NUR 265
EXAM 2
Medical-Surgical Nursing
Galen College of Nursing
Tested Qs & Verified Answers with Rationales
This Exam Features:
NUR 265 Exam 2 Medical-Surgical Nursing (Galen
College) including 50 Tested questions written
to mirror actual course exams. Covers core Med-
Surg concepts with clear, accurate, and student-
friendly explanations. Perfect for mastering high-priority topics
and boosting exam confidence.
,1. The nurse is assessing a client who is suspected of having a
pulmonary embolism (PE). Which of the following findings is
consistent with this diagnosis?
a) Bradycardia
b) Productive cough with yellow sputum
c) Cough
d) Lower extremity edema
Correct Answer: c) Cough
Rationale:
A cough, often dry or with minimal sputum, is a common symptom of PE
due to irritation or infarction of the pulmonary tissues. Other common signs
include sudden onset dyspnea and pleuritic chest pain. Bradycardia is
uncommon; tachycardia is more typical. Lower extremity edema may be a
sign of deep vein thrombosis (DVT) but not a direct finding of PE.
---
2. The nurse is caring for a client who is 4 days postoperative and
suddenly develops difficulty breathing and sharp chest pain. The
nurse has called the rapid response team (RRT), raised the head of
the bed (HOB), and applied oxygen to the client. Which action(s) from
the box below should the nurse take next?
1. Auscultate the client's lung sounds.
2. Initiate continuous cardiac monitoring.
3. Connect the client to a continuous pulse oximeter.
a) 1 only
b) 2 only
c) 3 only
d) 1, 2, and 3
Correct Answer: d) 1, 2, and 3
, Rationale:
In an acute episode of PE, continuous monitoring of lung sounds, cardiac
rhythm, and oxygen saturation are critical next steps to assess for hypoxia,
arrhythmias, or change in respiratory status. Auscultation helps identify
breath sounds and possible complications. Cardiac monitoring detects
arrhythmias due to strain. Continuous pulse oximetry monitors oxygenation
status continuously.
---
3. The nurse has provided discharge teaching to a client who
developed a pulmonary embolism (PE) following a surgical
procedure. The client will be taking newly prescribed warfarin at
home. Which of the following client statements indicates a correct
understanding of the teaching?
a) "I will avoid eating vegetables rich in vitamin K."
b) "I can stop taking warfarin if I feel better."
c) "I should avoid anything rectally, such as enemas or suppositories."
d) "I will double my dose if I miss one."
Correct Answer: c) "I should avoid anything rectally, such as enemas or
suppositories."
Rationale:
Warfarin increases bleeding risk, and rectal interventions can cause
mucosal trauma leading to bleeding. Avoiding rectal route is important.
While vitamin K intake should be consistent, complete avoidance is
unnecessary. Stopping warfarin abruptly is unsafe, and doubling doses is
dangerous.
---
4. The nurse is caring for a client who appears to have developed a
pulmonary embolism (PE). Which of the following arterial blood gas
(ABG) results would the nurse expect the client to initially have?
EXAM 2
Medical-Surgical Nursing
Galen College of Nursing
Tested Qs & Verified Answers with Rationales
This Exam Features:
NUR 265 Exam 2 Medical-Surgical Nursing (Galen
College) including 50 Tested questions written
to mirror actual course exams. Covers core Med-
Surg concepts with clear, accurate, and student-
friendly explanations. Perfect for mastering high-priority topics
and boosting exam confidence.
,1. The nurse is assessing a client who is suspected of having a
pulmonary embolism (PE). Which of the following findings is
consistent with this diagnosis?
a) Bradycardia
b) Productive cough with yellow sputum
c) Cough
d) Lower extremity edema
Correct Answer: c) Cough
Rationale:
A cough, often dry or with minimal sputum, is a common symptom of PE
due to irritation or infarction of the pulmonary tissues. Other common signs
include sudden onset dyspnea and pleuritic chest pain. Bradycardia is
uncommon; tachycardia is more typical. Lower extremity edema may be a
sign of deep vein thrombosis (DVT) but not a direct finding of PE.
---
2. The nurse is caring for a client who is 4 days postoperative and
suddenly develops difficulty breathing and sharp chest pain. The
nurse has called the rapid response team (RRT), raised the head of
the bed (HOB), and applied oxygen to the client. Which action(s) from
the box below should the nurse take next?
1. Auscultate the client's lung sounds.
2. Initiate continuous cardiac monitoring.
3. Connect the client to a continuous pulse oximeter.
a) 1 only
b) 2 only
c) 3 only
d) 1, 2, and 3
Correct Answer: d) 1, 2, and 3
, Rationale:
In an acute episode of PE, continuous monitoring of lung sounds, cardiac
rhythm, and oxygen saturation are critical next steps to assess for hypoxia,
arrhythmias, or change in respiratory status. Auscultation helps identify
breath sounds and possible complications. Cardiac monitoring detects
arrhythmias due to strain. Continuous pulse oximetry monitors oxygenation
status continuously.
---
3. The nurse has provided discharge teaching to a client who
developed a pulmonary embolism (PE) following a surgical
procedure. The client will be taking newly prescribed warfarin at
home. Which of the following client statements indicates a correct
understanding of the teaching?
a) "I will avoid eating vegetables rich in vitamin K."
b) "I can stop taking warfarin if I feel better."
c) "I should avoid anything rectally, such as enemas or suppositories."
d) "I will double my dose if I miss one."
Correct Answer: c) "I should avoid anything rectally, such as enemas or
suppositories."
Rationale:
Warfarin increases bleeding risk, and rectal interventions can cause
mucosal trauma leading to bleeding. Avoiding rectal route is important.
While vitamin K intake should be consistent, complete avoidance is
unnecessary. Stopping warfarin abruptly is unsafe, and doubling doses is
dangerous.
---
4. The nurse is caring for a client who appears to have developed a
pulmonary embolism (PE). Which of the following arterial blood gas
(ABG) results would the nurse expect the client to initially have?
