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NUR 265 Exam 1: 50 NCLEX-Style Questions with Answers - Advanced MedSurg

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Prepare for NUR 265 Exam 1 with 50 high-difficulty NCLEX-style questions covering renal failure, dialysis, pancreatitis, cirrhosis, cardiac conditions, and priority nursing interventions. Includes answer key and rationales for Advanced MedSurg success.

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NUR 265 – EXAM 1 FULL 50- Question Nclex-
Style MOCK


Advanced MedSurg (Galen
College of Nursing)

, lOMoAR cPSD| 64639315




NUR 265 – EXAM 1
FULL 50-QUESTION NCLEX-STYLE MOCK
Advanced Med-Surg | High Difficulty




RENAL / ELIMINATION
Q1

A patient with acute kidney injury is being closely monitored. Which finding suggests worsening
renal function?

A. Increased urine output
B. Decreasing creatinine
C. Rising BUN and potassium
D. Mild fatigue

Answer: C




Q2

Which assessment finding in AKI requires immediate intervention?

A. Oliguria
B. Metabolic acidosis
C. Hyperkalemia with peaked T waves
D. Elevated creatinine

Answer: C




Q3

A trauma patient with AKI begins producing large amounts of urine after 48 hours of oliguria.
How should the nurse interpret this?

, lOMoAR cPSD| 64639315




A. Acute worsening
B. Expected recovery phase
C. Fluid overload
D. Onset of chronic kidney disease

Answer: B




Q4

Which electrolyte imbalance places a patient with renal failure at the highest risk for cardiac
dysrhythmias?

A. Hyponatremia
B. Hyperkalemia
C. Hypocalcemia
D. Hyperphosphatemia

Answer: B




Q5

Which nursing intervention is appropriate for a patient with chronic kidney disease?

A. High-protein diet
B. Salt substitute use
C. Moderate protein intake
D. Potassium supplementation

Answer: C




Q6

A patient with CKD reports muscle weakness and palpitations. Which lab result does the nurse
anticipate?

A. Sodium 150 mEq/L
B. Potassium 6.1 mEq/L

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