NUR 170 MED SURG EXAM 3-V1 AND V2
QUESTIONS AND ANSWERS 2026 UPDATE 100%
CORRECT - GALEN COLLEGE OF NURSING.
190 QUESTIONS
TABLE OF CONTENTS
Apply the nursing process to complex Integrate pharmacology and
medical-surgical scenarios pathophysiology in clinical decision-making
Q1 - patient with chronic heart failure Q33 - patient with septic shock has
Q2 - assessment finding in a patient Q34 - patient with acute pancreatitis develops
Q3 - patient post-thyroidectomy develops strid... Q35 - patient on a continuous heparin
Q4 - clinical manifestation differentiates hyp... Q36 - patient with chronic obstructive pulmonary
Q5 - patient with acute pancreatitis has Q37 - patient with a large pulmonary
Q6 - nursing intervention is most appropriate Q38 - patient with acute kidney injury
Q7 - patient receiving IV heparin for Q39 - patient with cirrhosis and ascites
Q8 - patient is at highest risk Q40 - patient with acute pancreatitis develops
Q9 - patient with cirrhosis and ascites Q41 - patient with acute respiratory distress
Q10 - of the following findings in Q42 - patient with acute coronary syndrome
Q11 - a patient with syndrome of Q43 - patient receiving a continuous infusion
Q12 - patient with septic shock remains Q44 - patient with type 2 diabetes
Q13 - assessment finding most reliably indicates Q45 - patient with a massive pulmonary
Q14 - patient with acute pancreatitis develops Q46 - patient with a traumatic brain
Q15 - intervention is most effective in Q47 - patient in the intensive care
Q16 - patient with type 1 diabetes Q48 - patient with cirrhosis and ascites
Prioritize care for patients with multiple Evaluate patient responses to interventions
acute and chronic health alterations and modify care accordingly
Q17 - factor most increases the risk Q49 - patient with end-stage renal disease
Q18 - patient on a heparin drip Q50 - patient with sepsis and acute
Q19 - finding is most indicative of Q51 - a patient with acute pancreatitis,
Q20 - patient with cirrhosis and ascites Q52 - patient with cirrhosis develops asterixis
Q21 - patient with acute pancreatitis develops Q53 - assessment finding is most indicative
Q22 - finding in a patient with Q54 - For a patient with diabetic
Q23 - patient with heart failure and Q55 - finding distinguishes syndrome of inappro...
Q24 - patient with septic shock has Q56 - patient with chronic kidney disease
Q25 - patient with cirrhosis presents with Q57 - assessment is most critical to
Q26 - patient with type 1 diabetes Q58 - a patient with sepsis, which
Q27 - patient with acute respiratory distress Q59 - electrocardiographic change is most consi...
Q28 - patient with chronic obstructive pulmonary Q60 - patient with acute respiratory distress
Q29 - patient with acute kidney injury Q61 - patient with acute pericarditis develops
Q30 - patient with pulmonary embolism is Q62 - a patient with suspected acute
Q31 - patient with cirrhosis and refractory Q63 - patient with chronic heart failure
Q32 - patient with a history of Q64 - patient with septic shock requires
Page 1
,Demonstrate safety and quality improvement V1 and V2 Questions and Answers 2026
in nursing practice Update 100% Correct
Q65 - finding is most indicative of Q97 - patient with a chest tube
Q66 - patient with diabetic ketoacidosis has Q98 - patient with a pulmonary embolism
Q67 - intervention is most effective in Q99 - patient is diagnosed with syndrome
Q68 - patient with acute pancreatitis develops Q100 - patient is receiving a blood
Q69 - patient with chronic kidney disease Q101 - patient with a history of
Q70 - nursing intervention is most appropriate Q102 - patient with septic shock requires
Q71 - patient with a history of Q103 - patient with chronic kidney disease
Q72 - a patient with syndrome of Q104 - patient with acute pancreatitis develops
Q73 - patient receiving a continuous heparin Q105 - ventilator setting adjustment directly re...
