NUR 265 Advanced Med Surg Exam 2 Prep Latest Test
Bank 2026 Exam Questions and Correct ANSWERs
Review/ NUR 265 Exam 2 Prep 2026 (Galen)
A 29-year-old woman with systemic lupus erythematosus has been prescribed 3
weeks of high-dose prednisone therapy. Which information about the prednisone is
most important for the nurse to include?
"The prednisone dose should be decreased gradually rather than stopped suddenly."
"Call the health care provider if you experience mood alterations with the
prednisone."
"A weight-bearing exercise program will help minimize the risk for osteoporosis."
"Weigh yourself daily to monitor for weight gain caused by increased appetite." -
ANSWER-"The prednisone dose should be decreased gradually rather than
stopped suddenly."
The nurse is caring for a 63-year-old with Cushing's who is scheduled for a
computed tomography (CT) scan with contrast. Which information about the client
is most important to discuss with the health care provider before the test?
History of renal insufficiency
Recent history of paralytic ilieus
Complains of chronic headache
Blood glucose level of 224 mg/dL - ANSWER-History of renal insufficiency
,A client has a new tracheostomy, on a mechanical ventilator with the following
settings: SIMV, rate of 12, TV 800, FIo2 80% and PEEP of 5 cmH20. Which
assessment finding requires immediate action by the nurse?
Dry mucous membranes
Rhonchi in upper lobes
Blood-tinged sputum
Constant, nonproductive coughing - ANSWER-Constant, nonproductive
coughing
The nurse notes each time the mechanical ventilator delivers a breath to a client
with acute respiratory distress syndrome (ARDS), the peak inspiratory pressure
alarm sounds. What is the nurse's best intervention?
Raise the head of bed to high Fowlers
Assess the airway
Suction the client.
Perform chest physiotherapy. - ANSWER-Assess the airway
A patient with a pleural effusion is scheduled for a thoracentesis. Which action
should the nurse take to prepare the patient for the procedure?
Position the patient sitting upright on the edge of the bed and leaning forward.
Start a peripheral IV line to administer the necessary sedative drugs.
Remove the water pitcher and remind the patient not to eat or drink anything for 6
hours.
,Obtain a large collection device to hold 2 to 3 liters of pleural fluid at one time. -
ANSWER-Position the patient sitting upright on the edge of the bed and
leaning forward.
A client with a blood sugar of 525 g/dl and potassium level of 6.8 mEq/L exhibits
Kussmaul's respiration, confusion, and fruity breath. Which of the following
prescriptions would the nurse anticipate:
3% normal saline IV gtt at 25 mLs/hr
Sodium bicarbonate infusion and Regular Insulin gtt
40 mg Furosemide IVP
6L O2 via nasal cannula - ANSWER-Sodium bicarbonate infusion and
Regular Insulin gtt
The nurse palpates the posterior chest while the client says "99" and notes absent
fremitus. Which action should the nurse take next?
Encourage the client to turn, cough, and deep breathe.
Palpate the anterior chest and observe for barrel chest.
Review the chest x-ray report for evidence of pneumonia.
Auscultate anterior and posterior breath sounds bilaterally. - ANSWER-
Auscultate anterior and posterior breath sounds bilaterally.
The nurse is caring for a client with a pulmonary embolus, also has right-sided
heart failure. Which clinical findings requires immediate follow up?
, Urinary output of 25 mL/hr
Respiratory rate of 30 breaths/min
+2 dependent edema to bilateral extremities
Heart rate of 115 beats/min - ANSWER-Urinary output of 25 mL/hr
After receiving change-of-shift report about the following four clients, which client
should the nurse assess first?
A client with metastatic bone cancer has a pleural friction rub and pain upon
inspiration.
A client receiving mechanical ventilation via ET tube has the high alarm sounding
and noted with copious secretions.
A client with Diabetes Insipidus whose urine output has been 300mLs/hr, and due
for a scheduled dose of desmopressin po.
A client with a right sided hemothorax and chest tube drainage noted at 50 mL over
the last two hours. - ANSWER-A client receiving mechanical ventilation via
ET tube has the high alarm sounding and noted with copious secretions.
The nurse has been made aware of the arterial blood gas (ABG) results on four
clients. Which result is most important for the nurse to report immediately to the
health care provider?
pH 7.31, PaO2 81 mm Hg, PaCO2 50 mm Hg, and O2 sat 94%
pH 7.35, PaO2 85 mm Hg, PaCO2 45 mm Hg, and O2 sat 95%
pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat 97%
pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat 98% - ANSWER-
pH 7.31, PaO2 81 mm Hg, PaCO2 50 mm Hg, and O2 sat 94%
Bank 2026 Exam Questions and Correct ANSWERs
Review/ NUR 265 Exam 2 Prep 2026 (Galen)
A 29-year-old woman with systemic lupus erythematosus has been prescribed 3
weeks of high-dose prednisone therapy. Which information about the prednisone is
most important for the nurse to include?
