NUR 265 Advanced Medical-Surgical Nursing Exam 2 … 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 265 Advanced Medical-Surgical Nursing Exam 2 Practice
2026/2027 UPDATE Galen
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 265 Advanced Medical-Surgical Nursing Exam 2 … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient in the ICU develops sudden Supraventricular Tachycardia (SVT) with a heart rate
of 190 bpm. The patient is stable but symptomatic. Which initial pharmacological
intervention should the nurse anticipate?
A. Atropine 0.5 mg IV push
B. Amiodarone 150 mg IV over 10 minutes
C. Adenosine 6 mg rapid IV push
D. Digoxin 0.25 mg IV push
Answer: C
Rationale: Adenosine is the first-line medication for stable SVT. It works by slowing conduction
through the AV node, often causing a brief period of asystole. Understanding this helps the nurse
notice early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client. In practice, this guides the nurse to set priorities and protect the client from
harm. Safety, nutrition, and clear communication are frequent priorities.
2. A patient with a traumatic brain injury is producing 500 mL of pale urine per hour. The
nurse notes a serum sodium of 155 mEq/L and a urine specific gravity of 1.002. Which
condition is most likely?
A. SIADH
B. Cerebral Salt Wasting
C. Diabetes Insipidus
D. Hyperaldosteronism
Answer: C
Rationale: Diabetes Insipidus (DI) is characterized by a deficiency in ADH, leading to massive dilute
urine output (low specific gravity) and high serum sodium due to dehydration. Exam questions often
test whether you can pick the most practical and safe choice for the client in real situations. Focus on
what the nurse can actually do right now. Exam questions often test whether you can pick the most
practical and safe choice for the client in real situations. Focus on what the nurse can actually do right
now.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 265 Advanced Medical-Surgical Nursing Exam 2 … 2026/2027 • Verified • Assured Grade A+
3. During the oliguric phase of Acute Kidney Injury (AKI), which electrolyte abnormality is
the most life-threatening?
A. Hyperkalemia
B. Hyponatremia
C. Hypocalcemia
D. Hypermagnesemia
Answer: A
Rationale: Hyperkalemia is the most dangerous complication of AKI as it can lead to fatal cardiac
dysrhythmias and cardiac arrest. This is important because the nurse must choose the action that
keeps the client safest while still meeting their basic needs. Always think about safety first when
answering these questions. This knowledge supports safe care and helps the nurse teach the client
and family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
4. A patient with a history of Myocardial Infarction presents with dyspnea, orthopnea, and
crackles in the lung bases. The nurse recognizes these as signs of:
A. Right-sided Heart Failure
B. Cardiac Tamponade
C. Pulmonary Embolism
D. Left-sided Heart Failure
Answer: D
Rationale: Left-sided heart failure causes blood to back up into the pulmonary circulation, leading to
respiratory symptoms and pulmonary edema. In practice, this guides the nurse to set priorities and
protect the client from harm. Safety, nutrition, and clear communication are frequent priorities. Exam
questions often test whether you can pick the most practical and safe choice for the client in real
situations. Focus on what the nurse can actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 265 Advanced Medical-Surgical Nursing Exam 2 Practice
2026/2027 UPDATE Galen
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 265 Advanced Medical-Surgical Nursing Exam 2 … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient in the ICU develops sudden Supraventricular Tachycardia (SVT) with a heart rate
of 190 bpm. The patient is stable but symptomatic. Which initial pharmacological
intervention should the nurse anticipate?
A. Atropine 0.5 mg IV push
B. Amiodarone 150 mg IV over 10 minutes
C. Adenosine 6 mg rapid IV push
D. Digoxin 0.25 mg IV push
Answer: C
Rationale: Adenosine is the first-line medication for stable SVT. It works by slowing conduction
through the AV node, often causing a brief period of asystole. Understanding this helps the nurse
notice early warning signs and act before the problem gets worse. Early action often prevents bigger
complications for the client. In practice, this guides the nurse to set priorities and protect the client from
harm. Safety, nutrition, and clear communication are frequent priorities.
2. A patient with a traumatic brain injury is producing 500 mL of pale urine per hour. The
nurse notes a serum sodium of 155 mEq/L and a urine specific gravity of 1.002. Which
condition is most likely?
A. SIADH
B. Cerebral Salt Wasting
C. Diabetes Insipidus
D. Hyperaldosteronism
Answer: C
Rationale: Diabetes Insipidus (DI) is characterized by a deficiency in ADH, leading to massive dilute
urine output (low specific gravity) and high serum sodium due to dehydration. Exam questions often
test whether you can pick the most practical and safe choice for the client in real situations. Focus on
what the nurse can actually do right now. Exam questions often test whether you can pick the most
practical and safe choice for the client in real situations. Focus on what the nurse can actually do right
now.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 265 Advanced Medical-Surgical Nursing Exam 2 … 2026/2027 • Verified • Assured Grade A+
3. During the oliguric phase of Acute Kidney Injury (AKI), which electrolyte abnormality is
the most life-threatening?
A. Hyperkalemia
B. Hyponatremia
C. Hypocalcemia
D. Hypermagnesemia
Answer: A
Rationale: Hyperkalemia is the most dangerous complication of AKI as it can lead to fatal cardiac
dysrhythmias and cardiac arrest. This is important because the nurse must choose the action that
keeps the client safest while still meeting their basic needs. Always think about safety first when
answering these questions. This knowledge supports safe care and helps the nurse teach the client
and family clearly and simply. Clear teaching improves cooperation and reduces anxiety.
4. A patient with a history of Myocardial Infarction presents with dyspnea, orthopnea, and
crackles in the lung bases. The nurse recognizes these as signs of:
A. Right-sided Heart Failure
B. Cardiac Tamponade
C. Pulmonary Embolism
D. Left-sided Heart Failure
Answer: D
Rationale: Left-sided heart failure causes blood to back up into the pulmonary circulation, leading to
respiratory symptoms and pulmonary edema. In practice, this guides the nurse to set priorities and
protect the client from harm. Safety, nutrition, and clear communication are frequent priorities. Exam
questions often test whether you can pick the most practical and safe choice for the client in real
situations. Focus on what the nurse can actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