Q74 - a patient with acute pancreatitis, Q106 - patient with cirrhosis and ascites
Q75 - patient with chronic kidney disease Q107 - patient with diabetic ketoacidosis (DKA)
Q76 - patient with sepsis and acute Q108 - patient with a pulmonary embolism
Q77 - patient with type 1 diabetes Q109 - patient with acute kidney injury
Q78 - patient with cirrhosis and ascites Q110 - patient with hyperthyroidism is prescribed
Q79 - patient with a pulmonary embolism Q111 - patient with acute pancreatitis develops
Q80 - patient with hyperthyroidism is prescribed Q112 - patient with heart failure has
NUR 170 Med Surg Exam 3 Galen College of Nursing.
Q81 - patient with a serum potassium Q113 - patient with chronic kidney disease
Q82 - patient with hyperthyroidism is prescribed Q114 - clinical scenario most likely indicates
Q83 - assessment finding is most indicative Q115 - During a blood transfusion, a
Q84 - laboratory value is most consistent Q116 - patient with acute respiratory distress
Q85 - Following an acute myocardial infarction, Q117 - patient with cirrhosis and ascites
Q86 - patient with cirrhosis and ascites Q118 - patient with a traumatic brain
Q87 - ventilator setting change is most Q119 - patient with sepsis and acute
Q88 - patient with chronic kidney disease Q120 - patient with a new ileostomy
Q89 - patient with acute pancreatitis develops Q121 - patient with acute pancreatitis develops
Q90 - patient with a pulmonary embolism Q122 - patient with cirrhosis and refractory
Q91 - patient in the ICU with Q123 - patient with suspected bacterial meningitis
Q92 - patient is receiving mechanical ventilation Q124 - patient with chronic kidney disease
Q93 - patient with a traumatic brain Q125 - patient on mechanical ventilation develops
Q94 - patient with type 1 diabetes Q126 - patient with sepsis and hypotension
Q95 - patient is admitted with a Q127 - assessment finding most reliably indicates
Q96 - patient is scheduled for an Q128 - patient with a pulmonary embolism
Page 2
,Foundations of Medical-Surgical Nursing Medical-Surgical Nursing Review
Q129 - patient with acute respiratory distress Q176 - patient with sepsis and acute
Q130 - patient with acute decompensated heart Q177 - patient with cirrhosis and ascites
Q131 - patient with septic shock is Q178 - assessment finding in a patient
Q132 - finding most clearly indicates that Q179 - patient with a new tracheostomy
Q133 - patient with chronic kidney disease Q180 - patient with a pulmonary embolism
Q134 - assessment finding in a patient Q181 - patient with type 1 diabetes
Q135 - patient with a history of Q182 - assessment finding most reliably indicates
Q136 - For a patient with diabetic Q183 - patient with a serum creatinine
Q137 - medication should be held before Q184 - patient with chronic heart failure
Q138 - patient with cirrhosis and ascites Q185 - patient is receiving IV heparin
Q139 - patient with acute pancreatitis develops Q186 - patient with cirrhosis and ascites
Q140 - electrocardiogram (ECG) finding is most Q187 - patient with sepsis develops acute
Q141 - patient with septic shock and Q188 - patient with diabetic ketoacidosis (DKA)
Q142 - finding is most indicative of Q189 - patient with acute pancreatitis has
Q143 - patient with diabetic ketoacidosis (DKA) Q190 - patient is receiving a continuous
Q144 - assessment finding in a patient
Applied Medical-Surgical Nursing
Q145 - patient with liver cirrhosis and
Q146 - patient has a serum creatinine
Q147 - patient with a traumatic brain
Q148 - patient with a massive upper
Q149 - patient is receiving a continuous
Q150 - patient with chronic kidney disease
Q151 - a patient with acute pancreatitis,
Q152 - patient with septic shock remains
Q153 - pathophysiological mechanism best explain...
Q154 - combination of findings is most
Q155 - patient with acute kidney injury
Q156 - finding is most indicative of
Q157 - ventilator setting adjustment is most
Q158 - statement best describes the mechanism
Q159 - patient with cirrhosis and ascites
Q160 - assessment finding is most consistent
Advanced Medical-Surgical Nursing
Q161 - a patient with acute pancreatitis,
Q162 - pathophysiological mechanism primarily ex...
