MED-SURG
GRUS-DEM
RN
FINAL EXAM PREPARATION
2026 U.S. Nursing • Original Educational Practice Resource
Concepts of Medical-Surgical Nursing; Advanced Concepts
of Medical-Surgical Nursing
60 original questions • 13-point main-body text
COURSE / CONTENT COURSE TITLE
Adult Medical-Surgical Nursing Adult Medical-Surgical Nursing
PRACTICE QUESTIONS PRACTICE FORMAT
60 original items MCQ + selected SATA, calculations, and case-
based clinical judgment
KEY TOPICS TO STUDY
Key content area Study focus
Respiratory & oxygenation Review core concepts, nursing interventions, safety priorities, patient
teaching, and clinical judgment.
Cardiovascular, perfusion & Review core concepts, nursing interventions, safety priorities, patient
hematologic teaching, and clinical judgment.
Fluids/electrolytes, renal & urinary Review core concepts, nursing interventions, safety priorities, patient
teaching, and clinical judgment.
Endocrine & metabolic disorders Review core concepts, nursing interventions, safety priorities, patient
teaching, and clinical judgment.
GI, musculoskeletal & Review core concepts, nursing interventions, safety priorities, patient
integumentary teaching, and clinical judgment.
Neurologic, immune & infectious Review core concepts, nursing interventions, safety priorities, patient
disorders teaching, and clinical judgment.
,Clinical judgment, prioritization & Review core concepts, nursing interventions, safety priorities, patient
emergencies teaching, and clinical judgment.
Calculations / SATA / integrated Review core concepts, nursing interventions, safety priorities, patient
cases teaching, and clinical judgment.
PREPARATION CHECKLIST
Know the underlying physiology and the nursing reason for each intervention.
Practice priority questions by identifying the most dangerous cue first.
Review medications by class, mechanism, major adverse effects, contraindications,
monitoring, and teaching.
Know high-yield laboratory values and what abnormal trends mean clinically.
Practice dosage calculations using units, dimensional analysis, and a final
reasonableness check.
For delegation, retain assessment, initial teaching, unstable-client management, and
evaluation.
Use current course materials and the student's Canvas syllabus as the controlling
source for the actual exam.
PRACTICE QUESTIONS 60 ITEMS
,Question 1 Case-Based Clinical Judgment Difficult
Heart failure client develops severe dyspnea, crackles, pink frothy sputum. Priority?
A. High-Fowler position and oxygen/support as prescribed
B. Oral fluids
C. Flat positioning
D. High-sodium food
CORRECT ANSWER: A. High-Fowler position and oxygen/support as prescribed
RATIONALE: The best answer is High-Fowler position and oxygen/support as prescribed
because it directly addresses the priority clinical cue or physiologic problem in the
scenario.
WHY THE OTHER OPTIONS ARE WRONG:
B — Oral fluids is less appropriate because it does not best satisfy the clinical priority or tested
principle.
C — Flat positioning is less appropriate because it does not best satisfy the clinical priority or
tested principle.
D — High-sodium food is less appropriate because it does not best satisfy the clinical priority
or tested principle.
TESTED CONCEPT CLINICAL JUDGMENT
Acute pulmonary edema Recognize the key cues, analyze the
physiologic problem, prioritize the threat, and
choose the safest action.
CONTENT AREA: Cardiovascular
, Question 2 Case-Based Clinical Judgment Difficult
Atrial fibrillation client develops facial droop and aphasia. First action?
A. Activate stroke response and determine last-known-well time
B. Give aspirin immediately
C. Walk the client
D. Wait
CORRECT ANSWER: A. Activate stroke response and determine last-known-well time
RATIONALE: The best answer is Activate stroke response and determine last-known-well
time because it directly addresses the priority clinical cue or physiologic problem in the
scenario.
WHY THE OTHER OPTIONS ARE WRONG:
B — Give aspirin immediately is less appropriate because it does not best satisfy the clinical
priority or tested principle.
C — Walk the client is less appropriate because it does not best satisfy the clinical priority or
tested principle.
D — Wait is less appropriate because it does not best satisfy the clinical priority or tested
principle.
TESTED CONCEPT CLINICAL JUDGMENT
Acute stroke Recognize the key cues, analyze the
physiologic problem, prioritize the threat, and
choose the safest action.
CONTENT AREA: Cardiovascular
GRUS-DEM
RN
FINAL EXAM PREPARATION
2026 U.S. Nursing • Original Educational Practice Resource
Concepts of Medical-Surgical Nursing; Advanced Concepts
of Medical-Surgical Nursing
60 original questions • 13-point main-body text
COURSE / CONTENT COURSE TITLE
Adult Medical-Surgical Nursing Adult Medical-Surgical Nursing
PRACTICE QUESTIONS PRACTICE FORMAT
60 original items MCQ + selected SATA, calculations, and case-
based clinical judgment
KEY TOPICS TO STUDY
Key content area Study focus
Respiratory & oxygenation Review core concepts, nursing interventions, safety priorities, patient
teaching, and clinical judgment.
Cardiovascular, perfusion & Review core concepts, nursing interventions, safety priorities, patient
hematologic teaching, and clinical judgment.
Fluids/electrolytes, renal & urinary Review core concepts, nursing interventions, safety priorities, patient
teaching, and clinical judgment.
Endocrine & metabolic disorders Review core concepts, nursing interventions, safety priorities, patient
teaching, and clinical judgment.
GI, musculoskeletal & Review core concepts, nursing interventions, safety priorities, patient
integumentary teaching, and clinical judgment.
Neurologic, immune & infectious Review core concepts, nursing interventions, safety priorities, patient
disorders teaching, and clinical judgment.
,Clinical judgment, prioritization & Review core concepts, nursing interventions, safety priorities, patient
emergencies teaching, and clinical judgment.
Calculations / SATA / integrated Review core concepts, nursing interventions, safety priorities, patient
cases teaching, and clinical judgment.
PREPARATION CHECKLIST
Know the underlying physiology and the nursing reason for each intervention.
Practice priority questions by identifying the most dangerous cue first.
Review medications by class, mechanism, major adverse effects, contraindications,
monitoring, and teaching.
Know high-yield laboratory values and what abnormal trends mean clinically.
Practice dosage calculations using units, dimensional analysis, and a final
reasonableness check.
For delegation, retain assessment, initial teaching, unstable-client management, and
evaluation.
Use current course materials and the student's Canvas syllabus as the controlling
source for the actual exam.
PRACTICE QUESTIONS 60 ITEMS
,Question 1 Case-Based Clinical Judgment Difficult
Heart failure client develops severe dyspnea, crackles, pink frothy sputum. Priority?
A. High-Fowler position and oxygen/support as prescribed
B. Oral fluids
C. Flat positioning
D. High-sodium food
CORRECT ANSWER: A. High-Fowler position and oxygen/support as prescribed
RATIONALE: The best answer is High-Fowler position and oxygen/support as prescribed
because it directly addresses the priority clinical cue or physiologic problem in the
scenario.
WHY THE OTHER OPTIONS ARE WRONG:
B — Oral fluids is less appropriate because it does not best satisfy the clinical priority or tested
principle.
C — Flat positioning is less appropriate because it does not best satisfy the clinical priority or
tested principle.
D — High-sodium food is less appropriate because it does not best satisfy the clinical priority
or tested principle.
TESTED CONCEPT CLINICAL JUDGMENT
Acute pulmonary edema Recognize the key cues, analyze the
physiologic problem, prioritize the threat, and
choose the safest action.
CONTENT AREA: Cardiovascular
, Question 2 Case-Based Clinical Judgment Difficult
Atrial fibrillation client develops facial droop and aphasia. First action?
A. Activate stroke response and determine last-known-well time
B. Give aspirin immediately
C. Walk the client
D. Wait
CORRECT ANSWER: A. Activate stroke response and determine last-known-well time
RATIONALE: The best answer is Activate stroke response and determine last-known-well
time because it directly addresses the priority clinical cue or physiologic problem in the
scenario.
WHY THE OTHER OPTIONS ARE WRONG:
B — Give aspirin immediately is less appropriate because it does not best satisfy the clinical
priority or tested principle.
C — Walk the client is less appropriate because it does not best satisfy the clinical priority or
tested principle.
D — Wait is less appropriate because it does not best satisfy the clinical priority or tested
principle.
TESTED CONCEPT CLINICAL JUDGMENT
Acute stroke Recognize the key cues, analyze the
physiologic problem, prioritize the threat, and
choose the safest action.
CONTENT AREA: Cardiovascular
