2026–2027 NGN NCLEX
Solution Manual for Medical-
Surgical
Question 1:
Question Type:
MCQ
Question Stem:
Which statement best describes professional nursing practice?
Options:
A. Performing tasks assigned by the provider as quickly as
possible
B. Using clinical judgment, ethical standards, and scientific
knowledge to meet patient needs
C. Focusing primarily on carrying out technical procedures
without family involvement
D. Limiting care to direct bedside interventions
Correct Answer: B
,Rationale for A:
Following provider orders is part of nursing, but professional
practice is broader than task completion. It requires
independent judgment, safety awareness, and accountability.
Rationale for B:
Professional nursing integrates knowledge, ethics,
communication, and clinical judgment to deliver safe, holistic
care. This reflects the nurse’s full scope of practice and
responsibility for outcomes.
Rationale for C:
Technical skill matters, but nursing is not limited to procedures.
Family involvement, education, advocacy, and coordination are
also core responsibilities.
Rationale for D:
Nursing care extends beyond bedside tasks to assessment,
planning, teaching, collaboration, prevention, and evaluation.
Limiting practice to direct care misses major professional
functions.
Key Takeaway:
Professional nursing is a judgment-based, holistic practice, not
just task completion.
Question 2:
Question Type:
,MCQ
Question Stem:
A nurse notices that a prescribed medication could interact with
a patient’s home herbal supplement. Which action best reflects
the nurse’s role as a patient advocate?
Options:
A. Tell the patient to stop all supplements without further
discussion
B. Ignore the issue because supplements are not prescribed
medications
C. Clarify the medication history and notify the prescribing
provider of the potential interaction
D. Ask the patient to decide whether the interaction matters
Correct Answer: C
Rationale for A:
Stopping supplements may be appropriate in some cases, but
the nurse should first assess what the patient is taking and
communicate the risk to the provider.
Rationale for B:
Herbal products can affect safety and drug response. Ignoring
them can expose the patient to preventable adverse effects or
treatment failure.
, Rationale for C:
Advocacy includes identifying risks, clarifying the medication
profile, and communicating concerns to the provider so the
plan of care can be made safe.
Rationale for D:
Patients should participate in decisions, but the nurse must first
provide accurate safety information and escalate the concern
appropriately.
Key Takeaway:
Advocacy means identifying risk and speaking up to protect
patient safety.
Question 3:
Question Type:
MCQ
Question Stem:
A patient says, “I do not understand the discharge instructions,
but I do not want to seem difficult.” What is the nurse’s best
response?
Options:
A. “You should have asked the provider when the instructions
were given.”
Solution Manual for Medical-
Surgical
Question 1:
Question Type:
MCQ
Question Stem:
Which statement best describes professional nursing practice?
Options:
A. Performing tasks assigned by the provider as quickly as
possible
B. Using clinical judgment, ethical standards, and scientific
knowledge to meet patient needs
C. Focusing primarily on carrying out technical procedures
without family involvement
D. Limiting care to direct bedside interventions
Correct Answer: B
,Rationale for A:
Following provider orders is part of nursing, but professional
practice is broader than task completion. It requires
independent judgment, safety awareness, and accountability.
Rationale for B:
Professional nursing integrates knowledge, ethics,
communication, and clinical judgment to deliver safe, holistic
care. This reflects the nurse’s full scope of practice and
responsibility for outcomes.
Rationale for C:
Technical skill matters, but nursing is not limited to procedures.
Family involvement, education, advocacy, and coordination are
also core responsibilities.
Rationale for D:
Nursing care extends beyond bedside tasks to assessment,
planning, teaching, collaboration, prevention, and evaluation.
Limiting practice to direct care misses major professional
functions.
Key Takeaway:
Professional nursing is a judgment-based, holistic practice, not
just task completion.
Question 2:
Question Type:
,MCQ
Question Stem:
A nurse notices that a prescribed medication could interact with
a patient’s home herbal supplement. Which action best reflects
the nurse’s role as a patient advocate?
Options:
A. Tell the patient to stop all supplements without further
discussion
B. Ignore the issue because supplements are not prescribed
medications
C. Clarify the medication history and notify the prescribing
provider of the potential interaction
D. Ask the patient to decide whether the interaction matters
Correct Answer: C
Rationale for A:
Stopping supplements may be appropriate in some cases, but
the nurse should first assess what the patient is taking and
communicate the risk to the provider.
Rationale for B:
Herbal products can affect safety and drug response. Ignoring
them can expose the patient to preventable adverse effects or
treatment failure.
, Rationale for C:
Advocacy includes identifying risks, clarifying the medication
profile, and communicating concerns to the provider so the
plan of care can be made safe.
Rationale for D:
Patients should participate in decisions, but the nurse must first
provide accurate safety information and escalate the concern
appropriately.
Key Takeaway:
Advocacy means identifying risk and speaking up to protect
patient safety.
Question 3:
Question Type:
MCQ
Question Stem:
A patient says, “I do not understand the discharge instructions,
but I do not want to seem difficult.” What is the nurse’s best
response?
Options:
A. “You should have asked the provider when the instructions
were given.”
