NU 185 EXAM 2 (GALEN) NEWEST 2026/ 2027 ACTUAL EXAM NU185
MEDICAL-SURGICAL NURSING II EXAM 2 REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
140 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply nursing process to manage patients with acute and critical conditions
2 Interpret diagnostic data and adjust interventions accordingly
3 Prioritize nursing actions in high-acuity, time-sensitive situations
4 Evaluate patient responses to complex pharmacological and non-pharmacological therapies
5 NU 185 EXAM 2
6 GALEN
7 NEWEST 2026
8 2027 ACTUAL EXAM NU185 MEDICAL
9 SURGICAL NURSING II EXAM 2 REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS
10 ALREADY GRADED A+
11 MOST RECENT!!
12 Foundations of Medical-Surgical Nursing, Adult Health, Perioperative Care, Critical Care, Nursing
Leadership
13 Applied Medical-Surgical Nursing, Adult Health, Perioperative Care, Critical Care, Nursing Leadership
14 Advanced Medical-Surgical Nursing, Adult Health, Perioperative Care, Critical Care, Nursing Leadership
15 Medical-Surgical Nursing, Adult Health, Perioperative Care, Critical Care, Nursing Leadership Review
ABSTRACT
Page 1
,This study document brings together 140 carefully worded exam questions drawn from NU 185
EXAM 2 (GALEN) NEWEST 2026/ 2027 ACTUAL EXAM NU185 MEDICAL-SURGICAL NURSING
II EXAM 2 REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!), with the strongest emphasis placed on
Apply nursing process to manage patients with acute and critical conditions, Interpret diagnostic
data and adjust interventions accordingly, Prioritize nursing actions in high-acuity and
time-sensitive situations. Every item follows the wording style and level of reasoning you meet in
the real paper, and each one is paired with a clear rationale so the correct choice is never a guess.
Work through the set at your own pace, mark the questions that slow you down, then come back to
them until the reasoning feels automatic. Learners who revise this way walk into the exam room
recognising the pattern behind the questions instead of meeting them for the first time. Keep going
- steady, honest practice is what turns a difficult paper into a comfortable pass.
Q1 APPLY NURSING PROCESS TO MANAGE PATIENTS WITH ACUTE AND CRITICAL
CONDITIONS
A patient in the ICU with septic shock on norepinephrine continues to have a mean
arterial pressure (MAP) of 58 mm Hg despite escalating doses. The nurse reviews
the latest labs: lactate 6 mmol/L, mixed venous oxygen saturation (SvO2) 70%, and
urine output 15 mL/hr. Which action is most appropriate?
A. Add vasopressin as a second vasopressor to improve perfusion.
B. Increase norepinephrine infusion rate to achieve a MAP of 65 mm Hg.
C. Administer a 500 mL crystalloid bolus to increase preload. CORRECT
D. Start hydrocortisone 200 mg/day for relative adrenal insufficiency.
RATIONALE: In septic shock, elevated SvO2 with low MAP and poor urine output suggests
vasoplegia with adequate cardiac output and possible fluid responsiveness; a fluid bolus can
improve perfusion. Adding vasopressin or increasing norepinephrine would be appropriate after
optimizing preload. Steroids are indicated for refractory shock, not as first-line.
Page 2
,Q2 APPLY NURSING PROCESS TO MANAGE PATIENTS WITH ACUTE AND CRITICAL
CONDITIONS
A patient with chronic kidney disease (CKD) stage 5 is scheduled for a dialysis
access creation. The nurse is educating the patient about the procedure. Which
statement indicates a need for further teaching?
A. I should avoid having blood pressure taken on the arm with the fistula.
B. I will need to keep the site dry until it heals.
C. I can use the fistula for blood draws immediately after surgery. CORRECT
D. I should report any tingling or numbness in the affected arm.
RATIONALE: A newly created AV fistula requires weeks to months to mature before it can be
used for dialysis or blood draws. Using it prematurely can damage the vessel. Avoiding BP on
that arm, keeping the site dry, and reporting neurovascular changes are appropriate precautions.
Q3 APPLY NURSING PROCESS TO MANAGE PATIENTS WITH ACUTE AND CRITICAL
CONDITIONS
A patient with acute respiratory distress syndrome (ARDS) is on
volume-controlled ventilation with FiO2 0.8 and PEEP 12 cm H2O. The latest
arterial blood gas shows: pH 7.31, PaCO2 48 mm Hg, PaO2 60 mm Hg, HCO3- 24
mEq/L. The nurse reviews the ventilator settings. Which adjustment is most
appropriate?
