NUR 265 Med-Surg Exam 3 Comprehensive 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 265 Med-Surg Exam 3 Comprehensive 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 Comprehensive 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient in the early stage of septic shock exhibits a high cardiac output and a low
systemic vascular resistance. Which phase of shock is the patient currently experiencing?
A. Hyperdynamic phase
B. Cold phase
C. Hypodynamic phase
D. Refractory phase
Answer: A
Rationale: The hyperdynamic (or warm) phase of septic shock is characterized by high cardiac output
and vasodilation resulting in low systemic vascular resistance. 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. 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.
2. Which clinical manifestation is the most sensitive indicator of early compensatory shock?
A. Hypotension
B. Narrowing pulse pressure
C. Decreased urine output
D. Tachycardia
Answer: D
Rationale: Tachycardia is often the earliest sign of compensatory shock as the body attempts to
maintain cardiac output. 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. In practice,
this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 265 Med-Surg Exam 3 Comprehensive 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
3. A patient with a 40% total body surface area (TBSA) burn is in the emergent phase. Using
the Parkland formula (4mL/kg/%TBSA), if the patient weighs 70kg, how much fluid should be
administered in the first 8 hours?
A. burn is in the emergent phase. Using the Parkland formula (4mL/kg/%TBSA), if the patient weighs
70kg, how much fluid should be administered in the first 8 hours?
B. 11,200 mL
C. 2,800 mL
D. 8,400 mL
Answer: A
Rationale: Total fluid = 4 * 70 * 40 = 11,200 mL. Half is given in the first 8 hours: 11, = 5,600
mL. 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. Remembering this point will help
you decide the best nursing action when similar questions appear on the exam. Link the answer to the
client’s current condition and risk level.
4. A patient’s Central Venous Pressure (CVP) is measured at 1 mmHg. Which intervention
should the nurse anticipate first?
A. Administration of a loop diuretic
B. Rapid IV fluid bolus
C. Starting a continuous nitroglycerin drip
D. Dopamine infusion to increase contractility
Answer: B
Rationale: A low CVP (normal 2-6 mmHg) indicates hypovolemia, necessitating fluid resuscitation. In
practice, this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and
clear communication are frequent priorities. 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.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 265 Med-Surg Exam 3 Comprehensive 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 Comprehensive 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient in the early stage of septic shock exhibits a high cardiac output and a low
systemic vascular resistance. Which phase of shock is the patient currently experiencing?
A. Hyperdynamic phase
B. Cold phase
C. Hypodynamic phase
D. Refractory phase
Answer: A
Rationale: The hyperdynamic (or warm) phase of septic shock is characterized by high cardiac output
and vasodilation resulting in low systemic vascular resistance. 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. 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.
2. Which clinical manifestation is the most sensitive indicator of early compensatory shock?
A. Hypotension
B. Narrowing pulse pressure
C. Decreased urine output
D. Tachycardia
Answer: D
Rationale: Tachycardia is often the earliest sign of compensatory shock as the body attempts to
maintain cardiac output. 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. In practice,
this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and clear
communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 265 Med-Surg Exam 3 Comprehensive 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
3. A patient with a 40% total body surface area (TBSA) burn is in the emergent phase. Using
the Parkland formula (4mL/kg/%TBSA), if the patient weighs 70kg, how much fluid should be
administered in the first 8 hours?
A. burn is in the emergent phase. Using the Parkland formula (4mL/kg/%TBSA), if the patient weighs
70kg, how much fluid should be administered in the first 8 hours?
B. 11,200 mL
C. 2,800 mL
D. 8,400 mL
Answer: A
Rationale: Total fluid = 4 * 70 * 40 = 11,200 mL. Half is given in the first 8 hours: 11, = 5,600
mL. 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. Remembering this point will help
you decide the best nursing action when similar questions appear on the exam. Link the answer to the
client’s current condition and risk level.
4. A patient’s Central Venous Pressure (CVP) is measured at 1 mmHg. Which intervention
should the nurse anticipate first?
A. Administration of a loop diuretic
B. Rapid IV fluid bolus
C. Starting a continuous nitroglycerin drip
D. Dopamine infusion to increase contractility
Answer: B
Rationale: A low CVP (normal 2-6 mmHg) indicates hypovolemia, necessitating fluid resuscitation. In
practice, this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and
clear communication are frequent priorities. 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.
Exam (Elaborations) • Detailed Rationales Page 3
