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NUR 265 EXAM 3 /NUR265 ADVANCED
CONCEPTS OF MEDICAL NURSING EXAM 3
NEWEST 2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+ (BRAND NEW VERSION!)
- **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** the correct answer is 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?** the correct answer is 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** the correct answer is Clustering client care activities
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- **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?** the correct answer is 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?**
the correct answer is 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?** the correct answer is 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?** the correct answer is i will bring my partner to the ED if they immediately starting vomiting
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- **The nurse is caring for the following assigned clients.
Which client should the nurse see first?** the correct answer is The client who has brain injusry and bp change from 110/58 to 134/40
- **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?** the correct answer is Perform a neurological test
- **The nurse is caring for a client who has encephalitis. It is
priority for the nurse to follow up if the client** the correct answer is has a change in BP from 120/78 to
130/60
- **The nurse is caring for a client who has been admitted
with suspected bacterial meningitis. Which of the following actions should the nurse take first?** the correct answer is Prepare the client for a lumbar puncture
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- **The nurse is caring for the client who has confusion,
fever, headache, blurred vision, NV, and a history of HIV.Which of the following actions should the nurse take first?** the correct answer is implement seizure precautions
13. **Findings: T5 SCI 6 months ago, flushed face, profuse
sweating, reports blurred vision, BP 145/95, HR 68, O2 95%.Which of the following actions should the nurse take?** the correct answer is palpate the clients bladder (Autonomic dysreflexia)
- **The nurse working in the ED is caring for a client
admitted with a suspected spinal cord injury. It would require follow up by the nurse if the PHCP prescribed which of the following?** the correct answer is Mannitol
- **The nurse has taught a client who has myasthenia gravis
about taking their prescribed medications on time and 45-60 mins prior to meals. The client asks why timing is so important.Which of the following is an appropriate response by the nurse?** the correct answer is this allows the medication to have maximum effect, so its easier to swallow