NUR 265 Exam 4 – Medical-Surgical Nursing – (2026) Actual
Questions & Answers
Original exam-preparation questions. These questions are written for study and are not represented as leaked, confidential, or verbatim live-exam
questions.
ASSESS → PRIORITIZE → INTERVENE → EVALUATE
1. [Respiratory] During routine care, A patient with acute respiratory distress has increasing work of breathing.
Which action has the highest priority?
■ ✓ Assess airway and oxygenation and provide ordered oxygen support
• Offer a large meal
• Delay assessment until rounds
• Place the patient flat without assessment
Correct answer: Assess airway and oxygenation and provide ordered oxygen support
2. [Cardiac] When reviewing the patient's situation, Which finding is most concerning for acute myocardial
ischemia?
■ ✓ New crushing chest pressure with diaphoresis
• Mild chronic fatigue
• Stable appetite
• A healed bruise
Correct answer: New crushing chest pressure with diaphoresis
3. [Renal] A nurse is caring for a client and asks, Which laboratory result is especially important when
evaluating kidney function?
■ ✓ Serum creatinine
• Hemoglobin A1c only
• Platelet count only
• Amylase only
Correct answer: Serum creatinine
4. [Endocrine] During an examination scenario, Which finding is most characteristic of hypoglycemia?
■ ✓ Diaphoresis, tremor and confusion
• Dry skin with bradycardia only
• Polyuria without symptoms
• Persistent hypertension
Correct answer: Diaphoresis, tremor and confusion
,5. [GI] A clinician is planning care and considers, Which finding in a patient with gastrointestinal bleeding
requires urgent attention?
■ ✓ Hematemesis with signs of hemodynamic instability
• Mild constipation
• Stable weight
• Normal bowel sounds
Correct answer: Hematemesis with signs of hemodynamic instability
6. [Respiratory] During routine care, A patient with acute respiratory distress has increasing work of breathing.
Which action has the highest priority?
• Offer a large meal
• Delay assessment until rounds
• Place the patient flat without assessment
■ ✓ Assess airway and oxygenation and provide ordered oxygen support
Correct answer: Assess airway and oxygenation and provide ordered oxygen support
7. [Cardiac] When reviewing the patient's situation, Which finding is most concerning for acute myocardial
ischemia?
• Mild chronic fatigue
• Stable appetite
• A healed bruise
■ ✓ New crushing chest pressure with diaphoresis
Correct answer: New crushing chest pressure with diaphoresis
8. [Renal] A nurse is caring for a client and asks, Which laboratory result is especially important when
evaluating kidney function?
• Hemoglobin A1c only
• Platelet count only
• Amylase only
■ ✓ Serum creatinine
Correct answer: Serum creatinine
9. [Endocrine] During an examination scenario, Which finding is most characteristic of hypoglycemia?
• Dry skin with bradycardia only
• Polyuria without symptoms
• Persistent hypertension
■ ✓ Diaphoresis, tremor and confusion
Correct answer: Diaphoresis, tremor and confusion
,10. [GI] A clinician is planning care and considers, Which finding in a patient with gastrointestinal bleeding
requires urgent attention?
• Mild constipation
• Stable weight
• Normal bowel sounds
■ ✓ Hematemesis with signs of hemodynamic instability
Correct answer: Hematemesis with signs of hemodynamic instability
11. [Respiratory] During routine care, A patient with acute respiratory distress has increasing work of breathing.
Which action has the highest priority?
• Delay assessment until rounds
• Place the patient flat without assessment
■ ✓ Assess airway and oxygenation and provide ordered oxygen support
• Offer a large meal
Correct answer: Assess airway and oxygenation and provide ordered oxygen support
12. [Cardiac] When reviewing the patient's situation, Which finding is most concerning for acute myocardial
ischemia?
• Stable appetite
• A healed bruise
■ ✓ New crushing chest pressure with diaphoresis
• Mild chronic fatigue
Correct answer: New crushing chest pressure with diaphoresis
13. [Renal] A nurse is caring for a client and asks, Which laboratory result is especially important when
evaluating kidney function?
