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NSG 3500 FINAL EXAM 2026/2027 | ADVANCED MEDICAL-
SURGICAL NURSING COMPREHENSIVE – GALEN | EXPERT
VERIFIED | 150 VERIFIED Q&A | DETAILED RATIONALES |
PASS GUARANTEED – A+ GRADED
Question 1
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following is the
priority intervention?
A. Administer oral hypoglycemics
B. Administer IV fluids and insulin
C. Administer antibiotics
D. No treatment
Correct Answer: B
Rationale: DKA requires IV fluids (for dehydration) and IV insulin (to reduce blood glucose and
ketone production).
Question 2
A nurse is assessing a client who has hyperosmolar hyperglycemic state (HHS). Which of the
following findings should the nurse expect?
A. Significant ketosis
B. Severe hyperglycemia without significant ketosis
C. Metabolic acidosis
D. Hypoglycemia
Correct Answer: B
Rationale: HHS causes severe hyperglycemia without significant ketosis or acidosis.
Question 3
A nurse is caring for a client who has hypoglycemia. Which of the following is the treatment for a
conscious client?
A. Glucagon
B. 15 grams of fast-acting carbohydrate
C. Insulin
D. No treatment
Correct Answer: B
Rationale: Conscious hypoglycemia is treated with 15 grams of fast-acting carbohydrate.
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Question 4
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 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
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A nurse is caring for a client who has a new prescription for furosemide. Which of the following is a
sign of hypokalemia?
A. Tall, peaked T waves
B. Flattened T waves and U waves
C. Constipation
D. Bradycardia
Correct Answer: B
Rationale: Hypokalemia causes flattened T waves and U waves.
Question 12
A nurse is assessing a client who has a wound evisceration. Which of the following is the priority
action?
A. Cover with sterile saline-soaked gauze
B. Push organs back
C. Leave open
D. Apply dry dressing
Correct Answer: A
Rationale: Cover with sterile saline-soaked gauze and notify provider.
Question 13
A nurse is caring for a client who has a new prescription for metformin. Which of the following is a
contraindication?
A. Mild renal impairment
B. Severe renal impairment (eGFR <30)
C. Hypertension
D. Obesity
Correct Answer: B
Rationale: Metformin is contraindicated in severe renal impairment.
Question 14
A nurse is assessing a client who has a wound with a drain. Which of the following indicates
infection?
A. Serosanguineous drainage
B. Purulent drainage with foul odor
C. Decreasing drainage
D. Secured drain
Correct Answer: B
NSG 3500 FINAL EXAM 2026/2027 | ADVANCED MEDICAL-
SURGICAL NURSING COMPREHENSIVE – GALEN | EXPERT
VERIFIED | 150 VERIFIED Q&A | DETAILED RATIONALES |
PASS GUARANTEED – A+ GRADED
Question 1
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following is the
priority intervention?
A. Administer oral hypoglycemics
B. Administer IV fluids and insulin
C. Administer antibiotics
D. No treatment
Correct Answer: B
Rationale: DKA requires IV fluids (for dehydration) and IV insulin (to reduce blood glucose and
ketone production).
Question 2
A nurse is assessing a client who has hyperosmolar hyperglycemic state (HHS). Which of the
following findings should the nurse expect?
A. Significant ketosis
B. Severe hyperglycemia without significant ketosis
C. Metabolic acidosis
D. Hypoglycemia
Correct Answer: B
Rationale: HHS causes severe hyperglycemia without significant ketosis or acidosis.
Question 3
A nurse is caring for a client who has hypoglycemia. Which of the following is the treatment for a
conscious client?
A. Glucagon
B. 15 grams of fast-acting carbohydrate
C. Insulin
D. No treatment
Correct Answer: B
Rationale: Conscious hypoglycemia is treated with 15 grams of fast-acting carbohydrate.
,2
Question 4
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 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
, 4
A nurse is caring for a client who has a new prescription for furosemide. Which of the following is a
sign of hypokalemia?
A. Tall, peaked T waves
B. Flattened T waves and U waves
C. Constipation
D. Bradycardia
Correct Answer: B
Rationale: Hypokalemia causes flattened T waves and U waves.
Question 12
A nurse is assessing a client who has a wound evisceration. Which of the following is the priority
action?
A. Cover with sterile saline-soaked gauze
B. Push organs back
C. Leave open
D. Apply dry dressing
Correct Answer: A
Rationale: Cover with sterile saline-soaked gauze and notify provider.
Question 13
A nurse is caring for a client who has a new prescription for metformin. Which of the following is a
contraindication?
A. Mild renal impairment
B. Severe renal impairment (eGFR <30)
C. Hypertension
D. Obesity
Correct Answer: B
Rationale: Metformin is contraindicated in severe renal impairment.
Question 14
A nurse is assessing a client who has a wound with a drain. Which of the following indicates
infection?
A. Serosanguineous drainage
B. Purulent drainage with foul odor
C. Decreasing drainage
D. Secured drain
Correct Answer: B
