NUR 265 Advanced Med Surg Exam 2 Prep Latest
Test Bank 2026 with 300 Exam Questions and Correct
Answers Review/ NUR 265 Exam 2 Prep 2026 (Galen)
The nurse is assisting a client with range of motion activities. Which type of joint
movement is occurring in the image below? (Select all that apply.)
A. Movement of a saddle joint
B. Flexion by moving the thumb across the palmar surface of the hand
C. Extension by moving the thumb away from the hand
D. Movement of a hinge joint
BC
3 multiple choice options
Which action will the RN do first for a client being mechanically ventilated who
begins to pick at the bedcovers?
Assessing for adequate oxygenation
3 multiple choice options
RN caring for a client on mechanical ventilation. Which action will the RN do
FIRST when the high-pressure alarm sounds?
Auscultate the client's breath sounds
3 multiple choice options
pg. 1
,Client was intubated a few minutes ago. ETCO2 level is 0 and SpO2 is 38%. What
is the priority nursing action?
Remove ET and begin ventilating patient with BVM
3 multiple choice options
What type of Acid-Base imbalance is expected in Pt insufficiently mech ventilated
over past 4 hours w/ ABG pH of 7.29?
Respiratory Acidosis w/an Acid Excess
3 multiple choice options
Which action will the nurse instruct a client w/ an ETT to perform during the time
the tube is being removed.
Exhale
3 multiple choice options
Which assessment finding on a client mechanically ventilated with PEEP indicates
a possible left-sided tension pneumo?
Chest is asymmetrical and trachea deviates toward the right side
3 multiple choice options
The RN has just received report on a group of clients. Which client is the nurse's
FIRST PRIORITY?
50-year-old being mech ventilated who has tracheal deviation
3 multiple choice options
RN caring for a group of PE patients, the RN calls for Rapid Response Team for
intervention on which client?
Client treated for PE w/IV Heparin who has hemoptysis and tachycardia
3 multiple choice options
Which assessment finding(s) in a high risk patient would be indicative of a
Pulmonary Embolism?
A. Dizziness and Syncope
B. Worsening Dyspnea for 3 days
pg. 2
,C. Inspiratory Chest Pain
D. Nonproductive Cough
E. Tachycardia
F. Tracheal Deviation
ACE
3 multiple choice options
Which client(s) will the RN monitor most closely for Respiratory Failure?
A. 30-year-old w/C-5 spinal cord injury
B. 35-year-old using client-controlled analgesia
C. 40-year-old w/acute pancreatitis
D. 50-year-old experiencing cocaine intoxication
E. 65-year-old with COVID-19 pneumonia
ABCE
3 multiple choice options
For which conditions will the RN assess for when the Low-Pressure alarm of a
client's ventilator sounds?
A. Ventilator tubing is under the client
B. Cuff leak in the Endotracheal or Tracheostomy Tube
C. Client is Not Breathing
D. Mucous plugs are in the endotracheal tube
E. Leak in the ventilator tubing circuit
F. Client is attempting to breathe against the ventilator
BCE
3 multiple choice options
Older post-op client w/incentive spirometer, they ask "why do I have to keep doing
this?" What response is appropriate?
pg. 3
, "This process will help to reduce your risk for respiratory complications"
3 multiple choice options
Caring for a 72-year-old client and assessing gas exchange. Based on age-related
changes, what will the RN anticipate?
Reduced gas exchange as a result of decreased pressures of the chest cavity
3 multiple choice options
RN caring for a client w/severe septal deviation. For which problem will the nurse
assess?
Dry respiratory tract membranes
3 multiple choice options
When performing an assessment on an older client, which finding is MOST
important for the RN to assess further?
Inability to state name and date of birth
3 multiple choice options
You auscultate popping, discontinuous, high-pitched sounds at end of exhalation in
lungs. How to document this finding?
Fine Crackles
3 multiple choice options
Pt with a pulmonary contusion, multiple rib fractures, and a R femur fracture. V/S
below.
Encourage use of incentive spirometer
3 multiple choice options
RN Caring for client with PE. What is the cause of the client's decreased O2
Saturation?
Shunting of deoxygenated blood to the left side of the heart.
