NUR 265 Exam 2 High-Yield Med-Surg Nursing Quiz 2… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 265 Exam 2 High-Yield Med-Surg Nursing 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
,NUR 265 Exam 2 High-Yield Med-Surg Nursing Quiz 2… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient with Type 1 Diabetes presents with a blood glucose of 650 mg/dL and Kussmaul
respirations. Which acid-base imbalance is the patient likely experiencing?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
Answer: C
Rationale: In Diabetic Ketoacidosis (DKA), the breakdown of fats into ketones leads to metabolic
acidosis. Kussmaul respirations are a compensatory mechanism to blow off CO2. 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. 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.
2. Which assessment finding should the nurse prioritize in a patient diagnosed with SIADH?
A. Urine specific gravity of 1.002
B. Polyuria and polydipsia
C. Serum sodium of 118 mEq/L
D. Peripheral edema in the lower extremities
Answer: C
Rationale: SIADH involves excessive ADH, causing water retention and dilutional hyponatremia. A
sodium level of 118 is critically low and poses a high risk for seizures and cerebral edema. This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety. This knowledge supports safe care and helps the
nurse teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 265 Exam 2 High-Yield Med-Surg Nursing Quiz 2… 2026/2027 • Verified • Assured Grade A+
3. A patient is 12 hours post-thyroidectomy. The nurse notes muscle twitching and a positive
Chvostek’s sign. What is the priority nursing intervention?
A. Check the surgical site for bleeding
B. Prepare to administer intravenous calcium gluconate
C. Place the patient in a high-Fowler’s position
D. Encourage the patient to perform neck ROM exercises
Answer: B
Rationale: Muscle twitching and a positive Chvostek sign indicate hypocalcemia, likely due to
accidental parathyroid gland removal or damage during thyroidectomy. IV calcium gluconate is the
emergency treatment. 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.
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.
4. Which clinical manifestation is a hallmark of Diabetes Insipidus (DI)?
A. Hyponatremia and weight gain
B. Low urine output and high specific gravity
C. Hyperglycemia and fruity breath
D. High urine output and low specific gravity
Answer: D
Rationale: DI is caused by a deficiency in ADH, leading to massive diuresis of dilute urine (low specific
gravity) and intense thirst. This knowledge supports safe care and helps the nurse teach the client and
family clearly and simply. Clear teaching improves cooperation and reduces anxiety. 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.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 265 Exam 2 High-Yield Med-Surg Nursing 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
,NUR 265 Exam 2 High-Yield Med-Surg Nursing Quiz 2… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A patient with Type 1 Diabetes presents with a blood glucose of 650 mg/dL and Kussmaul
respirations. Which acid-base imbalance is the patient likely experiencing?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
Answer: C
Rationale: In Diabetic Ketoacidosis (DKA), the breakdown of fats into ketones leads to metabolic
acidosis. Kussmaul respirations are a compensatory mechanism to blow off CO2. 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. 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.
2. Which assessment finding should the nurse prioritize in a patient diagnosed with SIADH?
A. Urine specific gravity of 1.002
B. Polyuria and polydipsia
C. Serum sodium of 118 mEq/L
D. Peripheral edema in the lower extremities
Answer: C
Rationale: SIADH involves excessive ADH, causing water retention and dilutional hyponatremia. A
sodium level of 118 is critically low and poses a high risk for seizures and cerebral edema. This
knowledge supports safe care and helps the nurse teach the client and family clearly and simply. Clear
teaching improves cooperation and reduces anxiety. This knowledge supports safe care and helps the
nurse teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 265 Exam 2 High-Yield Med-Surg Nursing Quiz 2… 2026/2027 • Verified • Assured Grade A+
3. A patient is 12 hours post-thyroidectomy. The nurse notes muscle twitching and a positive
Chvostek’s sign. What is the priority nursing intervention?
A. Check the surgical site for bleeding
B. Prepare to administer intravenous calcium gluconate
C. Place the patient in a high-Fowler’s position
D. Encourage the patient to perform neck ROM exercises
Answer: B
Rationale: Muscle twitching and a positive Chvostek sign indicate hypocalcemia, likely due to
accidental parathyroid gland removal or damage during thyroidectomy. IV calcium gluconate is the
emergency treatment. 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.
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.
4. Which clinical manifestation is a hallmark of Diabetes Insipidus (DI)?
A. Hyponatremia and weight gain
B. Low urine output and high specific gravity
C. Hyperglycemia and fruity breath
D. High urine output and low specific gravity
Answer: D
Rationale: DI is caused by a deficiency in ADH, leading to massive diuresis of dilute urine (low specific
gravity) and intense thirst. This knowledge supports safe care and helps the nurse teach the client and
family clearly and simply. Clear teaching improves cooperation and reduces anxiety. 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.
Exam (Elaborations) • Detailed Rationales Page 3
