NUR 265
EXAM 1
Medical-Surgical Nursing
Galen College of Nursing
Tested Qs & Verified Answers with Rationales
This Exam Features:
NUR 265 Exam 1 Medical-Surgical Nursing (Galen
College) including 50 Tested questions written
to mirror actual course exams. Covers core Med-
Surg concepts with clear, accurate, and student-
friendly explanations. Perfect for mastering high-priority topics
and boosting exam confidence.
### 1. The nurse caring for a client who has nephrotic syndrome with
severe proteinuria should take which of the following actions?
,A) Administer furosemide
B) Administer lisinopril
C) Restrict fluids
D) Increase protein intake
Correct Answer: B) Administer lisinopril
Rationale: ACE inhibitors like lisinopril reduce proteinuria by lowering
intraglomerular pressure, which slows kidney damage progression. They
are standard therapy in nephrotic syndrome to decrease urinary protein
loss.
---
### 2. The nurse is reviewing labs of assigned clients. Which of the
following clients requires priority follow-up with the primary health
care provider?
A) Client 2 days post-abdominal aortic aneurysm (AAA) repair with
creatinine increasing from 0.9 to 2.5 mg/dL
B) Client with creatinine stable at 1.1 mg/dL
C) Client with potassium 4.0 mEq/L
D) Client with mild hyponatremia
Correct Answer: A) Client 2 days post-AAA repair with creatinine
increasing from 0.9 to 2.5 mg/dL
Rationale: A significant increase in creatinine post-surgery indicates
possible acute kidney injury, requiring urgent evaluation.
---
, ### 3. Which of the following findings in a client hospitalized for 8
days with AKI caused by dehydration should the nurse report
immediately?
A) Blood pressure 130/80 mm Hg
B) Rhythm strip showing tall peaked T waves
C) Urine output 50 mL/hr
D) Serum sodium 138 mEq/L
Correct Answer: B) Rhythm strip showing tall peaked T waves
Rationale: Tall peaked T waves indicate hyperkalemia, a life-threatening
complication in AKI that demands immediate intervention.
---
### 4. A client receiving intravenous gentamicin has developed
oliguria and increased blood pressure. What should the nurse do
first?
A) Collect a specimen for gentamicin peak and trough levels
B) Increase intravenous fluids
C) Administer antihypertensive medication
D) Notify the dietitian
Correct Answer: A) Collect a specimen for gentamicin peak and trough
levels
Rationale: Monitoring gentamicin peak and trough levels assesses
potential nephrotoxicity and guides dose adjustments to prevent further
renal damage.
---
EXAM 1
Medical-Surgical Nursing
Galen College of Nursing
Tested Qs & Verified Answers with Rationales
This Exam Features:
NUR 265 Exam 1 Medical-Surgical Nursing (Galen
College) including 50 Tested questions written
to mirror actual course exams. Covers core Med-
Surg concepts with clear, accurate, and student-
friendly explanations. Perfect for mastering high-priority topics
and boosting exam confidence.
### 1. The nurse caring for a client who has nephrotic syndrome with
severe proteinuria should take which of the following actions?
,A) Administer furosemide
B) Administer lisinopril
C) Restrict fluids
D) Increase protein intake
Correct Answer: B) Administer lisinopril
Rationale: ACE inhibitors like lisinopril reduce proteinuria by lowering
intraglomerular pressure, which slows kidney damage progression. They
are standard therapy in nephrotic syndrome to decrease urinary protein
loss.
---
### 2. The nurse is reviewing labs of assigned clients. Which of the
following clients requires priority follow-up with the primary health
care provider?
A) Client 2 days post-abdominal aortic aneurysm (AAA) repair with
creatinine increasing from 0.9 to 2.5 mg/dL
B) Client with creatinine stable at 1.1 mg/dL
C) Client with potassium 4.0 mEq/L
D) Client with mild hyponatremia
Correct Answer: A) Client 2 days post-AAA repair with creatinine
increasing from 0.9 to 2.5 mg/dL
Rationale: A significant increase in creatinine post-surgery indicates
possible acute kidney injury, requiring urgent evaluation.
---
, ### 3. Which of the following findings in a client hospitalized for 8
days with AKI caused by dehydration should the nurse report
immediately?
A) Blood pressure 130/80 mm Hg
B) Rhythm strip showing tall peaked T waves
C) Urine output 50 mL/hr
D) Serum sodium 138 mEq/L
Correct Answer: B) Rhythm strip showing tall peaked T waves
Rationale: Tall peaked T waves indicate hyperkalemia, a life-threatening
complication in AKI that demands immediate intervention.
---
### 4. A client receiving intravenous gentamicin has developed
oliguria and increased blood pressure. What should the nurse do
first?
A) Collect a specimen for gentamicin peak and trough levels
B) Increase intravenous fluids
C) Administer antihypertensive medication
D) Notify the dietitian
Correct Answer: A) Collect a specimen for gentamicin peak and trough
levels
Rationale: Monitoring gentamicin peak and trough levels assesses
potential nephrotoxicity and guides dose adjustments to prevent further
renal damage.
---
