NUR 155 BUNDLED EXAMS NEW 2026-2027
VERSIONS 100% CORRECT - GALEN
COLLEGE.
180 QUESTIONS
TABLE OF CONTENTS
Analyze complex patient data to formulate Synthesize pathophysiological concepts to
prioritized nursing interventions anticipate complications and guide nursing
Q1 - patient with chronic heart failure Q31 - patient with chronic kidney disease
Q2 - assessment finding is most indicative Q32 - pathophysiological mechanism primarily ex...
Q3 - postoperative patient develops sudden sho... Q33 - For a patient receiving a
Q4 - laboratory value requires immediate nursing Q34 - patient with heart failure is
Q5 - nurse is assessing a patient Q35 - patient with type 2 diabetes
Q6 - patient with chronic kidney disease Q36 - of the following best describes
Q7 - ethical principle is primarily violated Q37 - patient with atrial fibrillation is
Q8 - patient with a history of Q38 - of the following is the
Q9 - finding is most concerning in Q39 - patient with sepsis is prescribed
Q10 - nurse is preparing to administer Q40 - of the following is the
Q11 - patient with chronic kidney disease Q41 - patient with chronic kidney disease
Q12 - pathophysiological mechanism best explain... Q42 - nurse is assessing a patient
Q13 - patient on a continuous heparin Q43 - nurse is preparing to administer
Q14 - nurse is evaluating a patient's Q44 - patient with severe sepsis has
Q15 - finding would most clearly indicate Q45 - nurse is evaluating a patient's
Evaluate the safety and efficacy of Apply ethical and legal frameworks to
medication administration using resolve clinical dilemmas
Q16 - patient with chronic obstructive pulmonary Q46 - nurse is providing discharge teaching
Q17 - patient is prescribed 500 mg Q47 - nurse is caring for a
Q18 - nurse is preparing to administer Q48 - patient with type 1 diabetes
Q19 - patient is receiving a continuous Q49 - nurse is administering a medication
Q20 - assessment finding is most consistent Q50 - nurse is caring for a
Q21 - patient with chronic heart failure Q51 - a patient with acute respiratory
Q22 - finding best distinguishes neurogenic shock Q52 - nurse is assessing a patient
Q23 - patient receiving a continuous heparin Q53 - patient with chronic kidney disease
Q24 - patient with chronic kidney disease Q54 - a patient with septic shock,
Q25 - assessment finding is most indicative Q55 - patient is prescribed an IV
Q26 - patient with type 2 diabetes Q56 - patient with a history of
Q27 - lab value most accurately reflects Q57 - patient presents with jaundice, dark
Q28 - patient on a continuous infusion Q58 - patient with type 2 diabetes
Q29 - patient with cirrhosis has a Q59 - nurse is performing a focused
Q30 - patient is receiving a blood Q60 - patient with a new colostomy
Page 1
,Interpret diagnostic results and adjust care Galen College.
