NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
The nurse is caring for a client who has a liver transplant 48 hours ago. It is a priority
for the nurse to notify the PHCP if the client has
- An increasing bilirubin level
- Scant amounts of serosanguinous drainage from the incision
- A urine output that has decreased from 65 to 45mL/ Hr since surgery
- An increase in BP from 115/68 to 122/74 - correct answer An increasing bilirubin
level
The nurse is caring for a client who had a lung transplant 10 days ago. It is a priority
for the nurse to notify the PHCP if the client has
- Only used the incentive spirometer once since last evening
- Developed sputum that is yellow-tinged
- A pain rating of 7/10 when taking a deep-breath
- Refused high- frequency chest wall oscillation for the past 24 hrs. - correct answer
Developed sputum that is yellow-tinged
The nurse is caring for a client who had a kidney transplant 2 week ago. Which
findings from the box below should the nurse correlate to possible organ rejection?
1. Blood pressure of 116/66
2. Serum creatinine lvl of 2.5
, NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
3. Urinalysis is positive for protein
4. Serum potassium level of 5.8
5. Blood urea nitrogen (BUN) levl of 30. - correct answer 2. Serum creatinine lvl of
2.5
4. Serum potassium level of 5.8
5. Blood urea nitrogen (BUN) levl of 30.
The nurse working in the PHCP office has just administered a routine immunization
to a client. The client is asked to wait in the waiting room for the next 15 minutes. five
minutes later, the client develops swlling of the eyes and reports feeling anxious,
SOB, and dizzy. Which of the following actions should the nurse take first?
- Elevate the client's feet and legs
- Perform a respiratory assessment
- Prepare tp administer diphenhydramine
- Obtain a full set of vital signs. - correct answer Perform a respiratory assessment
The nurse working in the emergency department (ED) is admitting a client who
presents with stridor, dyspnea, and bronchospasm after being stung by a bee. After
notifying the ED health care provider, which of the following action should the nurse
take next?
-Administer an Albuterol nebulizer treatment.
, NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
-Initiate oxygen via a nonrebreather mask.
-Remove the bee sting from the site of the sting.
-Prepare to administer a corticosteroid. - correct answer Initiate oxygen via a
nonrebreather mask.
The newly hired nurse has attended a continuing education conference regarding
anaphylaxis with allergen exposure. Which of the following statements by the newly
hired nurse indicates a need for further education?
-"The client may present with widespread hives and hypoxia."
-"The client may present with swollen lips and tongue".
-"The client may report new-onset abdominal cramping with hyperreflexia."
-"The client may have audible wheezes and cyanosis." - correct answer "The client
may report new-onset abdominal cramping with hyperreflexia."
The nurse is assessing a client who has systemic lupus erythematosus (SLE). Which
findings from the box below require follow-up by the nurse?
1. Prolonged capillary refill.
2. Cardiac murmurs.
3. Butterfly rash.
4. Joint pain.
5. Oliguria. - correct answer 1. Prolonged capillary refill.
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
The nurse is caring for a client who has a liver transplant 48 hours ago. It is a priority
for the nurse to notify the PHCP if the client has
- An increasing bilirubin level
- Scant amounts of serosanguinous drainage from the incision
- A urine output that has decreased from 65 to 45mL/ Hr since surgery
- An increase in BP from 115/68 to 122/74 - correct answer An increasing bilirubin
level
The nurse is caring for a client who had a lung transplant 10 days ago. It is a priority
for the nurse to notify the PHCP if the client has
- Only used the incentive spirometer once since last evening
- Developed sputum that is yellow-tinged
- A pain rating of 7/10 when taking a deep-breath
- Refused high- frequency chest wall oscillation for the past 24 hrs. - correct answer
Developed sputum that is yellow-tinged
The nurse is caring for a client who had a kidney transplant 2 week ago. Which
findings from the box below should the nurse correlate to possible organ rejection?
1. Blood pressure of 116/66
2. Serum creatinine lvl of 2.5
, NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
3. Urinalysis is positive for protein
4. Serum potassium level of 5.8
5. Blood urea nitrogen (BUN) levl of 30. - correct answer 2. Serum creatinine lvl of
2.5
4. Serum potassium level of 5.8
5. Blood urea nitrogen (BUN) levl of 30.
The nurse working in the PHCP office has just administered a routine immunization
to a client. The client is asked to wait in the waiting room for the next 15 minutes. five
minutes later, the client develops swlling of the eyes and reports feeling anxious,
SOB, and dizzy. Which of the following actions should the nurse take first?
- Elevate the client's feet and legs
- Perform a respiratory assessment
- Prepare tp administer diphenhydramine
- Obtain a full set of vital signs. - correct answer Perform a respiratory assessment
The nurse working in the emergency department (ED) is admitting a client who
presents with stridor, dyspnea, and bronchospasm after being stung by a bee. After
notifying the ED health care provider, which of the following action should the nurse
take next?
-Administer an Albuterol nebulizer treatment.
, NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
-Initiate oxygen via a nonrebreather mask.
-Remove the bee sting from the site of the sting.
-Prepare to administer a corticosteroid. - correct answer Initiate oxygen via a
nonrebreather mask.
The newly hired nurse has attended a continuing education conference regarding
anaphylaxis with allergen exposure. Which of the following statements by the newly
hired nurse indicates a need for further education?
-"The client may present with widespread hives and hypoxia."
-"The client may present with swollen lips and tongue".
-"The client may report new-onset abdominal cramping with hyperreflexia."
-"The client may have audible wheezes and cyanosis." - correct answer "The client
may report new-onset abdominal cramping with hyperreflexia."
The nurse is assessing a client who has systemic lupus erythematosus (SLE). Which
findings from the box below require follow-up by the nurse?
1. Prolonged capillary refill.
2. Cardiac murmurs.
3. Butterfly rash.
4. Joint pain.
5. Oliguria. - correct answer 1. Prolonged capillary refill.
