NUR 265 Exam 1: Advanced Medical-
Surgical Nursing | 50+ Questions and
Verified Answers | 100% Correct |
Grade A - Galen
This NUR 265 Exam 1 study guide (2026/2027 update) contain approximately
54+ NCLEX-style questions and verified answers focused on advanced medical-
surgical nursing, specifically targeting critical care, cardiac care, and renal disorders.
Key topics include CABG post-op, heparin drips, myocardial infarction management,
AKI, and nephrotic syndrome.
Key Content & Study Focus Areas
Cardiac Care (CABG/MI): Post-operative management of Coronary Artery Bypass
Grafting (CABG), specifically monitoring drainage amounts over 150 mL/hr.
Management of acute myocardial infarction (MI) using MONA (Morphine, Oxygen,
Nitro, Aspirin).
Renal Disorders (AKI & Nephrotic Syndrome): Acute Kidney Injury (AKI)
classifications—Prerenal (decreased perfusion), Intrarenal (damage), and Postrenal
(obstruction). Nephrotic Syndrome management: massive proteinuria
(\(>3.5\text{g}\)), hypoalbuminemia, and facial edema.
Hemodynamic Monitoring: Normal ranges for CVP (4-12) and PAWP (4-12).
Pharmacology: Proper administration and reversal of anticoagulants, specifically
heparin for bleeding (stop heparin, notify MD).
Chronic Conditions: Assessment of chronic pancreatitis, including liver function and
pancreatic enzymes.
Nursing Assessment: Monitoring fluid overload (every 2 hours for pulmonary edema)
and assessing chest pain using the PQRST method.
These resource offer A+ rated, verified answers aimed at student nurses preparing
for the Galen College of Nursing NUR 265 Advanced Med-Surg exam.
1
, Quiz_________________?
The nurse has provided discharge instructions to a client who is newly diagnosed
with nephrotic syndrome. Which of the following client statements indicates a
correct understanding of the teaching -
Answer
I must protect myself from developing an infection
Quiz_________________?
The nurse is reviewing the laboratory results of an assigned client; it is a priority
for the nurse to follow up with the PCP if the client -
Answer
Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to
2.5mg/dl
Quiz_________________?
The nurse is caring for a client who has been hospitalized for 8 days with AKI
caused by dehydration which of the following should the nurse report
immediately to the PCP -
Answer
A rhythm strip reading that has tall, peaked T waves
Quiz_________________?
2
, The nurse is caring for a client who is receiving gentamicin IV for infection and has
developed oliguria and increased blood pressure. Which of the following actions
should the nurse take first -
Answer
Obtain a prescription for gentamicin peak and trough levels
Quiz_________________?
The nurse is caring for a client with CKD, the client is reporting muscle weakness
diarrhea, and tingling in the hands. Which action should the nurse take first -
Answer
Check the client's most recent serum electrolyte levels
Quiz_________________?
The nurse is talking with a client who has CKD and has been receiving
hemodialysis 3x week. Which of the following client statements is a priority
follow-up by the nurse -
Answer
I try and limit my intake of dietary sodium to 5g a day
Quiz_________________?
The nurse is teaching a client who is in the late stage of CKD. Which of the
following client statements indicates a correct understanding of the teaching -
Answer
If I develop and fatigue or weakness I should report it to my doctor
3
Surgical Nursing | 50+ Questions and
Verified Answers | 100% Correct |
Grade A - Galen
This NUR 265 Exam 1 study guide (2026/2027 update) contain approximately
54+ NCLEX-style questions and verified answers focused on advanced medical-
surgical nursing, specifically targeting critical care, cardiac care, and renal disorders.
Key topics include CABG post-op, heparin drips, myocardial infarction management,
AKI, and nephrotic syndrome.
Key Content & Study Focus Areas
Cardiac Care (CABG/MI): Post-operative management of Coronary Artery Bypass
Grafting (CABG), specifically monitoring drainage amounts over 150 mL/hr.
Management of acute myocardial infarction (MI) using MONA (Morphine, Oxygen,
Nitro, Aspirin).
Renal Disorders (AKI & Nephrotic Syndrome): Acute Kidney Injury (AKI)
classifications—Prerenal (decreased perfusion), Intrarenal (damage), and Postrenal
(obstruction). Nephrotic Syndrome management: massive proteinuria
(\(>3.5\text{g}\)), hypoalbuminemia, and facial edema.
Hemodynamic Monitoring: Normal ranges for CVP (4-12) and PAWP (4-12).
Pharmacology: Proper administration and reversal of anticoagulants, specifically
heparin for bleeding (stop heparin, notify MD).
Chronic Conditions: Assessment of chronic pancreatitis, including liver function and
pancreatic enzymes.
Nursing Assessment: Monitoring fluid overload (every 2 hours for pulmonary edema)
and assessing chest pain using the PQRST method.
These resource offer A+ rated, verified answers aimed at student nurses preparing
for the Galen College of Nursing NUR 265 Advanced Med-Surg exam.
1
, Quiz_________________?
The nurse has provided discharge instructions to a client who is newly diagnosed
with nephrotic syndrome. Which of the following client statements indicates a
correct understanding of the teaching -
Answer
I must protect myself from developing an infection
Quiz_________________?
The nurse is reviewing the laboratory results of an assigned client; it is a priority
for the nurse to follow up with the PCP if the client -
Answer
Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to
2.5mg/dl
Quiz_________________?
The nurse is caring for a client who has been hospitalized for 8 days with AKI
caused by dehydration which of the following should the nurse report
immediately to the PCP -
Answer
A rhythm strip reading that has tall, peaked T waves
Quiz_________________?
2
, The nurse is caring for a client who is receiving gentamicin IV for infection and has
developed oliguria and increased blood pressure. Which of the following actions
should the nurse take first -
Answer
Obtain a prescription for gentamicin peak and trough levels
Quiz_________________?
The nurse is caring for a client with CKD, the client is reporting muscle weakness
diarrhea, and tingling in the hands. Which action should the nurse take first -
Answer
Check the client's most recent serum electrolyte levels
Quiz_________________?
The nurse is talking with a client who has CKD and has been receiving
hemodialysis 3x week. Which of the following client statements is a priority
follow-up by the nurse -
Answer
I try and limit my intake of dietary sodium to 5g a day
Quiz_________________?
The nurse is teaching a client who is in the late stage of CKD. Which of the
following client statements indicates a correct understanding of the teaching -
Answer
If I develop and fatigue or weakness I should report it to my doctor
3