plans accordingly Q106 - nurse is calculating the intake
Q61 - titrating a continuous norepinephrine inf... Q107 - nurse is preparing to administer
Q62 - patient with heart failure and Q108 - nurse is caring for a
Q63 - hemodynamic pattern is most consistent Q109 - nurse is assessing a patient's
Q64 - For a patient receiving a Q110 - nurse is providing discharge teaching
Q65 - patient with acute respiratory distress Q111 - patient with chronic kidney disease
Q66 - assessment finding is most indicative Q112 - finding best indicates that a
Q67 - of the following actions by Q113 - patient with heart failure is
Q68 - patient with a serum sodium Q114 - assessment finding is most indicative
Q69 - of the following is the Q115 - patient with type 1 diabetes
Q70 - patient with severe sepsis has Q116 - patient is at highest risk
Q71 - patient with chronic kidney disease Q117 - nurse is assessing a patient
Q72 - patient with acute respiratory distress Q118 - intervention should the nurse implement
Q73 - nurse is caring for a Q119 - patient with septic shock has
Q74 - patient with a history of Q120 - patient with a traumatic brain
Q75 - patient is receiving a continuous
Foundations of Nursing Fundamentals and
NUR 155 Bundled Exams New 2026 Medical-Surgical Nursing
Q76 - patient with diabetic ketoacidosis (DKA) Q121 - patient with chronic kidney disease
Q77 - patient with a history of Q122 - a patient with hyperkalemia (K+
Q78 - patient is receiving an IV Q123 - patient with a serum sodium
Q79 - patient with a traumatic brain Q124 - patient with deep vein thrombosis
Q80 - patient with a nasogastric tube Q125 - patient with heart failure and
Q81 - patient with heart failure is Q126 - patient with acute pancreatitis has
Q82 - postoperative patient reports severe inci... Q127 - patient with a chest tube
Q83 - nurse is preparing to administer Q128 - patient is receiving a blood
Q84 - nurse is caring for a Q129 - patient with chronic obstructive pulmonary
Q85 - patient with type 2 diabetes Q130 - patient with type 1 diabetes
Q86 - patient is receiving a continuous Q131 - patient with chronic kidney disease
Q87 - patient with a newly placed Q132 - nurse is evaluating a patient's
Q88 - action by the nurse demonstrates Q133 - nursing intervention is most appropriate
Q89 - patient is receiving a continuous Q134 - nurse is preparing to administer
Q90 - nurse is leading a rapid Q135 - patient with major depressive disorder
2027 Versions 100% Correct Applied Nursing Fundamentals and
Q91 - patient with chronic kidney disease Medical-Surgical Nursing
Q92 - nurse is preparing to administer Q136 - nurse is caring for a
Q93 - nurse is evaluating the effectiveness Q137 - assessment finding is most indicative
Q94 - patient with acute coronary syndrome Q138 - nurse is reviewing the medication
Q95 - patient with severe COPD is Q139 - of the following is the
Q96 - medication requires the nurse to Q140 - patient with a history of
Q97 - nurse is caring for a Q141 - patient with chronic kidney disease
Q98 - patient with type 2 diabetes Q142 - nurse is caring for a
Q99 - nurse is preparing to administer Q143 - postoperative patient has a nasogastric
Q100 - patient with a severe traumatic Q144 - nurse is preparing to administer
Q101 - patient's blood pressure is 98/62 Q145 - patient is receiving IV fluids
Q102 - nurse is evaluating a patient's Q146 - nurse is reviewing a patient's
Q103 - nurse is caring for a Q147 - nurse is providing discharge teaching
Q104 - nurse is reviewing a patient's Q148 - patient with a pressure injury
Q105 - nurse is assessing a patient Q149 - nurse is preparing to administer
Q150 - nurse is evaluating a patient's
Page 2
,Advanced Nursing Fundamentals and
Medical-Surgical Nursing
Q151 - patient with chronic kidney disease
Q152 - physiological mechanism best explains the
Q153 - nurse is evaluating a patient's
Q154 - assessment finding is most indicative
Q155 - patient with heart failure is
Q156 - patient with sepsis develops hypotension
Q157 - For a patient on a
Q158 - patient presents with acute ischemic
Q159 - patient with type 2 diabetes
Q160 - nurse is caring for a
Q161 - patient with chronic heart failure
Q162 - a patient with suspected sepsis,
Q163 - titrating intravenous norepinephrine for ...
Q164 - patient on a continuous heparin
Q165 - managing a patient with hyperkalemia
Nursing Fundamentals and Medical-Surgical
Nursing Review
Q166 - patient is receiving IV potassium
Q167 - ventilator setting adjustment is most
Q168 - patient with a pulmonary embolism
Q169 - medication is contraindicated in a
Q170 - patient with diabetic ketoacidosis is
Q171 - patient with chronic heart failure
Q172 - patient receiving a continuous heparin
Q173 - nurse is evaluating arterial blood
Q174 - patient post-operative day 1 has
Q175 - nurse is preparing to administer
Q176 - patient with sepsis has a
Q177 - nurse is assessing a patient
Q178 - nurse is reviewing the laboratory
Q179 - patient with type 2 diabetes
Q180 - patient with an acute exacerbation
Page 3
, Q1 ANALYZE COMPLEX PATIENT DATA TO FORMULATE PRIORITIZED NURSING
INTERVENTIONS
A patient with chronic heart failure is prescribed a loop diuretic. The nurse notes a
serum potassium of 3.2 mEq/L. Which intervention is most appropriate to prevent
worsening hypokalemia?
