NU 185
Exam 3 Medical-Surgical Nursing II
Exam 3 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 185
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 185 Exam 3: Medical-Surgical Nursing II 2026/2027 UPDATE – Galen
1. A patient with Chronic Kidney Disease (CKD) is prescribed Sevelamer. The nurse knows the
primary purpose of this medication is to:
A. Decrease serum potassium levels
B. Increase hemoglobin production
C. Lower systemic blood pressure
D. Bind phosphate in the gastrointestinal tract
Answer: D
Rationale: Sevelamer is a phosphate binder used in CKD patients to prevent
hyperphosphatemia by binding dietary phosphorus in the gut.
2. Following a Transurethral Resection of the Prostate (TURP), a patient has Continuous
Bladder Irrigation (CBI) running. The nurse notes the drainage is bright red with numerous
large clots. What is the priority nursing action?
A. Increase the rate of the irrigation fluid
B. Document the findings as normal post-operative expectations
C. Notify the provider immediately regarding arterial bleeding
D. Administer an analgesic for bladder spasms
, Answer: A
Rationale: Bright red drainage with clots suggests active bleeding; increasing the irrigation
rate helps clear clots to prevent bladder distention and tamponade.
3. A nurse is caring for a patient in the oliguric phase of Acute Kidney Injury (AKI). Which
electrolyte abnormality should the nurse monitor for most closely?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypophosphatemia
Answer: A
Rationale: During the oliguric phase of AKI, the kidneys cannot excrete potassium, leading
to life-threatening hyperkalemia.
4. A patient undergoing peritoneal dialysis complains of severe abdominal pain and the nurse
notes the effluent is cloudy. Which complication does the nurse suspect?
A. Peritonitis
B. Exit site infection
C. Atelectasis
D. Disequilibrium syndrome
Answer: A
Exam 3 Medical-Surgical Nursing II
Exam 3 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 185
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 185 Exam 3: Medical-Surgical Nursing II 2026/2027 UPDATE – Galen
1. A patient with Chronic Kidney Disease (CKD) is prescribed Sevelamer. The nurse knows the
primary purpose of this medication is to:
A. Decrease serum potassium levels
B. Increase hemoglobin production
C. Lower systemic blood pressure
D. Bind phosphate in the gastrointestinal tract
Answer: D
Rationale: Sevelamer is a phosphate binder used in CKD patients to prevent
hyperphosphatemia by binding dietary phosphorus in the gut.
2. Following a Transurethral Resection of the Prostate (TURP), a patient has Continuous
Bladder Irrigation (CBI) running. The nurse notes the drainage is bright red with numerous
large clots. What is the priority nursing action?
A. Increase the rate of the irrigation fluid
B. Document the findings as normal post-operative expectations
C. Notify the provider immediately regarding arterial bleeding
D. Administer an analgesic for bladder spasms
, Answer: A
Rationale: Bright red drainage with clots suggests active bleeding; increasing the irrigation
rate helps clear clots to prevent bladder distention and tamponade.
3. A nurse is caring for a patient in the oliguric phase of Acute Kidney Injury (AKI). Which
electrolyte abnormality should the nurse monitor for most closely?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypophosphatemia
Answer: A
Rationale: During the oliguric phase of AKI, the kidneys cannot excrete potassium, leading
to life-threatening hyperkalemia.
4. A patient undergoing peritoneal dialysis complains of severe abdominal pain and the nurse
notes the effluent is cloudy. Which complication does the nurse suspect?
A. Peritonitis
B. Exit site infection
C. Atelectasis
D. Disequilibrium syndrome
Answer: A
