NUR 155 EXAM 2, 3 AND AND ANSWERS
FALL 2025/2026 UPDATE 100% ACCURATE -
GALEN COLLEGE OF NURSING.
200 QUESTIONS
TABLE OF CONTENTS
Apply the nursing process to prioritize care Evaluate diagnostic data to guide clinical
for patients with complex health alterations decision-making
Q1 - patient with chronic kidney disease Q33 - patient prescribed a low-molecular-weight...
Q2 - laboratory value is most indicative Q34 - assessment finding differentiates neuroge...
Q3 - patient on a continuous heparin Q35 - nurse is preparing to administer
Q4 - patient is at highest risk Q36 - patient with chronic kidney disease
Q5 - patient with heart failure is Q37 - patient with type 1 diabetes
Q6 - patient finding is most consistent Q38 - patient is admitted with chest
Q7 - patient is to receive 1000 Q39 - finding is most indicative of
Q8 - of the following is a Q40 - a patient with hyperkalemia, which
Q9 - nurse is providing teaching to Q41 - patient with chronic kidney disease
Q10 - of the following is a Q42 - assessment finding is most indicative
Q11 - nurse is evaluating a client's Q43 - nurse is calculating the intake
Q12 - nurse is preparing to administer Q44 - patient prescribed a low-sodium diet
Q13 - nurse is caring for a Q45 - assessment finding is the earliest
Q14 - client with heart failure is Q46 - nurse is preparing to administer
Q15 - nurse is assessing a client Q47 - patient is at highest risk
Q16 - client with chronic kidney disease Q48 - patient with a new colostomy
Analyze pharmacological interventions and Integrate ethical and legal principles in
their implications for patient safety nursing practice
Q17 - nurse is providing discharge teaching Q49 - technique is most effective for
Q18 - client with type 1 diabetes Q50 - patient is prescribed a blood
Q19 - nurse is caring for a Q51 - patient with diabetic ketoacidosis (DKA)
Q20 - nurse is reviewing the medication Q52 - a patient with syndrome of
Q21 - patient with heart failure is Q53 - patient is prescribed a continuous
Q22 - nurse is evaluating a patient's Q54 - nurse is preparing to administer
Q23 - patient with chronic kidney disease Q55 - patient with a chest tube
Q24 - nurse is preparing to administer Q56 - patient with chronic kidney disease
Q25 - patient with diabetic ketoacidosis (DKA) Q57 - patient is receiving a continuous
Q26 - patient is receiving IV heparin Q58 - During the immediate postoperative period,
Q27 - nurse is caring for a Q59 - patient with a pressure injury
Q28 - patient with cirrhosis and ascites Q60 - patient with heart failure is
Q29 - nurse is assessing a patient Q61 - patient with a history of
Q30 - patient with end-stage renal disease Q62 - patient develops a pulmonary embolism.
Q31 - nurse is caring for a Q63 - patient with sepsis is prescribed
Q32 - a patient with sepsis, which Q64 - patient with diabetic ketoacidosis has
Page 1
,Demonstrate competency in infection 2026 Update 100% Accurate
control and perioperative nursing Q111 - patient with chronic kidney disease
Q65 - patient on a ventilator has Q112 - patient on a continuous heparin
Q66 - patient with acute kidney injury Q113 - patient with heart failure is
Q67 - patient with cirrhosis is prescribed Q114 - nurse is caring for a
Q68 - patient with heart failure has Q115 - patient is prescribed enoxaparin 1
Q69 - patient with chronic kidney disease Q116 - patient is receiving an IV
Q70 - patient with acute respiratory distress Q117 - patient with a history of
Q71 - patient with chronic kidney disease Q118 - patient is receiving a blood
Q72 - patient with type 2 diabetes Q119 - patient with atrial fibrillation is
Q73 - patient is receiving an intravenous Q120 - patient with type 1 diabetes
Q74 - patient has a serum potassium Q121 - patient with chronic obstructive pulmonary
Q75 - patient with heart failure is Q122 - assessment finding in a patient
Q76 - patient is receiving a blood Q123 - nurse is preparing to administer
Q77 - patient is receiving an IV Q124 - of the following is the
Q78 - patient is prescribed 500 mg Q125 - nurse is caring for a
Q79 - patient has been diagnosed with
Q80 - patient with chronic kidney disease Galen College of Nursing.
