Galen College of Nursing NUR 170
Concepts of Medical-Surgical
Nursing
Comprehensive 100-Question Test
Bank
Latest 2025/2026 | All Exams
Combined | Detailed Rationales
, COURSE INFORMATION REFERENCE
Course Code NUR 170
Course Name Concepts of Medical-Surgical Nursing
Prerequisites NUR 155 or NUR 168
Corequisites BSL 101 or NUR 210
Focuses on the care of adult patients experiencing common
and less complex acute health problems. Learners use critical
Description
thinking skills guided by professional standards, guidelines,
and best practices.
Ignatavicius, D. D., Rebar, C. R., & Heimgartner, N. M.
Required
(2024). Medical-surgical nursing: Concepts for Clinical
Textbook
Judgment and collaborative care (11th ed.). Elsevier.
,DOMAIN 1: FLUID AND ELECTROLYTE BALANCE
(Questions 1-20)
Question 1
The human body is composed of approximately what percentage of water?
A. 40%
B. 50%
C. 60%
D. 70%
Correct Answer: C
Rationale: The human body is approximately 60% water. Of this total body
water, approximately 66% is intracellular fluid, and 33% is extracellular fluid
(intravascular and interstitial compartments). This distribution is essential for
maintaining homeostasis.
Question 2
A nurse is calculating a patient's intake and output. Which of the following
statements is true regarding fluid balance?
A. The most accurate way to track fluid status is by monitoring intake and
output
B. Daily weights are the best way to track fluid status
, C. Intake should be calculated by adding all oral fluids only
D. Output includes urine, emesis, and wound drainage, but not diaphoresis
Correct Answer: B
Rationale: Daily weights are the most accurate way to track fluid status
because 1 liter of water weighs approximately 2.2 pounds (1 kg). Weight gain
or loss reflects fluid changes more accurately than intake and output
measurements, which can have calculation errors.
Question 3
A patient has a heart rate of 112 bpm, blood pressure 98/62 mm Hg, and
reports dizziness when standing. The nurse notes flat neck veins and poor
skin turgor. These findings are consistent with:
A. Fluid volume excess
B. Fluid volume deficit
C. Hypervolemia
D. Third spacing
Correct Answer: B
Rationale: Fluid volume deficit (hypovolemia/dehydration) presents with
tachycardia (attempting to maintain cardiac output), hypotension, dizziness,
flat neck veins, and poor skin turgor. The patient may also have dry mucous
membranes, decreased urine output, and weight loss.
Concepts of Medical-Surgical
Nursing
Comprehensive 100-Question Test
Bank
Latest 2025/2026 | All Exams
Combined | Detailed Rationales
, COURSE INFORMATION REFERENCE
Course Code NUR 170
Course Name Concepts of Medical-Surgical Nursing
Prerequisites NUR 155 or NUR 168
Corequisites BSL 101 or NUR 210
Focuses on the care of adult patients experiencing common
and less complex acute health problems. Learners use critical
Description
thinking skills guided by professional standards, guidelines,
and best practices.
Ignatavicius, D. D., Rebar, C. R., & Heimgartner, N. M.
Required
(2024). Medical-surgical nursing: Concepts for Clinical
Textbook
Judgment and collaborative care (11th ed.). Elsevier.
,DOMAIN 1: FLUID AND ELECTROLYTE BALANCE
(Questions 1-20)
Question 1
The human body is composed of approximately what percentage of water?
A. 40%
B. 50%
C. 60%
D. 70%
Correct Answer: C
Rationale: The human body is approximately 60% water. Of this total body
water, approximately 66% is intracellular fluid, and 33% is extracellular fluid
(intravascular and interstitial compartments). This distribution is essential for
maintaining homeostasis.
Question 2
A nurse is calculating a patient's intake and output. Which of the following
statements is true regarding fluid balance?
A. The most accurate way to track fluid status is by monitoring intake and
output
B. Daily weights are the best way to track fluid status
, C. Intake should be calculated by adding all oral fluids only
D. Output includes urine, emesis, and wound drainage, but not diaphoresis
Correct Answer: B
Rationale: Daily weights are the most accurate way to track fluid status
because 1 liter of water weighs approximately 2.2 pounds (1 kg). Weight gain
or loss reflects fluid changes more accurately than intake and output
measurements, which can have calculation errors.
Question 3
A patient has a heart rate of 112 bpm, blood pressure 98/62 mm Hg, and
reports dizziness when standing. The nurse notes flat neck veins and poor
skin turgor. These findings are consistent with:
A. Fluid volume excess
B. Fluid volume deficit
C. Hypervolemia
D. Third spacing
Correct Answer: B
Rationale: Fluid volume deficit (hypovolemia/dehydration) presents with
tachycardia (attempting to maintain cardiac output), hypotension, dizziness,
flat neck veins, and poor skin turgor. The patient may also have dry mucous
membranes, decreased urine output, and weight loss.
