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NUR 265 Exam 1,2,3 AND 4 2026 | Actual
Questions & Verified Answers | Grade A+ Study
Guide
1. The nurse is assessing a client who is suspected of having a
pulmonary embolism (PE). Which of the following findings is consitient
with this diagnosis?
a. bradycardia
b. asymmetrical chest expansion
c. kussmual respirations
d. cough
2. The nurse is caring for a client whio is 4 days postoperative and
suddenly develops difficulty breathing and sharp chest pain. The nusre
has called rapid rsponse team, raised HOB, and applied oxygen to client.
Which actions from the box below shoud the nurse take first?
1. auscualte the client's lung sounds
2. initiate continuous cardiac monitoring
3. prepare to administer IV alteplase
4. connect the client to a continouse pulse ox
5. apply bilateral antiemoblism stocking to the legs 6. assess the
clinet's skin color
a. 1,4,5
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b. 1,2,4,6
c. 2,3,5,6
d.3,4,6
3. The nurse has provided discharge teaching to a clinet who
developed a PE follwing a surgical procedure. The rectally, client will be
taking newly prescribed warfarin at home. Which of the following client
statements indicates a correct understanding of the teaching?
a. "hard candy can be used if i developed a dry mouth while taking
warfarin"
b. "the warfarin will continue to break up the clot over the next
several months"
c. "i should avoid anything rectally, such as enemas or suppositories"
d. "i will take this medication for about 1-2 months"
4. The nurse is caring for a clinet who appears to have developed a
PE. Which of the following arterial blood /L; gas (ABG), result would the
nurse expect the client to initally have?
a. pH=7.31; PaO2=73mm Hg; HCO3=22mEq/L;
SaO2=85%
b. pH=7.50; PaO2=79mm Hg; HCO3=23mEq/L; SaO2=
88%
c. pH=7.35; PaO2=63mm Hg; HCO3=26mEq/L;
SaO2=84%
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d. pH=7.45; PaO2=70mm Hg; HCO3=28mEq/L; SaO2=86%
5. The nurse is caring for the following assigned clients. The nurse
should first see the client who has
a. diabetes inipidus, polyuria, and a sodium level of 90,000
146meq/L
b. hyperthyroidims and BP of 138/80
c. recieved heparin infusion in the last 10 days and has a platelet
count of 90,000
d. cushing's disease and capillary blood glucose level of 142mg/dL
6. The nurse is caring for a client who has a chest tubeWhich
assessment finding(s) from the box below requires the nurse to
immediately notify the PHCP
1. continous bubbling in the suction control chamber
2. tracheal devitation
3. tidaling in the water seal chamber with breathing
4. 100mL of drainage within an hour
5. visibilty of the eyelets of chest tube 6. low water level in water
seal chamber
a. 2,4,5
b. 1,2,4,6
c. 2,3,6
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d. 1,3,6
7. The nurse is assessing a client who had a chest tube placed 36
hours ago from the treatment of a pneu-
mothorax. the nurse observes continuous bubbling in the water seal
chamber. which of the following actions should the nusre take?
a. turn on the suciton, assess lung sounds, and turn suction back on
b. inform PHCP that there is a leak in system
c. ensure that the drainage system is on the floor hang-ing on bed
frame
d. documnent that chest tube drainage system is op-erating properly
8. The nurse working in the ED is caring for a client was in a boating
crash 3 hours ago and has the following data:
reports of HA resltess and irritable
arterial blood gases: ph=7.28, PaO2=60mm Hg, PaCO2=52mm Hg, HCO-
24mEq/L, SaO2-84% pulse: 110
RR: 10 and dyspneic
BP- 145/86
the nurse concludes that the clinet is developing
a. a tension pneumothorax
b. acute respiratroy failure
c. pulomanry embolism
NUR 265 Exam 1,2,3 AND 4 2026 | Actual
Questions & Verified Answers | Grade A+ Study
Guide
1. The nurse is assessing a client who is suspected of having a
pulmonary embolism (PE). Which of the following findings is consitient
with this diagnosis?
a. bradycardia
b. asymmetrical chest expansion
c. kussmual respirations
d. cough
2. The nurse is caring for a client whio is 4 days postoperative and
suddenly develops difficulty breathing and sharp chest pain. The nusre
has called rapid rsponse team, raised HOB, and applied oxygen to client.
Which actions from the box below shoud the nurse take first?
1. auscualte the client's lung sounds
2. initiate continuous cardiac monitoring
3. prepare to administer IV alteplase
4. connect the client to a continouse pulse ox
5. apply bilateral antiemoblism stocking to the legs 6. assess the
clinet's skin color
a. 1,4,5
,2|Page
b. 1,2,4,6
c. 2,3,5,6
d.3,4,6
3. The nurse has provided discharge teaching to a clinet who
developed a PE follwing a surgical procedure. The rectally, client will be
taking newly prescribed warfarin at home. Which of the following client
statements indicates a correct understanding of the teaching?
a. "hard candy can be used if i developed a dry mouth while taking
warfarin"
b. "the warfarin will continue to break up the clot over the next
several months"
c. "i should avoid anything rectally, such as enemas or suppositories"
d. "i will take this medication for about 1-2 months"
4. The nurse is caring for a clinet who appears to have developed a
PE. Which of the following arterial blood /L; gas (ABG), result would the
nurse expect the client to initally have?
a. pH=7.31; PaO2=73mm Hg; HCO3=22mEq/L;
SaO2=85%
b. pH=7.50; PaO2=79mm Hg; HCO3=23mEq/L; SaO2=
88%
c. pH=7.35; PaO2=63mm Hg; HCO3=26mEq/L;
SaO2=84%
,3|Page
d. pH=7.45; PaO2=70mm Hg; HCO3=28mEq/L; SaO2=86%
5. The nurse is caring for the following assigned clients. The nurse
should first see the client who has
a. diabetes inipidus, polyuria, and a sodium level of 90,000
146meq/L
b. hyperthyroidims and BP of 138/80
c. recieved heparin infusion in the last 10 days and has a platelet
count of 90,000
d. cushing's disease and capillary blood glucose level of 142mg/dL
6. The nurse is caring for a client who has a chest tubeWhich
assessment finding(s) from the box below requires the nurse to
immediately notify the PHCP
1. continous bubbling in the suction control chamber
2. tracheal devitation
3. tidaling in the water seal chamber with breathing
4. 100mL of drainage within an hour
5. visibilty of the eyelets of chest tube 6. low water level in water
seal chamber
a. 2,4,5
b. 1,2,4,6
c. 2,3,6
, 4|Page
d. 1,3,6
7. The nurse is assessing a client who had a chest tube placed 36
hours ago from the treatment of a pneu-
mothorax. the nurse observes continuous bubbling in the water seal
chamber. which of the following actions should the nusre take?
a. turn on the suciton, assess lung sounds, and turn suction back on
b. inform PHCP that there is a leak in system
c. ensure that the drainage system is on the floor hang-ing on bed
frame
d. documnent that chest tube drainage system is op-erating properly
8. The nurse working in the ED is caring for a client was in a boating
crash 3 hours ago and has the following data:
reports of HA resltess and irritable
arterial blood gases: ph=7.28, PaO2=60mm Hg, PaCO2=52mm Hg, HCO-
24mEq/L, SaO2-84% pulse: 110
RR: 10 and dyspneic
BP- 145/86
the nurse concludes that the clinet is developing
a. a tension pneumothorax
b. acute respiratroy failure
c. pulomanry embolism
