the emergency department and is
admitting a client who has a sustained TBI, following a motor
vehicle crash, it is a priority for the nurse to notify the primary
health care provider if the client - ANSWER-takes prescribed
warfarin daily
The charge nurse observes a newly hired nurse caring for a client
who sustained a closed head
injury, is receiving mechanical ventilation, and is at risk for
developing ICP. Which of the following
actions, if performed by the newly hired nurse, requires
intervention by the charge nurse? - ANSWER-raising the foot of
the clients bed
The newly hired nurse is caring for a client who was admitted 12
hours ago with a TBI and is at risk
for developing ICP. It requires intervention by the nurse preceptor
if the newly hired nurse is observed - ANSWER-Clustering client
care activities
The nurse is assessing clients for the risk of sustaining TBI. Which
of the following clients should
the nurse identify as being at greatest risk? - ANSWER-20 yr old
college student who participates on the football team
pf3
pf4
pf5
pf8
pf9
pfa

Partial preview of the text

Download NUR 265 Exam 3 | Questions and Answers | 2026 Update | 100% Correct – Galen College Neuro and more Exams Nursing in PDF only on Docsity!

NUR 265 Exam 3 | Questions and Answers |

2026 Update | 100% Correct – Galen College

Neuro l, Exams of Nursing Graded A+|

Validate Pass

The nurse is working in the emergency department and is admitting a client who has a sustained TBI, following a motor vehicle crash, it is a priority for the nurse to notify the primary health care provider if the client - ANSWER -takes prescribed warfarin daily The charge nurse observes a newly hired nurse caring for a client who sustained a closed head injury, is receiving mechanical ventilation, and is at risk for developing ICP. Which of the following actions, if performed by the newly hired nurse, requires intervention by the charge nurse? - ANSWER -raising the foot of the clients bed The newly hired nurse is caring for a client who was admitted 12 hours ago with a TBI and is at risk for developing ICP. It requires intervention by the nurse preceptor if the newly hired nurse is observed - ANSWER -Clustering client care activities The nurse is assessing clients for the risk of sustaining TBI. Which of the following clients should the nurse identify as being at greatest risk? - ANSWER -20 yr old college student who participates on the football team

The nurse is caring for assigned clients. Which of the following assessment findings requires the nurse to notify the PHCP? - ANSWER -the development of asymmetric pupils with no reaction to light in the client who has the TBI The nurse is caring for a client with a TBI and a skull fracture. The nurse noted that the client had developed rhinorrhea (nasal drip) positive for glucose. Which of the following actions should the nurse take next? - ANSWER -Perform a halo sign test The nurse is providing discharge instructions to a client's partner who sustained a mild head injury due to an MVA. Which of the following statements, if made by the partners, would indicate the need for additional teaching? - ANSWER -i will bring my partner to the ED if they immediately starting vomiting The nurse is caring for the following assigned clients. Which client should the nurse see first? - ANSWER -The client who has brain injusry and bp change from 110/58 to 134/ The nurse is caring for a client who is 24 hours post-op following a craniotomy. The client is reporting a headache that is rated as an 8 on a scale of 0-10 pain scale. Which of the following actions should the nurse take? - ANSWER -Perform a neurological test

of the following is an appropriate response by the nurse? - ANSWER -this allows the medication to have maximum effect, so its easier to swallow The nurse is working in the ED is caring for a client who has MG. The client presents with muscle weakness, NVD, and pulse of 58. Which of the following medications should the nurse admin immediately? - ANSWER -Atropine sulfate The nurse preceptor is observing a newly hired nurse care for a client who has MG. Which of the following actions by the newly hired nurse requires immediate intervention by the nurse preceptor? - ANSWER -Prepare to admin prescribed PRN laxative The nurse is teaching a client who has recently diagnosed with trigeminal neuralgia. Which of the following statements by the client would indicate need for further teaching? - ANSWER -I will tape my affected eye closed at bedtime The nurse is provided teaching to a client who was just diagnosed with Bell's palsy. Which of the following client statements requires follow up by the nurse? - ANSWER -I will need to take carbamazepine to control my symptoms The nurse is caring for the following assigned clients. It would be appropriate for the nurse to

recommend a referral for evaluation for palliative care for the client who - ANSWER -has had ALS for the past 3 years and was recently admitted with pain, fatigue and difficulty The nurse is discussing advanced directives with a client who has ALS. The client tells the nurse "I don't want to be put on a breathing machine." Which of the following is an appropriate response by the nurse? - ANSWER -What would you like to be done if you start to have difficulty breathing The nurse has attended a CE conference on GB. Which of the following statements by the nurse indicates a correct understanding of the conference? - ANSWER - the immune system reacts by destroying the myelin sheath The nurse is assessing a client who has GB. The nurse notes diminished lung sounds, respirations of 8 and shallow, and a pulse ox of 88%. Which of the following actions should the nurse take? - ANSWER -prepare the client fo r intubation The nurse is caring for a male client who sustained full thickness burns on the back and posterior legs six hours ago. Which of the following lab values would be an initial expected finding? - ANSWER -A serum sodium level of 128 The nurse is caring for a client who is burned and has developed drooling and difficulty

The nurse preceptor is observing a newly hired nurse who is caring for assigned clients in a burn unit. It would require follow up by the preceptor if the newly hired nurse: - ANSWER -Applies an enzymatic debridement agent to black eschar tissue. The nurse has taught a client with facial burns about wearing the facial pressure garment. Which of the following client statements indicates understanding of the teaching? - ANSWER -My scars should be less severe with the use of the mask. The nurse working on the burn step down unit has become aware of the following situations. The nurse should initially follow up with the client who has: - ANSWER -Increased burn wound drainage that has developed an odor. The nurse is admitting a client who has sustained a therm burn injury. The nurse notes the following assessment findings. HR 140, RR 25, BP 70/40, Skin pale, faint pedal pulses. Which of the following actions should the nurse take first? - ANSWER -Initiate prescribed IV fluid resuscitation The nurse is caring for a client who has circumferential full thickness burns to the left lower extremity. Which of the following findings of the affected extremity requires immediate follow up by the

nurse? - ANSWER -Numbness and tingling of the foot. The nursing is caring for a client who was admitted 12 hr ago with severe burns. The client is receiving fluid resuscitation and weighs 175 lbs (79.5 kg). Which assessment findings is a priority for the nurse to report to PHCP? - ANSWER -Urine output of 30ml/hr potassium level of 6.2, dyspnea with stridor The nurse working the ED is assessing a client who presents with clinical manifestations of shock. Which of the following manifestations indicates that the client's shock is caused by sepsis (infection)? - ANSWER -hypotension The nurse is caring for a client who is not responding to interventions for treatment of shock. Which of the following actions should the nurse include during this phase of the client's care? - ANSWER -communicate clearly and frequently with the clients family The nurse is admitting a client diagnosed with septic shock. Which of the following interventions should the nurse perform next? - ANSWER -Obtain 2 sets of blood cultures The nurse is caring for a client who has severe septic shock. Which of the following prescriptions should the nurse question? - ANSWER -Enoxaparin 40mg subq BID

of an inotrope and has received a diuretic. It is a priority for the nurse to notify the PHCP if the client: - ANSWER -Reports development of chest discomfort The nurse is caring for assigned clients. which of the clients should be identifying as being at risk for developing distributive shock - ANSWER -the client who was admitted 12 hrs ago with a SCI due to diving accident