NUR 265 EXAM
MEDICAL SURGICAL NURSING
FINAL EXAM LATEST 2026 QUESTIONS WITH WELL VERIFIED
ANSWERS AND RATIONALES|RATED A
THIS DOCUMENT CONTAINS:
➢ GUARANTEE PASSING SCORE
➢ QUESTIONS AND ANSWERS
➢ EXPERT VERIFIED EXPLANATIONS
➢ FORMAT SET OF MULTIPLE-CHOICE
, 1. A nurse is caring for a client with heart failure who has been
prescribed furosemide (Lasix). Which assessment finding
requires immediate action?
A) Serum potassium 3.2 mEq/L
B) Blood pressure 135/85 mmHg
C) Urine output 40 mL/hr
D) Weight gain of 0.5 kg in 24 hours
Answer: A
Rationale: A serum potassium of 3.2 mEq/L indicates hypokalemia, a common
adverse effect of loop diuretics like furosemide. Hypokalemia increases the risk of
cardiac dysrhythmias, especially in clients with heart failure who may also be taking
digoxin. The other findings are not immediately life-threatening.
2. A client with chronic obstructive pulmonary disease (COPD)
has an oxygen saturation of 88% on room air. Which
intervention should the nurse implement first?
A) Initiate oxygen at 2 L/min via nasal cannula
B) Encourage incentive spirometry use
C) Place the client in high-Fowler’s position
D) Obtain an arterial blood gas (ABG) sample
Answer: C
Rationale: Positioning is a priority nursing intervention to improve ventilation and
gas exchange. High-Fowler’s position allows for maximum lung expansion and
reduces work of breathing. Oxygen should be used cautiously in COPD clients
(avoiding hypercapnia), but positioning is the immediate, non-invasive first step.
MEDICAL SURGICAL NURSING
FINAL EXAM LATEST 2026 QUESTIONS WITH WELL VERIFIED
ANSWERS AND RATIONALES|RATED A
THIS DOCUMENT CONTAINS:
➢ GUARANTEE PASSING SCORE
➢ QUESTIONS AND ANSWERS
➢ EXPERT VERIFIED EXPLANATIONS
➢ FORMAT SET OF MULTIPLE-CHOICE
, 1. A nurse is caring for a client with heart failure who has been
prescribed furosemide (Lasix). Which assessment finding
requires immediate action?
A) Serum potassium 3.2 mEq/L
B) Blood pressure 135/85 mmHg
C) Urine output 40 mL/hr
D) Weight gain of 0.5 kg in 24 hours
Answer: A
Rationale: A serum potassium of 3.2 mEq/L indicates hypokalemia, a common
adverse effect of loop diuretics like furosemide. Hypokalemia increases the risk of
cardiac dysrhythmias, especially in clients with heart failure who may also be taking
digoxin. The other findings are not immediately life-threatening.
2. A client with chronic obstructive pulmonary disease (COPD)
has an oxygen saturation of 88% on room air. Which
intervention should the nurse implement first?
A) Initiate oxygen at 2 L/min via nasal cannula
B) Encourage incentive spirometry use
C) Place the client in high-Fowler’s position
D) Obtain an arterial blood gas (ABG) sample
Answer: C
Rationale: Positioning is a priority nursing intervention to improve ventilation and
gas exchange. High-Fowler’s position allows for maximum lung expansion and
reduces work of breathing. Oxygen should be used cautiously in COPD clients
(avoiding hypercapnia), but positioning is the immediate, non-invasive first step.
