NUR 265 Exam 1 Medical-Surgical
Nursing Care Galen 2026/2027 –
Questions and Answers | 100%
Verified | Detailed Rationales – Pass
Guaranteed – Already Graded A+ |
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Question 1
A nurse is assessing a client with dehydration. Which finding is most
indicative of fluid volume deficit?
A. Bounding pulse
B. Increased urine output
C. Dry mucous membranes
D. Peripheral edema
Answer: C. Dry mucous membranes
Rationale: Dry mucous membranes are a classic sign of fluid volume
deficit. Other manifestations include poor skin turgor, hypotension,
tachycardia, and decreased urine output.
Question 2
Which laboratory value should the nurse monitor most closely in a client
receiving warfarin therapy?
,A. Hemoglobin
B. INR
C. White blood cell count
D. Platelet count
Answer: B. INR
Rationale: The International Normalized Ratio (INR) is used to monitor
the effectiveness of warfarin therapy and helps determine if dosage
adjustments are needed.
Question 3
A nurse is caring for a client diagnosed with pneumonia. Which
assessment finding requires immediate intervention?
A. Productive cough
B. Temperature of 101°F (38.3°C)
C. Oxygen saturation of 86%
D. Fatigue
Answer: C. Oxygen saturation of 86%
Rationale: An oxygen saturation below 90% indicates significant
hypoxemia and requires prompt intervention to improve oxygenation
and prevent respiratory compromise.
Question 4
Which action by the nurse demonstrates proper hand hygiene?
A. Wearing gloves instead of washing hands
B. Washing hands only when visibly soiled
,C. Performing hand hygiene before and after client contact
D. Using water only after removing gloves
Answer: C. Performing hand hygiene before and after client contact
Rationale: Hand hygiene should be performed before and after every
client interaction to reduce the transmission of microorganisms and
prevent healthcare-associated infections.
Question 5
A client with diabetes mellitus reports shakiness, sweating, and hunger.
What is the nurse's priority action?
A. Administer insulin
B. Check the client's blood glucose level
C. Restrict oral intake
D. Encourage exercise
Answer: B. Check the client's blood glucose level
Rationale: These symptoms suggest hypoglycemia. The nurse should
first assess the blood glucose level to confirm the condition and guide
treatment.
Question 6
Which electrolyte imbalance is commonly associated with cardiac
dysrhythmias?
A. Hypercalcemia
B. Hypernatremia
C. Hypokalemia
D. Hypermagnesemia
, Answer: C. Hypokalemia
Rationale: Potassium plays a critical role in cardiac conduction. Low
potassium levels can lead to dangerous cardiac dysrhythmias.
Question 7
A nurse is caring for a postoperative client. Which intervention helps
prevent deep vein thrombosis (DVT)?
A. Limiting fluid intake
B. Maintaining bed rest
C. Encouraging early ambulation
D. Restricting leg movement
Answer: C. Encouraging early ambulation
Rationale: Early ambulation promotes venous return, decreases blood
stasis, and reduces the risk of DVT formation.
Question 8
Which finding is expected in a client with iron-deficiency anemia?
A. Ruddy complexion
B. Hypertension
C. Fatigue and pallor
D. Polycythemia
Answer: C. Fatigue and pallor
Rationale: Reduced hemoglobin levels result in decreased oxygen
delivery to tissues, causing fatigue, weakness, and pallor.
Nursing Care Galen 2026/2027 –
Questions and Answers | 100%
Verified | Detailed Rationales – Pass
Guaranteed – Already Graded A+ |
Instant Download pdf
Question 1
A nurse is assessing a client with dehydration. Which finding is most
indicative of fluid volume deficit?
A. Bounding pulse
B. Increased urine output
C. Dry mucous membranes
D. Peripheral edema
Answer: C. Dry mucous membranes
Rationale: Dry mucous membranes are a classic sign of fluid volume
deficit. Other manifestations include poor skin turgor, hypotension,
tachycardia, and decreased urine output.
Question 2
Which laboratory value should the nurse monitor most closely in a client
receiving warfarin therapy?
,A. Hemoglobin
B. INR
C. White blood cell count
D. Platelet count
Answer: B. INR
Rationale: The International Normalized Ratio (INR) is used to monitor
the effectiveness of warfarin therapy and helps determine if dosage
adjustments are needed.
Question 3
A nurse is caring for a client diagnosed with pneumonia. Which
assessment finding requires immediate intervention?
A. Productive cough
B. Temperature of 101°F (38.3°C)
C. Oxygen saturation of 86%
D. Fatigue
Answer: C. Oxygen saturation of 86%
Rationale: An oxygen saturation below 90% indicates significant
hypoxemia and requires prompt intervention to improve oxygenation
and prevent respiratory compromise.
Question 4
Which action by the nurse demonstrates proper hand hygiene?
A. Wearing gloves instead of washing hands
B. Washing hands only when visibly soiled
,C. Performing hand hygiene before and after client contact
D. Using water only after removing gloves
Answer: C. Performing hand hygiene before and after client contact
Rationale: Hand hygiene should be performed before and after every
client interaction to reduce the transmission of microorganisms and
prevent healthcare-associated infections.
Question 5
A client with diabetes mellitus reports shakiness, sweating, and hunger.
What is the nurse's priority action?
A. Administer insulin
B. Check the client's blood glucose level
C. Restrict oral intake
D. Encourage exercise
Answer: B. Check the client's blood glucose level
Rationale: These symptoms suggest hypoglycemia. The nurse should
first assess the blood glucose level to confirm the condition and guide
treatment.
Question 6
Which electrolyte imbalance is commonly associated with cardiac
dysrhythmias?
A. Hypercalcemia
B. Hypernatremia
C. Hypokalemia
D. Hypermagnesemia
, Answer: C. Hypokalemia
Rationale: Potassium plays a critical role in cardiac conduction. Low
potassium levels can lead to dangerous cardiac dysrhythmias.
Question 7
A nurse is caring for a postoperative client. Which intervention helps
prevent deep vein thrombosis (DVT)?
A. Limiting fluid intake
B. Maintaining bed rest
C. Encouraging early ambulation
D. Restricting leg movement
Answer: C. Encouraging early ambulation
Rationale: Early ambulation promotes venous return, decreases blood
stasis, and reduces the risk of DVT formation.
Question 8
Which finding is expected in a client with iron-deficiency anemia?
A. Ruddy complexion
B. Hypertension
C. Fatigue and pallor
D. Polycythemia
Answer: C. Fatigue and pallor
Rationale: Reduced hemoglobin levels result in decreased oxygen
delivery to tissues, causing fatigue, weakness, and pallor.
