NUR 265 Exam Complete MOST TESTED QUESTIONS AND
VERIFIED SOLUTIONS Guaranteed 100% Pass 2026!!
1. A nurse is admitting a client with acute pancreatitis. When completing the
assessment, which finding should the nurse expect?
Pain in the right upper quadrant of the abdomen that radiates to the
right shoulder
Report of worsening pain when sitting up
Epigastric pain radiating to the back
Pain relieved by defecation
2. Describe the significance of back pain in a patient with acute pancreatitis
during assessment.
Back pain can indicate referred pain from the pancreas, which is
significant in diagnosing acute pancreatitis.
Back pain indicates a need for immediate surgery in pancreatitis cases.
Back pain is a common symptom of kidney issues, not pancreatitis.
Back pain is unrelated to pancreatitis and should not be assessed.
3. What is the primary concern for a nurse monitoring a client with heart failure
receiving normal saline?
Electrolyte levels
Heart rhythm
Fluid overload signs
Respiratory status
,4. If a patient expresses concern about being awake during cardiac
catheterization, how should the nurse respond based on the procedure's
characteristics?
The nurse should explain that the patient will be awake but sedated
to ensure comfort during the procedure.
The nurse should inform the patient that they will not feel any pain at
all.
The nurse should reassure the patient that they will be asleep the
entire time.
The nurse should tell the patient that they will be restrained during the
procedure.
5. What is the first action a nurse should take when a client with chronic kidney
disease reports muscle weakness?
Check the client's most recent serum electrolyte levels
Perform a neurological assessment
Encourage the client to increase fluid intake
Administer a muscle relaxant
6. A client presents with chest pain and has a history of taking warfarin. What
should the nurse prioritize in this situation before administering
Tenecteplase?
Ask the client about their last meal.
Check for any allergies to medications.
Administer Tenecteplase immediately due to chest pain.
Assess the client's current INR levels to evaluate bleeding risk.
,7. If the nurse observes that the client with atrial fibrillation and dysarthria is
becoming increasingly confused, what should be the nurse's priority action?
Increase the amiodarone drip rate.
Conduct a neurological assessment.
Notify the physician of the confusion.
Reassess the client's vital signs.
8. Why is it important for a client in the late stage of CKD to report symptoms
like fatigue or weakness to their doctor?
These symptoms are unrelated to kidney health.
These symptoms may indicate worsening kidney function or
complications.
Fatigue and weakness are normal and do not require attention.
The doctor will not be able to help with these symptoms.
9. If the gentamicin levels are found to be elevated, what should the nurse
anticipate as a potential intervention?
Increasing the client's fluid intake
Switching to a different class of antibiotics
Administering an additional dose of gentamicin
Adjusting the gentamicin dosage or discontinuing the medication
10. A nurse is teaching a client who had a placement of a prosthetic heart valve.
Which of the following statements by the client indicates an understanding
of the teaching?
"I will need to have my blood work checked on a regular basis."
, "I might need antibiotics before dental procedures."
"I will be able to resume weight-lifting to strengthen my upper body
after one week."
"I will need to limit my intake of foods containing sodium."
11. A nurse is reinforcing discharge teaching with a client who has a new
permanent pacemaker. Which statement by the client indicates an
understanding of the teaching?
"I should check my heart rate each day."
"I cannot stand in front of our new microwave oven when it is on."
"I should keep a pressure dressing over the generator until the incision
is healed."
12. A nurse is assisting with the care of a client in the emergency department
and reports severe radiating chest pain and shortness of breath. The client
appears restless, frightened, and slightly cyanotic. The provider prescribes
oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and
a 12-lead ECG. Which of the following actions should the nurse take first?
Obtain a blood sample
Initiate oxygen therapy
Attach the leads for a 12 lead EKG
Insert the IV catheter
13. If a patient scheduled for cardiac catheterization has a BUN of 26 mg/dl,
what should the nurse do next?
Notify the primary care provider about the elevated BUN level.
