ELSEVIER MEDICAL-SURGICAL NURSING SIMULATION EXAM 12TH EDITION QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
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,Core Domains
Professional Nursing Practice and NCLEX Preparation
Health Equity and Culturally Competent Care
Patient and Caregiver Teaching
Chronic Illness and Older Adults
Stress Management and Sleep Disorders
Pain Management and Palliative Care
Inflammation, Healing, and Immune Responses
Infection Control and Cancer Nursing
Fluid, Electrolyte, and Acid-Base Imbalances
Perioperative and Emergency Care
Visual and Auditory Problems
Cardiovascular and Vascular Disorders
Hematologic System Disorders
Respiratory System Assessment and Management
Acute Respiratory Problems and TB
Assessment and Endocrine System
Diabetes Mellitus and Endocrine Problems
,Reproductive System Assessment and Disorders
Breast Disorders and Cancer
Gastrointestinal System Disorders
Nutritional Disorders and Obesity
Liver, Pancreas, and Biliary Tract Disorders
Urinary and Kidney Disorders
Acute and Chronic Kidney Disease
Female and Male Reproductive Systems
Sexually Transmitted Diseases
Neurologic System Assessment and Disorders
Stroke and Neurologic Infections
Musculoskeletal System and Disorders
Bone and Joint Disorders
, Introduction
This comprehensive assessment evaluates critical knowledge and clinical decision-making skills essential for
medical-surgical nursing practice. The exam consists of 100 multiple-choice questions designed to measure
competence across foundational theory, applied professional knowledge, regulatory compliance, ethics, and
real-world clinical scenarios. Questions emphasize the nursing process, clinical judgment, and evidence-based
practice aligned with Next-Generation NCLEX® standards. The scenario-based structure requires candidates
to demonstrate critical thinking, prioritization, and safe effective care environment skills. Success requires
mastery of medical-surgical concepts from assessment through intervention, with strong emphasis on patient
safety, health promotion, acute care interventions, and ambulatory care management.
Section One: Questions 1–100
Question 1
A nurse is preparing an admission assessment for a 72-year-old patient with chronic kidney disease. Which
finding should the nurse prioritize as most concerning?
A. Blood pressure of 148/92 mmHg
B. Serum creatinine of 2.8 mg/dL
C. Mild edema in both lower extremities
D. Urine output of 600 mL over 24 hours
🟢 Correct answer: D
AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
,Core Domains
Professional Nursing Practice and NCLEX Preparation
Health Equity and Culturally Competent Care
Patient and Caregiver Teaching
Chronic Illness and Older Adults
Stress Management and Sleep Disorders
Pain Management and Palliative Care
Inflammation, Healing, and Immune Responses
Infection Control and Cancer Nursing
Fluid, Electrolyte, and Acid-Base Imbalances
Perioperative and Emergency Care
Visual and Auditory Problems
Cardiovascular and Vascular Disorders
Hematologic System Disorders
Respiratory System Assessment and Management
Acute Respiratory Problems and TB
Assessment and Endocrine System
Diabetes Mellitus and Endocrine Problems
,Reproductive System Assessment and Disorders
Breast Disorders and Cancer
Gastrointestinal System Disorders
Nutritional Disorders and Obesity
Liver, Pancreas, and Biliary Tract Disorders
Urinary and Kidney Disorders
Acute and Chronic Kidney Disease
Female and Male Reproductive Systems
Sexually Transmitted Diseases
Neurologic System Assessment and Disorders
Stroke and Neurologic Infections
Musculoskeletal System and Disorders
Bone and Joint Disorders
, Introduction
This comprehensive assessment evaluates critical knowledge and clinical decision-making skills essential for
medical-surgical nursing practice. The exam consists of 100 multiple-choice questions designed to measure
competence across foundational theory, applied professional knowledge, regulatory compliance, ethics, and
real-world clinical scenarios. Questions emphasize the nursing process, clinical judgment, and evidence-based
practice aligned with Next-Generation NCLEX® standards. The scenario-based structure requires candidates
to demonstrate critical thinking, prioritization, and safe effective care environment skills. Success requires
mastery of medical-surgical concepts from assessment through intervention, with strong emphasis on patient
safety, health promotion, acute care interventions, and ambulatory care management.
Section One: Questions 1–100
Question 1
A nurse is preparing an admission assessment for a 72-year-old patient with chronic kidney disease. Which
finding should the nurse prioritize as most concerning?
A. Blood pressure of 148/92 mmHg
B. Serum creatinine of 2.8 mg/dL
C. Mild edema in both lower extremities
D. Urine output of 600 mL over 24 hours
🟢 Correct answer: D