"The prednisone dose should be decreased gradually rather than stopped suddenly."
"Call the health care provider if you experience mood alterations with the
prednisone."
"A weight-bearing exercise program will help minimize the risk for osteoporosis."
"Weigh yourself daily to monitor for weight gain caused by increased appetite." -
ANSWER-"The prednisone dose should be decreased gradually rather than
stopped suddenly."
The nurse is caring for a 63-year-old with Cushing's who is scheduled for a
computed tomography (CT) scan with contrast. Which information about the client
is most important to discuss with the health care provider before the test?
History of renal insufficiency
Recent history of paralytic ilieus
Complains of chronic headache
Blood glucose level of 224 mg/dL - ANSWER-History of renal insufficiency
,A client has a new tracheostomy, on a mechanical ventilator with the following
settings: SIMV, rate of 12, TV 800, FIo2 80% and PEEP of 5 cmH20. Which
assessment finding requires immediate action by the nurse?
Dry mucous membranes
Rhonchi in upper lobes
Blood-tinged sputum
Constant, nonproductive coughing - ANSWER-Constant, nonproductive
coughing
The nurse notes each time the mechanical ventilator delivers a breath to a client
with acute respiratory distress syndrome (ARDS), the peak inspiratory pressure
alarm sounds. What is the nurse's best intervention?
Raise the head of bed to high Fowlers
Assess the airway
Suction the client.
Perform chest physiotherapy. - ANSWER-Assess the airway
A patient with a pleural effusion is scheduled for a thoracentesis. Which action
should the nurse take to prepare the patient for the procedure?
Position the patient sitting upright on the edge of the bed and leaning forward.
Start a peripheral IV line to administer the necessary sedative drugs.
Remove the water pitcher and remind the patient not to eat or drink anything for 6
hours.
,Obtain a large collection device to hold 2 to 3 liters of pleural fluid at one time. -
ANSWER-Position the patient sitting upright on the edge of the bed and
leaning forward.
A client with a blood sugar of 525 g/dl and potassium level of 6.8 mEq/L exhibits
Kussmaul's respiration, confusion, and fruity breath. Which of the following
prescriptions would the nurse anticipate:
3% normal saline IV gtt at 25 mLs/hr
Sodium bicarbonate infusion and Regular Insulin gtt
40 mg Furosemide IVP
6L O2 via nasal cannula - ANSWER-Sodium bicarbonate infusion and
Regular Insulin gtt
The nurse palpates the posterior chest while the client says "99" and notes absent
fremitus. Which action should the nurse take next?
Encourage the client to turn, cough, and deep breathe.
Palpate the anterior chest and observe for barrel chest.
Review the chest x-ray report for evidence of pneumonia.
Auscultate anterior and posterior breath sounds bilaterally. - ANSWER-
Auscultate anterior and posterior breath sounds bilaterally.
The nurse is caring for a client with a pulmonary embolus, also has right-sided
heart failure. Which clinical findings requires immediate follow up?
, Urinary output of 25 mL/hr
Respiratory rate of 30 breaths/min
+2 dependent edema to bilateral extremities
Heart rate of 115 beats/min - ANSWER-Urinary output of 25 mL/hr
After receiving change-of-shift report about the following four clients, which client
should the nurse assess first?
A client with metastatic bone cancer has a pleural friction rub and pain upon
inspiration.
A client receiving mechanical ventilation via ET tube has the high alarm sounding
and noted with copious secretions.
A client with Diabetes Insipidus whose urine output has been 300mLs/hr, and due
for a scheduled dose of desmopressin po.
A client with a right sided hemothorax and chest tube drainage noted at 50 mL over
the last two hours. - ANSWER-A client receiving mechanical ventilation via
ET tube has the high alarm sounding and noted with copious secretions.
The nurse has been made aware of the arterial blood gas (ABG) results on four
clients. Which result is most important for the nurse to report immediately to the
health care provider?
pH 7.31, PaO2 81 mm Hg, PaCO2 50 mm Hg, and O2 sat 94%
pH 7.35, PaO2 85 mm Hg, PaCO2 45 mm Hg, and O2 sat 95%
pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat 97%
pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat 98% - ANSWER-
pH 7.31, PaO2 81 mm Hg, PaCO2 50 mm Hg, and O2 sat 94%
