NUl 185/l NU185l Examl 4–l Medical-
Surgicall Nursingl IIl Prepl |l Galenl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Al patientl withl SIADHl showsl whichl labl pattern?
Answer:
Lowl seruml sodium,l highl urinel osmolality
Q:l Whichl signl bestl indicatesl hypopituitarisml (lossl ofl growthl hormone/reducedl anteriorl
pituitaryl function)l inl adults?
Answer:
Fatigue,l decreasedl libido,l coldl intolerance
Q:l Al nursel evaluatesl al patientl withl pheochromocytoma.l Whichl manifestationl isl mostl
consistent?
Answer:
Recurrentl episodesl ofl severel hypertension,l headache,l diaphoresis,l palpitations
Q:l Whichl ofl thel followingl isl thel bestl immediatel actionl forl al nursel whol findsl al
patientl withl anl opioidl overdosel andl slowl shallowl respirations?
Answer:
Administerl naloxonel perl protocoll andl supportl airway/ventilation
Q:l Forl al patientl needingl renall biopsy,l whichl preprocedurel instructionl isl correct?
,Answer:
Holdl anticoagulantsl perl protocoll andl monitorl coagulationl studiesl beforel biopsy
Q:l Al patientl withl chronicl kidneyl diseasel (CKD)l isl toldl tol followl al renall diet.l
Whichl suggestionl isl correct?
Answer:
Lowl proteinl (orl proteinl limitedl dependingl onl stage),l potassiuml restrictionl asl indicated
Q:l Whichl isl thel mostl importantl nursingl actionl whenl assessingl al newlyl createdl AVl
fistulal forl hemodialysis?
Answer:
Auscultatel forl bruitl andl palpatel forl thrill;l avoidl bloodl pressures/venipuncturel inl thatl arm
Q:l Al patientl withl peritoneall dialysisl developsl cloudyl outflowl andl abdominall painl
andl fever.l Thel nursel suspects:
Answer:
Peritonitisl —l notifyl providerl andl startl perl protocoll (culturel andl antibiotics)
Q:l Al patientl withl diabetesl mellitusl andl al bloodl glucosel ofl 48l mg/dLl isl lethargic.l
Whichl isl bestl immediatel action?
Answer:
Givel 4l ozl orangel juicel ifl ablel tol swallowl safelyl (consciousl &l able)l orl IVl dextrosel ifl
notl safe
Q:l Al patientl hasl SIADHl secondaryl tol small-celll lungl cancer.l Thel nursel expects:
Answer:
Oliguria,l hyponatremia,l andl weightl gainl withoutl edemal (dilutional)
,Q:l Whichl findingl bestl suggestsl diabeticl ketoacidosisl (DKA)l ratherl thanl hyperosmolarl
hyperglycemicl state?
Answer:
Presencel ofl ketones,l metabolicl acidosis,l andl fruityl breath
Q:l Al nursel teachingl al patientl aboutl radiationl therapyl forl head/neckl cancerl shouldl
includel whichl sidel effect?
Answer:
Nausea/Vomiting,l fatigue,l andl localizedl hairl lossl inl thel treatmentl field
Q:l Al patientl exposedl tol chemicall contaminationl arrives.l Thel nurse'sl initiall actionl
shouldl be:
Answer:
Removel contaminatedl clothingl andl decontaminatel (e.g.,l withl tongs/toolsl andl water)l
beforel enteringl EDl area
Q:l Duringl al dexamethasonel suppressionl test,l whatl isl thel usuall nursingl instruction?
Answer:
Drawl bloodl samplel inl thel morningl afterl overnightl dexamethasone
Q:l Al patientl withl al snakebitel tol thel legl arrives.l Thel correctl positioningl is:
Answer:
Keepl limbl dependentl (belowl heart)l andl immobilizel —l rapidl transportl forl antivenoml asl
indicated
, Q:l Al patientl whol hadl al transsphenoidall hypophysectomyl (pituitaryl surgery)l isl post-
op.l Whichl signl requiresl immediatel attention?
Answer:
Clearl nasall drainagel thatl testsl positivel forl glucosel (CSFl leak)
Q:l Youl arel thel RNl andl seel al UAPl preparingl tol placel al heatingl padl onl al patient'sl
legl crampsl whol isl al diabeticl withl neuropathy.l Whatl dol youl do?
Answer:
Stopl theml —l heatingl padsl mayl causel burnsl inl patientsl withl decreasedl sensation;l
instructl alternativel comfortl measures
Q:l Al patientl withl acutel kidneyl injuryl (AKI)l hasl risingl BUNl andl creatininel andl
decreasedl urinel output.l Thel nursel anticipatesl whichl orderl tol evaluatel renall perfusion?
Answer:
Creatininel clearancel measurementl andl monitorl urinel outputl hourly
Q:l Al patientl withl chronicl renall failurel isl scheduledl forl hemodialysisl thisl morning.l
Whichl medicationl orderl isl thel nursel likelyl tol hold?
Answer:
Lisinoprill (BPl med)l duel tol riskl ofl intra-dialyticl hypotension
Q:l Al patientl onl peritoneall dialysisl reportsl poorl dialysatel outflow.l Firstl action?
Answer:
Turnl thel patientl tol side,l checkl forl kinksl andl repositionl catheter;l ensurel patientl mobilityl
asl ordered
Q:l Al clientl inl alcoholl withdrawall isl agitatedl andl atl riskl ofl falling.l Nursingl priority:
Surgicall Nursingl IIl Prepl |l Galenl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Al patientl withl SIADHl showsl whichl labl pattern?