A. Administer the diuretic with a potassium-sparing diuretic as prescribed. CORRECT
B. Encourage a diet high in potassium-rich foods such as bananas and oranges.
C. Hold the diuretic and notify the provider immediately.
D. Administer IV potassium chloride before giving the diuretic.
RATIONALE: Loop diuretics cause potassium loss; combining with a potassium-sparing diuretic
(e.g., spironolactone) is a common strategy to maintain potassium balance. Dietary changes
alone are insufficient. Holding the diuretic may lead to fluid overload, and IV potassium should
only be given per protocol and not routinely before diuretic administration.
Q2 ANALYZE COMPLEX PATIENT DATA TO FORMULATE PRIORITIZED NURSING
INTERVENTIONS
Which assessment finding is most indicative of a tension pneumothorax in a
patient receiving positive pressure ventilation?
A. Decreased breath sounds on the affected side with hyperresonance to percussion.
CORRECT
B. Sudden onset of pleuritic chest pain with a pleural friction rub.
C. Tracheal deviation toward the affected side and inspiratory stridor.
D. Chest tube output of 100 mL/hr of serosanguineous fluid.
RATIONALE: Tension pneumothorax causes air trapping, leading to absent breath sounds and
hyperresonance on the affected side, plus tracheal deviation away from the affected side (not
toward). Pleuritic chest pain and friction rub are more typical of pleurisy, and chest tube output is
not indicative of pneumothorax.
Page 4
VERSIONS 100% CORRECT - GALEN
COLLEGE.
180 QUESTIONS
TABLE OF CONTENTS
Analyze complex patient data to formulate Synthesize pathophysiological concepts to
prioritized nursing interventions anticipate complications and guide nursing
Q1 - patient with chronic heart failure Q31 - patient with chronic kidney disease
Q2 - assessment finding is most indicative Q32 - pathophysiological mechanism primarily ex...
Q3 - postoperative patient develops sudden sho... Q33 - For a patient receiving a
Q4 - laboratory value requires immediate nursing Q34 - patient with heart failure is
Q5 - nurse is assessing a patient Q35 - patient with type 2 diabetes
Q6 - patient with chronic kidney disease Q36 - of the following best describes
Q7 - ethical principle is primarily violated Q37 - patient with atrial fibrillation is
Q8 - patient with a history of Q38 - of the following is the
Q9 - finding is most concerning in Q39 - patient with sepsis is prescribed
Q10 - nurse is preparing to administer Q40 - of the following is the
Q11 - patient with chronic kidney disease Q41 - patient with chronic kidney disease
Q12 - pathophysiological mechanism best explain... Q42 - nurse is assessing a patient
Q13 - patient on a continuous heparin Q43 - nurse is preparing to administer
Q14 - nurse is evaluating a patient's Q44 - patient with severe sepsis has
Q15 - finding would most clearly indicate Q45 - nurse is evaluating a patient's
Evaluate the safety and efficacy of Apply ethical and legal frameworks to
medication administration using resolve clinical dilemmas
Q16 - patient with chronic obstructive pulmonary Q46 - nurse is providing discharge teaching
Q17 - patient is prescribed 500 mg Q47 - nurse is caring for a
Q18 - nurse is preparing to administer Q48 - patient with type 1 diabetes
Q19 - patient is receiving a continuous Q49 - nurse is administering a medication
Q20 - assessment finding is most consistent Q50 - nurse is caring for a
Q21 - patient with chronic heart failure Q51 - a patient with acute respiratory
Q22 - finding best distinguishes neurogenic shock Q52 - nurse is assessing a patient
Q23 - patient receiving a continuous heparin Q53 - patient with chronic kidney disease
Q24 - patient with chronic kidney disease Q54 - a patient with septic shock,
Q25 - assessment finding is most indicative Q55 - patient is prescribed an IV
Q26 - patient with type 2 diabetes Q56 - patient with a history of
Q27 - lab value most accurately reflects Q57 - patient presents with jaundice, dark
Q28 - patient on a continuous infusion Q58 - patient with type 2 diabetes
Q29 - patient with cirrhosis has a Q59 - nurse is performing a focused
Q30 - patient is receiving a blood Q60 - patient with a new colostomy
Page 1
,Interpret diagnostic results and adjust care Galen College.
