NU 185
Final Exam
Medical-Surgical Nursing II Comprehensive Study Quiz
Final Exam • Comprehensive Study Guide
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 Final Exam: Medical-Surgical Nursing II Comprehensive Study Quiz 2026/2027
UPDATE – Galen
1. A patient is admitted with suspected Neurogenic Shock following a spinal cord injury at T3.
Which clinical finding uniquely distinguishes this from other types of shock?
A. Hypotension
B. Tachycardia
C. Cool, clammy skin
D. Bradycardia
Answer: D
Rationale: Neurogenic shock is characterized by the loss of sympathetic tone, leading to
parasympathetic dominance, which results in bradycardia rather than the compensatory
tachycardia seen in other shock states.
2. When assessing a patient with a chest tube, the nurse notes continuous bubbling in the
water seal chamber. What does this finding indicate?
A. The system is functioning normally
B. There is an air leak in the system or the patient’s pleural space
C. The suction is set too high
D. The lung has fully re-expanded
, Answer: B
Rationale: Intermittent bubbling is normal during expiration or coughing, but continuous
bubbling indicates a leak in the drainage system or a persistent air leak from the lung.
3. A patient is diagnosed with Acute Respiratory Distress Syndrome (ARDS). The nurse
understands that the primary pathophysiology of ARDS involves:
A. Increased alveolar-capillary membrane permeability
B. Decreased capillary permeability
C. Bronchoconstriction and mucus plugging
D. Obstruction of the pulmonary artery
Answer: A
Rationale: ARDS is characterized by damage to the alveolar-capillary membrane, leading
to increased permeability, fluid leakage into alveoli, and severe hypoxemia.
4. The nurse is caring for a patient in the ICU who is receiving mechanical ventilation with
PEEP. The nurse should monitor for which adverse effect of PEEP?
A. Increased cardiac output
B. Pneumothorax due to barotrauma
C. Hypertension
D. Respiratory alkalosis
Answer: B
Final Exam
Medical-Surgical Nursing II Comprehensive Study Quiz
Final Exam • Comprehensive Study Guide
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 Final Exam: Medical-Surgical Nursing II Comprehensive Study Quiz 2026/2027
UPDATE – Galen
1. A patient is admitted with suspected Neurogenic Shock following a spinal cord injury at T3.
Which clinical finding uniquely distinguishes this from other types of shock?
A. Hypotension
B. Tachycardia
C. Cool, clammy skin
D. Bradycardia
Answer: D
Rationale: Neurogenic shock is characterized by the loss of sympathetic tone, leading to
parasympathetic dominance, which results in bradycardia rather than the compensatory
tachycardia seen in other shock states.
2. When assessing a patient with a chest tube, the nurse notes continuous bubbling in the
water seal chamber. What does this finding indicate?
A. The system is functioning normally
B. There is an air leak in the system or the patient’s pleural space
C. The suction is set too high
D. The lung has fully re-expanded
, Answer: B
Rationale: Intermittent bubbling is normal during expiration or coughing, but continuous
bubbling indicates a leak in the drainage system or a persistent air leak from the lung.
3. A patient is diagnosed with Acute Respiratory Distress Syndrome (ARDS). The nurse
understands that the primary pathophysiology of ARDS involves:
A. Increased alveolar-capillary membrane permeability
B. Decreased capillary permeability
C. Bronchoconstriction and mucus plugging
D. Obstruction of the pulmonary artery
Answer: A
Rationale: ARDS is characterized by damage to the alveolar-capillary membrane, leading
to increased permeability, fluid leakage into alveoli, and severe hypoxemia.
4. The nurse is caring for a patient in the ICU who is receiving mechanical ventilation with
PEEP. The nurse should monitor for which adverse effect of PEEP?
A. Increased cardiac output
B. Pneumothorax due to barotrauma
C. Hypertension
D. Respiratory alkalosis
Answer: B
