NUR 265
NUR 265 Exam 1 | Questions and Answers | 2026 Update |
100% Correct - Galen College of Nursing.
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,Question 1
The nurse preceptor is observing a newly hired nurse care for a client who is
receiving peritoneal dialysis. It indicates correct technique if the newly hired
nurse is observed:
A) Positioning the client to side-lying during dialysis to aid respiration
B) Positioning the client to High Fowler's during dialysis to improve dialysate
drainage
C) Positioning the client to supine during dialysis to enhance comfort
D) Positioning the client to Trendelenburg during dialysis to improve fluid
circulation
Correct Answer: B
Rationale: High Fowler's position uses gravity to improve dialysate drainage and
outflow. Side-lying may help with comfort but is not standard for drainage. Supine
does not optimize drainage. Trendelenburg is used for hypotension, not routine
dialysis.
Question 2
The nurse is teaching a client who is in the late stage of CKD. Which of the
following client statements indicates a correct understanding of the teaching?
A) If I notice skin changes I should monitor them myself
B) If I experience mild discomfort I should increase activity
C) If I develop fatigue or weakness I should report it to my doctor
D) If I develop a cough or fever I should ignore it
, Correct Answer: C
Rationale: Fatigue and weakness can indicate anemia, uremia, or fluid overload in
late CKD and should be reported. Skin changes need evaluation. Increased
activity during discomfort may worsen condition. Cough/fever could indicate
infection, never ignore.
Question 3
The nurse is caring for a client who has infective endocarditis. Which of the
following findings indicates the client is having a complication associated with
this disease?
A) Gnawing pain radiating to the back
B) Back pain
C) The development of HF
D) An ECG revealing ST elevation
Correct Answer: C
Rationale: Heart failure is a common complication of infective endocarditis due to
valve destruction. Back pain is nonspecific. ST elevation suggests MI. Gnawing
back pain could be aortic dissection.
Question 4
The nurse has received a handoff report for a client who was admitted with
chest pain and is receiving Nitro 50mg/250ml D5W at a rate of 10mcg/min, the
client weighs 187lbs. The nurse observes that the client's IV pump is set at
3ml/hr. Which of the following should the nurse take?
A) Decrease the infusion rate to 2ml/hr
B) Increase the infusion rate to 6ml/hr
C) Continue to infuse the nitro at a rate of 3ml/hr
D) Continue the infusion rate at 3ml/hr
NUR 265 Exam 1 | Questions and Answers | 2026 Update |
100% Correct - Galen College of Nursing.
Gradegurus
➢
➢
➢
➢
➢
,Question 1
The nurse preceptor is observing a newly hired nurse care for a client who is
receiving peritoneal dialysis. It indicates correct technique if the newly hired
nurse is observed:
A) Positioning the client to side-lying during dialysis to aid respiration
B) Positioning the client to High Fowler's during dialysis to improve dialysate
drainage
C) Positioning the client to supine during dialysis to enhance comfort
D) Positioning the client to Trendelenburg during dialysis to improve fluid
circulation
Correct Answer: B
Rationale: High Fowler's position uses gravity to improve dialysate drainage and
outflow. Side-lying may help with comfort but is not standard for drainage. Supine
does not optimize drainage. Trendelenburg is used for hypotension, not routine
dialysis.
Question 2
The nurse is teaching a client who is in the late stage of CKD. Which of the
following client statements indicates a correct understanding of the teaching?
A) If I notice skin changes I should monitor them myself
B) If I experience mild discomfort I should increase activity
C) If I develop fatigue or weakness I should report it to my doctor
D) If I develop a cough or fever I should ignore it
, Correct Answer: C
Rationale: Fatigue and weakness can indicate anemia, uremia, or fluid overload in
late CKD and should be reported. Skin changes need evaluation. Increased
activity during discomfort may worsen condition. Cough/fever could indicate
infection, never ignore.
Question 3
The nurse is caring for a client who has infective endocarditis. Which of the
following findings indicates the client is having a complication associated with
this disease?
A) Gnawing pain radiating to the back
B) Back pain
C) The development of HF
D) An ECG revealing ST elevation
Correct Answer: C
Rationale: Heart failure is a common complication of infective endocarditis due to
valve destruction. Back pain is nonspecific. ST elevation suggests MI. Gnawing
back pain could be aortic dissection.
Question 4
The nurse has received a handoff report for a client who was admitted with
chest pain and is receiving Nitro 50mg/250ml D5W at a rate of 10mcg/min, the
client weighs 187lbs. The nurse observes that the client's IV pump is set at
3ml/hr. Which of the following should the nurse take?
A) Decrease the infusion rate to 2ml/hr
B) Increase the infusion rate to 6ml/hr
C) Continue to infuse the nitro at a rate of 3ml/hr
D) Continue the infusion rate at 3ml/hr
