NUR 265
Exam 2 Advanced Med-Surg Nursing (High-Yield)
Exam 2 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 265
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 265 Exam 2: Advanced Med-Surg Nursing (High-Yield) 2026/2027 UPDATE- Galen
1. A patient with severe burns is in the emergent phase of resuscitation. Which of the
following laboratory findings is most characteristic of this stage?
A. Hypokalemia
B. Hypernatremia
C. Hyperkalemia
D. Decreased Hematocrit
Answer: C
Rationale: During the emergent phase of a burn, massive cell destruction releases
potassium into the extracellular fluid, resulting in hyperkalemia. Sodium usually moves
into the interstitial space (hyponatremia), and hematocrit increases due to
hemoconcentration from fluid loss.
2. Using the Parkland Formula, calculate the total fluid resuscitation needed for the first 24
hours for a 70 kg patient with a 40% Total Body Surface Area (TBSA) burn.
A. 5,600 mL
B. 11,200 mL
C. 14,000 mL
D. 8,400 mL
, Answer: B
Rationale: The Parkland Formula is 4 mL x kg x %TBSA. In this case, 4 mL x 70 kg x 40 =
11,200 mL.
3. Which assessment finding in a patient with a circumferential burn to the left arm would
require immediate notification to the healthcare provider?
A. Pain rated as 8/10
B. Capillary refill of 3 seconds
C. 2+ edema to the hand
D. Absent radial pulse with a doppler
Answer: D
Rationale: Absent pulses in a circumferential burn suggest compartment syndrome or
vascular occlusion, requiring an emergency escharotomy.
4. A patient is admitted with septic shock. Which of the following is the priority intervention
within the first hour of the ‘Sepsis Bundle’?
A. Administering broad-spectrum antibiotics
B. Administering a 30 mL/kg crystalloid bolus for hypotension
C. Starting a vasopressor to maintain MAP >65 mmHg
D. Obtaining blood cultures
Answer: D
Exam 2 Advanced Med-Surg Nursing (High-Yield)
Exam 2 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 265
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 265 Exam 2: Advanced Med-Surg Nursing (High-Yield) 2026/2027 UPDATE- Galen
1. A patient with severe burns is in the emergent phase of resuscitation. Which of the
following laboratory findings is most characteristic of this stage?
A. Hypokalemia
B. Hypernatremia
C. Hyperkalemia
D. Decreased Hematocrit
Answer: C
Rationale: During the emergent phase of a burn, massive cell destruction releases
potassium into the extracellular fluid, resulting in hyperkalemia. Sodium usually moves
into the interstitial space (hyponatremia), and hematocrit increases due to
hemoconcentration from fluid loss.
2. Using the Parkland Formula, calculate the total fluid resuscitation needed for the first 24
hours for a 70 kg patient with a 40% Total Body Surface Area (TBSA) burn.
A. 5,600 mL
B. 11,200 mL
C. 14,000 mL
D. 8,400 mL
, Answer: B
Rationale: The Parkland Formula is 4 mL x kg x %TBSA. In this case, 4 mL x 70 kg x 40 =
11,200 mL.
3. Which assessment finding in a patient with a circumferential burn to the left arm would
require immediate notification to the healthcare provider?
A. Pain rated as 8/10
B. Capillary refill of 3 seconds
C. 2+ edema to the hand
D. Absent radial pulse with a doppler
Answer: D
Rationale: Absent pulses in a circumferential burn suggest compartment syndrome or
vascular occlusion, requiring an emergency escharotomy.
4. A patient is admitted with septic shock. Which of the following is the priority intervention
within the first hour of the ‘Sepsis Bundle’?
A. Administering broad-spectrum antibiotics
B. Administering a 30 mL/kg crystalloid bolus for hypotension
C. Starting a vasopressor to maintain MAP >65 mmHg
D. Obtaining blood cultures
Answer: D
