NUR 265
Exam 1 Enrichment (2026)
Exam 1 • 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 Exam 1 Enrichment (2026) UPDATE – Galen College
1. A patient presents to the Emergency Department with a core temperature of 105.8°F
(41°C), altered mental status, and hot, dry skin. Which action should the nurse prioritize first?
A. Administering antipyretics orally
B. Initiating rapid cooling methods such as ice water immersion
C. Starting a large-bore IV for fluid resuscitation
D. Obtaining a detailed medical history from the family
Answer: B
Rationale: The patient is exhibiting signs of heatstroke, a medical emergency. Rapid
cooling to reduce the core temperature is the priority to prevent permanent organ damage
or death.
2. A patient who was involved in a motor vehicle accident is brought to the ER. During the
primary survey, the nurse notes paradoxical chest wall movement. What is the priority
intervention?
A. Prepare for immediate chest tube insertion
B. Stabilize the chest wall with bulky dressings and tape
C. Provide supplemental oxygen and prepare for intubation
D. Perform a needle thoracostomy
, Answer: C
Rationale: Paradoxical chest wall movement indicates a flail chest. The priority is ensuring
adequate oxygenation and ventilation, which often requires intubation and mechanical
ventilation to provide internal stabilization.
3. An adult patient weighing 80 kg has sustained partial-thickness burns to the entire left arm
and the entire front of the trunk. Using the Parkland Formula, calculate the total fluid volume
for the first 24 hours.
A. 5,760 mL
B. 8,640 mL
C. 11,520 mL
D. 14,400 mL
Answer: B
Rationale: Using the Rule of Nines: Left arm (9%) + Anterior Trunk (18%) = 27%.
Parkland Formula: 4mL x 80kg x 27% = 8,640 mL.
4. A patient with septic shock has a Mean Arterial Pressure (MAP) of 58 mmHg despite
receiving 3 liters of isotonic crystalloids. Which medication should the nurse anticipate
administering next?
A. Dobutamine
B. Nitroprusside
Exam 1 Enrichment (2026)
Exam 1 • 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 Exam 1 Enrichment (2026) UPDATE – Galen College
1. A patient presents to the Emergency Department with a core temperature of 105.8°F
(41°C), altered mental status, and hot, dry skin. Which action should the nurse prioritize first?
A. Administering antipyretics orally
B. Initiating rapid cooling methods such as ice water immersion
C. Starting a large-bore IV for fluid resuscitation
D. Obtaining a detailed medical history from the family
Answer: B
Rationale: The patient is exhibiting signs of heatstroke, a medical emergency. Rapid
cooling to reduce the core temperature is the priority to prevent permanent organ damage
or death.
2. A patient who was involved in a motor vehicle accident is brought to the ER. During the
primary survey, the nurse notes paradoxical chest wall movement. What is the priority
intervention?
A. Prepare for immediate chest tube insertion
B. Stabilize the chest wall with bulky dressings and tape
C. Provide supplemental oxygen and prepare for intubation
D. Perform a needle thoracostomy
, Answer: C
Rationale: Paradoxical chest wall movement indicates a flail chest. The priority is ensuring
adequate oxygenation and ventilation, which often requires intubation and mechanical
ventilation to provide internal stabilization.
3. An adult patient weighing 80 kg has sustained partial-thickness burns to the entire left arm
and the entire front of the trunk. Using the Parkland Formula, calculate the total fluid volume
for the first 24 hours.
A. 5,760 mL
B. 8,640 mL
C. 11,520 mL
D. 14,400 mL
Answer: B
Rationale: Using the Rule of Nines: Left arm (9%) + Anterior Trunk (18%) = 27%.
Parkland Formula: 4mL x 80kg x 27% = 8,640 mL.
4. A patient with septic shock has a Mean Arterial Pressure (MAP) of 58 mmHg despite
receiving 3 liters of isotonic crystalloids. Which medication should the nurse anticipate
administering next?
A. Dobutamine
B. Nitroprusside
