,Test bank for Medical-Surgical Nursing
Comprehensive Practice Exam Questions
And Correct Answers (Verified Answers) Plus
Rationales
Based on: Medical-Surgical Nursing: Assessment and
Management of Clinical Problems, 10th Edition by Lewis,
Dirksen, Bucher, Heitkemper
Purpose:
To prepare nursing students and professionals for the NCLEX-RN and Med-Surg course exams by
providing a realistic, clinically relevant test bank with detailed rationales.
Exam Format:
• Total Questions: 550+
• Type: Multiple Choice (NCLEX-RN style)
• Answers: Correct answers bolded
• Rationales: Bold and italicized for easy review
• Style: Clinical application, case-based, and core concept recall
• Source Validated: Lewis' Medical-Surgical Nursing 10th Edition
Content Coverage:
1. Fundamentals of Adult Nursing
• Pain, Infection, Inflammation
• Fluids, Electrolytes, Acid-Base Balance
,2. Perioperative Nursing
• Preoperative and Postoperative Care
• Surgical Complications
3. Cardiovascular System
• Hypertension, Heart Failure, MI
• Arrhythmias, Shock, DVT, Valve Disorders
4. Respiratory System
• COPD, Asthma, Pneumonia
• ARDS, Chest Tubes, Mechanical Ventilation
5. Gastrointestinal System
• GERD, PUD, IBD, Cirrhosis
• Hepatitis, Pancreatitis, Ostomy Care
6. Renal and Urinary System
• AKI, CKD, Dialysis
• Electrolyte Imbalances
7. Endocrine System
• Diabetes, DKA, HHNS
• Thyroid, Adrenal Disorders (Addison’s/Cushing’s)
8. Neurologic System
• Stroke, Seizures, MS, Parkinson’s
• Increased ICP, Spinal Cord Injury
9. Immune and Infectious Disorders
• HIV/AIDS, Sepsis, Autoimmune Conditions
10. Hematologic and Oncologic Nursing
• Anemias, Clotting Disorders
, • Chemotherapy, Radiation Side Effects
11. Musculoskeletal System
• Fractures, Osteoporosis, Arthritis
• Post-Op Ortho Care
12. Integumentary System
• Burns, Pressure Injuries, Wound Healing
13. Psychosocial/Chronic Illness Management
• End-of-Life Care, Ethical Issues, Patient Education
14. Pharmacology and Lab Interpretation
• Drug Mechanisms, Side Effects
• Common Labs, Therapeutic Ranges
1. A patient with chronic obstructive pulmonary disease (COPD) has a PaO2 of
55 mm Hg. Which intervention should the nurse implement first?
• Encourage pursed-lip breathing
• Administer oxygen via nasal cannula
• Place the patient in high-Fowler’s position
• Notify the physician
Low PaO2 requires prompt oxygen therapy to prevent hypoxia. Administering
oxygen is the priority.
2. A patient with type 2 diabetes reports blurred vision and irritability. Which
action is most appropriate?
Comprehensive Practice Exam Questions
And Correct Answers (Verified Answers) Plus
Rationales
Based on: Medical-Surgical Nursing: Assessment and
Management of Clinical Problems, 10th Edition by Lewis,
Dirksen, Bucher, Heitkemper
Purpose:
To prepare nursing students and professionals for the NCLEX-RN and Med-Surg course exams by
providing a realistic, clinically relevant test bank with detailed rationales.
Exam Format:
• Total Questions: 550+
• Type: Multiple Choice (NCLEX-RN style)
• Answers: Correct answers bolded
• Rationales: Bold and italicized for easy review
• Style: Clinical application, case-based, and core concept recall
• Source Validated: Lewis' Medical-Surgical Nursing 10th Edition
Content Coverage:
1. Fundamentals of Adult Nursing
• Pain, Infection, Inflammation
• Fluids, Electrolytes, Acid-Base Balance
,2. Perioperative Nursing
• Preoperative and Postoperative Care
• Surgical Complications
3. Cardiovascular System
• Hypertension, Heart Failure, MI
• Arrhythmias, Shock, DVT, Valve Disorders
4. Respiratory System
• COPD, Asthma, Pneumonia
• ARDS, Chest Tubes, Mechanical Ventilation
5. Gastrointestinal System
• GERD, PUD, IBD, Cirrhosis
• Hepatitis, Pancreatitis, Ostomy Care
6. Renal and Urinary System
• AKI, CKD, Dialysis
• Electrolyte Imbalances
7. Endocrine System
• Diabetes, DKA, HHNS
• Thyroid, Adrenal Disorders (Addison’s/Cushing’s)
8. Neurologic System
• Stroke, Seizures, MS, Parkinson’s
• Increased ICP, Spinal Cord Injury
9. Immune and Infectious Disorders
• HIV/AIDS, Sepsis, Autoimmune Conditions
10. Hematologic and Oncologic Nursing
• Anemias, Clotting Disorders
, • Chemotherapy, Radiation Side Effects
11. Musculoskeletal System
• Fractures, Osteoporosis, Arthritis
• Post-Op Ortho Care
12. Integumentary System
• Burns, Pressure Injuries, Wound Healing
13. Psychosocial/Chronic Illness Management
• End-of-Life Care, Ethical Issues, Patient Education
14. Pharmacology and Lab Interpretation
• Drug Mechanisms, Side Effects
• Common Labs, Therapeutic Ranges
1. A patient with chronic obstructive pulmonary disease (COPD) has a PaO2 of
55 mm Hg. Which intervention should the nurse implement first?
• Encourage pursed-lip breathing
• Administer oxygen via nasal cannula
• Place the patient in high-Fowler’s position
• Notify the physician
Low PaO2 requires prompt oxygen therapy to prevent hypoxia. Administering
oxygen is the priority.
2. A patient with type 2 diabetes reports blurred vision and irritability. Which
action is most appropriate?
