NUR 265 Exams 1–4 Combined 2025/2026 – Verified Questions with 100% Accurate Answers

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NUR 265 Exams 1–4 Combined | Verified
Questions with 100% Accurate Answers 2025–
2026


1. A p0st0perative patient is c0nfused, restless, and has a BP 0f 88/52 mmHg.
What is the nurse’s pri0rity acti0n?
A. Re0rient the patient
B. Assess f0r hyp0v0lemic sh0ck and n0tify pr0vider
C. Enc0urage 0ral fluids
D. D0cument findings
- ANSWER: B. Assess f0r hyp0v0lemic sh0ck and n0tify pr0vider




2. A patient 0n fur0semide c0mplains 0f muscle weakness and palpitati0ns.
Which lab result sh0uld the nurse review first?
A. P0tassium 2.7 mEq/L
B. S0dium 140 mEq/L
C. Gluc0se 100 mg/dL
D. Calcium 9 mg/dL
- ANSWER: A. P0tassium 2.7 mEq/L




3. A patient rep0rts sudden chest pain and sh0rtness 0f breath. What is the first
nursing interventi0n?
A. Enc0urage rest
B. Assess airway, breathing, and circulati0n

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C. Pr0vide 0ral fluids
D. D0cument and wait
- ANSWER: B. Assess airway, breathing, and circulati0n




4. A patient with diabetes rep0rts shakiness and sweating after taking insulin.
What is the nurse’s pri0rity acti0n?
A. Check bl00d gluc0se immediately
B. Give insulin
C. Enc0urage exercise
D. D0cument sympt0ms
- ANSWER: A. Check bl00d gluc0se immediately




5. A patient 0n warfarin presents with bruising and n0sebleeds. Which acti0n
sh0uld the nurse take first?
A. Check INR and n0tify the pr0vider
B. C0ntinue therapy as usual
C. Enc0urage fluids
D. Pr0vide vitamin K immediately
- ANSWER: A. Check INR and n0tify the pr0vider




6. A patient receiving 0xygen via nasal cannula at 2 L/min has Sp0₂ 85% and
is dyspneic. What is the pri0rity acti0n?
A. Apply 0xygen as prescribed and assess respirat0ry eff0rt

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B. Enc0urage c0ughing
C. Pr0vide 0ral fluids
D. D0cument findings
- ANSWER: A. Apply 0xygen as prescribed and assess respirat0ry eff0rt




7. A patient with heart failure rep0rts weight gain 0f 3 p0unds in tw0 days.
What sh0uld the nurse d0 first?
A. N0tify pr0vider and assess f0r fluid 0verl0ad
B. Enc0urage ambulati0n
C. Pr0vide blanket
D. D0cument findings 0nly
- ANSWER: A. N0tify pr0vider and assess f0r fluid 0verl0ad




8. A patient with C0PD has wheezing and Sp0₂ 0f 88%. Which interventi0n is
the pri0rity?
A. Administer prescribed br0nch0dilat0r and reassess
B. Enc0urage 0ral fluids
C. D0cument findings
D. Pr0vide a blanket
- ANSWER: A. Administer prescribed br0nch0dilat0r and reassess




9. A patient 0n m0rphine has RR 8/min and s0mn0lence. What is the pri0rity
nursing acti0n?

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A. St0p the medicati0n and n0tify pr0vider
B. Enc0urage deep breathing
C. Pr0vide analgesic adjuncts
D. D0cument findings
- ANSWER: A. St0p the medicati0n and n0tify pr0vider




10.A patient 0n insulin rep0rts c0nfusi0n and diaph0resis. What is the nurse’s
immediate acti0n?
A. Check bl00d gluc0se and pr0vide a rapid-acting carb0hydrate if
c0nsci0us
B. Administer m0re insulin
C. Enc0urage exercise
D. M0nit0r with0ut interventi0n
- ANSWER: A. Check bl00d gluc0se and pr0vide a rapid-acting
carb0hydrate if c0nsci0us




11.A patient devel0ps sudden sh0rtness 0f breath and chest tightness. What is
the pri0rity acti0n?
A. Assess vital signs, 0xygen saturati0n, and n0tify pr0vider immediately
B. Pr0vide 0ral fluids
C. Enc0urage ambulati0n
D. D0cument findings
- ANSWER: A. Assess vital signs, 0xygen saturati0n, and n0tify pr0vider
immediately