14th Edition Moreno: The Ultimate 200-Question
Practice Bank with Bolded Answers and Italicized
Rationales
Introduction:
Welcome to this comprehensive 200-question practice examination designed specifically for
nursing students using Timby's Introductory Medical-Surgical Nursing, 14th Edition by Loretta
A. Donnelly-Moreno and Brigitte Moseley (Wolters Kluwer). This question bank is
meticulously crafted to align with the textbook's structure, content emphasis, and NCLEX-PN
style.
Why This Practice Bank?
Medical-surgical nursing is the foundation of practical nursing practice. Mastering this content
is essential for:
• Course success – Passing unit exams and final comprehensive exams
• NCLEX-PN preparation – Medical-surgical content makes up the largest percentage of
the licensure exam
• Clinical judgment – Developing critical thinking for real-world patient care
What You Will Find Inside:
Feature Description
Based on the 14th edition content outline, not copied from the publisher's te
200 Original Questions
bank
Bolded Correct Answers Immediate visual confirmation of the right answer
,Feature Description
Italicized Clinical
Evidence-based explanations that deepen understanding
Rationales
12 Unit Coverage All major body systems and nursing roles
Content Coverage by Unit:
Unit Title Question Numbers
1 Nursing Roles and Responsibilities 61–65
2 Concepts of Medical-Surgical Nursing 66–70
3 Respiratory Disorders 71–80
4 Cardiovascular Disorders 81–95
5 Hematologic and Immune Disorders 96–105
6 Endocrine Disorders 106–120
7 Gastrointestinal Disorders 121–135
8 Renal and Urinary Disorders 136–150
9 Neurologic Disorders 151–165
10 Musculoskeletal Disorders 166–175
11 Integumentary Disorders 176–185
, Unit Title Question Numbers
12 Reproductive Disorders 186–200
Unit 1: Nursing Roles and Responsibilities (Questions 1–5)
1. A nurse is caring for a postoperative client who becomes restless, tachypneic, and has a
sudden drop in oxygen saturation to 88%. Which action demonstrates appropriate use of the
Rapid Response Team (RRT)?
• A) Document the findings and continue monitoring
• B) Increase the oxygen flow rate to 6 L/min
• C) Activate the Rapid Response Team immediately
• D) Page the primary care provider and wait for a callback
• Rationale: The RRT is designed to intervene for clients showing early signs of clinical
decline before a cardiac or respiratory arrest occurs. Restlessness, tachypnea, and
hypoxemia warrant immediate activation.
2. A competent older adult client refuses a prescribed blood pressure medication because it
makes him feel dizzy. The nurse respects this decision. Which ethical principle is the nurse
demonstrating?
• A) Beneficence
• B) Nonmaleficence
• C) Justice
• D) Autonomy
• Rationale: Autonomy respects a client's right to make informed decisions about their
own healthcare, even if those decisions differ from medical recommendations, as long as
the client is competent.
3. A nurse delegates a bed bath to a nursing assistant for a stable client. Which action by the
nursing assistant requires the nurse to intervene?
• A) Closing the privacy curtain
• B) Wearing gloves during the bath