NUR265/ NUR 265 Exam 2 – Advanced Concepts of
Medical-Surgical Nursing Guide Actual Exam 2026/2027 |
Complete Exam-Style Questions with Detailed Rationales
| Pass Guaranteed – A+ Graded
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Q1: A nurse is assessing a family using the Calgary Family Assessment Model. Which
component evaluates the family's external relationships?
A. Structural assessment
B. Functional assessment
C. Developmental assessment
D. Ecomap [CORRECT]
Correct Answer: D
Rationale: Correct because an ecomap diagrams the family's connections to external systems
and resources, which is part of structural assessment.
---
Q2: According to Duvall's family developmental stages, which task is associated with families
with adolescents?
A. Establishing a satisfying home base
B. Increasing flexibility of family boundaries [CORRECT]
C. Adjusting to retirement
D. Accepting new members into the system
Correct Answer: B
Rationale: Correct because the adolescent stage requires families to balance teenagers'
independence with parental limits, increasing boundary flexibility.
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Q3: A nurse is assessing a family's ability to communicate and solve problems. Which Calgary
model category is being evaluated?
A. Structural
B. Developmental
C. Functional [CORRECT]
D. Environmental
Correct Answer: C
,Rationale: Correct because functional assessment evaluates family interactions, communication
patterns, and problem-solving abilities.
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Q4: A patient at 34 weeks gestation has a blood pressure of 158/102 mmHg and 3+ proteinuria.
Which condition is most likely?
A. Gestational hypertension
B. Preeclampsia with severe features [CORRECT]
C. Chronic hypertension
D. HELLP syndrome
Correct Answer: B
Rationale: Correct because blood pressure ≥160/110 mmHg or ≥140/90 with proteinuria after 20
weeks indicates preeclampsia with severe features.
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Q5: A patient receiving magnesium sulfate for preeclampsia has a respiratory rate of 10 breaths
per minute and absent deep tendon reflexes. Which action is priority?
A. Stop the magnesium infusion and administer calcium gluconate. [CORRECT]
B. Continue the infusion and reassess in 1 hour.
C. Increase the infusion rate.
D. Administer oxygen and continue monitoring.
Correct Answer: A
Rationale: Correct because magnesium toxicity presents with respiratory depression and loss of
reflexes; the antidote is calcium gluconate and the infusion must be stopped immediately.
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Q6: A fetal heart rate tracing shows variable decelerations. Which intervention is priority?
A. Reposition the mother to the left side. [CORRECT]
B. Administer oxygen at 10 L/min.
C. Increase IV fluid rate.
D. Prepare for immediate delivery.
Correct Answer: A
Rationale: Correct because variable decelerations indicate umbilical cord compression;
maternal repositioning relieves pressure on the cord.
---
, Q7: A nurse is interpreting a fetal heart rate tracing with late decelerations. Which condition do
these indicate?
A. Head compression
B. Cord compression
C. Uteroplacental insufficiency [CORRECT]
D. Normal fetal response
Correct Answer: C
Rationale: Correct because late decelerations are caused by decreased placental perfusion and
fetal hypoxemia, requiring immediate intervention.
---
Q8: A patient in the first stage of labor is 4 cm dilated and requesting an epidural. Which nursing
action is priority before epidural placement?
A. Administer a bolus of IV fluids. [CORRECT]
B. Insert a urinary catheter.
C. Perform a vaginal exam.
D. Administer oxygen.
Correct Answer: A
Rationale: Correct because IV fluid bolus prevents hypotension from epidural-induced
sympathetic blockade.
---
Q9: A patient is in the second stage of labor. Which finding indicates imminent delivery?
A. Cervical dilation of 6 cm
B. Bulging perineum and crowning [CORRECT]
C. Regular contractions every 5 minutes
D. Bloody show
Correct Answer: B
Rationale: Correct because crowning and a bulging perineum indicate the fetal head is visible at
the introitus, signaling imminent birth.
---
Q10: A postpartum patient has a saturated perineal pad within 15 minutes and a boggy uterus.
Which action is priority?
