1|Page
NUR 265 EXAM 1-4 COMBINED VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
COMPLETELY UPDATED 2025–2026 EDITION A+
PERFORMANCE GUARANTEED
1. A postoperative patient is confused, restless, and has a BP of 88/52 mmHg.
What is the nurse’s priority action?
A. Reorient the patient
B. Assess for hypovolemic shock and notify provider
C. Encourage oral fluids
D. Document findings
- ANSWER: B. Assess for hypovolemic shock and notify provider
2. A patient on furosemide complains of muscle weakness and palpitations.
Which lab result should the nurse review first?
A. Potassium 2.7 mEq/L
B. Sodium 140 mEq/L
C. Glucose 100 mg/dL
D. Calcium 9 mg/dL
- ANSWER: A. Potassium 2.7 mEq/L
3. A patient reports sudden chest pain and shortness of breath. What is the first
nursing intervention?
A. Encourage rest
B. Assess airway, breathing, and circulation
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C. Provide oral fluids
D. Document and wait
- ANSWER: B. Assess airway, breathing, and circulation
4. A patient with diabetes reports shakiness and sweating after taking insulin.
What is the nurse’s priority action?
A. Check blood glucose immediately
B. Give insulin
C. Encourage exercise
D. Document symptoms
- ANSWER: A. Check blood glucose immediately
5. A patient on warfarin presents with bruising and nosebleeds. Which action
should the nurse take first?
A. Check INR and notify the provider
B. Continue therapy as usual
C. Encourage fluids
D. Provide vitamin K immediately
- ANSWER: A. Check INR and notify the provider
6. A patient receiving oxygen via nasal cannula at 2 L/min has SpO₂ 85% and
is dyspneic. What is the priority action?
A. Apply oxygen as prescribed and assess respiratory effort
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B. Encourage coughing
C. Provide oral fluids
D. Document findings
- ANSWER: A. Apply oxygen as prescribed and assess respiratory effort
7. A patient with heart failure reports weight gain of 3 pounds in two days.
What should the nurse do first?
A. Notify provider and assess for fluid overload
B. Encourage ambulation
C. Provide blanket
D. Document findings only
- ANSWER: A. Notify provider and assess for fluid overload
8. A patient with COPD has wheezing and SpO₂ of 88%. Which intervention is
the priority?
A. Administer prescribed bronchodilator and reassess
B. Encourage oral fluids
C. Document findings
D. Provide a blanket
- ANSWER: A. Administer prescribed bronchodilator and reassess
9. A patient on morphine has RR 8/min and somnolence. What is the priority
nursing action?
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A. Stop the medication and notify provider
B. Encourage deep breathing
C. Provide analgesic adjuncts
D. Document findings
- ANSWER: A. Stop the medication and notify provider
10.A patient on insulin reports confusion and diaphoresis. What is the nurse’s
immediate action?
A. Check blood glucose and provide a rapid-acting carbohydrate if
conscious
B. Administer more insulin
C. Encourage exercise
D. Monitor without intervention
- ANSWER: A. Check blood glucose and provide a rapid-acting
carbohydrate if conscious
11.A patient develops sudden shortness of breath and chest tightness. What is
the priority action?
A. Assess vital signs, oxygen saturation, and notify provider immediately
B. Provide oral fluids
C. Encourage ambulation
D. Document findings
- ANSWER: A. Assess vital signs, oxygen saturation, and notify provider
immediately
NUR 265 EXAM 1-4 COMBINED VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
COMPLETELY UPDATED 2025–2026 EDITION A+
PERFORMANCE GUARANTEED
1. A postoperative patient is confused, restless, and has a BP of 88/52 mmHg.
What is the nurse’s priority action?
A. Reorient the patient
B. Assess for hypovolemic shock and notify provider
C. Encourage oral fluids
D. Document findings
- ANSWER: B. Assess for hypovolemic shock and notify provider
2. A patient on furosemide complains of muscle weakness and palpitations.
Which lab result should the nurse review first?
A. Potassium 2.7 mEq/L
B. Sodium 140 mEq/L
C. Glucose 100 mg/dL
D. Calcium 9 mg/dL
- ANSWER: A. Potassium 2.7 mEq/L
3. A patient reports sudden chest pain and shortness of breath. What is the first
nursing intervention?
A. Encourage rest
B. Assess airway, breathing, and circulation
,2|Page
C. Provide oral fluids
D. Document and wait
- ANSWER: B. Assess airway, breathing, and circulation
4. A patient with diabetes reports shakiness and sweating after taking insulin.
What is the nurse’s priority action?
A. Check blood glucose immediately
B. Give insulin
C. Encourage exercise
D. Document symptoms
- ANSWER: A. Check blood glucose immediately
5. A patient on warfarin presents with bruising and nosebleeds. Which action
should the nurse take first?
A. Check INR and notify the provider
B. Continue therapy as usual
C. Encourage fluids
D. Provide vitamin K immediately
- ANSWER: A. Check INR and notify the provider
6. A patient receiving oxygen via nasal cannula at 2 L/min has SpO₂ 85% and
is dyspneic. What is the priority action?
A. Apply oxygen as prescribed and assess respiratory effort
,3|Page
B. Encourage coughing
C. Provide oral fluids
D. Document findings
- ANSWER: A. Apply oxygen as prescribed and assess respiratory effort
7. A patient with heart failure reports weight gain of 3 pounds in two days.
What should the nurse do first?
A. Notify provider and assess for fluid overload
B. Encourage ambulation
C. Provide blanket
D. Document findings only
- ANSWER: A. Notify provider and assess for fluid overload
8. A patient with COPD has wheezing and SpO₂ of 88%. Which intervention is
the priority?
A. Administer prescribed bronchodilator and reassess
B. Encourage oral fluids
C. Document findings
D. Provide a blanket
- ANSWER: A. Administer prescribed bronchodilator and reassess
9. A patient on morphine has RR 8/min and somnolence. What is the priority
nursing action?
, 4|Page
A. Stop the medication and notify provider
B. Encourage deep breathing
C. Provide analgesic adjuncts
D. Document findings
- ANSWER: A. Stop the medication and notify provider
10.A patient on insulin reports confusion and diaphoresis. What is the nurse’s
immediate action?
A. Check blood glucose and provide a rapid-acting carbohydrate if
conscious
B. Administer more insulin
C. Encourage exercise
D. Monitor without intervention
- ANSWER: A. Check blood glucose and provide a rapid-acting
carbohydrate if conscious
11.A patient develops sudden shortness of breath and chest tightness. What is
the priority action?
A. Assess vital signs, oxygen saturation, and notify provider immediately
B. Provide oral fluids
C. Encourage ambulation
D. Document findings
- ANSWER: A. Assess vital signs, oxygen saturation, and notify provider
immediately