Q126 - patient is receiving a continuous
NUR 155 Exam 2 Q127 - nurse is assessing a patient
Q81 - patient with chronic kidney disease Q128 - of the following actions by
Q82 - patient is receiving a continuous Q129 - patient with diabetes mellitus type
Q83 - patient with heart failure is Q130 - nurse is providing discharge teaching
Q84 - patient is receiving heparin by Q131 - patient with diabetic ketoacidosis (DKA)
Q85 - patient with type 1 diabetes Q132 - patient is receiving a continuous
Q86 - patient is receiving a blood Q133 - patient with heart failure is
Q87 - patient with COPD is receiving Q134 - patient with chronic kidney disease
Q88 - patient with acute pancreatitis is Q135 - patient is receiving a blood
Q89 - patient with a history of Q136 - patient with a nasogastric tube
Q90 - patient is receiving a continuous Q137 - patient with a severe exacerbation
Q91 - a patient with chronic kidney Q138 - patient is prescribed an IV
Q92 - patient with heart failure is Q139 - patient with a new colostomy
Q93 - assessment finding in a patient Q140 - patient is receiving a heparin
Q94 - patient with severe sepsis is
Q95 - lab finding is most consistent Foundations of Nursing Fundamentals and
Medical-Surgical Nursing
3 and and Answers Fall 2025 Q141 - patient with chronic kidney disease
Q96 - patient with type 1 diabetes Q142 - nurse is reviewing the medication
Q97 - nursing intervention is most appropriate Q143 - patient on a medical-surgical unit
Q98 - patient with Addison's disease is Q144 - patient is prescribed an IV
Q99 - patient is receiving a continuous Q145 - patient with heart failure is
Q100 - patient with end-stage renal disease Q146 - nurse is providing discharge teaching
Q101 - patient with chronic heart failure Q147 - patient with type 1 diabetes
Q102 - nurse is preparing to administer Q148 - nurse is caring for a
Q103 - patient with diabetic ketoacidosis (DKA) Q149 - patient is receiving a continuous
Q104 - nurse is caring for a Q150 - patient with chronic obstructive pulmonary
Q105 - patient has a serum sodium Q151 - patient with chronic kidney disease
Q106 - nurse is reviewing laboratory results Q152 - patient with heart failure is
Q107 - patient is receiving a continuous Q153 - postoperative patient reports severe pain.
Q108 - nurse is providing discharge teaching Q154 - patient with a pressure injury
Q109 - patient with a history of Q155 - patient is receiving a blood
Q110 - nurse is assessing a patient
Page 2
,Applied Nursing Fundamentals and
Medical-Surgical Nursing
Q156 - patient with COPD is receiving
Q157 - patient with a chest tube
Q158 - patient with a history of
Q159 - patient with an indwelling urinary
Q160 - nursing student is preparing to
Q161 - patient with septic shock is
Q162 - a patient with acute respiratory
Q163 - laboratory finding is most consistent
Q164 - patient with acute kidney injury
Q165 - patient with diabetic ketoacidosis (DKA)
Q166 - assessment finding in a patient
Q167 - patient with cirrhosis and ascites
Q168 - a patient with acute pancreatitis,
Q169 - patient with severe sepsis is
Q170 - patient with heart failure with
Advanced Nursing Fundamentals and
Medical-Surgical Nursing
Q171 - client with diabetic ketoacidosis is
Q172 - postoperative client develops sudden onset
Q173 - client with chronic kidney disease
Q174 - client with heart failure is
Q175 - client with sepsis has a
Q176 - client with type 1 diabetes
Q177 - client with a history of
Q178 - client with chronic obstructive pulmonary
Q179 - client is receiving a continuous
Q180 - client with acute pancreatitis has
Q181 - patient with acute decompensated heart
Q182 - patient with chronic heart failure
Q183 - patient with pneumonia and a
Q184 - patient with type 2 diabetes
Q185 - patient with chronic kidney disease
Nursing Fundamentals and Medical-Surgical
Nursing Review
Q186 - patient is receiving a continuous
Q187 - patient with hypertension and benign
Q188 - patient with peptic ulcer disease
Q189 - patient with acute pancreatitis is
Q190 - patient with cirrhosis and ascites
Q191 - patient on a continuous heparin
Q192 - assessment finding most accurately distin...
