NUR 265 Exam 2 Medical-Surgical Nursing (2026) PDF |
Galen College of Nursing Graded A+(100 +QUESTIONS WITH
ANSWERS AND RATIONALES)
.The exam focuses on
• Respiratory Emergencies,
• Perioperative Care
• Wound Healing, Fluid & Electrolytes
• Immunology/Hematology .
•
,NUR 265 Exam 2 - Medical-Surgical Nursing (2026) | Galen College of Nursing
Based on the search results, I have compiled comprehensive practice questions for NUR 265
Exam 2. The exam focuses on Respiratory Emergencies, Perioperative Care, Wound Healing,
Fluid & Electrolytes, and Immunology/Hematology .
Section 1: Perioperative & Postoperative Care (Questions 1–20)
Question 1: A patient is 2 hours post-op from abdominal surgery. Which finding requires
immediate notification of the surgeon?
A) Pain rated 5/10
B) Heart rate 110 bpm, BP 88/50 mm Hg
C) Urine output 40 mL/hr
D) Temperature 99.8°F (37.7°C)
Correct Answer: B
Rationale: Tachycardia with hypotension suggests hypovolemia or hemorrhage. This is a sign of
potential postoperative bleeding requiring immediate surgical evaluation .
Question 2: A patient received general anesthesia. The nurse's priority in the immediate post-
op period is:
A) Pain management
B) Airway patency
C) Wound assessment
D) Fluid replacement
Correct Answer: B
Rationale: Airway is always the first priority. Anesthesia can cause airway obstruction due to
residual muscle relaxation, swelling, or secretions .
Question 3: Which assessment finding indicates malignant hyperthermia?
A) Hypothermia and bradycardia
B) Muscle rigidity and hyperthermia
C) Hypotension and polyuria
D) Respiratory depression and miosis
Correct Answer: B
, Rationale: Malignant hyperthermia is a life-threatening reaction to volatile anesthetics (e.g.,
halothane, sevoflurane) or succinylcholine. Signs include hyperthermia (temp >104°F), muscle
rigidity, tachycardia, and tachypnea .
Question 4: A patient post-op has a Jackson-Pratt drain with 150 mL of bright red blood in 1
hour. What should the nurse do first?
A) Document as normal
B) Empty the drain
C) Notify the provider
D) Apply pressure to the site
Correct Answer: C
Rationale: Drainage >100 mL/hr suggests active bleeding. The provider must be notified
immediately for possible return to surgery .
Question 5: Which instruction is correct for a patient after outpatient surgery with general
anesthesia?
A) "You may drive yourself home."
B) "Do not drink alcohol for 24 hours."
C) "Return to work tomorrow."
D) "You can eat a full meal immediately."
Correct Answer: B
Rationale: Alcohol interacts with anesthesia and sedatives, impairing recovery. Patients should
avoid alcohol for at least 24 hours post-surgery .
Question 6: A patient post-op reports sudden chest pain and dyspnea. The nurse suspects
pulmonary embolism. The priority action is:
A) Apply oxygen and call rapid response
B) Administer morphine
C) Obtain an ECG
D) Check oxygen saturation
Correct Answer: A
Rationale: Suspected PE requires immediate oxygenation and emergency team notification.
Rapid intervention can be life-saving .
Question 7: A patient is 6 hours post-op and has not ambulated. The nurse's best action is:
A) Wait until tomorrow
B) Assist the patient to sit at the bedside
Galen College of Nursing Graded A+(100 +QUESTIONS WITH
ANSWERS AND RATIONALES)
.The exam focuses on
• Respiratory Emergencies,
• Perioperative Care
• Wound Healing, Fluid & Electrolytes
• Immunology/Hematology .
•
,NUR 265 Exam 2 - Medical-Surgical Nursing (2026) | Galen College of Nursing
Based on the search results, I have compiled comprehensive practice questions for NUR 265
Exam 2. The exam focuses on Respiratory Emergencies, Perioperative Care, Wound Healing,
Fluid & Electrolytes, and Immunology/Hematology .
Section 1: Perioperative & Postoperative Care (Questions 1–20)
Question 1: A patient is 2 hours post-op from abdominal surgery. Which finding requires
immediate notification of the surgeon?
A) Pain rated 5/10
B) Heart rate 110 bpm, BP 88/50 mm Hg
C) Urine output 40 mL/hr
D) Temperature 99.8°F (37.7°C)
Correct Answer: B
Rationale: Tachycardia with hypotension suggests hypovolemia or hemorrhage. This is a sign of
potential postoperative bleeding requiring immediate surgical evaluation .
Question 2: A patient received general anesthesia. The nurse's priority in the immediate post-
op period is:
A) Pain management
B) Airway patency
C) Wound assessment
D) Fluid replacement
Correct Answer: B
Rationale: Airway is always the first priority. Anesthesia can cause airway obstruction due to
residual muscle relaxation, swelling, or secretions .
Question 3: Which assessment finding indicates malignant hyperthermia?
A) Hypothermia and bradycardia
B) Muscle rigidity and hyperthermia
C) Hypotension and polyuria
D) Respiratory depression and miosis
Correct Answer: B
, Rationale: Malignant hyperthermia is a life-threatening reaction to volatile anesthetics (e.g.,
halothane, sevoflurane) or succinylcholine. Signs include hyperthermia (temp >104°F), muscle
rigidity, tachycardia, and tachypnea .
Question 4: A patient post-op has a Jackson-Pratt drain with 150 mL of bright red blood in 1
hour. What should the nurse do first?
A) Document as normal
B) Empty the drain
C) Notify the provider
D) Apply pressure to the site
Correct Answer: C
Rationale: Drainage >100 mL/hr suggests active bleeding. The provider must be notified
immediately for possible return to surgery .
Question 5: Which instruction is correct for a patient after outpatient surgery with general
anesthesia?
A) "You may drive yourself home."
B) "Do not drink alcohol for 24 hours."
C) "Return to work tomorrow."
D) "You can eat a full meal immediately."
Correct Answer: B
Rationale: Alcohol interacts with anesthesia and sedatives, impairing recovery. Patients should
avoid alcohol for at least 24 hours post-surgery .
Question 6: A patient post-op reports sudden chest pain and dyspnea. The nurse suspects
pulmonary embolism. The priority action is:
A) Apply oxygen and call rapid response
B) Administer morphine
C) Obtain an ECG
D) Check oxygen saturation
Correct Answer: A
Rationale: Suspected PE requires immediate oxygenation and emergency team notification.
Rapid intervention can be life-saving .
Question 7: A patient is 6 hours post-op and has not ambulated. The nurse's best action is:
A) Wait until tomorrow
B) Assist the patient to sit at the bedside
