NUR 265
Exam 1 Enrichment
Advanced Medical-Surgical Nursing
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: Advanced Medical-Surgical Nursing 2026/2027 UPDATE – Galen
College
1. A patient arrives in the ED with 40% TBSA burns. Using the Parkland formula
(4mL/kg/%TBSA), the patient weighs 70kg. What is the total fluid requirement for the first 8
hours?
A. 11,200 mL
B. 2,800 mL
C. 5,600 mL
D. 8,400 mL
Answer: C
Rationale: Parkland formula: 4mL x 70kg x 40 = 11,200 mL for 24 hours. Half of this
(5,600 mL) must be given in the first 8 hours from the time of injury.
2. Which hemodynamic finding is most characteristic of early Septic Shock (Hyperdynamic
phase)?
A. Increased Systemic Vascular Resistance (SVR)
B. Decreased Cardiac Output (CO)
C. Decreased Systemic Vascular Resistance (SVR)
D. Increased Pulmonary Artery Wedge Pressure (PAWP)
, Answer: C
Rationale: In early septic shock, massive vasodilation leads to a significant drop in SVR,
while the heart compensates by increasing Cardiac Output.
3. A patient with ARDS is being mechanically ventilated. The nurse notes the P/F ratio is 150.
How is this classified according to the Berlin Criteria?
A. Mild ARDS
B. Moderate ARDS
C. Severe ARDS
D. Acute Lung Injury (non-ARDS)
Answer: B
Rationale: Berlin Criteria: Mild (P/F 200-300), Moderate (P/F 100-200), Severe (P/F <
100).
4. During the Resuscitative Phase of burn injury, which electrolyte abnormality is the nurse
most likely to observe?
A. Hypokalemia
B. Hypernatremia
C. Hypocalcemia
D. Hyperkalemia
Answer: D
Exam 1 Enrichment
Advanced Medical-Surgical Nursing
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: Advanced Medical-Surgical Nursing 2026/2027 UPDATE – Galen
College
1. A patient arrives in the ED with 40% TBSA burns. Using the Parkland formula
(4mL/kg/%TBSA), the patient weighs 70kg. What is the total fluid requirement for the first 8
hours?
A. 11,200 mL
B. 2,800 mL
C. 5,600 mL
D. 8,400 mL
Answer: C
Rationale: Parkland formula: 4mL x 70kg x 40 = 11,200 mL for 24 hours. Half of this
(5,600 mL) must be given in the first 8 hours from the time of injury.
2. Which hemodynamic finding is most characteristic of early Septic Shock (Hyperdynamic
phase)?
A. Increased Systemic Vascular Resistance (SVR)
B. Decreased Cardiac Output (CO)
C. Decreased Systemic Vascular Resistance (SVR)
D. Increased Pulmonary Artery Wedge Pressure (PAWP)
, Answer: C
Rationale: In early septic shock, massive vasodilation leads to a significant drop in SVR,
while the heart compensates by increasing Cardiac Output.
3. A patient with ARDS is being mechanically ventilated. The nurse notes the P/F ratio is 150.
How is this classified according to the Berlin Criteria?
A. Mild ARDS
B. Moderate ARDS
C. Severe ARDS
D. Acute Lung Injury (non-ARDS)
Answer: B
Rationale: Berlin Criteria: Mild (P/F 200-300), Moderate (P/F 100-200), Severe (P/F <
100).
4. During the Resuscitative Phase of burn injury, which electrolyte abnormality is the nurse
most likely to observe?
A. Hypokalemia
B. Hypernatremia
C. Hypocalcemia
D. Hyperkalemia
Answer: D