Q193 - patient with heart failure is
Q194 - nursing intervention is most appropriate
Q195 - patient with chronic kidney disease
Q196 - patient with type 1 diabetes
Q197 - laboratory value is most indicative
Q198 - patient is receiving a continuous
Q199 - assessment finding is most consistent
Q200 - patient with sepsis has a
Page 3
, Q1 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR PATIENTS WITH COMPLEX
HEALTH ALTERATIONS
A patient with chronic kidney disease (CKD) is prescribed a loop diuretic. The
nurse reviews the most recent lab results: potassium 3.2 mEq/L, sodium 132
mEq/L, creatinine 4.5 mg/dL. Which nursing action is most appropriate?
A. Administer the diuretic as prescribed and monitor urine output.
B. Hold the diuretic and notify the healthcare provider. CORRECT
C. Administer the diuretic with a potassium supplement.
D. Encourage high-potassium foods to prevent further depletion.
RATIONALE: In CKD, loop diuretics can exacerbate hypokalemia and hyponatremia, increasing
risk of cardiac dysrhythmias. Holding the drug and notifying the provider is essential to prevent
complications. Administering without correction or encouraging potassium without knowing renal
function is unsafe.
Q2 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR PATIENTS WITH COMPLEX
HEALTH ALTERATIONS
Which laboratory value is most indicative of acute kidney injury (AKI) rather than
prerenal azotemia?
A. BUN:Creatinine ratio of 10:1 CORRECT
B. Fractional excretion of sodium (FENa) less than 1%
C. Urine osmolality greater than 500 mOsm/kg
D. Urinary sodium concentration less than 20 mEq/L
RATIONALE: In AKI (intrinsic renal damage), the BUN:Creatinine ratio is typically <15:1, often
near 10:1. Prerenal azotemia shows a ratio >20:1. FENa <1%, high urine osmolality, and low
urinary sodium are all consistent with prerenal causes.
Page 4
FALL 2025/2026 UPDATE 100% ACCURATE -
GALEN COLLEGE OF NURSING.
200 QUESTIONS
TABLE OF CONTENTS
Apply the nursing process to prioritize care Evaluate diagnostic data to guide clinical
for patients with complex health alterations decision-making
Q1 - patient with chronic kidney disease Q33 - patient prescribed a low-molecular-weight...
Q2 - laboratory value is most indicative Q34 - assessment finding differentiates neuroge...
Q3 - patient on a continuous heparin Q35 - nurse is preparing to administer
Q4 - patient is at highest risk Q36 - patient with chronic kidney disease
Q5 - patient with heart failure is Q37 - patient with type 1 diabetes
Q6 - patient finding is most consistent Q38 - patient is admitted with chest
Q7 - patient is to receive 1000 Q39 - finding is most indicative of
Q8 - of the following is a Q40 - a patient with hyperkalemia, which
Q9 - nurse is providing teaching to Q41 - patient with chronic kidney disease
Q10 - of the following is a Q42 - assessment finding is most indicative
Q11 - nurse is evaluating a client's Q43 - nurse is calculating the intake
Q12 - nurse is preparing to administer Q44 - patient prescribed a low-sodium diet
Q13 - nurse is caring for a Q45 - assessment finding is the earliest
Q14 - client with heart failure is Q46 - nurse is preparing to administer
Q15 - nurse is assessing a client Q47 - patient is at highest risk
Q16 - client with chronic kidney disease Q48 - patient with a new colostomy
Analyze pharmacological interventions and Integrate ethical and legal principles in
their implications for patient safety nursing practice
Q17 - nurse is providing discharge teaching Q49 - technique is most effective for
Q18 - client with type 1 diabetes Q50 - patient is prescribed a blood
Q19 - nurse is caring for a Q51 - patient with diabetic ketoacidosis (DKA)
Q20 - nurse is reviewing the medication Q52 - a patient with syndrome of
Q21 - patient with heart failure is Q53 - patient is prescribed a continuous
Q22 - nurse is evaluating a patient's Q54 - nurse is preparing to administer
Q23 - patient with chronic kidney disease Q55 - patient with a chest tube
Q24 - nurse is preparing to administer Q56 - patient with chronic kidney disease
Q25 - patient with diabetic ketoacidosis (DKA) Q57 - patient is receiving a continuous
Q26 - patient is receiving IV heparin Q58 - During the immediate postoperative period,
Q27 - nurse is caring for a Q59 - patient with a pressure injury
Q28 - patient with cirrhosis and ascites Q60 - patient with heart failure is
Q29 - nurse is assessing a patient Q61 - patient with a history of
Q30 - patient with end-stage renal disease Q62 - patient develops a pulmonary embolism.
