NUR 265 Med Surg Exam 1 Practice Questions (Latest
2026/2027 Update) | Kidney, Cardiac, Pancreas, Liver
Disorders | Grade A Q&A | 100% Verified
Nephrotic Syndrome, AKI, CKD, Dialysis, Pancreatitis, Cirrhosis, MI, Cardiac Catheterization, Aortic Dissection,
Cardiac Tamponade, Pericarditis, Endocarditis, Pacemaker, Valvular Disease, Dysrhythmias
SUBJECT COURSE FOCUS
Medical-Surgical Nursing NUR 265 Exam 1 Practice Application, Prioritization, Clinical
Judgment
Question 1
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?
A. I must protect myself from developing an infection
B. I should increase my intake of high-protein foods
C. I will need to restrict my fluid intake to 1 liter per day
D. I can stop my medications once my swelling goes away
CORRECT ANSWER
A. I must protect myself from developing an infection
RATIONALE
• Nephrotic syndrome causes loss of immunoglobulins in urine, increasing infection risk.
• Patients should avoid sick contacts and report signs of infection early.
• Immunosuppressant medications further increase infection risk.
,Question 2
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:
A. Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5 mg/dL
B. Has a BUN of 18 mg/dL
C. Has a potassium level of 4.0 mEq/L
D. Has a hemoglobin of 13.5 g/dL
CORRECT ANSWER
A. Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5 mg/dL
RATIONALE
• Rapid rise in creatinine indicates acute kidney injury (AKI), a common complication after AAA repair due to
decreased renal perfusion.
• Normal creatinine is 0.6-1.2 mg/dL; 2.5 represents significant acute kidney impairment.
• Immediate notification of provider is required to prevent further kidney damage.
, Question 3
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?
A. A rhythm strip reading that has tall, peaked T waves
B. Urine output of 400 mL over the past 8 hours
C. Serum potassium level of 5.0 mEq/L
D. Blood pressure of 138/88 mmHg
CORRECT ANSWER
A. A rhythm strip reading that has tall, peaked T waves
RATIONALE
• Tall, peaked T waves are an early ECG sign of hyperkalemia (life-threatening).
• AKI causes potassium retention; severe hyperkalemia can lead to cardiac arrest.
• This finding requires immediate intervention (calcium gluconate, insulin/glucose, kayexalate).
2026/2027 Update) | Kidney, Cardiac, Pancreas, Liver
Disorders | Grade A Q&A | 100% Verified
Nephrotic Syndrome, AKI, CKD, Dialysis, Pancreatitis, Cirrhosis, MI, Cardiac Catheterization, Aortic Dissection,
Cardiac Tamponade, Pericarditis, Endocarditis, Pacemaker, Valvular Disease, Dysrhythmias
SUBJECT COURSE FOCUS
Medical-Surgical Nursing NUR 265 Exam 1 Practice Application, Prioritization, Clinical
Judgment
Question 1
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?
A. I must protect myself from developing an infection
B. I should increase my intake of high-protein foods
C. I will need to restrict my fluid intake to 1 liter per day
D. I can stop my medications once my swelling goes away
CORRECT ANSWER
A. I must protect myself from developing an infection
RATIONALE
• Nephrotic syndrome causes loss of immunoglobulins in urine, increasing infection risk.
• Patients should avoid sick contacts and report signs of infection early.
• Immunosuppressant medications further increase infection risk.
,Question 2
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:
A. Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5 mg/dL
B. Has a BUN of 18 mg/dL
C. Has a potassium level of 4.0 mEq/L
D. Has a hemoglobin of 13.5 g/dL
CORRECT ANSWER
A. Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 to 2.5 mg/dL
RATIONALE
• Rapid rise in creatinine indicates acute kidney injury (AKI), a common complication after AAA repair due to
decreased renal perfusion.
• Normal creatinine is 0.6-1.2 mg/dL; 2.5 represents significant acute kidney impairment.
• Immediate notification of provider is required to prevent further kidney damage.
, Question 3
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?
A. A rhythm strip reading that has tall, peaked T waves
B. Urine output of 400 mL over the past 8 hours
C. Serum potassium level of 5.0 mEq/L
D. Blood pressure of 138/88 mmHg
CORRECT ANSWER
A. A rhythm strip reading that has tall, peaked T waves
RATIONALE
• Tall, peaked T waves are an early ECG sign of hyperkalemia (life-threatening).
• AKI causes potassium retention; severe hyperkalemia can lead to cardiac arrest.
• This finding requires immediate intervention (calcium gluconate, insulin/glucose, kayexalate).
