NUR 265 FINAL EXAM: (2025 UPDATE) ADVANCED MED-SURG | COMPLETE GUIDE WITH QUESTIONS AND VERIFIED ANSWERS| 100% CORRECT- GALEN

NUR 265 FINAL EXAM: (2025 UPDATE) ADVANCED MED-SURG | COMPLETE GUIDE WITH QUESTIONS AND VERIFIED ANSWERS| 100% CORRECT- GALEN NUR 265 FINAL EXAM: (2025 UPDATE) ADVANCED MED-SURG | COMPLETE GUIDE WITH QUESTIONS AND VERIFIED ANSWERS| 100% CORRECT- GALEN 1. What is subjective data? a) Information you measure b) What the client tells you c) What another nurse reports d) Test results Correct Answer: b) What the client tells you Rationale: Subjective data includes the client's feelings, experiences, and symptoms, as described by them. ________________________________________ 2. What is objective data? a) Information from a family member b) What you observe and measure c) Opinions about the client d) The client’s concerns Correct Answer: b) What you observe and measure Rationale: Objective data is factual and measurable, such as vital signs or physical exam findings. ________________________________________ 3. What is primary data collection? a) Information from family members b) Information from another nurse c) Data from the client or your own assessment d) Data from medical records Correct Answer: c) Data from the client or your own assessment Rationale: Primary data is directly from the source—the client or what you observe during the assessment. ________________________________________ 4. What is secondary data collection? a) Data directly from the client b) Data from your own observations c) Information from family or other sources d) Test results Correct Answer: c) Information from family or other sources Rationale: Secondary data comes from indirect sources like family, medical records, or other healthcare providers. ________________________________________ 5. What is included in a general survey? a) Only mobility b) Only body structure c) Physical appearance, body structure, mobility, and behavior d) Medical history Correct Answer: c) Physical appearance, body structure, mobility, and behavior Rationale: A general survey provides an overall impression of the client’s health and demeanor. ________________________________________ 6. What is a complete assessment? a) A focused assessment of one complaint b) A full physical and medical history evaluation c) Checking vital signs only d) A brief inspection of the client Correct Answer: b) A full physical and medical history evaluation Rationale: Complete assessments gather comprehensive information about the client to establish a baseline. ________________________________________ 7. What is a focused assessment? a) A check of all body systems b) An evaluation of a specific complaint or area c) An annual physical exam d) Monitoring vital signs only Correct Answer: b) An evaluation of a specific complaint or area Rationale: Focused assessments target the primary issue or area of concern. ________________________________________ 8. What is a follow-up assessment? a) Checking a client’s overall health b) Monitoring a specific condition or post-op recovery c) Gathering a complete health history d) Emergency assessment of vital signs Correct Answer: b) Monitoring a specific condition or post-op recovery Rationale: Follow-up assessments ensure ongoing care and manage specific conditions. ________________________________________ 9. What is inspection during an assessment? a) Using touch to gather information b) Listening to sounds with a stethoscope c) Looking and observing the client d) Tapping to detect sounds Correct Answer: c) Looking and observing the client Rationale: Inspection involves visual observation to collect information about the client's condition. ________________________________________ 10. What is palpation? a) Listening to body sounds b) Using touch to gather information c) Observing behavior d) Tapping on the abdomen Correct Answer: b) Using touch to gather information Rationale: Palpation uses the sense of touch to assess temperature, texture, or tenderness. ________________________________________ 11. What does percussion assess? a) Vital signs b) Body sounds using a stethoscope c) Underlying structures by tapping d) Body movement Correct Answer: c) Underlying structures by tapping Rationale: Percussion helps assess internal structures based on the sound produced. ________________________________________ 12. What type of sound does flatness during percussion indicate? a) Air-filled lungs b) Bone or muscle c) Heart or liver d) Air-filled stomach Correct Answer: b) Bone or muscle Rationale: Flatness occurs when percussing dense structures like bone or muscle. ________________________________________ 13. What is the purpose of the bell of a stethoscope? a) Listening to high-pitched sounds b) Picking up murmurs and vascular sounds c) Measuring blood pressure d) Listening to lung sounds Correct Answer: b) Picking up murmurs and vascular sounds Rationale: The bell is designed to detect low-frequency sounds like murmurs or bruits. ________________________________________ 14. What is a first-level priority? a) Chronic pain management b) Life-threatening issues like airway or circulation problems c) Follow-up on post-op care d) Addressing emotional concerns Correct Answer: b) Life-threatening issues like airway or circulation problems Rationale: First-level priorities involve immediate threats to life, such as ABCs. ________________________________________ 15. What is a second-level priority? a) Issues that require prompt intervention but are not life-threatening b) Chronic conditions requiring regular monitoring c) Addressing long-term treatment goals d) Family concerns Correct Answer: a) Issues that require prompt intervention but are not life-threatening Rationale: Second-level priorities include urgent issues like acute pain or safety risks. 