A. Massage the fundus and administer oxytocin. [CORRECT]
B. Administer antibiotics.
C. Apply an ice pack to the perineum.
D. Encourage breastfeeding.
Medical-Surgical Nursing Guide Actual Exam 2026/2027 |
Complete Exam-Style Questions with Detailed Rationales
| Pass Guaranteed – A+ Graded
---
Q1: A nurse is assessing a family using the Calgary Family Assessment Model. Which
component evaluates the family's external relationships?
A. Structural assessment
B. Functional assessment
C. Developmental assessment
D. Ecomap [CORRECT]
Correct Answer: D
Rationale: Correct because an ecomap diagrams the family's connections to external systems
and resources, which is part of structural assessment.
---
Q2: According to Duvall's family developmental stages, which task is associated with families
with adolescents?
A. Establishing a satisfying home base
B. Increasing flexibility of family boundaries [CORRECT]
C. Adjusting to retirement
D. Accepting new members into the system
Correct Answer: B
Rationale: Correct because the adolescent stage requires families to balance teenagers'
independence with parental limits, increasing boundary flexibility.
---
Q3: A nurse is assessing a family's ability to communicate and solve problems. Which Calgary
model category is being evaluated?
A. Structural
B. Developmental
C. Functional [CORRECT]
D. Environmental
Correct Answer: C
,Rationale: Correct because functional assessment evaluates family interactions, communication
patterns, and problem-solving abilities.
---
Q4: A patient at 34 weeks gestation has a blood pressure of 158/102 mmHg and 3+ proteinuria.
Which condition is most likely?
A. Gestational hypertension
B. Preeclampsia with severe features [CORRECT]
C. Chronic hypertension
D. HELLP syndrome
Correct Answer: B
Rationale: Correct because blood pressure ≥160/110 mmHg or ≥140/90 with proteinuria after 20
weeks indicates preeclampsia with severe features.
---
Q5: A patient receiving magnesium sulfate for preeclampsia has a respiratory rate of 10 breaths
per minute and absent deep tendon reflexes. Which action is priority?
A. Stop the magnesium infusion and administer calcium gluconate. [CORRECT]
B. Continue the infusion and reassess in 1 hour.
C. Increase the infusion rate.
D. Administer oxygen and continue monitoring.
Correct Answer: A
Rationale: Correct because magnesium toxicity presents with respiratory depression and loss of
reflexes; the antidote is calcium gluconate and the infusion must be stopped immediately.
---
Q6: A fetal heart rate tracing shows variable decelerations. Which intervention is priority?
A. Reposition the mother to the left side. [CORRECT]
B. Administer oxygen at 10 L/min.
C. Increase IV fluid rate.
D. Prepare for immediate delivery.
Correct Answer: A
Rationale: Correct because variable decelerations indicate umbilical cord compression;
maternal repositioning relieves pressure on the cord.
---
, Q7: A nurse is interpreting a fetal heart rate tracing with late decelerations. Which condition do
these indicate?
A. Head compression
B. Cord compression
C. Uteroplacental insufficiency [CORRECT]
D. Normal fetal response
Correct Answer: C
Rationale: Correct because late decelerations are caused by decreased placental perfusion and
fetal hypoxemia, requiring immediate intervention.
---
Q8: A patient in the first stage of labor is 4 cm dilated and requesting an epidural. Which nursing
action is priority before epidural placement?
A. Administer a bolus of IV fluids. [CORRECT]
B. Insert a urinary catheter.
C. Perform a vaginal exam.
D. Administer oxygen.
Correct Answer: A
Rationale: Correct because IV fluid bolus prevents hypotension from epidural-induced
sympathetic blockade.
---
Q9: A patient is in the second stage of labor. Which finding indicates imminent delivery?
A. Cervical dilation of 6 cm
B. Bulging perineum and crowning [CORRECT]
C. Regular contractions every 5 minutes
D. Bloody show
Correct Answer: B
Rationale: Correct because crowning and a bulging perineum indicate the fetal head is visible at
the introitus, signaling imminent birth.
---
Q10: A postpartum patient has a saturated perineal pad within 15 minutes and a boggy uterus.
Which action is priority?
A. Massage the fundus and administer oxytocin. [CORRECT]
B. Administer antibiotics.
C. Apply an ice pack to the perineum.
D. Encourage breastfeeding.