Increase the patient's fluid intake immediately.
VERIFIED SOLUTIONS Guaranteed 100% Pass 2026!!
1. A nurse is admitting a client with acute pancreatitis. When completing the
assessment, which finding should the nurse expect?
Pain in the right upper quadrant of the abdomen that radiates to the
right shoulder
Report of worsening pain when sitting up
Epigastric pain radiating to the back
Pain relieved by defecation
2. Describe the significance of back pain in a patient with acute pancreatitis
during assessment.
Back pain can indicate referred pain from the pancreas, which is
significant in diagnosing acute pancreatitis.
Back pain indicates a need for immediate surgery in pancreatitis cases.
Back pain is a common symptom of kidney issues, not pancreatitis.
Back pain is unrelated to pancreatitis and should not be assessed.
3. What is the primary concern for a nurse monitoring a client with heart failure
receiving normal saline?
Electrolyte levels
Heart rhythm
Fluid overload signs
Respiratory status
,4. If a patient expresses concern about being awake during cardiac
catheterization, how should the nurse respond based on the procedure's
characteristics?
The nurse should explain that the patient will be awake but sedated
to ensure comfort during the procedure.
The nurse should inform the patient that they will not feel any pain at
all.
The nurse should reassure the patient that they will be asleep the
entire time.
The nurse should tell the patient that they will be restrained during the
procedure.
5. What is the first action a nurse should take when a client with chronic kidney
disease reports muscle weakness?
Check the client's most recent serum electrolyte levels
Perform a neurological assessment
Encourage the client to increase fluid intake
Administer a muscle relaxant
6. A client presents with chest pain and has a history of taking warfarin. What
should the nurse prioritize in this situation before administering
Tenecteplase?
Ask the client about their last meal.
Check for any allergies to medications.
Administer Tenecteplase immediately due to chest pain.
Assess the client's current INR levels to evaluate bleeding risk.
,7. If the nurse observes that the client with atrial fibrillation and dysarthria is
becoming increasingly confused, what should be the nurse's priority action?
Increase the amiodarone drip rate.
Conduct a neurological assessment.
Notify the physician of the confusion.
Reassess the client's vital signs.
8. Why is it important for a client in the late stage of CKD to report symptoms
like fatigue or weakness to their doctor?
These symptoms are unrelated to kidney health.
These symptoms may indicate worsening kidney function or
complications.
Fatigue and weakness are normal and do not require attention.
The doctor will not be able to help with these symptoms.
9. If the gentamicin levels are found to be elevated, what should the nurse
anticipate as a potential intervention?
Increasing the client's fluid intake
Switching to a different class of antibiotics
Administering an additional dose of gentamicin
Adjusting the gentamicin dosage or discontinuing the medication
10. A nurse is teaching a client who had a placement of a prosthetic heart valve.
Which of the following statements by the client indicates an understanding
of the teaching?
"I will need to have my blood work checked on a regular basis."
, "I might need antibiotics before dental procedures."
"I will be able to resume weight-lifting to strengthen my upper body
after one week."
"I will need to limit my intake of foods containing sodium."
11. A nurse is reinforcing discharge teaching with a client who has a new
permanent pacemaker. Which statement by the client indicates an
understanding of the teaching?
"I should check my heart rate each day."
"I cannot stand in front of our new microwave oven when it is on."
"I should keep a pressure dressing over the generator until the incision
is healed."
12. A nurse is assisting with the care of a client in the emergency department
and reports severe radiating chest pain and shortness of breath. The client
appears restless, frightened, and slightly cyanotic. The provider prescribes
oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels, IV fluids, and
a 12-lead ECG. Which of the following actions should the nurse take first?
Obtain a blood sample
Initiate oxygen therapy
Attach the leads for a 12 lead EKG
Insert the IV catheter
13. If a patient scheduled for cardiac catheterization has a BUN of 26 mg/dl,
what should the nurse do next?
Notify the primary care provider about the elevated BUN level.
Increase the patient's fluid intake immediately.
