NU 185 Med-Surg II Comprehensive Quiz 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NU 185 Med-Surg II Comprehensive Quiz 2026/2027 UPDATE
|Galen College
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
,NU 185 Med-Surg II Comprehensive Quiz 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient with heart failure is prescribed Lisinopril. The nurse understands that this
medication reduces afterload by which mechanism?
A. Decreasing the heart rate and myocardial oxygen demand
B. Promoting the excretion of sodium and water in the distal tubule
C. Increasing the force of myocardial contraction
D. Inhibiting the conversion of Angiotensin I to Angiotensin II
Answer: D
Rationale: Lisinopril is an ACE inhibitor that blocks the conversion of Angiotensin I to Angiotensin II, a
potent vasoconstrictor, thereby reducing systemic vascular resistance (afterload). 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. A nurse interprets the following ABG results for a patient with COPD: pH 7.32, PaCO2 58
mmHg, HCO3 30 mEq/L. Which condition is present?
A. Uncompensated Metabolic Acidosis
B. Partially Compensated Respiratory Acidosis
C. Fully Compensated Respiratory Acidosis
D. Partially Compensated Metabolic Alkalosis
Answer: B
Rationale: The pH is low (acidosis), the PaCO2 is high (respiratory cause), and the HCO3 is high
(attempting to compensate but pH is not yet normal), indicating partial compensation. 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 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 2
, NU 185 Med-Surg II Comprehensive Quiz 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
3. A patient is admitted with Diabetes Insipidus. The nurse should anticipate which clinical
finding?
A. Urine specific gravity of 1.035
B. Serum sodium of 128 mEq/L
C. Weight gain and peripheral edema
D. Urine output of 500 mL/hr
Answer: D
Rationale: Diabetes Insipidus is characterized by a deficiency of ADH, leading to massive polyuria
(large amounts of dilute urine) and low urine specific gravity. Clear understanding of this concept
improves both test performance and everyday clinical judgment. Practice applying it to short case
scenarios to lock the idea in place. In practice, this guides the nurse to set priorities and protect the
client from harm. Safety, nutrition, and clear communication are frequent priorities.
4. When assessing a patient using the Glasgow Coma Scale (GCS), the patient opens eyes to
sound, uses inappropriate words, and withdraws from pain. What is the total score?
A. 9
B. 12
C. 11
D. 10
Answer: D
Rationale: Eyes to sound = 3; Inappropriate words = 3; Withdraws from pain = 4. Total =.
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. 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 (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NU 185 Med-Surg II Comprehensive Quiz 2026/2027 UPDATE
|Galen College
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
,NU 185 Med-Surg II Comprehensive Quiz 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient with heart failure is prescribed Lisinopril. The nurse understands that this
medication reduces afterload by which mechanism?
A. Decreasing the heart rate and myocardial oxygen demand
B. Promoting the excretion of sodium and water in the distal tubule
C. Increasing the force of myocardial contraction
D. Inhibiting the conversion of Angiotensin I to Angiotensin II
Answer: D
Rationale: Lisinopril is an ACE inhibitor that blocks the conversion of Angiotensin I to Angiotensin II, a
potent vasoconstrictor, thereby reducing systemic vascular resistance (afterload). 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. A nurse interprets the following ABG results for a patient with COPD: pH 7.32, PaCO2 58
mmHg, HCO3 30 mEq/L. Which condition is present?
A. Uncompensated Metabolic Acidosis
B. Partially Compensated Respiratory Acidosis
C. Fully Compensated Respiratory Acidosis
D. Partially Compensated Metabolic Alkalosis
Answer: B
Rationale: The pH is low (acidosis), the PaCO2 is high (respiratory cause), and the HCO3 is high
(attempting to compensate but pH is not yet normal), indicating partial compensation. 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 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 2
, NU 185 Med-Surg II Comprehensive Quiz 2026/2027 U… 2026/2027 • Verified • Assured Grade A+
3. A patient is admitted with Diabetes Insipidus. The nurse should anticipate which clinical
finding?
A. Urine specific gravity of 1.035
B. Serum sodium of 128 mEq/L
C. Weight gain and peripheral edema
D. Urine output of 500 mL/hr
Answer: D
Rationale: Diabetes Insipidus is characterized by a deficiency of ADH, leading to massive polyuria
(large amounts of dilute urine) and low urine specific gravity. Clear understanding of this concept
improves both test performance and everyday clinical judgment. Practice applying it to short case
scenarios to lock the idea in place. In practice, this guides the nurse to set priorities and protect the
client from harm. Safety, nutrition, and clear communication are frequent priorities.
4. When assessing a patient using the Glasgow Coma Scale (GCS), the patient opens eyes to
sound, uses inappropriate words, and withdraws from pain. What is the total score?
A. 9
B. 12
C. 11
D. 10
Answer: D
Rationale: Eyes to sound = 3; Inappropriate words = 3; Withdraws from pain = 4. Total =.
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. 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 (Elaborations) • Detailed Rationales Page 3
