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NU 185/ NU185 Comprehensive Exam – Medical-Surgical Nursing II Review | Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NU 185/ NU185 Comprehensive Exam – Medical-Surgical Nursing II Review | Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION If the patient starts having sharp pleuritic chest pain that worsens when laying down and they feel better when leaning forward, you hear pericardial friction rub, EKG changes, and beck triad is present what can the nurse suspect? Answer: Pericarditis QUESTION Low blood pressure JVD Muffled heart sounds Are examples of what? Answer: Signs and symptoms of Beck triad that require pericardiolcentesis QUESTION Why is airway and breathing a priority? Answer: You need oxygen for oxygenated blood, and without it, the patient's tissues will die QUESTION How can nurses do no harm? Answer: Assess and never delay life saving interventions QUESTION What do you never do if patient has heparin induced thrombocytopenia Answer: Never give anticoagulant QUESTION What is the best option for background portion of S bar? Answer: Relevant history Medicine Allergies QUESTION Which insulin has an onset of 15 minutes and requires you to make sure the patient has their meal tray in front of them when receiving it to prevent hypoglycemia Answer: Regular QUESTION What to do if you have a patient who is malnourished Answer: Assess for reef feeding syndrome Watch electrolytes Go slow with caloric intake by consuming small, frequent high protein meals Protein, supplements between meals Daily weight And complete this assessment with a dietitian QUESTION What do you do if a nurse is floated to a different unit Answer: Give them stable patients with predictable conditions and expected outcomes Routine postop that are stable Controlled diabetes Simple dressings Avoid : fresh postop patient, unstable vitals, unstable breathing, complex drips, new chest tubes, or higher acuity, Neuro or respiratory cases QUESTION Which of the following is your emergent patient? Answer: Severe respiratory distress or sucking chest wound QUESTION Which of the following are your patients? Answer: Need treatment within a two hour timeframe QUESTION Which ones are your non-urgent patients? Answer: They need treatment, but it can be delayed for 4 to 6 hours

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NUl 185/l NU185l Comprehensivel Examl –l
Medical-Surgicall Nursingl IIl Reviewl |l
Galenl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A


Q:l Ifl thel patientl startsl havingl sharpl pleuriticl chestl painl thatl worsensl whenl layingl
downl andl theyl feell betterl whenl leaningl forward,l youl hearl pericardiall frictionl rub,l EKGl
changes,l andl beckl triadl isl presentl whatl canl thel nursel suspect?

Answer:
Pericarditis



Q:l Lowl bloodl pressure
JVDl
Muffledl heartl soundsl
Arel examplesl ofl what?

Answer:
Signsl andl symptomsl ofl Beckl triadl thatl requirel pericardiolcentesis



Q:l Whyl isl airwayl andl breathingl al priority?
Answer:
Youl needl oxygenl forl oxygenatedl blood,l andl withoutl it,l thel patient'sl tissuesl willl die



Q:l Howl canl nursesl dol nol harm?
Answer:
Assessl andl neverl delayl lifel savingl interventions

,Q:l Whatl dol youl neverl dol ifl patientl hasl heparinl inducedl thrombocytopenia
Answer:
Neverl givel anticoagulant



Q:l Whatl isl thel bestl optionl forl backgroundl portionl ofl Sl bar?
Answer:
Relevantl history
Medicinel
Allergies



Q:l Whichl insulinl hasl anl onsetl ofl 15l minutesl andl requiresl youl tol makel surel thel
patientl hasl theirl meall trayl inl frontl ofl theml whenl receivingl itl tol preventl hypoglycemia

Answer:
Regular



Q:l Whatl tol dol ifl youl havel al patientl whol isl malnourished
Answer:
Assessl forl reefl feedingl syndrome
Watchl electrolytesl
Gol slowl withl caloricl intakel byl consumingl small,l frequentl highl proteinl mealsl
Protein,l supplementsl betweenl mealsl
Dailyl weightl
Andl completel thisl assessmentl withl al dietitian



Q:l Whatl dol youl dol ifl al nursel isl floatedl tol al differentl unit
Answer:
Givel theml stablel patientsl withl predictablel conditionsl andl expectedl outcomes

, Routinel postopl thatl arel stablel
Controlledl diabetesl
Simplel dressingsl
Avoidl :l freshl postopl patient,l unstablel vitals,l unstablel breathing,l complexl drips,l newl
chestl tubes,l orl higherl acuity,l Neurol orl respiratoryl cases



Q:l Whichl ofl thel followingl isl yourl emergentl patient?
Answer:
Severel respiratoryl distressl orl suckingl chestl wound



Q:l Whichl ofl thel followingl arel yourl patients?
Answer:
Needl treatmentl withinl al twol hourl timeframe



Q:l Whichl onesl arel yourl non-urgentl patients?
Answer:
Theyl needl treatment,l butl itl canl bel delayedl forl 4l tol 6l hours



Q:l Whichl patientsl arel yourl levell three
Answer:
Medicationl refillsl orl simplel lacerations



Q:l Whatl dol wel dol ifl patientl developsl anl infectionl froml anl interventionl thatl wasl
performed?l Filel anl incidentl reportl thatl includesl factuall andl objectivel informationl andl
wel submitl itl tol thel internall riskl managementl andl neverl documentl thisl intol thel patientl
chartl thatl anl incidentl portl wasl filed,l butl youl dol needl tol chartl thel factsl andl thel
patient'sl responsel tol interventions

Answer:

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