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Description: This set contains 200 multiple-choice questions covering critical care,
cardiac, respiratory, endocrine, renal, gastrointestinal, and neurological nursing
concepts for NUR 265 Exam 2. Each question includes four options with the correct
answer verified and marked with ✅. Answers are randomized to avoid pattern
bias.
Keywords: NUR 265, Exam 2, critical care, cardiac, respiratory, endocrine, renal, GI,
neuro, nursing, MCQ, revision, 2025
1. Which assessment finding is most indicative of left-sided heart failure?
A. Dependent edema
B. Jugular venous distention
C. Crackles in the lungs ✅
D. Hepatomegaly
2. A patient with acute pancreatitis is at risk for which electrolyte imbalance?
A. Hypercalcemia
B. Hypocalcemia ✅
C. Hyperkalemia
D. Hypernatremia
,3. The nurse is caring for a patient on mechanical ventilation. Which action is
priority?
A. Suctioning every 2 hours
B. Monitoring oxygen saturation continuously ✅
C. Repositioning every 4 hours
D. Documenting breath sounds once per shift
4. Which medication is a first-line treatment for anaphylaxis?
A. Diphenhydramine
B. Epinephrine ✅
C. Methylprednisolone
D. Albuterol
5. A patient with diabetic ketoacidosis (DKA) presents with Kussmaul respirations.
What do these indicate?
A. Metabolic alkalosis
B. Respiratory acidosis
C. Metabolic acidosis ✅
D. Respiratory alkalosis
6. Which finding is earliest sign of increased intracranial pressure (ICP)?
A. Decreased level of consciousness ✅
B. Fixed dilated pupils
C. Cushing’s triad
D. Decerebrate posturing
7. A patient is receiving heparin infusion. Which lab value should the nurse
monitor?
A. PT/INR
B. aPTT ✅
C. Platelet count
D. Bleeding time
,8. Which condition is a contraindication for thrombolytic therapy in stroke?
A. Blood pressure 150/90
B. Recent GI bleed ✅
C. Age 70
D. Atrial fibrillation
9. The nurse is assessing a patient with SIADH. Which finding is expected?
A. Hypernatremia
B. Low urine output
C. Dilutional hyponatremia ✅
D. Diabetes insipidus
10. Which acid-base imbalance is expected in a patient with severe vomiting?
A. Metabolic acidosis
B. Metabolic alkalosis ✅
C. Respiratory acidosis
D. Respiratory alkalosis
11. A patient with ARDS is placed in prone position. What is the primary goal?
A. Improve ventilation-perfusion matching ✅
B. Reduce abdominal pressure
C. Prevent pressure ulcers
D. Facilitate suctioning
12. Which sign indicates tension pneumothorax?
A. Tracheal deviation away from affected side ✅
B. Bradycardia
C. Hypertension
D. Bilateral crackles
13. The nurse is teaching a patient about warfarin. Which statement indicates
understanding?
A. “I will increase vitamin K intake.”
, B. “I will use a soft toothbrush.” ✅
C. “I will take aspirin for headaches.”
D. “I will stop taking it if I feel better.”
14. Which lab value is most concerning in a patient with chronic kidney disease?
A. Hemoglobin 10 g/dL
B. Potassium 6.8 mEq/L ✅
C. Calcium 8.5 mg/dL
D. Phosphorus 4.0 mg/dL
15. A patient with a head injury has clear fluid draining from the nose. What
should the nurse do first?
A. Pack the nose with gauze
B. Test the fluid for glucose ✅
C. Suction the nares
D. Place patient supine
16. Which medication is used to reverse opioid overdose?
A. Naloxone ✅
B. Flumazenil
C. Atropine
D. Protamine sulfate
17. A patient with sepsis has a lactate level of 4 mmol/L. What does this indicate?
A. Adequate perfusion
B. Tissue hypoperfusion ✅
C. Normal finding
D. Hyperkalemia
18. Which intervention is priority for a patient with a new tracheostomy?
A. Suction every 1 hour
B. Keep obturator at bedside ✅