NCLEX-RN Medical-Surgical Nursing
Test Bank
1. Which of the following is the most common sign of heart failure?
a) Hypotension
b) Bradycardia
c) Shortness of breath
d) Chest pain
Answer: c) Shortness of breath
2. A patient with heart failure is prescribed a diuretic. Which electrolyte imbalance
is the most common side effect of this medication?
a) Hyperkalemia
b) Hypokalemia
c) Hypercalcemia
d) Hypoglycemia
Answer: b) Hypokalemia
3. A diabetic patient presents with fruity-smelling breath. What is the most likely
cause of this symptom?
a) Diabetic ketoacidosis
b) Hyperglycemia
c) Hypoglycemia
d) Insulin overdose
Answer: a) Diabetic ketoacidosis
4. Which of the following is the first-line medication for the management of
hypertension?
a) ACE inhibitors
b) Beta blockers
c) Calcium channel blockers
d) Diuretics
, Answer: d) Diuretics
5. A patient with type 1 diabetes is feeling dizzy, weak, and confused. Which action
should the nurse take first?
a) Check blood glucose levels
b) Administer insulin
c) Give a snack containing protein
d) Provide an oral glucose source
Answer: d) Provide an oral glucose source
6. A 50-year-old patient has been diagnosed with coronary artery disease. Which of
the following is a modifiable risk factor for the disease?
a) Age
b) Family history
c) Hypertension
d) Gender
Answer: c) Hypertension
7. A patient who is being treated with warfarin asks why they need frequent blood
tests. Which is the best response?
a) "The medication needs to be adjusted based on your platelet count."
b) "Frequent tests are needed to monitor the effects on blood clotting."
c) "The tests are needed to check your liver function."
d) "These tests are used to assess for the side effect of kidney damage."
Answer: b) "Frequent tests are needed to monitor the effects on blood clotting."
8. Which of the following is a characteristic of diabetic nephropathy?
a) Increased urination
b) Elevated blood glucose levels
c) Decreased glomerular filtration rate
d) Hyperkalemia
Answer: c) Decreased glomerular filtration rate
Test Bank
1. Which of the following is the most common sign of heart failure?
a) Hypotension
b) Bradycardia
c) Shortness of breath
d) Chest pain
Answer: c) Shortness of breath
2. A patient with heart failure is prescribed a diuretic. Which electrolyte imbalance
is the most common side effect of this medication?
a) Hyperkalemia
b) Hypokalemia
c) Hypercalcemia
d) Hypoglycemia
Answer: b) Hypokalemia
3. A diabetic patient presents with fruity-smelling breath. What is the most likely
cause of this symptom?
a) Diabetic ketoacidosis
b) Hyperglycemia
c) Hypoglycemia
d) Insulin overdose
Answer: a) Diabetic ketoacidosis
4. Which of the following is the first-line medication for the management of
hypertension?
a) ACE inhibitors
b) Beta blockers
c) Calcium channel blockers
d) Diuretics
, Answer: d) Diuretics
5. A patient with type 1 diabetes is feeling dizzy, weak, and confused. Which action
should the nurse take first?
a) Check blood glucose levels
b) Administer insulin
c) Give a snack containing protein
d) Provide an oral glucose source
Answer: d) Provide an oral glucose source
6. A 50-year-old patient has been diagnosed with coronary artery disease. Which of
the following is a modifiable risk factor for the disease?
a) Age
b) Family history
c) Hypertension
d) Gender
Answer: c) Hypertension
7. A patient who is being treated with warfarin asks why they need frequent blood
tests. Which is the best response?
a) "The medication needs to be adjusted based on your platelet count."
b) "Frequent tests are needed to monitor the effects on blood clotting."
c) "The tests are needed to check your liver function."
d) "These tests are used to assess for the side effect of kidney damage."
Answer: b) "Frequent tests are needed to monitor the effects on blood clotting."
8. Which of the following is a characteristic of diabetic nephropathy?
a) Increased urination
b) Elevated blood glucose levels
c) Decreased glomerular filtration rate
d) Hyperkalemia
Answer: c) Decreased glomerular filtration rate
