NUR 265 Exam 1 Practice Questions with Correct Answers 2026 | Advanced Med-Surg | Galen College of Nursing – Complete PDF Study Guide

Master your NUR 265 Exam 1 (Advanced Medical-Surgical Nursing) at Galen College of Nursing with this comprehensive practice question PDF for the 2026 academic year. This high-yield resource features exam-style questions with verified correct answers covering all major Exam 1 topics, including: Renal Disorders: Chronic Kidney Disease (CKD) with uremia findings, hyperkalemia management (priority EKG review), Acute Kidney Injury (AKI) – pre-renal causes (anaphylaxis), diuretic phase nephrotoxin precautions (gentamycin), volume depletion prevention Hematologic Disorders: Heparin-induced thrombocytopenia (HIT) risk factors, thrombocytopenia discharge teaching (soft-bristled toothbrush), AV fistula care (no pressure dressings) Gastrointestinal & Hepatic Disorders: Acute pancreatitis (increased lipids, hemorrhagic pancreatitis with umbilical bruising), chronic pancreatitis (PERT administration with full glass of water, avoid spices, calories/day), cirrhosis with lactulose (decrease confusion, prevent hepatic encephalopathy via hydration), spironolactone hold for hyperkalemia (K+ 6.1), paracentesis (weigh before/after) Cardiovascular Disorders: Myocardial infarction (MI) – 12-lead EKG within 10 minutes, unstable angina (ST depression), post-MI complications (crackles at midline = left ventricular failure), atypical angina in women (indigestion), nitroglycerin IV drip calculation (6 mL/hr correct), dopamine for hypotension (desired BP increase), cardiac catheterization precautions (sildenafil contraindication), tenecteplase and warfarin interaction, cardiac tamponade (JVD), pericarditis (muffled heart sounds, fatigue), atrial fibrillation (diltiazem), bradycardia (sinus bradycardia 60bpm), tachycardia (SOB), pharmacological stress echocardiogram (NPO 3-6 hours) Valvular & Structural Heart Disease: Mitral valve replacement – mechanical valve (avoid invasive dental work for 6 months), biologic valve (resume normal activities at 6 weeks), infective endocarditis (heart murmur, petechiae), obstructive hypertrophic cardiomyopathy (avoid strenuous exercise), right-sided heart failure (elevated CVP, JVD) Vascular Disorders: Abdominal aortic aneurysm (AAA) repair post-op – heparin infusion contraindicated (graft rupture risk), creatinine increase from 0.9 to 2.5 mg/dL (renal failure follow-up), thoracic aneurysm (back pain priority), aortic dissection (absent pedal pulses, stabbing back pain), AAA rupture sign (gnawing flank pain) Activity Tolerance: Post-MI ambulation – angina onset indicates not ready to advance activity level Perfect for Galen College nursing students preparing for the NUR 265 proctored exam. Each question includes the correct answer as verified in the source. Updated for 2026 – your A+ pass guide. Keywords NUR 265, NUR265, Exam 1 practice questions, correct answers, Advanced Medical-Surgical Nursing, Galen College of Nursing, 2026 study guide, PDF, chronic kidney disease, CKD, uremia findings, muscle cramps, metallic taste, uremic frost, hyperkalemia 6.1 meq/L, EKG priority, heparin-induced thrombocytopenia, HIT risk factors, thrombocytopenia discharge teaching, soft-bristled toothbrush, peritoneal dialysis, warm dialysate, AV fistula, no pressure dressing, acute kidney injury, AKI pre-renal, anaphylaxis, AKI diuretic phase, gentamycin nephrotoxic, acute pancreatitis, increased lipid levels, hemorrhagic pancreatitis, umbilical bruising, chronic pancreatitis, PERT pancreatic enzymes, take with full glass of water, avoid spices, cirrhosis, lactulose, hepatic encephalopathy, prevent hypovolemia, spironolactone hold, hyperkalemia, paracentesis weigh before after, myocardial infarction, chest pain, 12-lead EKG within 10 minutes, unstable angina, ST depression, post-MI crackles, left ventricular failure, atypical angina women, indigestion, nitroglycerin IV drip calculation, dopamine continuous infusion, increased blood pressure desired effect, cardiac catheterization, sildenafil contraindication, tenecteplase, warfarin, cardiac tamponade, jugular vein distension JVD, pericarditis, muffled heart sounds, fatigue, atrial fibrillation, diltiazem, bradycardia, sinus bradycardia, tachycardia, SOB, pharmacological stress echocardiogram, NPO 3-6 hours, mitral valve replacement, mechanical valve, avoid dental work 6 months, biologic valve, resume activities 6 weeks, infective endocarditis, heart murmur, petechiae, obstructive hypertrophic cardiomyopathy, avoid strenuous exercise, right-sided heart failure, elevated central venous pressure, abdominal aortic aneurysm, AAA repair, heparin contraindicated, creatinine increase post AAA, thoracic aortic aneurysm, back pain, aortic dissection, absent pedal pulses, stabbing back pain, gnawing flank pain AAA rupture, post-MI ambulation, angina on exertion, Galen College, nursing exam prep, advanced med-surg test bank, verified answers 2026.