PAPER N15: NCLEX MEDICAL-
SURGICAL 500 (SAMPLE 30)
Title: NCLEX Medical-Surgical 500: Sample
30 of 500 with Rationales
Keywords: Medical-surgical nursing, med-surg,
NCLEX med-surg, nursing practice questions,
nursing test bank, NCLEX prep
,Questions
1. A nurse is caring for a client with pneumonia. Which
finding indicates the client's condition is improving? A)
Increased sputum production B) Decreased oxygen
saturation C) Decreased fever and improved breath sounds
D) Increased respiratory rate
Explanation: Improvement in pneumonia is indicated by
decreased fever, reduced sputum production, and improved
breath sounds. Increased respiratory rate and decreased oxygen
saturation indicate worsening.
2. A client with COPD is receiving oxygen therapy. Which
oxygen delivery method is most appropriate? A) Non-
rebreather mask B) Venturi mask C) Partial rebreather
mask D) Simple face mask
, Explanation: The Venturi mask delivers a precise concentration
of oxygen, making it the safest option for COPD clients who are
at risk for oxygen-induced hypoventilation.
3. A nurse is caring for a client with a new colostomy. Which
finding indicates a complication? A) Stoma is pink and
moist B) Stoma is dark red and dry C) Small amount of
bleeding from the stoma D) Stoma is slightly swollen
Explanation: A dark red, dry stoma indicates ischemia and poor
circulation. A healthy stoma should be pink, moist, and slightly
swollen.
4. A client with heart failure is prescribed furosemide. Which
assessment finding indicates the medication is effective? A)
Weight gain of 2 pounds B) Decreased shortness of breath
C) Increased edema in lower extremities D) Crackles in the
lung bases
SURGICAL 500 (SAMPLE 30)
Title: NCLEX Medical-Surgical 500: Sample
30 of 500 with Rationales
Keywords: Medical-surgical nursing, med-surg,
NCLEX med-surg, nursing practice questions,
nursing test bank, NCLEX prep
,Questions
1. A nurse is caring for a client with pneumonia. Which
finding indicates the client's condition is improving? A)
Increased sputum production B) Decreased oxygen
saturation C) Decreased fever and improved breath sounds
D) Increased respiratory rate
Explanation: Improvement in pneumonia is indicated by
decreased fever, reduced sputum production, and improved
breath sounds. Increased respiratory rate and decreased oxygen
saturation indicate worsening.
2. A client with COPD is receiving oxygen therapy. Which
oxygen delivery method is most appropriate? A) Non-
rebreather mask B) Venturi mask C) Partial rebreather
mask D) Simple face mask
, Explanation: The Venturi mask delivers a precise concentration
of oxygen, making it the safest option for COPD clients who are
at risk for oxygen-induced hypoventilation.
3. A nurse is caring for a client with a new colostomy. Which
finding indicates a complication? A) Stoma is pink and
moist B) Stoma is dark red and dry C) Small amount of
bleeding from the stoma D) Stoma is slightly swollen
Explanation: A dark red, dry stoma indicates ischemia and poor
circulation. A healthy stoma should be pink, moist, and slightly
swollen.
4. A client with heart failure is prescribed furosemide. Which
assessment finding indicates the medication is effective? A)
Weight gain of 2 pounds B) Decreased shortness of breath
C) Increased edema in lower extremities D) Crackles in the
lung bases
