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NUR 265 Exam 2 Medical-Surgical Nursing (2026) PDF | Galen
x x x x x x x x x
College of Nursing Graded A+(100 +QUESTIONS WITH
x x x x x x x
ANSWERS AND RATIONALES)
x x x
.The exam focuses on
x x x x
• Respiratory Emergencies, x x
• Perioperative Care x
• Wound Healing, Fluid & Electrolytes
x x x x
• Immunology/Hematology . x
•
,NUR 265 Exam 2 - Medical-Surgical Nursing (2026) | Galen College of Nursing
x x x x x x x x x x x x
Based on the search results, I have compiled comprehensive practice questions for NUR 265
x x x x x x x x x x x x x
Exam 2. The exam focuses on Respiratory Emergencies, Perioperative Care, Wound Healing,
x x x x x x x x x x x x
Fluid & Electrolytes, and Immunology/Hematology .
x x x x x x
Section 1: Perioperative & Postoperative Care (Questions 1–20)
x x x x x x x
Question 1: A patient is 2 hours post-op from abdominal surgery. Which finding requires
x x x x x x x x x x x x x
immediate notification of the surgeon?
x x x x x
A) Pain rated 5/10
x x x
B) Heart rate 110 bpm, BP 88/50 mm Hg
x x x x x x x x
C) Urine output 40 mL/hr
x x x x
D) Temperature 99.8°F (37.7°C)
x x x
Correct Answer: B x x
Rationale: Tachycardia with hypotension suggests hypovolemia or hemorrhage. This is a sign of
x x x x x x x x x x x x
potential postoperative bleeding requiring immediate surgical evaluation .
x x x x x x x x
Question 2: A patient received general anesthesia. The nurse's priority in the immediate post-op
x x x x x x x x x x x x x
period is:
x x
A) Pain management
x x
B) Airway patency
x x
C) Wound assessment
x x
D) Fluid replacement
x x
Correct Answer: B x x
Rationale: Airway is always the first priority. Anesthesia can cause airway obstruction due to
x x x x x x x x x x x x x
residual muscle relaxation, swelling, or secretions .
x x x x x x x
Question 3: Which assessment finding indicates malignant hyperthermia?
x x x x x x x
A) Hypothermia and bradycardia
x x x
B) Muscle rigidity and hyperthermia
x x x x
C) Hypotension and polyuria
x x x
D) Respiratory depression and miosis
x x x x
Correct Answer: B x x
, Rationale: Malignant hyperthermia is a life-threatening reaction to volatile anesthetics (e.g.,
x x x x x x x x x x
halothane, sevoflurane) or succinylcholine. Signs include hyperthermia (temp >104°F), muscle
x x x x x x x x x x
rigidity, tachycardia, and tachypnea .
x x x x x
Question 4: A patient post-op has a Jackson-Pratt drain with 150 mL of bright red blood in 1
x x x x x x x x x x x x x x x x x
hour. What should the nurse do first?
x x x x x x x
A) Document as normal
x x x
B) Empty the drain
x x x
C) Notify the provider
x x x
D) Apply pressure to the site
x x x x x
Correct Answer: C x x
Rationale: Drainage >100 mL/hr suggests active bleeding. The provider must be notified
x x x x x x x x x x x
immediately for possible return to surgery .
x x x x x x x
Question 5: Which instruction is correct for a patient after outpatient surgery with general
x x x x x x x x x x x x x
anesthesia?
x
A) "You may drive yourself home."
x x x x x
B) "Do not drink alcohol for 24 hours."
x x x x x x x
C) "Return to work tomorrow."
x x x x
D) "You can eat a full meal immediately."
x x x x x x x
Correct Answer: B x x
Rationale: Alcohol interacts with anesthesia and sedatives, impairing recovery. Patients should
x x x x x x x x x x
avoid alcohol for at least 24 hours post-surgery .
x x x x x x x x x
Question 6: A patient post-op reports sudden chest pain and dyspnea. The nurse suspects
x x x x x x x x x x x x x
pulmonary embolism. The priority action is:
x x x x x x
A) Apply oxygen and call rapid response
x x x x x x
B) Administer morphine
x x
C) Obtain an ECG
x x x
D) Check oxygen saturation
x x x
Correct Answer: A x x
Rationale: Suspected PE requires immediate oxygenation and emergency team notification.
x x x x x x x x x
Rapid intervention can be life-saving .