Q31 - nurse is caring for a Q63 - patient with sepsis is prescribed
Q32 - a patient with sepsis, which Q64 - patient with diabetic ketoacidosis has
Page 1
,Demonstrate competency in infection 2026 Update 100% Accurate
control and perioperative nursing Q111 - patient with chronic kidney disease
Q65 - patient on a ventilator has Q112 - patient on a continuous heparin
Q66 - patient with acute kidney injury Q113 - patient with heart failure is
Q67 - patient with cirrhosis is prescribed Q114 - nurse is caring for a
Q68 - patient with heart failure has Q115 - patient is prescribed enoxaparin 1
Q69 - patient with chronic kidney disease Q116 - patient is receiving an IV
Q70 - patient with acute respiratory distress Q117 - patient with a history of
Q71 - patient with chronic kidney disease Q118 - patient is receiving a blood
Q72 - patient with type 2 diabetes Q119 - patient with atrial fibrillation is
Q73 - patient is receiving an intravenous Q120 - patient with type 1 diabetes
Q74 - patient has a serum potassium Q121 - patient with chronic obstructive pulmonary
Q75 - patient with heart failure is Q122 - assessment finding in a patient
Q76 - patient is receiving a blood Q123 - nurse is preparing to administer
Q77 - patient is receiving an IV Q124 - of the following is the
Q78 - patient is prescribed 500 mg Q125 - nurse is caring for a
Q79 - patient has been diagnosed with
Q80 - patient with chronic kidney disease Galen College of Nursing.
Q126 - patient is receiving a continuous
NUR 155 Exam 2 Q127 - nurse is assessing a patient
Q81 - patient with chronic kidney disease Q128 - of the following actions by
Q82 - patient is receiving a continuous Q129 - patient with diabetes mellitus type
Q83 - patient with heart failure is Q130 - nurse is providing discharge teaching
Q84 - patient is receiving heparin by Q131 - patient with diabetic ketoacidosis (DKA)
Q85 - patient with type 1 diabetes Q132 - patient is receiving a continuous
Q86 - patient is receiving a blood Q133 - patient with heart failure is
Q87 - patient with COPD is receiving Q134 - patient with chronic kidney disease
Q88 - patient with acute pancreatitis is Q135 - patient is receiving a blood
Q89 - patient with a history of Q136 - patient with a nasogastric tube
Q90 - patient is receiving a continuous Q137 - patient with a severe exacerbation
Q91 - a patient with chronic kidney Q138 - patient is prescribed an IV
Q92 - patient with heart failure is Q139 - patient with a new colostomy
Q93 - assessment finding in a patient Q140 - patient is receiving a heparin
Q94 - patient with severe sepsis is
Q95 - lab finding is most consistent Foundations of Nursing Fundamentals and
Medical-Surgical Nursing
3 and and Answers Fall 2025 Q141 - patient with chronic kidney disease
Q96 - patient with type 1 diabetes Q142 - nurse is reviewing the medication
Q97 - nursing intervention is most appropriate Q143 - patient on a medical-surgical unit
Q98 - patient with Addison's disease is Q144 - patient is prescribed an IV
Q99 - patient is receiving a continuous Q145 - patient with heart failure is
Q100 - patient with end-stage renal disease Q146 - nurse is providing discharge teaching
Q101 - patient with chronic heart failure Q147 - patient with type 1 diabetes
Q102 - nurse is preparing to administer Q148 - nurse is caring for a
Q103 - patient with diabetic ketoacidosis (DKA) Q149 - patient is receiving a continuous
Q104 - nurse is caring for a Q150 - patient with chronic obstructive pulmonary
Q105 - patient has a serum sodium Q151 - patient with chronic kidney disease
Q106 - nurse is reviewing laboratory results Q152 - patient with heart failure is
Q107 - patient is receiving a continuous Q153 - postoperative patient reports severe pain.