Q163 - patient with chronic obstructive pulmonary
Q164 - assessment finding is most consistent
Q165 - For a patient with hyperkalemia
Q166 - finding is most indicative of
Q167 - finding is most indicative of
Q168 - patient with septic shock has
Q169 - prophylactic measure is most effective
Q170 - patient with diabetic ketoacidosis has
Q171 - patient with acute pancreatitis develops
Q172 - patient with chronic kidney disease
Q173 - patient with a history of
Q174 - electrocardiographic finding is most char...
Q175 - patient with acute respiratory distress
Page 3
, Q1 APPLY THE NURSING PROCESS TO COMPLEX MEDICAL-SURGICAL SCENARIOS
A patient with chronic heart failure and new-onset atrial fibrillation is receiving
digoxin and warfarin. Which laboratory value most directly indicates an increased
risk of digoxin toxicity?
A. Potassium 3.0 mEq/L CORRECT
B. Magnesium 2.2 mEq/L
C. INR 3.0
D. BUN 20 mg/dL
RATIONALE: Hypokalemia increases myocardial sensitivity to digoxin, predisposing to toxicity.
Normal magnesium, INR, and BUN do not directly enhance digoxin toxicity, though renal
impairment (elevated BUN/creatinine) could, but here BUN is normal.
Q2 APPLY THE NURSING PROCESS TO COMPLEX MEDICAL-SURGICAL SCENARIOS
Which assessment finding in a patient with syndrome of inappropriate antidiuretic
hormone (SIADH) requires immediate intervention?
A. Serum sodium 128 mEq/L CORRECT
B. Urine specific gravity 1.030
C. Weight gain of 1 kg over 24 hours
D. Serum osmolality 260 mOsm/kg
RATIONALE: A serum sodium of 128 mEq/L is critically low and can cause neurologic symptoms,
requiring urgent correction. While other findings are consistent with SIADH, they do not alone
require immediate intervention unless symptomatic. The threshold for severe hyponatremia is
often <125 mEq/L, but 128 with symptoms warrants rapid action.
Page 4
QUESTIONS AND ANSWERS 2026 UPDATE 100%
CORRECT - GALEN COLLEGE OF NURSING.
190 QUESTIONS
TABLE OF CONTENTS
Apply the nursing process to complex Integrate pharmacology and
medical-surgical scenarios pathophysiology in clinical decision-making
Q1 - patient with chronic heart failure Q33 - patient with septic shock has
Q2 - assessment finding in a patient Q34 - patient with acute pancreatitis develops
Q3 - patient post-thyroidectomy develops strid... Q35 - patient on a continuous heparin
Q4 - clinical manifestation differentiates hyp... Q36 - patient with chronic obstructive pulmonary
Q5 - patient with acute pancreatitis has Q37 - patient with a large pulmonary
Q6 - nursing intervention is most appropriate Q38 - patient with acute kidney injury
Q7 - patient receiving IV heparin for Q39 - patient with cirrhosis and ascites
Q8 - patient is at highest risk Q40 - patient with acute pancreatitis develops
Q9 - patient with cirrhosis and ascites Q41 - patient with acute respiratory distress
Q10 - of the following findings in Q42 - patient with acute coronary syndrome
Q11 - a patient with syndrome of Q43 - patient receiving a continuous infusion
Q12 - patient with septic shock remains Q44 - patient with type 2 diabetes
Q13 - assessment finding most reliably indicates Q45 - patient with a massive pulmonary
Q14 - patient with acute pancreatitis develops Q46 - patient with a traumatic brain
Q15 - intervention is most effective in Q47 - patient in the intensive care
Q16 - patient with type 1 diabetes Q48 - patient with cirrhosis and ascites
Prioritize care for patients with multiple Evaluate patient responses to interventions
acute and chronic health alterations and modify care accordingly
Q17 - factor most increases the risk Q49 - patient with end-stage renal disease
Q18 - patient on a heparin drip Q50 - patient with sepsis and acute
Q19 - finding is most indicative of Q51 - a patient with acute pancreatitis,
Q20 - patient with cirrhosis and ascites Q52 - patient with cirrhosis develops asterixis
Q21 - patient with acute pancreatitis develops Q53 - assessment finding is most indicative
Q22 - finding in a patient with Q54 - For a patient with diabetic
Q23 - patient with heart failure and Q55 - finding distinguishes syndrome of inappro...
