NU 185
Exam 2 Medical-Surgical Nursing II Comprehensive
Review
Exam Review • High-Yield Practice
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 185
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 185 Exam 2: Medical-Surgical Nursing II Comprehensive Review 2026/2027 UPDATE –
Galen
1. A patient arrives in the emergency department with deep partial-thickness burns to the
chest and abdomen after a house fire. Which assessment finding is the priority?
A. Pain level of 9 on a scale of 0 to 10
B. Heart rate of 110 beats per minute
C. Singed nasal hairs and soot-tinged sputum
D. Reduced urine output of 20 mL/hr
Answer: C
Rationale: Inhalation injury is the priority because airway edema can occur rapidly. Singed
nasal hairs and soot-tinged sputum are classic signs of potential airway compromise.
2. A client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) has a serum sodium
level of 118 mEq/L. Which nursing intervention is most appropriate?
A. Encourage increased oral fluid intake
B. Initiate seizure precautions
C. Administer a 0.45% normal saline infusion
D. Prepare for administration of desmopressin
, Answer: B
Rationale: Severe hyponatremia (below 120 mEq/L) puts the patient at high risk for
cerebral edema, seizures, and coma. Seizure precautions are essential.
3. When caring for a patient in the emergent phase of a burn injury, the nurse notes the
patient has a hematocrit of 58%. How should the nurse interpret this finding?
A. The patient is experiencing polycythemia vera
B. The patient is actively bleeding internally
C. The patient has chronic obstructive pulmonary disease
D. The patient is severely dehydrated due to fluid shifting
Answer: D
Rationale: During the emergent phase, fluid shifts from the intravascular to the interstitial
space, leading to hemoconcentration and an elevated hematocrit level.
4. A patient is diagnosed with Addisonian Crisis. Which set of laboratory results should the
nurse expect?
A. Hypernatremia and Hypokalemia
B. Hyponatremia and Hyperkalemia
C. Hyperglycemia and Hypernatremia
D. Hypokalemia and Hypoglycemia
Answer: B
Exam 2 Medical-Surgical Nursing II Comprehensive
Review
Exam Review • High-Yield Practice
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 185
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 185 Exam 2: Medical-Surgical Nursing II Comprehensive Review 2026/2027 UPDATE –
Galen
1. A patient arrives in the emergency department with deep partial-thickness burns to the
chest and abdomen after a house fire. Which assessment finding is the priority?
A. Pain level of 9 on a scale of 0 to 10
B. Heart rate of 110 beats per minute
C. Singed nasal hairs and soot-tinged sputum
D. Reduced urine output of 20 mL/hr
Answer: C
Rationale: Inhalation injury is the priority because airway edema can occur rapidly. Singed
nasal hairs and soot-tinged sputum are classic signs of potential airway compromise.
2. A client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) has a serum sodium
level of 118 mEq/L. Which nursing intervention is most appropriate?
A. Encourage increased oral fluid intake
B. Initiate seizure precautions
C. Administer a 0.45% normal saline infusion
D. Prepare for administration of desmopressin
, Answer: B
Rationale: Severe hyponatremia (below 120 mEq/L) puts the patient at high risk for
cerebral edema, seizures, and coma. Seizure precautions are essential.
3. When caring for a patient in the emergent phase of a burn injury, the nurse notes the
patient has a hematocrit of 58%. How should the nurse interpret this finding?
A. The patient is experiencing polycythemia vera
B. The patient is actively bleeding internally
C. The patient has chronic obstructive pulmonary disease
D. The patient is severely dehydrated due to fluid shifting
Answer: D
Rationale: During the emergent phase, fluid shifts from the intravascular to the interstitial
space, leading to hemoconcentration and an elevated hematocrit level.
4. A patient is diagnosed with Addisonian Crisis. Which set of laboratory results should the
nurse expect?
A. Hypernatremia and Hypokalemia
B. Hyponatremia and Hyperkalemia
C. Hyperglycemia and Hypernatremia
D. Hypokalemia and Hypoglycemia
Answer: B
