pg. 1 Galen Nur 265 Final Exam 2025 Practice Test With 250 Questions and Correct Verified Answers/ Nur 265 ATI Exam Prep Test Bank 2025 (Brand New)
After change of - shift report , which client should the nurse assess first ?a ) 64 - year - old on a mechanical ventilator and decreased breath sounds to right lung after subclavian catheter insertion .b ) 28 - year - old with a history of a Cushing's disease and a temperature of 100.9 ° F.c ) 40 - year - old with a pleural effusion who is complaining of severe stabbing chest pain .d ) 45 year old admitted with hyperthyroidism reports feeling anxious , diaphoretic and has visual changes .a ) 64 - year - old on a mechanical ventilator and decreased breath sounds to right lung after subclavian catheter insertion .The nurse is caring for an elderly client newly diagnosed with hypothyroidism .Which of the following medications would require immediate follow up with the health care provider ?a ) docusate b ) diazepam c ) ibuprofen d ) metformin b ) diazepam A nurse plans care for a client with Cushing's disease . Which action should the nurse include in the plan of care to prevent injury ?a ) Use a lift sheet to change the client's position b ) Pad the bed rails c ) Keep suctioning equipment at the client's bedside d ) Maintain head of bed at 45 ° d ) Maintain head of bed at 45 ° A 44 - year - old client is admitted with tetany . Which laboratory value should the nurse monitor ? 1 / 4
pg. 2 a ) Serum calcium b ) Serum sodium c ) Serum magnesium d ) Serum potassium a ) Serum calcium The newly hired nurse is caring for a client orally intubated . Which of the following actions would require immediate follow up by the charge nurse ?a ) Chlorohexadine rinses every two hours b ) Applying suction while inserting the catheter via closed suctioning system .c ) Maintains artificial airway by securing ET tube holder d ) Assessing anterior & posterior lung sounds every two hours b ) Applying suction while inserting the catheter via closed suctioning system .The nurse is caring for a 63 - year - old with Cushing's who is scheduled for a computed tomography ( CT ) scan with contrast . Which information about the client is most important to discuss with the health care provider before the test ?a ) Recent history of paralytic ilieus
- Complains of chronic headache
C ) Blood glucose level of 224 mg / dL d ) History of renal insufficiency d ) History of renal insufficiency A 27 - year - old client with a history of type 1 diabetes presents to the emergency department with fruity odor to breath , dry mucous membranes , a serum glucose level of 406 mg / dL and serum potassium level of 5.6 mEq / L which action prescribed by the health care provider should the nurse take first ?a ) Start an insulin infusion at 0.1 units / kg / hr .b ) Place the client on a cardiac monitor c ) Obtain urine glucose and ketone levels .d ) Administer kayexalate po b ) Place the client on a cardiac monitor .A client who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago . The client reports feeling lightheaded and sweaty . Which action should the nurse take first ?a ) Administer scheduled 1 gm IV Vancomycin . 2 / 4
pg. 3 b Infuse dextrose 50 % by slow IV push .c ) Have the client drink 4 ounces of orange juice .d ) Obtain a glucose reading using a finger stick .d ) Obtain a glucose reading using a finger stick .After change - of - shift report , which client will the nurse assess first ?a ) 49 - year - old with Cushing's syndrome who has skin breakdown on the coccyx area b ) 35 - year - old client being treated for a pulmonary embolism with heparin whose PTT is 72sec c ) 68 - year - old with type 2 diabetes who has severe peripheral neuropathy and complains of burning foot pain d ) 60 - year - old with hyperosmolar hyperglycemic syndrome who has poor skin turgor and dry oral mucosa d ) 60 - year old with hyperosmolar hyperglycemic syndrome who has poor skin turgor and dry oral mucosa A female client is scheduled for transsphenoidal hypophysectomy to treat a pituitary adenoma . During preoperative teaching , the nurse instructs the client about the need to avoid
a ) brushing teeth for 14 days after the surgery .b ) cough and deep breathe every hour postoperatively .c ) be positioned flat with sandbags at the head postoperatively .d ) remain on bed rest for the first 48 hours after the surgery .a ) brushing teeth for 14 days after the surgery The nurse determines additional instruction is needed for a client with chronic syndrome of inappropriate antidiuretic hormone SIADH ) when the client says which of the following ?a ) " I need to limit my fluid intake to no more than 1 quart of liquids a day . " b " I will eat foods high in potassium because diuretics cause potassium loss . " c ) " I need to shop for foods low in sodium and avoid adding salt to food . " d ) " I should weigh myself daily and report any sudden weight loss or gain . " c ) " I need to shop for foods low in sodium and avoid adding salt to food . 3 / 4
pg. 4 A 56 - year - old client who is disoriented and reports a headache and muscle cramps is hospitalized with possible syndrome of inappropriate antidiuretic hormone ( SIADH ) . The nurse would expect the initial laboratory results to include a ( n ) a ) decreased serum sodium .b ) elevated hematocrit .c ) increased serum chloride .d ) low urine specific gravity .a ) decreased serum sodium .Which of the following nursing diagnosis would the nurse expect to assign for a client with diabetes insipidus ?a ) risk for impaired skin integrity related to generalized edema .b ) sleep pattern disturbance related to frequent waking to void .c ) impaired gas exchange related to fluid retention in lungs .d ) excess fluid volume related to intake greater than output .b ) sleep pattern disturbance related to frequent waking to void .A client who had a subtotal thyroidectomy earlier today develops tetany and a cramp in the right hand upon returning to the surgical nursing unit . Which collaborative action will the nurse anticipate next ?a ) Bolus 500mL of 0.9 % NS , followed by 40 mg furosmide b ) Administer IV calcium gluconate .c ) Auscultate over the trachea for signs of stridor d ) Assess serum potassium levels b ) Administer IV calcium gluconate .A client with hyperthyroidism is to be treated with radioactive iodine ( RAI ) .Which of the following statements made by the client indicates a correct understanding of teaching ?a ) " I will continue taking my methamizole throughout treatment " .b ) " I should double bag all disposble tissues before placing in garbarge receptacle " .c ) " My symptoms of hyperthyroidism should be relieved in about a seven to ten days " .d ) " I will increase my daily consumption of fruits " .a ) " I will continue taking my methamizole throughout treatment " .
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