x x x x x x
Question 7: A patient is 6 hours post-op and has not ambulated. The nurse's best action is:
x x x x x x x x x x x x x x x x
A) Wait until tomorrow
x x x
B) Assist the patient to sit at the bedside
x x x x x x x x
NUR 265 Exam 2 Medical-Surgical Nursing (2026) PDF | Galen
x x x x x x x x x
College of Nursing Graded A+(100 +QUESTIONS WITH
x x x x x x x
ANSWERS AND RATIONALES)
x x x
.The exam focuses on
x x x x
• Respiratory Emergencies, x x
• Perioperative Care x
• Wound Healing, Fluid & Electrolytes
x x x x
• Immunology/Hematology . x
•
,NUR 265 Exam 2 - Medical-Surgical Nursing (2026) | Galen College of Nursing
x x x x x x x x x x x x
Based on the search results, I have compiled comprehensive practice questions for NUR 265
x x x x x x x x x x x x x
Exam 2. The exam focuses on Respiratory Emergencies, Perioperative Care, Wound Healing,
x x x x x x x x x x x x
Fluid & Electrolytes, and Immunology/Hematology .
x x x x x x
Section 1: Perioperative & Postoperative Care (Questions 1–20)
x x x x x x x
Question 1: A patient is 2 hours post-op from abdominal surgery. Which finding requires
x x x x x x x x x x x x x
immediate notification of the surgeon?
x x x x x
A) Pain rated 5/10
x x x
B) Heart rate 110 bpm, BP 88/50 mm Hg
x x x x x x x x
C) Urine output 40 mL/hr
x x x x
D) Temperature 99.8°F (37.7°C)
x x x
Correct Answer: B x x
Rationale: Tachycardia with hypotension suggests hypovolemia or hemorrhage. This is a sign of
x x x x x x x x x x x x
potential postoperative bleeding requiring immediate surgical evaluation .
x x x x x x x x
Question 2: A patient received general anesthesia. The nurse's priority in the immediate post-op
x x x x x x x x x x x x x
period is:
x x
A) Pain management
x x
B) Airway patency
x x
C) Wound assessment
x x
D) Fluid replacement
x x
Correct Answer: B x x
Rationale: Airway is always the first priority. Anesthesia can cause airway obstruction due to
x x x x x x x x x x x x x
residual muscle relaxation, swelling, or secretions .
x x x x x x x
Question 3: Which assessment finding indicates malignant hyperthermia?
x x x x x x x
A) Hypothermia and bradycardia
x x x
B) Muscle rigidity and hyperthermia
x x x x
C) Hypotension and polyuria
x x x
D) Respiratory depression and miosis
x x x x
Correct Answer: B x x
, Rationale: Malignant hyperthermia is a life-threatening reaction to volatile anesthetics (e.g.,
x x x x x x x x x x
halothane, sevoflurane) or succinylcholine. Signs include hyperthermia (temp >104°F), muscle
x x x x x x x x x x
rigidity, tachycardia, and tachypnea .
x x x x x
Question 4: A patient post-op has a Jackson-Pratt drain with 150 mL of bright red blood in 1
x x x x x x x x x x x x x x x x x
hour. What should the nurse do first?
x x x x x x x
A) Document as normal
x x x
B) Empty the drain
x x x
C) Notify the provider
x x x
D) Apply pressure to the site
x x x x x
Correct Answer: C x x
Rationale: Drainage >100 mL/hr suggests active bleeding. The provider must be notified
x x x x x x x x x x x
immediately for possible return to surgery .
x x x x x x x
Question 5: Which instruction is correct for a patient after outpatient surgery with general
x x x x x x x x x x x x x
anesthesia?
x
A) "You may drive yourself home."
x x x x x
B) "Do not drink alcohol for 24 hours."
x x x x x x x
C) "Return to work tomorrow."
x x x x
D) "You can eat a full meal immediately."
x x x x x x x
Correct Answer: B x x
Rationale: Alcohol interacts with anesthesia and sedatives, impairing recovery. Patients should
x x x x x x x x x x
avoid alcohol for at least 24 hours post-surgery .
x x x x x x x x x
Question 6: A patient post-op reports sudden chest pain and dyspnea. The nurse suspects
x x x x x x x x x x x x x
pulmonary embolism. The priority action is:
x x x x x x
A) Apply oxygen and call rapid response
x x x x x x
B) Administer morphine
x x
C) Obtain an ECG
x x x
D) Check oxygen saturation
x x x
Correct Answer: A x x
Rationale: Suspected PE requires immediate oxygenation and emergency team notification.
x x x x x x x x x
Rapid intervention can be life-saving .
x x x x x x
Question 7: A patient is 6 hours post-op and has not ambulated. The nurse's best action is:
x x x x x x x x x x x x x x x x
A) Wait until tomorrow
x x x
B) Assist the patient to sit at the bedside
x x x x x x x x
