NUR 265 FINAL EXAM STUDY GUIDE
2026/2027| COMPLETE QUESTIONS |
VERIFIED ANSWERS | GRADED A + | PASS
GUARANTEED | RECENT UPDATE
This test is performed to help detect problems with my heart valves and chambers -
ANSWER The nurse has instructed a client who is scheduled to have a cardiac
catheterization. Which of the following client statements would indicate a correct
understanding of the teaching
Had CABG surgery 24 hrs ago and has developed distant muffled heart sounds -
ANSWER The nurse has been made aware of the following client situation. The
nurse should initially plan to assess the client
Sharp pain in the anterior chest
A right sternal border heart murmur - ANSWER The nurse is assessing a client
who has a suspected aortic dissection. Which of the following findings should the
nurse anticipate the client to have
Has a suspected thoracic aortic aneurysm and is reporting the development of back
pain - ANSWER The nurse is caring for assigned clients. It would be a priority
for the nurse to follow up with the PCP of a client who
Jugular venous distention with clear lung sounds - ANSWER The nurse is
assessing a client who has developed cardiac tamponade. Which of the following
findings should the nurse expect to observe
, Has HF and is receiving a continuous infusion of NS, and the IV pump is infusing
at a rate of 250ml/hr - ANSWER The nurse has been made aware of the
following client situations. The nurse should initially assess the client who
What is the onset phase of Acute Kidney Injury? - ANSWER The initial event
in the development of manifestations, which is immediate, up to a week before
symptoms.
What is the oliguric phase of Acute Kidney Injury? - ANSWER Anuric: 1 to 8
weeks, the longer it lasts the worse the prognosis.
What are the causes of the oliguric phase? - ANSWER NPO before surgery.
Urine amounts <400cc/24 hours. Gradual buildup of nitrogenous wastes which is
azotemia. Manifestations of fluid overload include crackles, edema, decreased
oxygen, increased respirations, and dyspnea.
What would labs look like in oliguric phase? - ANSWER Serum creatinine,
BUN, K+, phosphorus, and magnesium will be elevated. Na and Ca will be
decreased. Metabolic acidosis, bicarb to treat short term and dialysis to treat
severe.
What is the diuretic phase of Acute Kidney Injury? - ANSWER Gradual or
abrupt return of GFR and leveling of BUN, lose 1 to 2 liters a day of urine.
What is the cause of the diuretic phase of Acute Kidney Injury? -
ANSWER Hypovolemia and electrolyte imbalance.
,How long is the recovery phase of Acute Kidney Injury? - ANSWER Lasts 3 to
12 months.
What is Uremic Encephalopathy? - ANSWER Build up in urea and poison to
brain. Will have decreased LOC.
What is the key to prevention of Uremic Encephalopathy? -
ANSWER Assessment, restore volume.
What patients are at risk for Acute Kidney Injury? - ANSWER Hypotensive,
surgery, hypovolemic such as burns, MVAs, and hemorrhaging, or patient with
shock.
What is the treatment for Acute Kidney Injury? - ANSWER Seizure precautions
for elevated BUNs, infection prevention, and diet of high calorie, low protein, K+,
Na, Mag, and Phos. Renal dialysis or CRRT if patient can't tolerate.
Nurse assessment of the client reveals muffled heart sound sand reported fatigue
by the client - ANSWER The nurse is caring for a client who was recently
diagnosed with pericarditis. It would require follow up by the nurse if
The client takes a daily dose of levothyroxine - ANSWER The nurse working
in the med surg unit is caring for a client who reports a racing heart and feeling
anxious. The client is placed on a heart monitor and displays a heart rhythm
indicated below. Which of the following findings should the nurse correlate to this
assignment
, A. administer prescribed adenosine
B. prepare the client for synchronized cardioversion
C. place the client with the HOB lower than the foot of the bed
D. administer prescribed nitroprusside sodium at a rate of 0.3mcg/kg/min -
ANSWER The nurse is caring for a client who reports dizziness and has a bp of
80/49mmhg and has a cardiac rhythm indicated below. Which of the following
actions should the nurse take
Irregular apical pulse - ANSWER The nurse came for a client who develops the
following dysrhythmia. The nurse should assess which of the following
manifestations in the client
Cheyne-Stokes respiration - ANSWER a pattern of breathing characterized by a
gradual increase of depth and sometimes rate to a maximum level, followed by a
decrease, resulting in apnea
Biot's respirations - ANSWER Rapid and deep respirations followed by 10 to
30 seconds of apnea
Symptoms of hypoxia (RAT/BED) - ANSWER Restlessness
Anxiety
