Concepts (2026/2027) Expert Strategies,
Review of Key Practice Questions and Verified
Detailed Answers; for Guaranteed Success -
Galen
This 120-question comprehensive study guide covers core nursing concepts for
Exam 2 and Exam 3. It focuses on pathophysiology, pharmacology, and clinical
management—specifically acid-base imbalances, shock, cardiac conditions, and
maternal-child health.
Key clinical topics in this question bank include:
• Acid-Base Balances: Recognizing and managing metabolic and respiratory
acidosis/alkalosis based on \(\text{pH}\) and \(\text{HCO}_{3}\) or
\(\text{CO}_{2}\) levels.
• Shock Management: Nursing interventions for hypovolemic shock,
including IV fluid resuscitation, vasopressors, blood transfusions, and
oxygen therapy.
• Cardiac Dysrhythmias: Identifying life-threatening rhythms (e.g.,
Ventricular Tachycardia without a pulse) and treatment protocols like
defibrillation.
• Gastrointestinal & Hepatic: Cirrhosis management, including reducing
protein intake and administering lactulose for ascites.
• Maternity & Neonatal: Interventions for postpartum hemorrhage (e.g.,
massaging the fundus, elevating legs) and neonatal conditions like
phototherapy for hyperbilirubinemia.
Quiz_________________?
,The nurse has been made aware of the following client situations. It is necessary
for the nurse to intially assess the client who has: -
Answer
Diabetes mellitus (type 1) is difficult to arouse, and has a blood glucose of 38
mg/dL
Quiz_________________?
The nurse has recieved handoff report and is assigning tasks to the unlicensed
assistive personnel (UAP). Which of the following tasks should the nurse instruct
the UAP to perform first? -
Answer
Obtain a capillary blood glucose on a client who had a hypoglycemic episode 30
minutes ago and recieved dextrose IV.
Quiz_________________?
The nurse working on a pediatric unit has received the handoff report and is
reviewing client data and orders. Which of the following clients should the nurse
plan to see first? -
Answer
The infant who has a diagnosis of pertussis or RSV and is recieving oxygen via
nasal cannula.
Quiz_________________?
The nurses is assisting with discharge planning for assigned clients. Which of the
following referrals is appropriate for the nurse to make? -
, Answer
A physical therapist (PT) referral for a client who has a total knee replacement
(TKR) and needs instruction on the use of a walker.
Quiz_________________?
The nurse who normally works on the maternity unit has been floated to work
on an adult medical surgical unit for the shift. It is appropriate to assign the float
nurse the client who? -
Answer
24 hours post-op from having an appendectomy
Quiz_________________?
The nurse preceptor is observing a newly hired nurse teach a client who has
pelvic inflammatoy disease about self-care. The client does not speak english.
Which of the following actions by the newly hired nurse requires intervention by
the nurse preceptor? -
Answer
Having a family member who speaks English and the clients language interpret the
instructions.
Quiz_________________?
The nurse working in the labor and delivery (L&D) unit is caring for a client in
labor whose membranes just spontaneously ruptured. Which of the following
findings is priority for the nurse to report to the health care provider (PHCP)? -
Answer
, New appearance of late decelerations
Quiz_________________?
The nurse preceptor is observing a newly hired nurse care for assigned clients.
Which of the following actions by the newly hired nurse indicates correct care? -
Answer
Using 23 gauge, 1 inch needle when administering a medication in the deltoid
muscle.
Quiz_________________?
The nurse working in an outpatient care clinic is assessing clients who are waiting
to be seen. Which of the following clients should the nurse have the primary
health care provider (PHCP) see first? -
Answer
45 year-old who has pleurisy and is reporting worsening shortness of breath.
Quiz_________________?
The nurse is caring for a male client who has full-thickness burns to 50% of the
lower body. It is a priority for the nurse to notify the primary health care
provider (PHCP if the client has: -
Answer
Temperature of 104.2 F