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NSG 3500 EXAM 1 LATEST 2026/2027 | ADVANCED
MEDICAL-SURGICAL NURSING – GALEN COLLEGE |
EXPERT VERIFIED | 75 VERIFIED Q&A | DETAILED
RATIONALES | PASS GUARANTEED – A+ GRADED
Question 1
A nurse is assessing a client who has heart failure. Which of the following findings indicates left-
sided heart failure?
A. Peripheral edema
B. Crackles and dyspnea
C. Jugular vein distention
D. Ascites
Correct Answer: B
Rationale: Left-sided heart failure causes pulmonary congestion (crackles, dyspnea, orthopnea).
Right-sided failure causes peripheral edema, JVD, and ascites.
Question 2
A nurse is caring for a client who has heart failure. Which of the following medications improves
mortality in HFrEF?
A. Digoxin
B. ACE inhibitor or ARB
C. Furosemide only
D. Nitroglycerin
Correct Answer: B
Rationale: ACE inhibitors/ARBs improve mortality in HFrEF. Beta-blockers and aldosterone
antagonists also improve mortality. Digoxin and furosemide improve symptoms but not mortality.
Question 3
A nurse is assessing a client who has a myocardial infarction. Which of the following is the most
specific cardiac marker?
A. CK-MB
B. Troponin
C. Myoglobin
D. LDH
Correct Answer: B
Rationale: Troponin is the most specific and sensitive marker for myocardial damage.
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Question 4
A nurse is caring for a client who has a wound infection. Which of the following indicates a systemic
infection?
A. Localized redness
B. Fever and chills
C. Purulent drainage
D. Warmth
Correct Answer: B
Rationale: Fever and chills indicate systemic infection.
Question 5
A nurse is caring for a client who has a wound with a drain. Which of the following is the correct
care?
A. Leave unsecured
B. Empty when half full
C. Remove without order
D. Milk frequently
Correct Answer: B
Rationale: Empty and compress when half full.
Question 6
A nurse is assessing a client who has a wound with a wound vac. Which of the following requires
immediate intervention?
A. Pink wound bed
B. Alarm sounding
C. Granulation tissue
D. Minimal drainage
Correct Answer: B
Rationale: Alarm indicates a problem requiring intervention.
Question 7
A nurse is caring for a client who has a new prescription for vancomycin. Which of the following
should be monitored?
A. Serum potassium
B. Renal function and trough levels
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C. Serum calcium
D. Serum magnesium
Correct Answer: B
Rationale: Monitor renal function and vancomycin trough levels.
Question 8
A nurse is assessing a client who has a wound infection. Which of the following is the most
appropriate dressing?
A. Dry sterile dressing
B. Moist sterile dressing (as prescribed)
C. No dressing
D. Non-sterile dressing
Correct Answer: B
Rationale: Infected wounds require moist sterile dressings.
Question 9
A nurse is caring for a client who has a new prescription for insulin glargine. Which of the following is
a characteristic?
A. Rapid-acting with peak
B. Long-acting with no pronounced peak
C. Intermediate-acting
D. Short-acting
Correct Answer: B
Rationale: Insulin glargine is long-acting with no pronounced peak.
Question 10
A nurse is assessing a client who has a urinary catheter. Which of the following indicates a catheter-
associated UTI?
A. Clear urine
B. Cloudy urine with foul odor
C. Output of 30 mL/hour
D. No sediment
Correct Answer: B
Rationale: Cloudy urine with foul odor indicates UTI.
Question 11
NSG 3500 EXAM 1 LATEST 2026/2027 | ADVANCED
MEDICAL-SURGICAL NURSING – GALEN COLLEGE |
EXPERT VERIFIED | 75 VERIFIED Q&A | DETAILED
RATIONALES | PASS GUARANTEED – A+ GRADED
Question 1
A nurse is assessing a client who has heart failure. Which of the following findings indicates left-
sided heart failure?
A. Peripheral edema
B. Crackles and dyspnea
C. Jugular vein distention
D. Ascites
Correct Answer: B
Rationale: Left-sided heart failure causes pulmonary congestion (crackles, dyspnea, orthopnea).
Right-sided failure causes peripheral edema, JVD, and ascites.
Question 2
A nurse is caring for a client who has heart failure. Which of the following medications improves
mortality in HFrEF?
A. Digoxin
B. ACE inhibitor or ARB
C. Furosemide only
D. Nitroglycerin
Correct Answer: B
Rationale: ACE inhibitors/ARBs improve mortality in HFrEF. Beta-blockers and aldosterone
antagonists also improve mortality. Digoxin and furosemide improve symptoms but not mortality.
Question 3
A nurse is assessing a client who has a myocardial infarction. Which of the following is the most
specific cardiac marker?
A. CK-MB
B. Troponin
C. Myoglobin
D. LDH
Correct Answer: B
Rationale: Troponin is the most specific and sensitive marker for myocardial damage.
,2
Question 4
A nurse is caring for a client who has a wound infection. Which of the following indicates a systemic
infection?
A. Localized redness
B. Fever and chills
C. Purulent drainage
D. Warmth
Correct Answer: B
Rationale: Fever and chills indicate systemic infection.
Question 5
A nurse is caring for a client who has a wound with a drain. Which of the following is the correct
care?
A. Leave unsecured
B. Empty when half full
C. Remove without order
D. Milk frequently
Correct Answer: B
Rationale: Empty and compress when half full.
Question 6
A nurse is assessing a client who has a wound with a wound vac. Which of the following requires
immediate intervention?
A. Pink wound bed
B. Alarm sounding
C. Granulation tissue
D. Minimal drainage
Correct Answer: B
Rationale: Alarm indicates a problem requiring intervention.
Question 7
A nurse is caring for a client who has a new prescription for vancomycin. Which of the following
should be monitored?
A. Serum potassium
B. Renal function and trough levels
, 3
C. Serum calcium
D. Serum magnesium
Correct Answer: B
Rationale: Monitor renal function and vancomycin trough levels.
Question 8
A nurse is assessing a client who has a wound infection. Which of the following is the most
appropriate dressing?
A. Dry sterile dressing
B. Moist sterile dressing (as prescribed)
C. No dressing
D. Non-sterile dressing
Correct Answer: B
Rationale: Infected wounds require moist sterile dressings.
Question 9
A nurse is caring for a client who has a new prescription for insulin glargine. Which of the following is
a characteristic?
A. Rapid-acting with peak
B. Long-acting with no pronounced peak
C. Intermediate-acting
D. Short-acting
Correct Answer: B
Rationale: Insulin glargine is long-acting with no pronounced peak.
Question 10
A nurse is assessing a client who has a urinary catheter. Which of the following indicates a catheter-
associated UTI?
A. Clear urine
B. Cloudy urine with foul odor
C. Output of 30 mL/hour
D. No sediment
Correct Answer: B
Rationale: Cloudy urine with foul odor indicates UTI.
Question 11
