NUR 170 Med Surg Exam 2-V1 and V2 |
Questions and Answers | 2026 Update |
100% Correct - Galen College of Nursing.
GRADED A+
1. What EKG change should the nurse expect in a patient with a
potassium level of 6.2 mEq/L?
A. Presence of U waves
B. Tall, peaked T waves
C. Flattened T waves
D. ST segment depression
2. Which assessment finding is a hallmark sign of hypocalcemia?
A. Hyperactive deep tendon reflexes
B. Shortened QT interval
C. Constipation and lethargy
D. Positive Chvostek's sign
3. A patient with a sodium level of 125 mEq/L is at risk for which
complication?
A. Dehydration
B. Hyperthermia
C. Cardiac dysrhythmia
D. Seizures
4. Which ABG result indicates uncompensated respiratory acidosis?
A. pH 7.48, PaCO2 30, HCO3 24
B. pH 7.35, PaCO2 45, HCO3 26
, C. pH 7.32, PaCO2 38, HCO3 18
D. pH 7.30, PaCO2 50, HCO3 24
5. A patient scheduled for surgery has not been NPO since midnight.
What is the priority action?
A. Proceed with surgery as planned
B. Administer an antiemetic
C. Place an NG tube
D. Notify the surgeon and anesthesiologist
6. Which client is best to reschedule when staffing requires a change in
home health visits?
A. A client with a new colostomy needing teaching
B. A client with a wound infection on IV antibiotics
C. A client with emphysema on home oxygen with SpO2 of 91-93%
D. A client with chest pain scheduled for an EKG
7. Using Maslow's hierarchy, which nursing diagnosis is the highest
priority?
A. Risk for Infection
B. Diarrhea
C. Disturbed Body Image
D. Impaired Gas Exchange
8. Which task is outside the RN's scope of practice when delegating?
A. Analyzing comprehensive nursing assessment data
B. Delegate assessment to an LPN
C. Delegating nursing interventions
D. Advocating for the patient
9. A nurse with a valid license in one state is moving to another state.
What should they do?
, A. Continue to practice with the old license
B. Apply for a new license in the new state
C. Apply for an endorsement in the new state
D. Do nothing, licenses are reciprocal
10. A patient with BUN and creatinine elevation and anuria likely has
which diagnosis?
A. Urinary Tract Infection
B. Dehydration
C. Renal Failure
D. Glomerulonephritis
Questions 11-20
11. Which foods are highest in potassium?
A. Apples and white bread
B. Bananas and baked potatoes
C. Cheese and yogurt
D. Rice and pasta
12. A patient is admitted with DKA. Which ABG finding would the
nurse anticipate?
A. pH 7.50, PaCO2 48, HCO3 30
B. pH 7.30, PaCO2 30, HCO3 16
C. pH 7.35, PaCO2 45, HCO3 24
D. pH 7.45, PaCO2 35, HCO3 26
13. Which symptom is a classic sign of Meniere's Disease?
A. Gradual loss of peripheral vision
B. Constant headache and photophobia
, C. Episodic vertigo and tinnitus
D. Pain and redness in the eye
14. Post-operative care for a patient with a cataract removal includes:
A. Encouraging bending and stooping
B. Administering antibiotic and steroid eye drops
C. Positioning the patient prone
D. Encouraging reading to restore vision
15. A hallmark sign of a retinal detachment is:
A. Gradual blurring of central vision
B. Sudden flashes, floaters, and curtain-like vision loss
C. Pain and photophobia
D. A cloudy, white pupil
16. A patient with open-angle glaucoma is likely to experience:
A. Sudden, severe eye pain
B. Halos around lights
C. Nausea and vomiting
D. Gradual loss of peripheral vision
17. The nurse hears stridor on auscultation. This sound indicates:
A. Fluid in the alveoli
B. Narrowing of the trachea
C. Mucus in the large airways
D. Constriction of the bronchioles
18. Which oxygen delivery device is most precise for a patient with
COPD?
A. Nasal Cannula
B. Simple Face Mask
C. Venturi Mask
Questions and Answers | 2026 Update |
100% Correct - Galen College of Nursing.
GRADED A+
1. What EKG change should the nurse expect in a patient with a
potassium level of 6.2 mEq/L?
A. Presence of U waves
B. Tall, peaked T waves
C. Flattened T waves
D. ST segment depression
2. Which assessment finding is a hallmark sign of hypocalcemia?
A. Hyperactive deep tendon reflexes
B. Shortened QT interval
C. Constipation and lethargy
D. Positive Chvostek's sign
3. A patient with a sodium level of 125 mEq/L is at risk for which
complication?
A. Dehydration
B. Hyperthermia
C. Cardiac dysrhythmia
D. Seizures
4. Which ABG result indicates uncompensated respiratory acidosis?
A. pH 7.48, PaCO2 30, HCO3 24
B. pH 7.35, PaCO2 45, HCO3 26
, C. pH 7.32, PaCO2 38, HCO3 18
D. pH 7.30, PaCO2 50, HCO3 24
5. A patient scheduled for surgery has not been NPO since midnight.
What is the priority action?
A. Proceed with surgery as planned
B. Administer an antiemetic
C. Place an NG tube
D. Notify the surgeon and anesthesiologist
6. Which client is best to reschedule when staffing requires a change in
home health visits?
A. A client with a new colostomy needing teaching
B. A client with a wound infection on IV antibiotics
C. A client with emphysema on home oxygen with SpO2 of 91-93%
D. A client with chest pain scheduled for an EKG
7. Using Maslow's hierarchy, which nursing diagnosis is the highest
priority?
A. Risk for Infection
B. Diarrhea
C. Disturbed Body Image
D. Impaired Gas Exchange
8. Which task is outside the RN's scope of practice when delegating?
A. Analyzing comprehensive nursing assessment data
B. Delegate assessment to an LPN
C. Delegating nursing interventions
D. Advocating for the patient
9. A nurse with a valid license in one state is moving to another state.
What should they do?
, A. Continue to practice with the old license
B. Apply for a new license in the new state
C. Apply for an endorsement in the new state
D. Do nothing, licenses are reciprocal
10. A patient with BUN and creatinine elevation and anuria likely has
which diagnosis?
A. Urinary Tract Infection
B. Dehydration
C. Renal Failure
D. Glomerulonephritis
Questions 11-20
11. Which foods are highest in potassium?
A. Apples and white bread
B. Bananas and baked potatoes
C. Cheese and yogurt
D. Rice and pasta
12. A patient is admitted with DKA. Which ABG finding would the
nurse anticipate?
A. pH 7.50, PaCO2 48, HCO3 30
B. pH 7.30, PaCO2 30, HCO3 16
C. pH 7.35, PaCO2 45, HCO3 24
D. pH 7.45, PaCO2 35, HCO3 26
13. Which symptom is a classic sign of Meniere's Disease?
A. Gradual loss of peripheral vision
B. Constant headache and photophobia
, C. Episodic vertigo and tinnitus
D. Pain and redness in the eye
14. Post-operative care for a patient with a cataract removal includes:
A. Encouraging bending and stooping
B. Administering antibiotic and steroid eye drops
C. Positioning the patient prone
D. Encouraging reading to restore vision
15. A hallmark sign of a retinal detachment is:
A. Gradual blurring of central vision
B. Sudden flashes, floaters, and curtain-like vision loss
C. Pain and photophobia
D. A cloudy, white pupil
16. A patient with open-angle glaucoma is likely to experience:
A. Sudden, severe eye pain
B. Halos around lights
C. Nausea and vomiting
D. Gradual loss of peripheral vision
17. The nurse hears stridor on auscultation. This sound indicates:
A. Fluid in the alveoli
B. Narrowing of the trachea
C. Mucus in the large airways
D. Constriction of the bronchioles
18. Which oxygen delivery device is most precise for a patient with
COPD?
A. Nasal Cannula
B. Simple Face Mask
C. Venturi Mask