A. Increase PEEP to 15 cm H2O to improve oxygenation. CORRECT
B. Decrease FiO2 to 0.5 to reduce oxygen toxicity.
C. Increase tidal volume to 8 mL/kg to lower PaCO2.
D. Decrease respiratory rate to allow permissive hypercapnia.
RATIONALE: The patient has refractory hypoxemia (PaO2/FiO2 ratio ~75) despite high FiO2;
increasing PEEP improves alveolar recruitment and oxygenation. Decreasing FiO2 would worsen
hypoxemia. Increasing tidal volume may cause ventilator-induced lung injury. Permissive
hypercapnia is used, but the pH is already acidemic; further hypercapnia is not appropriate.
Page 3
, Q4 APPLY NURSING PROCESS TO MANAGE PATIENTS WITH ACUTE AND CRITICAL
CONDITIONS
A patient with a history of heart failure is receiving furosemide 80 mg IV. Which
laboratory finding indicates the most serious adverse effect of this therapy?
A. Serum potassium 3.0 mEq/L CORRECT
B. Serum sodium 132 mEq/L
C. Serum creatinine 1.2 mg/dL
D. Serum magnesium 1.4 mEq/L
RATIONALE: Furosemide causes hypokalemia, which can precipitate life-threatening
dysrhythmias, especially in heart failure patients. Hyponatremia, mild renal impairment
(creatinine 1.2 is normal), and hypomagnesemia are also possible but less immediately
dangerous than hypokalemia.
Q5 APPLY NURSING PROCESS TO MANAGE PATIENTS WITH ACUTE AND CRITICAL
CONDITIONS
The nurse is preparing to administer a blood transfusion to a patient with anemia.
The patient's vital signs are stable. Which action is most important to prevent a
transfusion reaction?
A. Verify the patient's identity and blood product using two identifiers. CORRECT
B. Premedicate with diphenhydramine and acetaminophen.
C. Start the transfusion slowly at 20 mL/hr for the first 15 minutes.
D. Obtain a baseline complete blood count before starting the transfusion.
RATIONALE: The most critical step in preventing transfusion reactions is verifying the correct
blood product and patient identity, as most reactions are due to clerical errors. Premedication
may reduce mild allergic reactions but does not prevent hemolytic reactions. Slowing the rate and
obtaining baseline labs are important but not the primary prevention.
Page 4
MEDICAL-SURGICAL NURSING II EXAM 2 REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
140 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply nursing process to manage patients with acute and critical conditions
2 Interpret diagnostic data and adjust interventions accordingly
3 Prioritize nursing actions in high-acuity, time-sensitive situations
4 Evaluate patient responses to complex pharmacological and non-pharmacological therapies
5 NU 185 EXAM 2
6 GALEN
7 NEWEST 2026
8 2027 ACTUAL EXAM NU185 MEDICAL
9 SURGICAL NURSING II EXAM 2 REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS
10 ALREADY GRADED A+
11 MOST RECENT!!
12 Foundations of Medical-Surgical Nursing, Adult Health, Perioperative Care, Critical Care, Nursing
Leadership
13 Applied Medical-Surgical Nursing, Adult Health, Perioperative Care, Critical Care, Nursing Leadership
14 Advanced Medical-Surgical Nursing, Adult Health, Perioperative Care, Critical Care, Nursing Leadership
15 Medical-Surgical Nursing, Adult Health, Perioperative Care, Critical Care, Nursing Leadership Review
ABSTRACT
Page 1
,This study document brings together 140 carefully worded exam questions drawn from NU 185
EXAM 2 (GALEN) NEWEST 2026/ 2027 ACTUAL EXAM NU185 MEDICAL-SURGICAL NURSING
II EXAM 2 REVIEW WITH COMPLETE REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!), with the strongest emphasis placed on
Apply nursing process to manage patients with acute and critical conditions, Interpret diagnostic
data and adjust interventions accordingly, Prioritize nursing actions in high-acuity and
time-sensitive situations. Every item follows the wording style and level of reasoning you meet in
the real paper, and each one is paired with a clear rationale so the correct choice is never a guess.
Work through the set at your own pace, mark the questions that slow you down, then come back to
them until the reasoning feels automatic. Learners who revise this way walk into the exam room
recognising the pattern behind the questions instead of meeting them for the first time. Keep going
- steady, honest practice is what turns a difficult paper into a comfortable pass.
