PAPER N26: 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 improvement? A) Increased sputum
production B) Decreased oxygen saturation C) Decreased
fever and improved breath sounds D) Increased respiratory
rate
Explanation: Improvement is indicated by decreased fever,
reduced sputum production, and improved breath sounds.
2. A client with COPD is receiving oxygen. Which 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.
, 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
finding indicates effectiveness? A) Weight gain of 2
pounds B) Decreased shortness of breath C) Increased
edema D) Crackles in the lung bases
Explanation: Decreased shortness of breath indicates reduced
fluid overload and improvement in heart failure symptoms.
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 improvement? A) Increased sputum
production B) Decreased oxygen saturation C) Decreased
fever and improved breath sounds D) Increased respiratory
rate
Explanation: Improvement is indicated by decreased fever,
reduced sputum production, and improved breath sounds.
2. A client with COPD is receiving oxygen. Which 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.
, 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
finding indicates effectiveness? A) Weight gain of 2
pounds B) Decreased shortness of breath C) Increased
edema D) Crackles in the lung bases
Explanation: Decreased shortness of breath indicates reduced
fluid overload and improvement in heart failure symptoms.
