Advanced Concepts of Medical-Surgical
Nursing
Exam 1 Questions & Answers
2026/2027 Academic Year
Galen College of Nursing
Welcome to the NUR 265 Advanced Concepts of Medical-
Surgical Nursing Exam 1 Practice Resource, designed to help
nursing students strengthen their understanding of key
concepts and prepare effectively for their first course
assessment.
This resource provides a focused collection of original
practice questions, answer explanations, and rationales
covering major concepts commonly encountered in advanced
medical-surgical nursing. The questions are designed to
encourage clinical reasoning, application of nursing
knowledge, and recognition of appropriate patient-care
priorities.
NURSE_PAULA
,1. A nurse is reviewing the layers of the
gastrointestinal tract with a student. Which sequence
correctly lists the layers from the lumen outward?
A. Serosa → muscularis → submucosa → mucosa
B. Mucosa → submucosa → muscularis → serosa
C. Mucosa → muscularis → submucosa → serosa
D. Submucosa → mucosa → serosa → muscularis
Answer: B. Mucosa → submucosa → muscularis → serosa
Rationale: The GI tract is organized from the innermost
layer outward as mucosa, submucosa, muscularis, and
serosa. The mucosa is responsible for secretion,
absorption, and protection.
2. Which layer of the GI tract contains blood vessels,
lymphatic vessels, and nerves that support the mucosa?
A. Mucosa
B. Submucosa
C. Muscularis
D. Serosa
Answer: B. Submucosa
Rationale: The submucosa contains connective tissue,
larger blood and lymphatic vessels, and nerves. It
supports and supplies the mucosal layer.
NURSE_PAULA 1