• Platelet count only
• Amylase only
■ ✓ Serum creatinine
• Hemoglobin A1c only
Correct answer: Serum creatinine
14. [Endocrine] During an examination scenario, Which finding is most characteristic of hypoglycemia?
• Polyuria without symptoms
• Persistent hypertension
■ ✓ Diaphoresis, tremor and confusion
• Dry skin with bradycardia only
Correct answer: Diaphoresis, tremor and confusion
, 15. [GI] A clinician is planning care and considers, Which finding in a patient with gastrointestinal bleeding
requires urgent attention?
• Stable weight
• Normal bowel sounds
■ ✓ Hematemesis with signs of hemodynamic instability
• Mild constipation
Correct answer: Hematemesis with signs of hemodynamic instability
16. [Respiratory] During routine care, A patient with acute respiratory distress has increasing work of breathing.
Which action has the highest priority?
• Place the patient flat without assessment
■ ✓ Assess airway and oxygenation and provide ordered oxygen support
• Offer a large meal
• Delay assessment until rounds
Correct answer: Assess airway and oxygenation and provide ordered oxygen support
17. [Cardiac] When reviewing the patient's situation, Which finding is most concerning for acute myocardial
ischemia?
• A healed bruise
■ ✓ New crushing chest pressure with diaphoresis
• Mild chronic fatigue
• Stable appetite
Correct answer: New crushing chest pressure with diaphoresis
18. [Renal] A nurse is caring for a client and asks, Which laboratory result is especially important when
evaluating kidney function?
• Amylase only
■ ✓ Serum creatinine
• Hemoglobin A1c only
• Platelet count only
Correct answer: Serum creatinine
19. [Endocrine] During an examination scenario, Which finding is most characteristic of hypoglycemia?
• Persistent hypertension
■ ✓ Diaphoresis, tremor and confusion
• Dry skin with bradycardia only
• Polyuria without symptoms
Correct answer: Diaphoresis, tremor and confusion
Questions & Answers
Original exam-preparation questions. These questions are written for study and are not represented as leaked, confidential, or verbatim live-exam
questions.
ASSESS → PRIORITIZE → INTERVENE → EVALUATE
1. [Respiratory] During routine care, A patient with acute respiratory distress has increasing work of breathing.
Which action has the highest priority?
■ ✓ Assess airway and oxygenation and provide ordered oxygen support
• Offer a large meal
• Delay assessment until rounds
• Place the patient flat without assessment
Correct answer: Assess airway and oxygenation and provide ordered oxygen support
2. [Cardiac] When reviewing the patient's situation, Which finding is most concerning for acute myocardial
ischemia?
■ ✓ New crushing chest pressure with diaphoresis
• Mild chronic fatigue
• Stable appetite
• A healed bruise
Correct answer: New crushing chest pressure with diaphoresis
3. [Renal] A nurse is caring for a client and asks, Which laboratory result is especially important when
evaluating kidney function?
■ ✓ Serum creatinine
• Hemoglobin A1c only
• Platelet count only
• Amylase only
Correct answer: Serum creatinine
4. [Endocrine] During an examination scenario, Which finding is most characteristic of hypoglycemia?
■ ✓ Diaphoresis, tremor and confusion
• Dry skin with bradycardia only
• Polyuria without symptoms
• Persistent hypertension
Correct answer: Diaphoresis, tremor and confusion
,5. [GI] A clinician is planning care and considers, Which finding in a patient with gastrointestinal bleeding
requires urgent attention?
■ ✓ Hematemesis with signs of hemodynamic instability
• Mild constipation
• Stable weight
• Normal bowel sounds
Correct answer: Hematemesis with signs of hemodynamic instability
6. [Respiratory] During routine care, A patient with acute respiratory distress has increasing work of breathing.
Which action has the highest priority?
