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NSG 3500 EXAM 2 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 acute respiratory distress syndrome (ARDS). Which of the
following findings should the nurse expect?
A. Hypercapnia only
B. Refractory hypoxemia
C. Respiratory alkalosis only
D. Clear breath sounds
Correct Answer: B
Rationale: ARDS is characterized by refractory hypoxemia (low oxygen that does not improve with
oxygen therapy), bilateral infiltrates, and decreased lung compliance.
Question 2
A nurse is caring for a client who has ARDS. Which of the following is the priority intervention?
A. Administer antibiotics
B. Mechanical ventilation with low tidal volumes
C. Administer bronchodilators
D. Encourage oral intake
Correct Answer: B
Rationale: ARDS requires mechanical ventilation with low tidal volumes (lung-protective strategy) to
prevent further lung injury.
Question 3
A nurse is assessing a client who has a pulmonary embolism. Which of the following findings should
the nurse expect?
A. Bradycardia
B. Sudden dyspnea and pleuritic chest pain
C. Hypertension
D. Clear breath sounds
Correct Answer: B
Rationale: Pulmonary embolism causes sudden dyspnea, pleuritic chest pain, tachycardia, and
hypoxemia.
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Question 4
A nurse is caring for a client who has a pulmonary embolism. Which of the following is the priority
intervention?
A. Administer antibiotics
B. Administer oxygen and anticoagulation
C. Encourage ambulation
D. Administer bronchodilators
Correct Answer: B
Rationale: Oxygen and anticoagulation are priorities for pulmonary embolism.
Question 5
A nurse is assessing 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 6
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 7
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
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C. Granulation tissue
D. Minimal drainage
Correct Answer: B
Rationale: Alarm indicates a problem requiring intervention.
Question 8
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
C. Serum calcium
D. Serum magnesium
Correct Answer: B
Rationale: Monitor renal function and vancomycin trough levels.
Question 9
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 10
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 11
NSG 3500 EXAM 2 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 acute respiratory distress syndrome (ARDS). Which of the
following findings should the nurse expect?
A. Hypercapnia only
B. Refractory hypoxemia
C. Respiratory alkalosis only
D. Clear breath sounds
Correct Answer: B
Rationale: ARDS is characterized by refractory hypoxemia (low oxygen that does not improve with
oxygen therapy), bilateral infiltrates, and decreased lung compliance.
Question 2
A nurse is caring for a client who has ARDS. Which of the following is the priority intervention?
A. Administer antibiotics
B. Mechanical ventilation with low tidal volumes
C. Administer bronchodilators
D. Encourage oral intake
Correct Answer: B
Rationale: ARDS requires mechanical ventilation with low tidal volumes (lung-protective strategy) to
prevent further lung injury.
Question 3
A nurse is assessing a client who has a pulmonary embolism. Which of the following findings should
the nurse expect?
A. Bradycardia
B. Sudden dyspnea and pleuritic chest pain
C. Hypertension
D. Clear breath sounds
Correct Answer: B
Rationale: Pulmonary embolism causes sudden dyspnea, pleuritic chest pain, tachycardia, and
hypoxemia.
,2
Question 4
A nurse is caring for a client who has a pulmonary embolism. Which of the following is the priority
intervention?
A. Administer antibiotics
B. Administer oxygen and anticoagulation
C. Encourage ambulation
D. Administer bronchodilators
Correct Answer: B
Rationale: Oxygen and anticoagulation are priorities for pulmonary embolism.
Question 5
A nurse is assessing 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 6
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 7
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
, 3
C. Granulation tissue
D. Minimal drainage
Correct Answer: B
Rationale: Alarm indicates a problem requiring intervention.
Question 8
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
C. Serum calcium
D. Serum magnesium
Correct Answer: B
Rationale: Monitor renal function and vancomycin trough levels.
Question 9
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 10
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 11
