NUR 265 Medical-Surgical Nursing Exam 2, Galen College of Nursing, 2026 – Practice Questions with Answers and Rationales

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NUR 265 Exam 2 Medical-Surgical Nursing (2026) PDF | Galen
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College of Nursing Graded A+(100 +QUESTIONS WITH
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ANSWERS AND RATIONALES)
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.The exam focuses on
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• Respiratory Emergencies, x x




• Perioperative Care x




• Wound Healing, Fluid & Electrolytes
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• Immunology/Hematology . x




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,NUR 265 Exam 2 - Medical-Surgical Nursing (2026) | Galen College of Nursing
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Based on the search results, I have compiled comprehensive practice questions for NUR 265
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Exam 2. The exam focuses on Respiratory Emergencies, Perioperative Care, Wound Healing,
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Fluid & Electrolytes, and Immunology/Hematology .
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Section 1: Perioperative & Postoperative Care (Questions 1–20)
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Question 1: A patient is 2 hours post-op from abdominal surgery. Which finding requires
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immediate notification of the surgeon?
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A) Pain rated 5/10
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B) Heart rate 110 bpm, BP 88/50 mm Hg
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C) Urine output 40 mL/hr
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D) Temperature 99.8°F (37.7°C)
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Correct Answer: B x x




Rationale: Tachycardia with hypotension suggests hypovolemia or hemorrhage. This is a sign of
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potential postoperative bleeding requiring immediate surgical evaluation .
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Question 2: A patient received general anesthesia. The nurse's priority in the immediate post-op
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period is:
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A) Pain management
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B) Airway patency
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C) Wound assessment
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D) Fluid replacement
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Correct Answer: B x x




Rationale: Airway is always the first priority. Anesthesia can cause airway obstruction due to
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residual muscle relaxation, swelling, or secretions .
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Question 3: Which assessment finding indicates malignant hyperthermia?
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A) Hypothermia and bradycardia
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B) Muscle rigidity and hyperthermia
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C) Hypotension and polyuria
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D) Respiratory depression and miosis
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Correct Answer: B x x

, Rationale: Malignant hyperthermia is a life-threatening reaction to volatile anesthetics (e.g.,
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halothane, sevoflurane) or succinylcholine. Signs include hyperthermia (temp >104°F), muscle
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rigidity, tachycardia, and tachypnea .
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Question 4: A patient post-op has a Jackson-Pratt drain with 150 mL of bright red blood in 1
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hour. What should the nurse do first?
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A) Document as normal
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B) Empty the drain
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C) Notify the provider
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D) Apply pressure to the site
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Correct Answer: C x x




Rationale: Drainage >100 mL/hr suggests active bleeding. The provider must be notified
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immediately for possible return to surgery .
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Question 5: Which instruction is correct for a patient after outpatient surgery with general
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anesthesia?
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A) "You may drive yourself home."
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B) "Do not drink alcohol for 24 hours."
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C) "Return to work tomorrow."
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D) "You can eat a full meal immediately."
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Correct Answer: B x x




Rationale: Alcohol interacts with anesthesia and sedatives, impairing recovery. Patients should
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avoid alcohol for at least 24 hours post-surgery .
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Question 6: A patient post-op reports sudden chest pain and dyspnea. The nurse suspects
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pulmonary embolism. The priority action is:
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A) Apply oxygen and call rapid response
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B) Administer morphine
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C) Obtain an ECG
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D) Check oxygen saturation
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Correct Answer: A x x




Rationale: Suspected PE requires immediate oxygenation and emergency team notification.
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Rapid intervention can be life-saving .
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Question 7: A patient is 6 hours post-op and has not ambulated. The nurse's best action is:
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A) Wait until tomorrow
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B) Assist the patient to sit at the bedside
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