Answer:
Lowl seruml sodium,l highl urinel osmolality
Q:l Whichl signl bestl indicatesl hypopituitarisml (lossl ofl growthl hormone/reducedl anteriorl
pituitaryl function)l inl adults?
Answer:
Fatigue,l decreasedl libido,l coldl intolerance
Q:l Al nursel evaluatesl al patientl withl pheochromocytoma.l Whichl manifestationl isl mostl
consistent?
Answer:
Recurrentl episodesl ofl severel hypertension,l headache,l diaphoresis,l palpitations
Q:l Whichl ofl thel followingl isl thel bestl immediatel actionl forl al nursel whol findsl al
patientl withl anl opioidl overdosel andl slowl shallowl respirations?
Answer:
Administerl naloxonel perl protocoll andl supportl airway/ventilation
Q:l Forl al patientl needingl renall biopsy,l whichl preprocedurel instructionl isl correct?
,Answer:
Holdl anticoagulantsl perl protocoll andl monitorl coagulationl studiesl beforel biopsy
Q:l Al patientl withl chronicl kidneyl diseasel (CKD)l isl toldl tol followl al renall diet.l
Whichl suggestionl isl correct?
Answer:
Lowl proteinl (orl proteinl limitedl dependingl onl stage),l potassiuml restrictionl asl indicated
Q:l Whichl isl thel mostl importantl nursingl actionl whenl assessingl al newlyl createdl AVl
fistulal forl hemodialysis?
Answer:
Auscultatel forl bruitl andl palpatel forl thrill;l avoidl bloodl pressures/venipuncturel inl thatl arm
Q:l Al patientl withl peritoneall dialysisl developsl cloudyl outflowl andl abdominall painl
andl fever.l Thel nursel suspects:
Answer:
Peritonitisl —l notifyl providerl andl startl perl protocoll (culturel andl antibiotics)
Q:l Al patientl withl diabetesl mellitusl andl al bloodl glucosel ofl 48l mg/dLl isl lethargic.l
Whichl isl bestl immediatel action?
Answer:
Givel 4l ozl orangel juicel ifl ablel tol swallowl safelyl (consciousl &l able)l orl IVl dextrosel ifl
notl safe
Q:l Al patientl hasl SIADHl secondaryl tol small-celll lungl cancer.l Thel nursel expects:
Answer:
Oliguria,l hyponatremia,l andl weightl gainl withoutl edemal (dilutional)
,Q:l Whichl findingl bestl suggestsl diabeticl ketoacidosisl (DKA)l ratherl thanl hyperosmolarl
hyperglycemicl state?
Answer:
Presencel ofl ketones,l metabolicl acidosis,l andl fruityl breath
Q:l Al nursel teachingl al patientl aboutl radiationl therapyl forl head/neckl cancerl shouldl
includel whichl sidel effect?
Answer:
Nausea/Vomiting,l fatigue,l andl localizedl hairl lossl inl thel treatmentl field
Q:l Al patientl exposedl tol chemicall contaminationl arrives.l Thel nurse'sl initiall actionl
shouldl be:
Answer:
Removel contaminatedl clothingl andl decontaminatel (e.g.,l withl tongs/toolsl andl water)l
beforel enteringl EDl area
Q:l Duringl al dexamethasonel suppressionl test,l whatl isl thel usuall nursingl instruction?
Answer:
Drawl bloodl samplel inl thel morningl afterl overnightl dexamethasone
Q:l Al patientl withl al snakebitel tol thel legl arrives.l Thel correctl positioningl is:
Answer:
Keepl limbl dependentl (belowl heart)l andl immobilizel —l rapidl transportl forl antivenoml asl
indicated
, Q:l Al patientl whol hadl al transsphenoidall hypophysectomyl (pituitaryl surgery)l isl post-
op.l Whichl signl requiresl immediatel attention?
Answer:
Clearl nasall drainagel thatl testsl positivel forl glucosel (CSFl leak)
Q:l Youl arel thel RNl andl seel al UAPl preparingl tol placel al heatingl padl onl al patient'sl
legl crampsl whol isl al diabeticl withl neuropathy.l Whatl dol youl do?
Answer:
Stopl theml —l heatingl padsl mayl causel burnsl inl patientsl withl decreasedl sensation;l
instructl alternativel comfortl measures
Q:l Al patientl withl acutel kidneyl injuryl (AKI)l hasl risingl BUNl andl creatininel andl
decreasedl urinel output.l Thel nursel anticipatesl whichl orderl tol evaluatel renall perfusion?
Answer:
Creatininel clearancel measurementl andl monitorl urinel outputl hourly
Q:l Al patientl withl chronicl renall failurel isl scheduledl forl hemodialysisl thisl morning.l
Whichl medicationl orderl isl thel nursel likelyl tol hold?
Answer:
Lisinoprill (BPl med)l duel tol riskl ofl intra-dialyticl hypotension
Q:l Al patientl onl peritoneall dialysisl reportsl poorl dialysatel outflow.l Firstl action?
Answer:
Turnl thel patientl tol side,l checkl forl kinksl andl repositionl catheter;l ensurel patientl mobilityl
asl ordered
Q:l Al clientl inl alcoholl withdrawall isl agitatedl andl atl riskl ofl falling.l Nursingl priority:
