NURS 372 MED SURG 1 EXAM NEWEST 2026 ACTUAL
EXAM TEST BANK| COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+| NURS372 MED
SURG 2 EXAM REVIEW (MOST RECENT!!
Exam Description
This comprehensive examination is designed for nursing students preparing for the NURS
372 Medical-Surgical Nursing I Exam for the 2026/2027 academic year. The exam covers
essential adult health topics including cardiovascular, respiratory, gastrointestinal, renal,
endocrine, neurological, infectious disease management, fluid and electrolyte balance,
perioperative care, and foundational nursing concepts. Each question includes a detailed
rationale to reinforce clinical reasoning and evidence-based practice essential for
medical-surgical nursing success.
Section 1: Fundamentals of Medical-Surgical Nursing (Questions 1-50)
Question 1
Which action demonstrates the nurse's understanding of the purpose of evidence-based
practice in nursing?
A. Following hospital policies regardless of new research
B. Integrating best research evidence with clinical expertise and patient values
C. Relying solely on what was taught in nursing school
D. Using only randomized controlled trials to guide practice
Answer: B. Integrating best research evidence with clinical expertise and patient values
Rationale: Evidence-based practice (EBP) is the integration of the best research evidence
with clinical expertise and patient values to improve patient outcomes. It is not simply
following policies, relying on tradition, or using only one type of research .
Question 2
A nurse is using the PICO(T) format to formulate a clinical question. What does the "I" in
PICO(T) represent?
A. Intervention
,B. Investigation
C. Implementation
D. Interpretation
Answer: A. Intervention
Rationale: PICO(T) stands for: P = Patient/Population, I = Intervention, C = Comparison,
O = Outcome, and T = Time. The "I" represents the intervention or treatment being
considered .
Question 3
What are the five steps of the nursing process in correct order?
A. Assessment, Planning, Diagnosis, Implementation, Evaluation
B. Assessment, Diagnosis, Planning, Implementation, Evaluation
C. Diagnosis, Assessment, Planning, Implementation, Evaluation
D. Planning, Assessment, Diagnosis, Implementation, Evaluation
Answer: B. Assessment, Diagnosis, Planning, Implementation, Evaluation
Rationale: The nursing process is a systematic method for providing patient care. The
steps are: Assessment (collect data), Diagnosis (identify problems), Planning (set goals),
Implementation (perform interventions), and Evaluation (assess outcomes) .
Question 4
During the assessment phase of the nursing process, what type of data is collected?
A. Subjective data only
B. Objective data only
C. Both subjective and objective data
D. Historical data only
Answer: C. Both subjective and objective data
Rationale: During assessment, the nurse collects both subjective data (what the patient
says, such as symptoms and concerns) and objective data (measurable information such
as vital signs, physical examination findings, and laboratory results). This comprehensive
data collection forms the foundation for the nursing diagnosis .
,Question 5
What is the most common patient safety risk for elderly patients?
A. Medication errors
B. Falls
C. Pressure ulcers
D. Infections
Answer: B. Falls
Rationale: Falls are the most common patient safety risk for elderly patients due to age-
related changes in balance, gait, strength, vision, and medication effects. Fall prevention
strategies include assessing fall risk, using bed alarms, ensuring adequate lighting, and
keeping the patient's environment free of clutter .
Question 6
A nurse should take which action first if a medication error occurs?
A. Report it to the charge nurse
B. Assess the patient and monitor for adverse effects
C. Document the incident per hospital policy
D. Complete an incident report
Answer: B. Assess the patient and monitor for adverse effects
Rationale: If a medication error occurs, the nurse should first assess the patient for any
adverse effects or harm. The patient's safety is the priority. After assessing the patient, the
nurse should report the error to the provider, notify the charge nurse, and follow facility
policy for documentation and incident reporting .
Question 7
A nurse is teaching a patient about smoking cessation. Which statement by the patient
indicates a need for further teaching?
A. "I should find an activity that I enjoy and will keep my hands busy."
B. "I should drink at least eight glasses of water each day."
C. "I should keep snacks like potato chips on hand to nibble on."
D. "I should make a list of reasons I want to stop smoking."
Answer: C. "I should keep snacks like potato chips on hand to nibble on."
, Rationale: Smoking cessation strategies include finding activities to keep hands busy,
drinking adequate water, making a list of reasons to quit, and setting a quit date. Keeping
high-fat, salty snacks on hand is not recommended as it may contribute to weight gain
and unhealthy eating habits. Healthy snacks such as fruits and vegetables are better
alternatives .
Question 8
Which observation should alert the nurse to call the Rapid Response Team (RRT)?
A. Fresh bleeding noted on an abdominal surgical wound dressing
B. Pulse change from 85 to 160 beats/minute lasting more than 10 minutes
C. Temperature of 103.1°F and white blood cell count of 16,000 mm³
D. Weakness, diaphoresis, and complaints of feeling faint with BP 100/56 mm Hg
Answer: B. Pulse change from 85 to 160 beats/minute lasting more than 10 minutes
Rationale: The Rapid Response Team should be called to intervene for a client with an
acute life-threatening change, such as a significant tachycardia. The RRT is designed to
provide early intervention for patients whose condition is deteriorating, potentially
preventing cardiac or respiratory arrest .
Question 9
The healthcare provider prescribes a high-protein, high-fat, low-carbohydrate diet with
limited fluids during meals for a client recovering from gastric surgery. The client asks the
nurse the purpose of this diet. Which rationale should the nurse include?
A. It is quickly digested
B. It does not cause diarrhea
C. It does not dilate the stomach
D. It is slow to leave the stomach
Answer: D. It is slow to leave the stomach
Rationale: A high-protein, high-fat, low-carbohydrate diet with limited fluids during
meals is slowly digested and remains in the stomach longer. This reduces the possibility
of dumping syndrome, a complication of gastric surgery where food moves too quickly
from the stomach to the small intestine. The density of proteins and fats, combined with
reduced fluid during meals, helps slow gastric emptying .
EXAM TEST BANK| COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+| NURS372 MED
SURG 2 EXAM REVIEW (MOST RECENT!!
Exam Description
This comprehensive examination is designed for nursing students preparing for the NURS
372 Medical-Surgical Nursing I Exam for the 2026/2027 academic year. The exam covers
essential adult health topics including cardiovascular, respiratory, gastrointestinal, renal,
endocrine, neurological, infectious disease management, fluid and electrolyte balance,
perioperative care, and foundational nursing concepts. Each question includes a detailed
rationale to reinforce clinical reasoning and evidence-based practice essential for
medical-surgical nursing success.
Section 1: Fundamentals of Medical-Surgical Nursing (Questions 1-50)
Question 1
Which action demonstrates the nurse's understanding of the purpose of evidence-based
practice in nursing?
A. Following hospital policies regardless of new research
B. Integrating best research evidence with clinical expertise and patient values
C. Relying solely on what was taught in nursing school
D. Using only randomized controlled trials to guide practice
Answer: B. Integrating best research evidence with clinical expertise and patient values
Rationale: Evidence-based practice (EBP) is the integration of the best research evidence
with clinical expertise and patient values to improve patient outcomes. It is not simply
following policies, relying on tradition, or using only one type of research .
Question 2
A nurse is using the PICO(T) format to formulate a clinical question. What does the "I" in
PICO(T) represent?
A. Intervention
,B. Investigation
C. Implementation
D. Interpretation
Answer: A. Intervention
Rationale: PICO(T) stands for: P = Patient/Population, I = Intervention, C = Comparison,
O = Outcome, and T = Time. The "I" represents the intervention or treatment being
considered .
Question 3
What are the five steps of the nursing process in correct order?
A. Assessment, Planning, Diagnosis, Implementation, Evaluation
B. Assessment, Diagnosis, Planning, Implementation, Evaluation
C. Diagnosis, Assessment, Planning, Implementation, Evaluation
D. Planning, Assessment, Diagnosis, Implementation, Evaluation
Answer: B. Assessment, Diagnosis, Planning, Implementation, Evaluation
Rationale: The nursing process is a systematic method for providing patient care. The
steps are: Assessment (collect data), Diagnosis (identify problems), Planning (set goals),
Implementation (perform interventions), and Evaluation (assess outcomes) .
Question 4
During the assessment phase of the nursing process, what type of data is collected?
A. Subjective data only
B. Objective data only
C. Both subjective and objective data
D. Historical data only
Answer: C. Both subjective and objective data
Rationale: During assessment, the nurse collects both subjective data (what the patient
says, such as symptoms and concerns) and objective data (measurable information such
as vital signs, physical examination findings, and laboratory results). This comprehensive
data collection forms the foundation for the nursing diagnosis .
,Question 5
What is the most common patient safety risk for elderly patients?
A. Medication errors
B. Falls
C. Pressure ulcers
D. Infections
Answer: B. Falls
Rationale: Falls are the most common patient safety risk for elderly patients due to age-
related changes in balance, gait, strength, vision, and medication effects. Fall prevention
strategies include assessing fall risk, using bed alarms, ensuring adequate lighting, and
keeping the patient's environment free of clutter .
Question 6
A nurse should take which action first if a medication error occurs?
A. Report it to the charge nurse
B. Assess the patient and monitor for adverse effects
C. Document the incident per hospital policy
D. Complete an incident report
Answer: B. Assess the patient and monitor for adverse effects
Rationale: If a medication error occurs, the nurse should first assess the patient for any
adverse effects or harm. The patient's safety is the priority. After assessing the patient, the
nurse should report the error to the provider, notify the charge nurse, and follow facility
policy for documentation and incident reporting .
Question 7
A nurse is teaching a patient about smoking cessation. Which statement by the patient
indicates a need for further teaching?
A. "I should find an activity that I enjoy and will keep my hands busy."
B. "I should drink at least eight glasses of water each day."
C. "I should keep snacks like potato chips on hand to nibble on."
D. "I should make a list of reasons I want to stop smoking."
Answer: C. "I should keep snacks like potato chips on hand to nibble on."
, Rationale: Smoking cessation strategies include finding activities to keep hands busy,
drinking adequate water, making a list of reasons to quit, and setting a quit date. Keeping
high-fat, salty snacks on hand is not recommended as it may contribute to weight gain
and unhealthy eating habits. Healthy snacks such as fruits and vegetables are better
alternatives .
Question 8
Which observation should alert the nurse to call the Rapid Response Team (RRT)?
A. Fresh bleeding noted on an abdominal surgical wound dressing
B. Pulse change from 85 to 160 beats/minute lasting more than 10 minutes
C. Temperature of 103.1°F and white blood cell count of 16,000 mm³
D. Weakness, diaphoresis, and complaints of feeling faint with BP 100/56 mm Hg
Answer: B. Pulse change from 85 to 160 beats/minute lasting more than 10 minutes
Rationale: The Rapid Response Team should be called to intervene for a client with an
acute life-threatening change, such as a significant tachycardia. The RRT is designed to
provide early intervention for patients whose condition is deteriorating, potentially
preventing cardiac or respiratory arrest .
Question 9
The healthcare provider prescribes a high-protein, high-fat, low-carbohydrate diet with
limited fluids during meals for a client recovering from gastric surgery. The client asks the
nurse the purpose of this diet. Which rationale should the nurse include?
A. It is quickly digested
B. It does not cause diarrhea
C. It does not dilate the stomach
D. It is slow to leave the stomach
Answer: D. It is slow to leave the stomach
Rationale: A high-protein, high-fat, low-carbohydrate diet with limited fluids during
meals is slowly digested and remains in the stomach longer. This reduces the possibility
of dumping syndrome, a complication of gastric surgery where food moves too quickly
from the stomach to the small intestine. The density of proteins and fats, combined with
reduced fluid during meals, helps slow gastric emptying .