Q108 - nurse is providing discharge teaching Q154 - patient with a pressure injury
Q109 - patient with a history of Q155 - patient is receiving a blood
Q110 - nurse is assessing a patient
Page 2
,Applied Nursing Fundamentals and
Medical-Surgical Nursing
Q156 - patient with COPD is receiving
Q157 - patient with a chest tube
Q158 - patient with a history of
Q159 - patient with an indwelling urinary
Q160 - nursing student is preparing to
Q161 - patient with septic shock is
Q162 - a patient with acute respiratory
Q163 - laboratory finding is most consistent
Q164 - patient with acute kidney injury
Q165 - patient with diabetic ketoacidosis (DKA)
Q166 - assessment finding in a patient
Q167 - patient with cirrhosis and ascites
Q168 - a patient with acute pancreatitis,
Q169 - patient with severe sepsis is
Q170 - patient with heart failure with
Advanced Nursing Fundamentals and
Medical-Surgical Nursing
Q171 - client with diabetic ketoacidosis is
Q172 - postoperative client develops sudden onset
Q173 - client with chronic kidney disease
Q174 - client with heart failure is
Q175 - client with sepsis has a
Q176 - client with type 1 diabetes
Q177 - client with a history of
Q178 - client with chronic obstructive pulmonary
Q179 - client is receiving a continuous
Q180 - client with acute pancreatitis has
Q181 - patient with acute decompensated heart
Q182 - patient with chronic heart failure
Q183 - patient with pneumonia and a
Q184 - patient with type 2 diabetes
Q185 - patient with chronic kidney disease
Nursing Fundamentals and Medical-Surgical
Nursing Review
Q186 - patient is receiving a continuous
Q187 - patient with hypertension and benign
Q188 - patient with peptic ulcer disease
Q189 - patient with acute pancreatitis is
Q190 - patient with cirrhosis and ascites
Q191 - patient on a continuous heparin
Q192 - assessment finding most accurately distin...
Q193 - patient with heart failure is
Q194 - nursing intervention is most appropriate
Q195 - patient with chronic kidney disease
Q196 - patient with type 1 diabetes
Q197 - laboratory value is most indicative
Q198 - patient is receiving a continuous
Q199 - assessment finding is most consistent
Q200 - patient with sepsis has a
Page 3
, Q1 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR PATIENTS WITH COMPLEX
HEALTH ALTERATIONS
A patient with chronic kidney disease (CKD) is prescribed a loop diuretic. The
nurse reviews the most recent lab results: potassium 3.2 mEq/L, sodium 132
mEq/L, creatinine 4.5 mg/dL. Which nursing action is most appropriate?
A. Administer the diuretic as prescribed and monitor urine output.
B. Hold the diuretic and notify the healthcare provider. CORRECT
C. Administer the diuretic with a potassium supplement.
D. Encourage high-potassium foods to prevent further depletion.
RATIONALE: In CKD, loop diuretics can exacerbate hypokalemia and hyponatremia, increasing
risk of cardiac dysrhythmias. Holding the drug and notifying the provider is essential to prevent
complications. Administering without correction or encouraging potassium without knowing renal
function is unsafe.
Q2 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR PATIENTS WITH COMPLEX
HEALTH ALTERATIONS
Which laboratory value is most indicative of acute kidney injury (AKI) rather than
prerenal azotemia?
A. BUN:Creatinine ratio of 10:1 CORRECT
B. Fractional excretion of sodium (FENa) less than 1%
C. Urine osmolality greater than 500 mOsm/kg
D. Urinary sodium concentration less than 20 mEq/L
RATIONALE: In AKI (intrinsic renal damage), the BUN:Creatinine ratio is typically <15:1, often
near 10:1. Prerenal azotemia shows a ratio >20:1. FENa <1%, high urine osmolality, and low
urinary sodium are all consistent with prerenal causes.
Page 4
