Galen NUR 256 Exam 1-3 & Final Comprehensive Bund… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
Galen NUR 256 Exam 1-3 & Final Comprehensive Bundle
2026/2027 UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,Galen NUR 256 Exam 1-3 & Final Comprehensive Bund… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient in the early stage of septic shock exhibits a high cardiac output and low
systemic vascular resistance. Which phase of shock is this patient experiencing?
A. Hypodynamic phase
B. Hyperdynamic phase
C. Compensatory phase
D. Refractory phase
Answer: B
Rationale: The hyperdynamic or ‘warm’ phase of septic shock is characterized by high cardiac output
and vasodilation (low SVR) due to the inflammatory response. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities. In practice, this guides the nurse to set priorities and protect the client from harm. Safety,
nutrition, and clear communication are frequent priorities.
2. Using the Parkland Formula, calculate the total fluid requirement for the first 24 hours for
a 70kg patient with 40% TBSA burns.
A. 2,800 mL
B. 5,600 mL
C. 11,200 mL
D. 14,000 mL
Answer: C
Rationale: Parkland Formula = 4mL x kg x %TBSA. 4 x 70 x 40 = 11,200 mL. This is important
because the nurse must choose the action that keeps the client safest while still meeting their basic
needs. Always think about safety first when answering these questions. Remembering this point will
help you decide the best nursing action when similar questions appear on the exam. Link the answer
to the client’s current condition and risk level.
Exam (Elaborations) • Detailed Rationales Page 2
, Galen NUR 256 Exam 1-3 & Final Comprehensive Bund… 2026/2027 • Verified • Assured Grade A+
3. A nurse is caring for a patient with a traumatic brain injury. The patient’s blood pressure is
160/60 mmHg, heart rate is 45 bpm, and respirations are irregular. What does this represent?
A. Beck’s Triad
B. Cushing’s Triad
C. Virchow’s Triad
D. Horner’s Syndrome
Answer: B
Rationale: Cushing’s Triad (widened pulse pressure, bradycardia, and irregular respirations) is a late
sign of increased intracranial pressure. Understanding this helps the nurse notice early warning signs
and act before the problem gets worse. Early action often prevents bigger complications for the client.
Knowing the reason behind the correct answer makes it easier to rule out the wrong options quickly.
Look for the choice that protects the client and matches the priority need.
4. In a patient with Acute Respiratory Distress Syndrome (ARDS), what is the primary
pathophysiological change?
A. Increased compliance and decreased surfactant
B. Bronchoconstriction and mucus plugging
C. Decreased pulmonary artery pressure
D. Increased alveolar-capillary permeability
Answer: D
Rationale: ARDS involves damage to the alveolar-capillary membrane, leading to increased
permeability and non-cardiogenic pulmonary edema. Knowing the reason behind the correct answer
makes it easier to rule out the wrong options quickly. Look for the choice that protects the client and
matches the priority need. Exam questions often test whether you can pick the most practical and safe
choice for the client in real situations. Focus on what the nurse can actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
Galen NUR 256 Exam 1-3 & Final Comprehensive Bundle
2026/2027 UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,Galen NUR 256 Exam 1-3 & Final Comprehensive Bund… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient in the early stage of septic shock exhibits a high cardiac output and low
systemic vascular resistance. Which phase of shock is this patient experiencing?
A. Hypodynamic phase
B. Hyperdynamic phase
C. Compensatory phase
D. Refractory phase
Answer: B
Rationale: The hyperdynamic or ‘warm’ phase of septic shock is characterized by high cardiac output
and vasodilation (low SVR) due to the inflammatory response. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities. In practice, this guides the nurse to set priorities and protect the client from harm. Safety,
nutrition, and clear communication are frequent priorities.
2. Using the Parkland Formula, calculate the total fluid requirement for the first 24 hours for
a 70kg patient with 40% TBSA burns.
A. 2,800 mL
B. 5,600 mL
C. 11,200 mL
D. 14,000 mL
Answer: C
Rationale: Parkland Formula = 4mL x kg x %TBSA. 4 x 70 x 40 = 11,200 mL. This is important
because the nurse must choose the action that keeps the client safest while still meeting their basic
needs. Always think about safety first when answering these questions. Remembering this point will
help you decide the best nursing action when similar questions appear on the exam. Link the answer
to the client’s current condition and risk level.
Exam (Elaborations) • Detailed Rationales Page 2
, Galen NUR 256 Exam 1-3 & Final Comprehensive Bund… 2026/2027 • Verified • Assured Grade A+
3. A nurse is caring for a patient with a traumatic brain injury. The patient’s blood pressure is
160/60 mmHg, heart rate is 45 bpm, and respirations are irregular. What does this represent?
A. Beck’s Triad
B. Cushing’s Triad
C. Virchow’s Triad
D. Horner’s Syndrome
Answer: B
Rationale: Cushing’s Triad (widened pulse pressure, bradycardia, and irregular respirations) is a late
sign of increased intracranial pressure. Understanding this helps the nurse notice early warning signs
and act before the problem gets worse. Early action often prevents bigger complications for the client.
Knowing the reason behind the correct answer makes it easier to rule out the wrong options quickly.
Look for the choice that protects the client and matches the priority need.
4. In a patient with Acute Respiratory Distress Syndrome (ARDS), what is the primary
pathophysiological change?
A. Increased compliance and decreased surfactant
B. Bronchoconstriction and mucus plugging
C. Decreased pulmonary artery pressure
D. Increased alveolar-capillary permeability
Answer: D
Rationale: ARDS involves damage to the alveolar-capillary membrane, leading to increased
permeability and non-cardiogenic pulmonary edema. Knowing the reason behind the correct answer
makes it easier to rule out the wrong options quickly. Look for the choice that protects the client and
matches the priority need. Exam questions often test whether you can pick the most practical and safe
choice for the client in real situations. Focus on what the nurse can actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