Q24 - patient with septic shock has Q56 - patient with chronic kidney disease
Q25 - patient with cirrhosis presents with Q57 - assessment is most critical to
Q26 - patient with type 1 diabetes Q58 - a patient with sepsis, which
Q27 - patient with acute respiratory distress Q59 - electrocardiographic change is most consi...
Q28 - patient with chronic obstructive pulmonary Q60 - patient with acute respiratory distress
Q29 - patient with acute kidney injury Q61 - patient with acute pericarditis develops
Q30 - patient with pulmonary embolism is Q62 - a patient with suspected acute
Q31 - patient with cirrhosis and refractory Q63 - patient with chronic heart failure
Q32 - patient with a history of Q64 - patient with septic shock requires
Page 1
,Demonstrate safety and quality improvement V1 and V2 Questions and Answers 2026
in nursing practice Update 100% Correct
Q65 - finding is most indicative of Q97 - patient with a chest tube
Q66 - patient with diabetic ketoacidosis has Q98 - patient with a pulmonary embolism
Q67 - intervention is most effective in Q99 - patient is diagnosed with syndrome
Q68 - patient with acute pancreatitis develops Q100 - patient is receiving a blood
Q69 - patient with chronic kidney disease Q101 - patient with a history of
Q70 - nursing intervention is most appropriate Q102 - patient with septic shock requires
Q71 - patient with a history of Q103 - patient with chronic kidney disease
Q72 - a patient with syndrome of Q104 - patient with acute pancreatitis develops
Q73 - patient receiving a continuous heparin Q105 - ventilator setting adjustment directly re...
Q74 - a patient with acute pancreatitis, Q106 - patient with cirrhosis and ascites
Q75 - patient with chronic kidney disease Q107 - patient with diabetic ketoacidosis (DKA)
Q76 - patient with sepsis and acute Q108 - patient with a pulmonary embolism
Q77 - patient with type 1 diabetes Q109 - patient with acute kidney injury
Q78 - patient with cirrhosis and ascites Q110 - patient with hyperthyroidism is prescribed
Q79 - patient with a pulmonary embolism Q111 - patient with acute pancreatitis develops
Q80 - patient with hyperthyroidism is prescribed Q112 - patient with heart failure has
NUR 170 Med Surg Exam 3 Galen College of Nursing.
Q81 - patient with a serum potassium Q113 - patient with chronic kidney disease
Q82 - patient with hyperthyroidism is prescribed Q114 - clinical scenario most likely indicates
Q83 - assessment finding is most indicative Q115 - During a blood transfusion, a
Q84 - laboratory value is most consistent Q116 - patient with acute respiratory distress
Q85 - Following an acute myocardial infarction, Q117 - patient with cirrhosis and ascites
Q86 - patient with cirrhosis and ascites Q118 - patient with a traumatic brain
Q87 - ventilator setting change is most Q119 - patient with sepsis and acute
Q88 - patient with chronic kidney disease Q120 - patient with a new ileostomy
Q89 - patient with acute pancreatitis develops Q121 - patient with acute pancreatitis develops
Q90 - patient with a pulmonary embolism Q122 - patient with cirrhosis and refractory
Q91 - patient in the ICU with Q123 - patient with suspected bacterial meningitis
Q92 - patient is receiving mechanical ventilation Q124 - patient with chronic kidney disease
Q93 - patient with a traumatic brain Q125 - patient on mechanical ventilation develops
Q94 - patient with type 1 diabetes Q126 - patient with sepsis and hypotension
Q95 - patient is admitted with a Q127 - assessment finding most reliably indicates
Q96 - patient is scheduled for an Q128 - patient with a pulmonary embolism
Page 2
,Foundations of Medical-Surgical Nursing Medical-Surgical Nursing Review
Q129 - patient with acute respiratory distress Q176 - patient with sepsis and acute
Q130 - patient with acute decompensated heart Q177 - patient with cirrhosis and ascites