• Offer a large meal
• Delay assessment until rounds
• Place the patient flat without assessment
■ ✓ Assess airway and oxygenation and provide ordered oxygen support
Correct answer: Assess airway and oxygenation and provide ordered oxygen support
7. [Cardiac] When reviewing the patient's situation, Which finding is most concerning for acute myocardial
ischemia?
• Mild chronic fatigue
• Stable appetite
• A healed bruise
■ ✓ New crushing chest pressure with diaphoresis
Correct answer: New crushing chest pressure with diaphoresis
8. [Renal] A nurse is caring for a client and asks, Which laboratory result is especially important when
evaluating kidney function?
• Hemoglobin A1c only
• Platelet count only
• Amylase only
■ ✓ Serum creatinine
Correct answer: Serum creatinine
9. [Endocrine] During an examination scenario, Which finding is most characteristic of hypoglycemia?
• Dry skin with bradycardia only
• Polyuria without symptoms
• Persistent hypertension
■ ✓ Diaphoresis, tremor and confusion
Correct answer: Diaphoresis, tremor and confusion
,10. [GI] A clinician is planning care and considers, Which finding in a patient with gastrointestinal bleeding
requires urgent attention?
• Mild constipation
• Stable weight
• Normal bowel sounds
■ ✓ Hematemesis with signs of hemodynamic instability
Correct answer: Hematemesis with signs of hemodynamic instability
11. [Respiratory] During routine care, A patient with acute respiratory distress has increasing work of breathing.
Which action has the highest priority?
• Delay assessment until rounds
• Place the patient flat without assessment
■ ✓ Assess airway and oxygenation and provide ordered oxygen support
• Offer a large meal
Correct answer: Assess airway and oxygenation and provide ordered oxygen support
12. [Cardiac] When reviewing the patient's situation, Which finding is most concerning for acute myocardial
ischemia?
• Stable appetite
• A healed bruise
■ ✓ New crushing chest pressure with diaphoresis
• Mild chronic fatigue
Correct answer: New crushing chest pressure with diaphoresis
13. [Renal] A nurse is caring for a client and asks, Which laboratory result is especially important when
evaluating kidney function?
• Platelet count only
• Amylase only
■ ✓ Serum creatinine
• Hemoglobin A1c only
Correct answer: Serum creatinine
14. [Endocrine] During an examination scenario, Which finding is most characteristic of hypoglycemia?
• Polyuria without symptoms
• Persistent hypertension
■ ✓ Diaphoresis, tremor and confusion
• Dry skin with bradycardia only
Correct answer: Diaphoresis, tremor and confusion
, 15. [GI] A clinician is planning care and considers, Which finding in a patient with gastrointestinal bleeding
requires urgent attention?
• Stable weight
• Normal bowel sounds
■ ✓ Hematemesis with signs of hemodynamic instability
• Mild constipation
Correct answer: Hematemesis with signs of hemodynamic instability
16. [Respiratory] During routine care, A patient with acute respiratory distress has increasing work of breathing.
Which action has the highest priority?
• Place the patient flat without assessment
■ ✓ Assess airway and oxygenation and provide ordered oxygen support
• Offer a large meal
• Delay assessment until rounds
Correct answer: Assess airway and oxygenation and provide ordered oxygen support
17. [Cardiac] When reviewing the patient's situation, Which finding is most concerning for acute myocardial
ischemia?
• A healed bruise
■ ✓ New crushing chest pressure with diaphoresis
• Mild chronic fatigue
• Stable appetite
Correct answer: New crushing chest pressure with diaphoresis
18. [Renal] A nurse is caring for a client and asks, Which laboratory result is especially important when
evaluating kidney function?
• Amylase only
■ ✓ Serum creatinine
• Hemoglobin A1c only
• Platelet count only
Correct answer: Serum creatinine
19. [Endocrine] During an examination scenario, Which finding is most characteristic of hypoglycemia?
• Persistent hypertension
■ ✓ Diaphoresis, tremor and confusion
• Dry skin with bradycardia only
• Polyuria without symptoms
Correct answer: Diaphoresis, tremor and confusion
