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NU 185 EXAM 4 (GALEN) NEWEST 2026/ 2027 ACTUAL EXAM
TEST BANK| NU185 MEDICAL-SURGICAL NURSING II EXAM 4
REVIEW WITH COMPLETE EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
1. A nurse is caring for a client who develops sudden shortness of
breath, tachycardia, pleuritic chest pain, and an oxygen saturation of
86% after several days of limited mobility. Which action should the
nurse take first?
A. Encourage the client to ambulate to improve circulation
B. Apply oxygen as indicated, assess respiratory status, and immediately
notify the appropriate healthcare provider
C. Place the client in a supine position and reassess in 30 minutes
D. Encourage oral fluids before performing further assessment
Answer: B
2. A client with heart failure reports worsening dyspnea, difficulty
sleeping while lying flat, and a rapid increase in body weight over
several days. Which finding most strongly suggests fluid-volume
overload?
A. Decreased appetite and dry mucous membranes
B. Orthostatic hypotension with weak peripheral pulses
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C. Pulmonary crackles accompanied by peripheral edema and rapid
weight gain
D. Increased urine output with clear lung sounds
Answer: C
3. A nurse is caring for a client receiving intravenous furosemide for
acute fluid overload. Which laboratory value requires the closest
monitoring because of the medication's effects?
A. Potassium
B. Hemoglobin
C. Platelet count
D. White blood cell count
Answer: A
4. A client with chronic obstructive pulmonary disease is receiving
supplemental oxygen and becomes increasingly drowsy with a declining
respiratory rate. Which nursing action is most appropriate?
A. Increase oxygen flow substantially without further assessment
B. Assess respiratory status and oxygenation promptly and notify the
healthcare provider of the deterioration
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C. Encourage the client to sleep because fatigue is expected
D. Place the client flat in bed to improve ventilation
Answer: B
5. A client with diabetes mellitus becomes confused, diaphoretic, shaky,
and tachycardic before lunch. Which action should the nurse take first?
A. Administer the scheduled insulin
B. Check the client's blood glucose and treat suspected hypoglycemia
according to protocol
C. Encourage the client to ambulate
D. Restrict oral intake until the symptoms resolve
Answer: B
6. A client with diabetes is found unconscious and cannot safely
swallow. The blood glucose level is critically low. Which intervention
should the nurse anticipate?
A. Administration of a rapidly acting carbohydrate by mouth
B. Administration of glucagon or intravenous dextrose as clinically
appropriate
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C. Administration of additional insulin
D. Restriction of all fluids
Answer: B
7. A client with diabetic ketoacidosis is receiving intravenous fluids and
insulin. Which finding best indicates that treatment is improving the
underlying metabolic problem?
A. Blood glucose decreases while acidosis and ketone production
improve
B. Respiratory rate increases and ketones remain elevated
C. Urine output decreases despite fluid replacement
D. Serum potassium rises progressively without monitoring
Answer: A
8. A client with chronic kidney disease has weakness, paresthesias, and
cardiac dysrhythmias. Which electrolyte abnormality should the nurse
suspect as a potential cause?
A. Hypocalcemia only
B. Hyperkalemia
NU 185 EXAM 4 (GALEN) NEWEST 2026/ 2027 ACTUAL EXAM
TEST BANK| NU185 MEDICAL-SURGICAL NURSING II EXAM 4
REVIEW WITH COMPLETE EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
1. A nurse is caring for a client who develops sudden shortness of
breath, tachycardia, pleuritic chest pain, and an oxygen saturation of
86% after several days of limited mobility. Which action should the
nurse take first?
A. Encourage the client to ambulate to improve circulation
B. Apply oxygen as indicated, assess respiratory status, and immediately
notify the appropriate healthcare provider
C. Place the client in a supine position and reassess in 30 minutes
D. Encourage oral fluids before performing further assessment
Answer: B
2. A client with heart failure reports worsening dyspnea, difficulty
sleeping while lying flat, and a rapid increase in body weight over
several days. Which finding most strongly suggests fluid-volume
overload?
A. Decreased appetite and dry mucous membranes
B. Orthostatic hypotension with weak peripheral pulses
,2|Page
C. Pulmonary crackles accompanied by peripheral edema and rapid
weight gain
D. Increased urine output with clear lung sounds
Answer: C
3. A nurse is caring for a client receiving intravenous furosemide for
acute fluid overload. Which laboratory value requires the closest
monitoring because of the medication's effects?
A. Potassium
B. Hemoglobin
C. Platelet count
D. White blood cell count
Answer: A
4. A client with chronic obstructive pulmonary disease is receiving
supplemental oxygen and becomes increasingly drowsy with a declining
respiratory rate. Which nursing action is most appropriate?
A. Increase oxygen flow substantially without further assessment
B. Assess respiratory status and oxygenation promptly and notify the
healthcare provider of the deterioration
,3|Page
C. Encourage the client to sleep because fatigue is expected
D. Place the client flat in bed to improve ventilation
Answer: B
5. A client with diabetes mellitus becomes confused, diaphoretic, shaky,
and tachycardic before lunch. Which action should the nurse take first?
A. Administer the scheduled insulin
B. Check the client's blood glucose and treat suspected hypoglycemia
according to protocol
C. Encourage the client to ambulate
D. Restrict oral intake until the symptoms resolve
Answer: B
6. A client with diabetes is found unconscious and cannot safely
swallow. The blood glucose level is critically low. Which intervention
should the nurse anticipate?
A. Administration of a rapidly acting carbohydrate by mouth
B. Administration of glucagon or intravenous dextrose as clinically
appropriate
, 4|Page
C. Administration of additional insulin
D. Restriction of all fluids
Answer: B
7. A client with diabetic ketoacidosis is receiving intravenous fluids and
insulin. Which finding best indicates that treatment is improving the
underlying metabolic problem?
A. Blood glucose decreases while acidosis and ketone production
improve
B. Respiratory rate increases and ketones remain elevated
C. Urine output decreases despite fluid replacement
D. Serum potassium rises progressively without monitoring
Answer: A
8. A client with chronic kidney disease has weakness, paresthesias, and
cardiac dysrhythmias. Which electrolyte abnormality should the nurse
suspect as a potential cause?
A. Hypocalcemia only
B. Hyperkalemia
