NUR 265
Advanced Medical-Surgical Nursing Exam
2 Practice
Exam 2 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 265
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 265 Advanced Medical-Surgical Nursing Exam 2 Practice 2026/2027 UPDATE – Galen
1. A patient’s ABG results are pH 7.28, PaCO2 55 mmHg, and HCO3 26 mEq/L. How should the
nurse interpret these findings?
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis
D. Respiratory Acidosis
Answer: D
Rationale: The pH is low (acidosis) and the PaCO2 is high (respiratory cause), while the
HCO3 is within normal range, indicating uncompensated respiratory acidosis.
2. Using the Parkland Formula, calculate the total fluid volume needed in the first 24 hours
for a 70 kg patient with a 40% TBSA burn.
A. 5,600 mL
B. 11,200 mL
C. 2,800 mL
D. 8,400 mL
Answer: B
, Rationale: Parkland Formula is 4 mL x kg x TBSA. 4 x 70 x 40 = 11,200 mL.
3. A patient with a T6 spinal cord injury reports a pounding headache and has a BP of
190/100. Which action should the nurse take first?
A. Administer antihypertensive medication
B. Elevate the head of the bed to 45-90 degrees
C. Check for a fecal impaction
D. Assess the urinary catheter for kinks
Answer: B
Rationale: Elevating the head of the bed is the immediate priority to help lower blood
pressure via orthostatic reduction before identifying the noxious stimulus causing
autonomic dysreflexia.
4. The high-pressure alarm on a mechanical ventilator sounds. Which condition is a likely
cause?
A. The patient has been disconnected from the tubing
B. There is a leak in the ventilator circuit
C. The patient is biting the endotracheal tube
D. The endotracheal tube cuff is deflated
Answer: C
Advanced Medical-Surgical Nursing Exam
2 Practice
Exam 2 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 265
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 265 Advanced Medical-Surgical Nursing Exam 2 Practice 2026/2027 UPDATE – Galen
1. A patient’s ABG results are pH 7.28, PaCO2 55 mmHg, and HCO3 26 mEq/L. How should the
nurse interpret these findings?
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis
D. Respiratory Acidosis
Answer: D
Rationale: The pH is low (acidosis) and the PaCO2 is high (respiratory cause), while the
HCO3 is within normal range, indicating uncompensated respiratory acidosis.
2. Using the Parkland Formula, calculate the total fluid volume needed in the first 24 hours
for a 70 kg patient with a 40% TBSA burn.
A. 5,600 mL
B. 11,200 mL
C. 2,800 mL
D. 8,400 mL
Answer: B
, Rationale: Parkland Formula is 4 mL x kg x TBSA. 4 x 70 x 40 = 11,200 mL.
3. A patient with a T6 spinal cord injury reports a pounding headache and has a BP of
190/100. Which action should the nurse take first?
A. Administer antihypertensive medication
B. Elevate the head of the bed to 45-90 degrees
C. Check for a fecal impaction
D. Assess the urinary catheter for kinks
Answer: B
Rationale: Elevating the head of the bed is the immediate priority to help lower blood
pressure via orthostatic reduction before identifying the noxious stimulus causing
autonomic dysreflexia.
4. The high-pressure alarm on a mechanical ventilator sounds. Which condition is a likely
cause?
A. The patient has been disconnected from the tubing
B. There is a leak in the ventilator circuit
C. The patient is biting the endotracheal tube
D. The endotracheal tube cuff is deflated
Answer: C
