NUR 265
Medical-Surgical Nursing Comprehensive Final
Exam
Final Exam • Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 265
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 265 Medical-Surgical Nursing Comprehensive Final Exam 2026/2027 UPDATE – Galen
1. A patient with 40% Total Body Surface Area (TBSA) burns weighs 70 kg. Using the Parkland
formula (4 mL/kg/%TBSA), how much fluid should be administered in the first 8 hours?
A. 8,400 mL
B. 11,200 mL
C. 2,800 mL
D. 5,600 mL
Answer: D
Rationale: The Parkland formula calculates total 24-hour fluid: 4 mL x 70 kg x 40 = 11,200
mL. Half of this (5,600 mL) must be given in the first 8 hours post-injury.
2. Which assessment finding in a patient with Acute Kidney Injury (AKI) is the most critical for
the nurse to report immediately?
A. Creatinine increase from 1.2 to 2.4 mg/dL
B. Potassium level of 6.7 mEq/L with peaked T-waves
C. Urine output of 250 mL over 12 hours
D. Blood urea nitrogen (BUN) of 50 mg/dL
Answer: B
, Rationale: Hyperkalemia (6.7 mEq/L) is life-threatening due to the risk of lethal cardiac
arrhythmias and requires immediate intervention.
3. A patient is exhibiting signs of Cushing’s Triad due to increased intracranial pressure (ICP).
Which set of vital signs reflects this condition?
A. BP 180/60, Pulse 50, Irregular respirations
B. BP 90/50, Pulse 120, Rapid shallow respirations
C. BP 120/80, Pulse 80, Regular respirations
D. BP 160/100, Pulse 110, Cheyne-Stokes respirations
Answer: A
Rationale: Cushing’s Triad consists of a widening pulse pressure (systolic hypertension),
bradycardia, and irregular or slowed respirations.
4. Which medication is the priority for a patient experiencing Autonomic Dysreflexia?
A. Methylprednisolone
B. Hydralazine
C. Baclofen
D. Atropine
Answer: B
Medical-Surgical Nursing Comprehensive Final
Exam
Final Exam • Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 265
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 265 Medical-Surgical Nursing Comprehensive Final Exam 2026/2027 UPDATE – Galen
1. A patient with 40% Total Body Surface Area (TBSA) burns weighs 70 kg. Using the Parkland
formula (4 mL/kg/%TBSA), how much fluid should be administered in the first 8 hours?
A. 8,400 mL
B. 11,200 mL
C. 2,800 mL
D. 5,600 mL
Answer: D
Rationale: The Parkland formula calculates total 24-hour fluid: 4 mL x 70 kg x 40 = 11,200
mL. Half of this (5,600 mL) must be given in the first 8 hours post-injury.
2. Which assessment finding in a patient with Acute Kidney Injury (AKI) is the most critical for
the nurse to report immediately?
A. Creatinine increase from 1.2 to 2.4 mg/dL
B. Potassium level of 6.7 mEq/L with peaked T-waves
C. Urine output of 250 mL over 12 hours
D. Blood urea nitrogen (BUN) of 50 mg/dL
Answer: B
, Rationale: Hyperkalemia (6.7 mEq/L) is life-threatening due to the risk of lethal cardiac
arrhythmias and requires immediate intervention.
3. A patient is exhibiting signs of Cushing’s Triad due to increased intracranial pressure (ICP).
Which set of vital signs reflects this condition?
A. BP 180/60, Pulse 50, Irregular respirations
B. BP 90/50, Pulse 120, Rapid shallow respirations
C. BP 120/80, Pulse 80, Regular respirations
D. BP 160/100, Pulse 110, Cheyne-Stokes respirations
Answer: A
Rationale: Cushing’s Triad consists of a widening pulse pressure (systolic hypertension),
bradycardia, and irregular or slowed respirations.
4. Which medication is the priority for a patient experiencing Autonomic Dysreflexia?
A. Methylprednisolone
B. Hydralazine
C. Baclofen
D. Atropine
Answer: B