Tachycardia and tachypnea
2026/2027| COMPLETE QUESTIONS |
VERIFIED ANSWERS | GRADED A + | PASS
GUARANTEED | RECENT UPDATE
This test is performed to help detect problems with my heart valves and chambers -
ANSWER The nurse has instructed a client who is scheduled to have a cardiac
catheterization. Which of the following client statements would indicate a correct
understanding of the teaching
Had CABG surgery 24 hrs ago and has developed distant muffled heart sounds -
ANSWER The nurse has been made aware of the following client situation. The
nurse should initially plan to assess the client
Sharp pain in the anterior chest
A right sternal border heart murmur - ANSWER The nurse is assessing a client
who has a suspected aortic dissection. Which of the following findings should the
nurse anticipate the client to have
Has a suspected thoracic aortic aneurysm and is reporting the development of back
pain - ANSWER The nurse is caring for assigned clients. It would be a priority
for the nurse to follow up with the PCP of a client who
Jugular venous distention with clear lung sounds - ANSWER The nurse is
assessing a client who has developed cardiac tamponade. Which of the following
findings should the nurse expect to observe
, Has HF and is receiving a continuous infusion of NS, and the IV pump is infusing
at a rate of 250ml/hr - ANSWER The nurse has been made aware of the
following client situations. The nurse should initially assess the client who
What is the onset phase of Acute Kidney Injury? - ANSWER The initial event
in the development of manifestations, which is immediate, up to a week before
symptoms.
What is the oliguric phase of Acute Kidney Injury? - ANSWER Anuric: 1 to 8
weeks, the longer it lasts the worse the prognosis.
What are the causes of the oliguric phase? - ANSWER NPO before surgery.
Urine amounts <400cc/24 hours. Gradual buildup of nitrogenous wastes which is
azotemia. Manifestations of fluid overload include crackles, edema, decreased
oxygen, increased respirations, and dyspnea.
What would labs look like in oliguric phase? - ANSWER Serum creatinine,
BUN, K+, phosphorus, and magnesium will be elevated. Na and Ca will be
decreased. Metabolic acidosis, bicarb to treat short term and dialysis to treat
severe.
What is the diuretic phase of Acute Kidney Injury? - ANSWER Gradual or
abrupt return of GFR and leveling of BUN, lose 1 to 2 liters a day of urine.
What is the cause of the diuretic phase of Acute Kidney Injury? -
ANSWER Hypovolemia and electrolyte imbalance.
,How long is the recovery phase of Acute Kidney Injury? - ANSWER Lasts 3 to
12 months.
What is Uremic Encephalopathy? - ANSWER Build up in urea and poison to
brain. Will have decreased LOC.
What is the key to prevention of Uremic Encephalopathy? -
ANSWER Assessment, restore volume.
What patients are at risk for Acute Kidney Injury? - ANSWER Hypotensive,
surgery, hypovolemic such as burns, MVAs, and hemorrhaging, or patient with
shock.
What is the treatment for Acute Kidney Injury? - ANSWER Seizure precautions
for elevated BUNs, infection prevention, and diet of high calorie, low protein, K+,
Na, Mag, and Phos. Renal dialysis or CRRT if patient can't tolerate.
Nurse assessment of the client reveals muffled heart sound sand reported fatigue
by the client - ANSWER The nurse is caring for a client who was recently
diagnosed with pericarditis. It would require follow up by the nurse if
The client takes a daily dose of levothyroxine - ANSWER The nurse working
in the med surg unit is caring for a client who reports a racing heart and feeling
anxious. The client is placed on a heart monitor and displays a heart rhythm
indicated below. Which of the following findings should the nurse correlate to this
assignment
, A. administer prescribed adenosine
B. prepare the client for synchronized cardioversion
C. place the client with the HOB lower than the foot of the bed
D. administer prescribed nitroprusside sodium at a rate of 0.3mcg/kg/min -
ANSWER The nurse is caring for a client who reports dizziness and has a bp of
80/49mmhg and has a cardiac rhythm indicated below. Which of the following
actions should the nurse take
Irregular apical pulse - ANSWER The nurse came for a client who develops the
following dysrhythmia. The nurse should assess which of the following
manifestations in the client
Cheyne-Stokes respiration - ANSWER a pattern of breathing characterized by a
gradual increase of depth and sometimes rate to a maximum level, followed by a
decrease, resulting in apnea
Biot's respirations - ANSWER Rapid and deep respirations followed by 10 to
30 seconds of apnea
Symptoms of hypoxia (RAT/BED) - ANSWER Restlessness
Anxiety
Tachycardia and tachypnea
