NUR 265 Med-Surg Exam 3 - Advanced Clinical Care … 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 265 Med-Surg Exam 3 - Advanced Clinical Care 2026/2027
UPDATE Galen College
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 Med-Surg Exam 3 - Advanced Clinical Care … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient arrives in the ED with burns to the entire left arm and the entire anterior trunk.
According to the Rule of Nines, what percentage of Total Body Surface Area (TBSA) is
affected?
A. is affected?
B. 45%
C. 36%
D. 27%
Answer: D
Rationale: According to the Rule of Nines: the entire arm is 9% and the anterior trunk is 18%. 9 + 18 =
27%. Clear understanding of this concept improves both test performance and everyday clinical
judgment. Practice applying it to short case scenarios to lock the idea in place. This knowledge
supports safe care and helps the nurse teach the client and family clearly and simply. Clear teaching
improves cooperation and reduces anxiety.
2. Using the Parkland formula (4mL x kg x %TBSA), calculate the total fluid volume needed in
the first 24 hours for a 70kg patient with a 50% TBSA burn.
A. , calculate the total fluid volume needed in the first 24 hours for a 70kg patient with a 50% TBSA
burn.
B. 10,500 mL
C. 14,000 mL
D. 28,000 mL
Answer: C
Rationale: Calculation: 4 mL x 70 kg x 50 = 14,000 mL total in 24 hours. 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 Med-Surg Exam 3 - Advanced Clinical Care … 2026/2027 • Verified • Assured Grade A+
3. Which assessment finding in the emergent phase of a burn injury indicates the highest
priority for intervention?
A. Urinary output of 20 mL/hr
B. Presence of soot in the sputum
C. Hypotension with tachycardia
D. Generalized edema
Answer: B
Rationale: Soot in sputum is a classic sign of inhalation injury, which threatens the airway and
requires immediate stabilization. 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 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.
4. A patient who suffered an electrical burn has dark, tea-colored urine. Which complication
should the nurse anticipate?
A. Metabolic Alkalosis
B. Congestive Heart Failure
C. Acute Tubular Necrosis
D. Hypovolemic Shock
Answer: C
Rationale: Electrical burns cause muscle breakdown releasing myoglobin, which can clog renal
tubules leading to Acute Tubular Necrosis (ATN). Knowing the reason behind the correct answer
makes it easier to rule out the wrong options quickly. Look for the choice that protects the client and
matches the priority need. Knowing the reason behind the correct answer makes it easier to rule out
the wrong options quickly. Look for the choice that protects the client and matches the priority need.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 265 Med-Surg Exam 3 - Advanced Clinical Care 2026/2027
UPDATE Galen College
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 Med-Surg Exam 3 - Advanced Clinical Care … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient arrives in the ED with burns to the entire left arm and the entire anterior trunk.
According to the Rule of Nines, what percentage of Total Body Surface Area (TBSA) is
affected?
A. is affected?
B. 45%
C. 36%
D. 27%
Answer: D
Rationale: According to the Rule of Nines: the entire arm is 9% and the anterior trunk is 18%. 9 + 18 =
27%. Clear understanding of this concept improves both test performance and everyday clinical
judgment. Practice applying it to short case scenarios to lock the idea in place. This knowledge
supports safe care and helps the nurse teach the client and family clearly and simply. Clear teaching
improves cooperation and reduces anxiety.
2. Using the Parkland formula (4mL x kg x %TBSA), calculate the total fluid volume needed in
the first 24 hours for a 70kg patient with a 50% TBSA burn.
A. , calculate the total fluid volume needed in the first 24 hours for a 70kg patient with a 50% TBSA
burn.
B. 10,500 mL
C. 14,000 mL
D. 28,000 mL
Answer: C
Rationale: Calculation: 4 mL x 70 kg x 50 = 14,000 mL total in 24 hours. 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 Med-Surg Exam 3 - Advanced Clinical Care … 2026/2027 • Verified • Assured Grade A+
3. Which assessment finding in the emergent phase of a burn injury indicates the highest
priority for intervention?
A. Urinary output of 20 mL/hr
B. Presence of soot in the sputum
C. Hypotension with tachycardia
D. Generalized edema
Answer: B
Rationale: Soot in sputum is a classic sign of inhalation injury, which threatens the airway and
requires immediate stabilization. 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 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.
4. A patient who suffered an electrical burn has dark, tea-colored urine. Which complication
should the nurse anticipate?
A. Metabolic Alkalosis
B. Congestive Heart Failure
C. Acute Tubular Necrosis
D. Hypovolemic Shock
Answer: C
Rationale: Electrical burns cause muscle breakdown releasing myoglobin, which can clog renal
tubules leading to Acute Tubular Necrosis (ATN). Knowing the reason behind the correct answer
makes it easier to rule out the wrong options quickly. Look for the choice that protects the client and
matches the priority need. Knowing the reason behind the correct answer makes it easier to rule out
the wrong options quickly. Look for the choice that protects the client and matches the priority need.
Exam (Elaborations) • Detailed Rationales Page 3