plans accordingly Q106 - nurse is calculating the intake
Q61 - titrating a continuous norepinephrine inf... Q107 - nurse is preparing to administer
Q62 - patient with heart failure and Q108 - nurse is caring for a
Q63 - hemodynamic pattern is most consistent Q109 - nurse is assessing a patient's
Q64 - For a patient receiving a Q110 - nurse is providing discharge teaching
Q65 - patient with acute respiratory distress Q111 - patient with chronic kidney disease
Q66 - assessment finding is most indicative Q112 - finding best indicates that a
Q67 - of the following actions by Q113 - patient with heart failure is
Q68 - patient with a serum sodium Q114 - assessment finding is most indicative
Q69 - of the following is the Q115 - patient with type 1 diabetes
Q70 - patient with severe sepsis has Q116 - patient is at highest risk
Q71 - patient with chronic kidney disease Q117 - nurse is assessing a patient
Q72 - patient with acute respiratory distress Q118 - intervention should the nurse implement
Q73 - nurse is caring for a Q119 - patient with septic shock has
Q74 - patient with a history of Q120 - patient with a traumatic brain
Q75 - patient is receiving a continuous
Foundations of Nursing Fundamentals and
NUR 155 Bundled Exams New 2026 Medical-Surgical Nursing
Q76 - patient with diabetic ketoacidosis (DKA) Q121 - patient with chronic kidney disease
Q77 - patient with a history of Q122 - a patient with hyperkalemia (K+
Q78 - patient is receiving an IV Q123 - patient with a serum sodium
Q79 - patient with a traumatic brain Q124 - patient with deep vein thrombosis
Q80 - patient with a nasogastric tube Q125 - patient with heart failure and
Q81 - patient with heart failure is Q126 - patient with acute pancreatitis has
Q82 - postoperative patient reports severe inci... Q127 - patient with a chest tube
Q83 - nurse is preparing to administer Q128 - patient is receiving a blood
Q84 - nurse is caring for a Q129 - patient with chronic obstructive pulmonary
Q85 - patient with type 2 diabetes Q130 - patient with type 1 diabetes
Q86 - patient is receiving a continuous Q131 - patient with chronic kidney disease
Q87 - patient with a newly placed Q132 - nurse is evaluating a patient's
Q88 - action by the nurse demonstrates Q133 - nursing intervention is most appropriate
Q89 - patient is receiving a continuous Q134 - nurse is preparing to administer
Q90 - nurse is leading a rapid Q135 - patient with major depressive disorder
2027 Versions 100% Correct Applied Nursing Fundamentals and
Q91 - patient with chronic kidney disease Medical-Surgical Nursing
Q92 - nurse is preparing to administer Q136 - nurse is caring for a
Q93 - nurse is evaluating the effectiveness Q137 - assessment finding is most indicative
Q94 - patient with acute coronary syndrome Q138 - nurse is reviewing the medication
Q95 - patient with severe COPD is Q139 - of the following is the
Q96 - medication requires the nurse to Q140 - patient with a history of
Q97 - nurse is caring for a Q141 - patient with chronic kidney disease
Q98 - patient with type 2 diabetes Q142 - nurse is caring for a
Q99 - nurse is preparing to administer Q143 - postoperative patient has a nasogastric
Q100 - patient with a severe traumatic Q144 - nurse is preparing to administer
Q101 - patient's blood pressure is 98/62 Q145 - patient is receiving IV fluids
Q102 - nurse is evaluating a patient's Q146 - nurse is reviewing a patient's