Q131 - patient with septic shock is Q178 - assessment finding in a patient
Q132 - finding most clearly indicates that Q179 - patient with a new tracheostomy
Q133 - patient with chronic kidney disease Q180 - patient with a pulmonary embolism
Q134 - assessment finding in a patient Q181 - patient with type 1 diabetes
Q135 - patient with a history of Q182 - assessment finding most reliably indicates
Q136 - For a patient with diabetic Q183 - patient with a serum creatinine
Q137 - medication should be held before Q184 - patient with chronic heart failure
Q138 - patient with cirrhosis and ascites Q185 - patient is receiving IV heparin
Q139 - patient with acute pancreatitis develops Q186 - patient with cirrhosis and ascites
Q140 - electrocardiogram (ECG) finding is most Q187 - patient with sepsis develops acute
Q141 - patient with septic shock and Q188 - patient with diabetic ketoacidosis (DKA)
Q142 - finding is most indicative of Q189 - patient with acute pancreatitis has
Q143 - patient with diabetic ketoacidosis (DKA) Q190 - patient is receiving a continuous
Q144 - assessment finding in a patient
Applied Medical-Surgical Nursing
Q145 - patient with liver cirrhosis and
Q146 - patient has a serum creatinine
Q147 - patient with a traumatic brain
Q148 - patient with a massive upper
Q149 - patient is receiving a continuous
Q150 - patient with chronic kidney disease
Q151 - a patient with acute pancreatitis,
Q152 - patient with septic shock remains
Q153 - pathophysiological mechanism best explain...
Q154 - combination of findings is most
Q155 - patient with acute kidney injury
Q156 - finding is most indicative of
Q157 - ventilator setting adjustment is most
Q158 - statement best describes the mechanism
Q159 - patient with cirrhosis and ascites
Q160 - assessment finding is most consistent
Advanced Medical-Surgical Nursing
Q161 - a patient with acute pancreatitis,
Q162 - pathophysiological mechanism primarily ex...
Q163 - patient with chronic obstructive pulmonary
Q164 - assessment finding is most consistent
Q165 - For a patient with hyperkalemia
Q166 - finding is most indicative of
Q167 - finding is most indicative of
Q168 - patient with septic shock has
Q169 - prophylactic measure is most effective
Q170 - patient with diabetic ketoacidosis has
Q171 - patient with acute pancreatitis develops
Q172 - patient with chronic kidney disease
Q173 - patient with a history of
Q174 - electrocardiographic finding is most char...
Q175 - patient with acute respiratory distress
Page 3
, Q1 APPLY THE NURSING PROCESS TO COMPLEX MEDICAL-SURGICAL SCENARIOS
A patient with chronic heart failure and new-onset atrial fibrillation is receiving
digoxin and warfarin. Which laboratory value most directly indicates an increased
risk of digoxin toxicity?
A. Potassium 3.0 mEq/L CORRECT
B. Magnesium 2.2 mEq/L
C. INR 3.0
D. BUN 20 mg/dL
RATIONALE: Hypokalemia increases myocardial sensitivity to digoxin, predisposing to toxicity.
Normal magnesium, INR, and BUN do not directly enhance digoxin toxicity, though renal
impairment (elevated BUN/creatinine) could, but here BUN is normal.
Q2 APPLY THE NURSING PROCESS TO COMPLEX MEDICAL-SURGICAL SCENARIOS
Which assessment finding in a patient with syndrome of inappropriate antidiuretic
hormone (SIADH) requires immediate intervention?
A. Serum sodium 128 mEq/L CORRECT
B. Urine specific gravity 1.030
C. Weight gain of 1 kg over 24 hours
D. Serum osmolality 260 mOsm/kg
RATIONALE: A serum sodium of 128 mEq/L is critically low and can cause neurologic symptoms,
requiring urgent correction. While other findings are consistent with SIADH, they do not alone
require immediate intervention unless symptomatic. The threshold for severe hyponatremia is
often <125 mEq/L, but 128 with symptoms warrants rapid action.
Page 4