3 multiple choice options
The nurse is caring for a client just diagnosed with a PE. Which drug class with the
nurse anticipate being ordered?
pg. 4
Test Bank 2026 with 300 Exam Questions and Correct
Answers Review/ NUR 265 Exam 2 Prep 2026 (Galen)
The nurse is assisting a client with range of motion activities. Which type of joint
movement is occurring in the image below? (Select all that apply.)
A. Movement of a saddle joint
B. Flexion by moving the thumb across the palmar surface of the hand
C. Extension by moving the thumb away from the hand
D. Movement of a hinge joint
BC
3 multiple choice options
Which action will the RN do first for a client being mechanically ventilated who
begins to pick at the bedcovers?
Assessing for adequate oxygenation
3 multiple choice options
RN caring for a client on mechanical ventilation. Which action will the RN do
FIRST when the high-pressure alarm sounds?
Auscultate the client's breath sounds
3 multiple choice options
pg. 1
,Client was intubated a few minutes ago. ETCO2 level is 0 and SpO2 is 38%. What
is the priority nursing action?
Remove ET and begin ventilating patient with BVM
3 multiple choice options
What type of Acid-Base imbalance is expected in Pt insufficiently mech ventilated
over past 4 hours w/ ABG pH of 7.29?
Respiratory Acidosis w/an Acid Excess
3 multiple choice options
Which action will the nurse instruct a client w/ an ETT to perform during the time
the tube is being removed.
Exhale
3 multiple choice options
Which assessment finding on a client mechanically ventilated with PEEP indicates
a possible left-sided tension pneumo?
Chest is asymmetrical and trachea deviates toward the right side
3 multiple choice options
The RN has just received report on a group of clients. Which client is the nurse's
FIRST PRIORITY?
50-year-old being mech ventilated who has tracheal deviation
3 multiple choice options
RN caring for a group of PE patients, the RN calls for Rapid Response Team for
intervention on which client?
Client treated for PE w/IV Heparin who has hemoptysis and tachycardia
3 multiple choice options
Which assessment finding(s) in a high risk patient would be indicative of a
Pulmonary Embolism?
A. Dizziness and Syncope
B. Worsening Dyspnea for 3 days
pg. 2
,C. Inspiratory Chest Pain
D. Nonproductive Cough
E. Tachycardia
F. Tracheal Deviation
ACE
3 multiple choice options
Which client(s) will the RN monitor most closely for Respiratory Failure?
A. 30-year-old w/C-5 spinal cord injury
B. 35-year-old using client-controlled analgesia
C. 40-year-old w/acute pancreatitis
D. 50-year-old experiencing cocaine intoxication
E. 65-year-old with COVID-19 pneumonia
ABCE
3 multiple choice options
For which conditions will the RN assess for when the Low-Pressure alarm of a
client's ventilator sounds?
A. Ventilator tubing is under the client
B. Cuff leak in the Endotracheal or Tracheostomy Tube
C. Client is Not Breathing
D. Mucous plugs are in the endotracheal tube
E. Leak in the ventilator tubing circuit
F. Client is attempting to breathe against the ventilator
BCE
3 multiple choice options
Older post-op client w/incentive spirometer, they ask "why do I have to keep doing
this?" What response is appropriate?
pg. 3
, "This process will help to reduce your risk for respiratory complications"
3 multiple choice options
Caring for a 72-year-old client and assessing gas exchange. Based on age-related
changes, what will the RN anticipate?
Reduced gas exchange as a result of decreased pressures of the chest cavity
3 multiple choice options
RN caring for a client w/severe septal deviation. For which problem will the nurse
assess?
Dry respiratory tract membranes
3 multiple choice options
When performing an assessment on an older client, which finding is MOST
important for the RN to assess further?
Inability to state name and date of birth
3 multiple choice options
You auscultate popping, discontinuous, high-pitched sounds at end of exhalation in
lungs. How to document this finding?
Fine Crackles
3 multiple choice options
Pt with a pulmonary contusion, multiple rib fractures, and a R femur fracture. V/S
below.
Encourage use of incentive spirometer
3 multiple choice options
RN Caring for client with PE. What is the cause of the client's decreased O2
Saturation?
Shunting of deoxygenated blood to the left side of the heart.
3 multiple choice options
The nurse is caring for a client just diagnosed with a PE. Which drug class with the
nurse anticipate being ordered?
pg. 4