Q1 APPLY NURSING PROCESS TO MANAGE PATIENTS WITH ACUTE AND CRITICAL
CONDITIONS
A patient in the ICU with septic shock on norepinephrine continues to have a mean
arterial pressure (MAP) of 58 mm Hg despite escalating doses. The nurse reviews
the latest labs: lactate 6 mmol/L, mixed venous oxygen saturation (SvO2) 70%, and
urine output 15 mL/hr. Which action is most appropriate?
A. Add vasopressin as a second vasopressor to improve perfusion.
B. Increase norepinephrine infusion rate to achieve a MAP of 65 mm Hg.
C. Administer a 500 mL crystalloid bolus to increase preload. CORRECT
D. Start hydrocortisone 200 mg/day for relative adrenal insufficiency.
RATIONALE: In septic shock, elevated SvO2 with low MAP and poor urine output suggests
vasoplegia with adequate cardiac output and possible fluid responsiveness; a fluid bolus can
improve perfusion. Adding vasopressin or increasing norepinephrine would be appropriate after
optimizing preload. Steroids are indicated for refractory shock, not as first-line.
Page 2
,Q2 APPLY NURSING PROCESS TO MANAGE PATIENTS WITH ACUTE AND CRITICAL
CONDITIONS
A patient with chronic kidney disease (CKD) stage 5 is scheduled for a dialysis
access creation. The nurse is educating the patient about the procedure. Which
statement indicates a need for further teaching?
A. I should avoid having blood pressure taken on the arm with the fistula.
B. I will need to keep the site dry until it heals.
C. I can use the fistula for blood draws immediately after surgery. CORRECT
D. I should report any tingling or numbness in the affected arm.
RATIONALE: A newly created AV fistula requires weeks to months to mature before it can be
used for dialysis or blood draws. Using it prematurely can damage the vessel. Avoiding BP on
that arm, keeping the site dry, and reporting neurovascular changes are appropriate precautions.
Q3 APPLY NURSING PROCESS TO MANAGE PATIENTS WITH ACUTE AND CRITICAL
CONDITIONS
A patient with acute respiratory distress syndrome (ARDS) is on
volume-controlled ventilation with FiO2 0.8 and PEEP 12 cm H2O. The latest
arterial blood gas shows: pH 7.31, PaCO2 48 mm Hg, PaO2 60 mm Hg, HCO3- 24
mEq/L. The nurse reviews the ventilator settings. Which adjustment is most
appropriate?
A. Increase PEEP to 15 cm H2O to improve oxygenation. CORRECT
B. Decrease FiO2 to 0.5 to reduce oxygen toxicity.
C. Increase tidal volume to 8 mL/kg to lower PaCO2.
D. Decrease respiratory rate to allow permissive hypercapnia.
RATIONALE: The patient has refractory hypoxemia (PaO2/FiO2 ratio ~75) despite high FiO2;
increasing PEEP improves alveolar recruitment and oxygenation. Decreasing FiO2 would worsen
hypoxemia. Increasing tidal volume may cause ventilator-induced lung injury. Permissive
hypercapnia is used, but the pH is already acidemic; further hypercapnia is not appropriate.
Page 3
, Q4 APPLY NURSING PROCESS TO MANAGE PATIENTS WITH ACUTE AND CRITICAL
CONDITIONS
A patient with a history of heart failure is receiving furosemide 80 mg IV. Which
laboratory finding indicates the most serious adverse effect of this therapy?
A. Serum potassium 3.0 mEq/L CORRECT
B. Serum sodium 132 mEq/L
C. Serum creatinine 1.2 mg/dL
D. Serum magnesium 1.4 mEq/L
RATIONALE: Furosemide causes hypokalemia, which can precipitate life-threatening
dysrhythmias, especially in heart failure patients. Hyponatremia, mild renal impairment
(creatinine 1.2 is normal), and hypomagnesemia are also possible but less immediately
dangerous than hypokalemia.
Q5 APPLY NURSING PROCESS TO MANAGE PATIENTS WITH ACUTE AND CRITICAL
CONDITIONS
The nurse is preparing to administer a blood transfusion to a patient with anemia.
The patient's vital signs are stable. Which action is most important to prevent a
transfusion reaction?
A. Verify the patient's identity and blood product using two identifiers. CORRECT
B. Premedicate with diphenhydramine and acetaminophen.
C. Start the transfusion slowly at 20 mL/hr for the first 15 minutes.
D. Obtain a baseline complete blood count before starting the transfusion.
RATIONALE: The most critical step in preventing transfusion reactions is verifying the correct
blood product and patient identity, as most reactions are due to clerical errors. Premedication
may reduce mild allergic reactions but does not prevent hemolytic reactions. Slowing the rate and
obtaining baseline labs are important but not the primary prevention.
Page 4
