NUR 265 Exam 1 Med-Surg – Galen
College Actual Questions and
Answers (2026)
THIS DOCUMENT CONTAINS:
➢ GUARANTEE PASSING SCORE
➢ QUESTIONS AND ANSWERS
➢ EXPERT VERIFIED EXPLANATIONS
➢ FORMAT SET OF MULTIPLE-CHOICE
,Here is a comprehensive practice exam for NUR 265 Advanced
Concepts of Medical-Surgical Nursing Exam 1 at Galen College of
Nursing, featuring verified questions and detailed rationales based
on actual course content .
TABLE OF CONTENTS
Section Topic Area Questions
Section 1 Renal Disorders (CKD, AKI, Nephrotic Syndrome) 1-10
Section 2 Dialysis and Renal Replacement 11-18
Section 3 Gastrointestinal Disorders (Pancreatitis, Cirrhosis) 19-25
Section 4 Cardiac and Respiratory Disorders 26-30
Section 5 Immunologic and Infectious Disorders 31-35
Section 6 Fluid, Electrolyte, and Acid-Base Balance 36-40
, SECTION 1: Renal Disorders (CKD, AKI, Nephrotic
Syndrome)
Question 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. Furosemide may be
used for edema but does not address proteinuria directly .
Question 2
The nurse is reviewing labs of assigned clients. Which client 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 (AKI), requiring urgent evaluation to prevent further renal damage. The
other values are within normal ranges .
College Actual Questions and
Answers (2026)
THIS DOCUMENT CONTAINS:
➢ GUARANTEE PASSING SCORE
➢ QUESTIONS AND ANSWERS
➢ EXPERT VERIFIED EXPLANATIONS
➢ FORMAT SET OF MULTIPLE-CHOICE
,Here is a comprehensive practice exam for NUR 265 Advanced
Concepts of Medical-Surgical Nursing Exam 1 at Galen College of
Nursing, featuring verified questions and detailed rationales based
on actual course content .
TABLE OF CONTENTS
Section Topic Area Questions
Section 1 Renal Disorders (CKD, AKI, Nephrotic Syndrome) 1-10
Section 2 Dialysis and Renal Replacement 11-18
Section 3 Gastrointestinal Disorders (Pancreatitis, Cirrhosis) 19-25
Section 4 Cardiac and Respiratory Disorders 26-30
Section 5 Immunologic and Infectious Disorders 31-35
Section 6 Fluid, Electrolyte, and Acid-Base Balance 36-40
, SECTION 1: Renal Disorders (CKD, AKI, Nephrotic
Syndrome)
Question 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. Furosemide may be
used for edema but does not address proteinuria directly .
Question 2
The nurse is reviewing labs of assigned clients. Which client 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 (AKI), requiring urgent evaluation to prevent further renal damage. The
other values are within normal ranges .