Q103 - nurse is caring for a Q147 - nurse is providing discharge teaching
Q104 - nurse is reviewing a patient's Q148 - patient with a pressure injury
Q105 - nurse is assessing a patient Q149 - nurse is preparing to administer
Q150 - nurse is evaluating a patient's
Page 2
,Advanced Nursing Fundamentals and
Medical-Surgical Nursing
Q151 - patient with chronic kidney disease
Q152 - physiological mechanism best explains the
Q153 - nurse is evaluating a patient's
Q154 - assessment finding is most indicative
Q155 - patient with heart failure is
Q156 - patient with sepsis develops hypotension
Q157 - For a patient on a
Q158 - patient presents with acute ischemic
Q159 - patient with type 2 diabetes
Q160 - nurse is caring for a
Q161 - patient with chronic heart failure
Q162 - a patient with suspected sepsis,
Q163 - titrating intravenous norepinephrine for ...
Q164 - patient on a continuous heparin
Q165 - managing a patient with hyperkalemia
Nursing Fundamentals and Medical-Surgical
Nursing Review
Q166 - patient is receiving IV potassium
Q167 - ventilator setting adjustment is most
Q168 - patient with a pulmonary embolism
Q169 - medication is contraindicated in a
Q170 - patient with diabetic ketoacidosis is
Q171 - patient with chronic heart failure
Q172 - patient receiving a continuous heparin
Q173 - nurse is evaluating arterial blood
Q174 - patient post-operative day 1 has
Q175 - nurse is preparing to administer
Q176 - patient with sepsis has a
Q177 - nurse is assessing a patient
Q178 - nurse is reviewing the laboratory
Q179 - patient with type 2 diabetes
Q180 - patient with an acute exacerbation
Page 3
, Q1 ANALYZE COMPLEX PATIENT DATA TO FORMULATE PRIORITIZED NURSING
INTERVENTIONS
A patient with chronic heart failure is prescribed a loop diuretic. The nurse notes a
serum potassium of 3.2 mEq/L. Which intervention is most appropriate to prevent
worsening hypokalemia?
A. Administer the diuretic with a potassium-sparing diuretic as prescribed. CORRECT
B. Encourage a diet high in potassium-rich foods such as bananas and oranges.
C. Hold the diuretic and notify the provider immediately.
D. Administer IV potassium chloride before giving the diuretic.
RATIONALE: Loop diuretics cause potassium loss; combining with a potassium-sparing diuretic
(e.g., spironolactone) is a common strategy to maintain potassium balance. Dietary changes
alone are insufficient. Holding the diuretic may lead to fluid overload, and IV potassium should
only be given per protocol and not routinely before diuretic administration.
Q2 ANALYZE COMPLEX PATIENT DATA TO FORMULATE PRIORITIZED NURSING
INTERVENTIONS
Which assessment finding is most indicative of a tension pneumothorax in a
patient receiving positive pressure ventilation?
A. Decreased breath sounds on the affected side with hyperresonance to percussion.
CORRECT
B. Sudden onset of pleuritic chest pain with a pleural friction rub.
C. Tracheal deviation toward the affected side and inspiratory stridor.
D. Chest tube output of 100 mL/hr of serosanguineous fluid.
RATIONALE: Tension pneumothorax causes air trapping, leading to absent breath sounds and
hyperresonance on the affected side, plus tracheal deviation away from the affected side (not
toward). Pleuritic chest pain and friction rub are more typical of pleurisy, and chest tube output is
not indicative of pneumothorax.
Page 4
