1|Page
NUR 265 Final Exam Advanced Concepts of Medical-
Surgical Nursing (2026 Updated) | Verified Questions &
100% Accurate Answers | Grade A
Subject: Nursing (NUR 265) - Final Exam Practice Questions
Source: "NUR 265 FINAL EXAM VERIFIED QUESTIONS & 100% ACCURATE
ANSWERS" (2026 Edition)
Format: Multiple-choice, Select-all-that-apply exam questions with verified
answers, covering topics including critical care, burns, renal failure,
neurological injury, endocrine disorders, trauma triage, and cardiovascular
emergencies.
1. Which of the following client's would the nurse assess first?
A. A client receiving morphine sulfate via a PCA with a respiratory rate of
8/min.
B. A client 2 days post op knee replacement who has not had a bowel
movement
C. A client who is 24 hours post-op who has not had a bowel movement.
D. A client with a heart rate of 110 bpm, after receiving an albuterol
treatment.
, 2|Page
Correct Answer: A
Rationale:
1. The nurse must prioritize the client with the greatest threat to life
using the ABC (Airway, Breathing, Circulation) framework.
2. A respiratory rate of 8/min indicates significant respiratory
depression, a life-threatening side effect of opioid analgesics like
morphine.
3. Options B and C relate to a common post-operative concern
(constipation) but are not immediately life-threatening.
4. Option D describes a common, expected response to albuterol (a
bronchodilator), which causes tachycardia, and is not the top priority.
2. The nurse is caring for a client 24 hours post-operatively. On
assessment, the nurse notes diminished lung sounds. Which of the
following is the nurses priority?
A. Administer Oxygen 2 L via NC
B. Call the health care provider.
C. Obtain a set of vital signs
D. Assist the client to use an inspirex.
Correct Answer: D
Rationale:
, 3|Page
1. Diminished lung sounds post-operatively often indicate atelectasis
(collapse of alveoli) due to inadequate lung expansion.
2. The immediate nursing priority is to re-expand the alveoli, which is
best accomplished by encouraging deep breathing and coughing.
3. An incentive spirometer (inspirex) is the direct, non-invasive
intervention to achieve this goal.
4. While obtaining vital signs (C) and administering oxygen (A) may be
appropriate subsequent actions, they do not address the root cause of
the diminished sounds.
5. Calling the provider (B) may be necessary later if the client does not
improve with nursing interventions.
3. A patient has burns to the anterior chest, entire right leg, and
groin. Using the rule of nines, what is the total body surface area
(TBSA) percentage?
A.36%
B.28%
C.19%
D.18%
Correct Answer: B
Rationale:
, 4|Page
1. The Rule of Nines is used to quickly estimate the extent of burn injury
in adults.
2. Anterior chest = 9% (anterior trunk).
3. Entire right leg = 18% (9% for anterior, 9% for posterior; the
question specifies "entire").
4. Groin = 1%.
5. Calculation: 9% (chest) + 18% (leg) + 1% (groin) = 28% TBSA.
4. The newly admitted client has a large burned area on the right
arm. The burned area appears red, has blisters, and is very painful.
How should this injury be categorized?
A. Superficial
B. Full thickness
C. Smoke inhalation
D. Partial-thickness
Correct Answer: D
Rationale:
1. Burn depth is classified by the layers of skin involved.
2. Partial-thickness burns (formerly 2nd degree) involve the epidermis
and part of the dermis.
NUR 265 Final Exam Advanced Concepts of Medical-
Surgical Nursing (2026 Updated) | Verified Questions &
100% Accurate Answers | Grade A
Subject: Nursing (NUR 265) - Final Exam Practice Questions
Source: "NUR 265 FINAL EXAM VERIFIED QUESTIONS & 100% ACCURATE
ANSWERS" (2026 Edition)
Format: Multiple-choice, Select-all-that-apply exam questions with verified
answers, covering topics including critical care, burns, renal failure,
neurological injury, endocrine disorders, trauma triage, and cardiovascular
emergencies.
1. Which of the following client's would the nurse assess first?
A. A client receiving morphine sulfate via a PCA with a respiratory rate of
8/min.
B. A client 2 days post op knee replacement who has not had a bowel
movement
C. A client who is 24 hours post-op who has not had a bowel movement.
D. A client with a heart rate of 110 bpm, after receiving an albuterol
treatment.
, 2|Page
Correct Answer: A
Rationale:
1. The nurse must prioritize the client with the greatest threat to life
using the ABC (Airway, Breathing, Circulation) framework.
2. A respiratory rate of 8/min indicates significant respiratory
depression, a life-threatening side effect of opioid analgesics like
morphine.
3. Options B and C relate to a common post-operative concern
(constipation) but are not immediately life-threatening.
4. Option D describes a common, expected response to albuterol (a
bronchodilator), which causes tachycardia, and is not the top priority.
2. The nurse is caring for a client 24 hours post-operatively. On
assessment, the nurse notes diminished lung sounds. Which of the
following is the nurses priority?
A. Administer Oxygen 2 L via NC
B. Call the health care provider.
C. Obtain a set of vital signs
D. Assist the client to use an inspirex.
Correct Answer: D
Rationale:
, 3|Page
1. Diminished lung sounds post-operatively often indicate atelectasis
(collapse of alveoli) due to inadequate lung expansion.
2. The immediate nursing priority is to re-expand the alveoli, which is
best accomplished by encouraging deep breathing and coughing.
3. An incentive spirometer (inspirex) is the direct, non-invasive
intervention to achieve this goal.
4. While obtaining vital signs (C) and administering oxygen (A) may be
appropriate subsequent actions, they do not address the root cause of
the diminished sounds.
5. Calling the provider (B) may be necessary later if the client does not
improve with nursing interventions.
3. A patient has burns to the anterior chest, entire right leg, and
groin. Using the rule of nines, what is the total body surface area
(TBSA) percentage?
A.36%
B.28%
C.19%
D.18%
Correct Answer: B
Rationale:
, 4|Page
1. The Rule of Nines is used to quickly estimate the extent of burn injury
in adults.
2. Anterior chest = 9% (anterior trunk).
3. Entire right leg = 18% (9% for anterior, 9% for posterior; the
question specifies "entire").
4. Groin = 1%.
5. Calculation: 9% (chest) + 18% (leg) + 1% (groin) = 28% TBSA.
4. The newly admitted client has a large burned area on the right
arm. The burned area appears red, has blisters, and is very painful.
How should this injury be categorized?
A. Superficial
B. Full thickness
C. Smoke inhalation
D. Partial-thickness
Correct Answer: D
Rationale:
1. Burn depth is classified by the layers of skin involved.
2. Partial-thickness burns (formerly 2nd degree) involve the epidermis
and part of the dermis.