16. What is tympany during percussion? a) A flat sound over bone b) A drum-like sound over an air-filled area c) A dull sound over the heart d) A resonant sound over lungs Correct Answer: b) A drum-like sound over an air-filled area Rationale: Tympany is heard over air-filled spaces like the stomach and indicates normal or abnormal gas presence. ________________________________________ 17. What does hyperresonance during percussion indicate? a) A normal sound over lungs b) Excess air, as in emphysema c) A dense organ like the liver d) A solid area like bone Correct Answer: b) Excess air, as in emphysema Rationale: Hyperresonance is heard in conditions like emphysema, where the lungs are hyperinflated. ________________________________________ 18. What is the diaphragm of a stethoscope used for? a) Listening to low-pitched sounds b) Detecting murmurs c) Listening to high-pitched sounds like lung and heart sounds d) Hearing bowel movements Correct Answer: c) Listening to high-pitched sounds like lung and heart sounds Rationale: The diaphragm is ideal for detecting high-frequency sounds, such as breath and normal heart tones. ________________________________________ 19. What is an example of primary data? a) Information from a medical chart b) Observations made by a nurse c) The client describing their symptoms d) A family member reporting the client’s condition Correct Answer: c) The client describing their symptoms Rationale: Primary data is directly from the client or your own observations. ________________________________________ 20. When conducting a focused assessment, what should you prioritize? a) Gathering a full medical history b) Addressing the client’s primary complaint c) Performing a general survey d) Measuring vital signs only Correct Answer: b) Addressing the client’s primary complaint Rationale: A focused assessment targets specific concerns or complaints reported by the client. ________________________________________ 21. What is a second-level priority example? a) Airway obstruction b) Acute confusion or mental status change c) Post-surgical follow-up d) Emotional support Correct Answer: b) Acute confusion or mental status change Rationale: Second-level priorities are urgent but not immediately life-threatening, like safety risks or pain. ________________________________________ 22. What is assessed during auscultation? a) Body structures by tapping b) Body sounds with a stethoscope c) Body movement and behavior d) Body temperature Correct Answer: b) Body sounds with a stethoscope Rationale: Auscultation involves listening to internal sounds, such as heartbeats, lung sounds, or bowel movements. ________________________________________ 23. What is a general survey? a) A focused assessment of one area b) An overall evaluation of appearance, behavior, and mobility c) Only a medical history review d) A measurement of vital signs Correct Answer: b) An overall evaluation of appearance, behavior, and mobility Rationale: A general survey provides an initial impression of the client’s overall condition. ________________________________________ 24. What is the first step in managing a first-level priority? a) Ensuring the client’s comfort b) Addressing airway, breathing, or circulation issues c) Monitoring vital signs d) Conducting a detailed medical history Correct Answer: b) Addressing airway, breathing, or circulation issues Rationale: First-level priorities involve life-threatening conditions that must be managed immediately. ________________________________________ 25. Why is it important to assess tender areas last during palpation? a) To avoid worsening pain early in the exam b) To make the client feel comfortable c) To gather the most accurate information d) To check for temperature changes Correct Answer: a) To avoid worsening pain early in the exam Rationale: Delaying assessment of tender areas minimizes client discomfort and allows a more thorough evaluation. third level priority ANSWER = need attention, but not priority; problems with lack of knowledge, mobility, rest, coping, chronic pain gender role ANSWER = how society expected one to dress, think, act based on their sex assigned at birth gender ANSWER = social construct of norms, behaviors, and roles that varies between societies and over time, its how your identity related to societys idea of being a man, woman, neither, mix; can be different than culture's ideas and expectations for sex one is assigned at birth gender identity ANSWER = our sense of being male, female, some combination of the two, or neither; can be same or different than assigned sex at birth cultural and spiritual interventions ANSWER = pt's practices, perceptions of healthcare/treatments; how religion plays a role in their care; therapeutic communication therapeutic communication ANSWER = creates nonjudgmental environment and encourages open communication; body language, tone of voice, sensory alterations, language barrier, internal and eternal factors all play a role layers of the skin ANSWER = epidermis, dermis, subcutaneous epidermis ANSWER = surface layer of skin; combo of dead cells on outside and live cells on inside dermis ANSWER = middle layer; composed of connective tissue that contains blood vessels, hair follicles, and sebaceous & sweat glands subcutaneous ANSWER = innermost layer containing adipose (fat) tissue functions of skin ANSWER = Protect inner body parts and organs Body temperature regulation Sensory perception Excrete waste and toxins Produce vitamin D Wound repair normal skin findings ANSWER = even and consistent w race and ethnicity warm, dry, smooth, intact