NUR 265
Exam 1 Advanced Medical-Surgical Nursing
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 265
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 265 Exam 1: Advanced Medical-Surgical Nursing 2026/2027 UPDATE – Galen
1. A patient in the early stage of septic shock is exhibiting a high cardiac output and low
systemic vascular resistance. Which phase of shock is this patient experiencing?
A. Hypodynamic phase
B. Compensatory phase
C. Hyperdynamic phase
D. Refractory phase
Answer: C
Rationale: Septic shock is unique because it often begins with a ‘warm’ or hyperdynamic
phase characterized by high CO and low SVR due to vasodilation.
2. When calculating fluid resuscitation for a 70kg patient with 40% TBSA burns using the
Parkland formula (4mL/kg/%TBSA), how much fluid should be administered in the first 8
hours?
A. 11,200 mL
B. 5,600 mL
C. 2,800 mL
D. 8,400 mL
, Answer: B
Rationale: Total = 4 x 70 x 40 = 11,200 mL. Half of the total (5,600 mL) is given in the first
8 hours.
3. A patient with a massive pulmonary embolism is at highest risk for which type of shock?
A. Distributive shock
B. Cardiogenic shock
C. Hypovolemic shock
D. Obstructive shock
Answer: D
Rationale: Obstructive shock occurs when a physical obstruction to blood flow (like a PE
or cardiac tamponade) decreases cardiac output.
4. Which laboratory value is most indicative of the transition from SIRS to DIC?
A. Increased Platelets
B. Decreased D-dimer
C. Decreased Prothrombin Time (PT)
D. Increased Fibrin Degradation Products (FDPs)
Answer: D
Exam 1 Advanced Medical-Surgical Nursing
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 265
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 265 Exam 1: Advanced Medical-Surgical Nursing 2026/2027 UPDATE – Galen
1. A patient in the early stage of septic shock is exhibiting a high cardiac output and low
systemic vascular resistance. Which phase of shock is this patient experiencing?
A. Hypodynamic phase
B. Compensatory phase
C. Hyperdynamic phase
D. Refractory phase
Answer: C
Rationale: Septic shock is unique because it often begins with a ‘warm’ or hyperdynamic
phase characterized by high CO and low SVR due to vasodilation.
2. When calculating fluid resuscitation for a 70kg patient with 40% TBSA burns using the
Parkland formula (4mL/kg/%TBSA), how much fluid should be administered in the first 8
hours?
A. 11,200 mL
B. 5,600 mL
C. 2,800 mL
D. 8,400 mL
, Answer: B
Rationale: Total = 4 x 70 x 40 = 11,200 mL. Half of the total (5,600 mL) is given in the first
8 hours.
3. A patient with a massive pulmonary embolism is at highest risk for which type of shock?
A. Distributive shock
B. Cardiogenic shock
C. Hypovolemic shock
D. Obstructive shock
Answer: D
Rationale: Obstructive shock occurs when a physical obstruction to blood flow (like a PE
or cardiac tamponade) decreases cardiac output.
4. Which laboratory value is most indicative of the transition from SIRS to DIC?
A. Increased Platelets
B. Decreased D-dimer
C. Decreased Prothrombin Time (PT)
D. Increased Fibrin Degradation Products (FDPs)
Answer: D
