1|Page
MEDICAL-SURGICAL NURSING FINAL EXAM PACK 2026 | 150+
VERIFIED QUESTIONS & RATIONALES,100% CORRECT
ALREADY GRADED A+
1. Which concept best describes the overall focus of medical-surgical
nursing?
A. Acute care only
B. Nursing of patients with chronic illness only
C. Care of adult patients with diverse health problems in various settings
D. Care focused only on surgical patients
Answer: C. Care of adult patients with diverse health problems in
various settings
Rationale: Med-surg nursing covers adult patients across acute, chronic, and
rehabilitative care in multiple settings, not just hospitals.
2. Which is a primary role of evidence-based practice in med-surg
nursing?
A. Promoting nursing theories without data
B. Reducing critical thinking requirements
C. Using best research evidence with clinical expertise and patient
preference
D. Limiting nursing practice to textbooks
Answer: C. Using best research evidence with clinical expertise and
patient preference
Rationale: Evidence-based practice integrates research, expertise, and
patient values to guide safe, effective care.
,2|Page
3. Which organization develops and updates NCLEX test plans that
guide nursing education and practice?
A. American Nurses Association (ANA)
B. National Council of State Boards of Nursing (NCSBN)
C. Joint Commission
D. World Health Organization (WHO)
Answer: B. National Council of State Boards of Nursing (NCSBN)
Rationale: NCSBN creates NCLEX exams, setting minimum competency
standards for nurses.
4. Which patient safety initiative is a key focus of The Joint
Commission?
A. Expanding nurse-to-patient ratios
B. National Patient Safety Goals (NPSGs)
C. Nurse licensure exams
D. Increasing hospital profits
Answer: B. National Patient Safety Goals (NPSGs)
Rationale: NPSGs address issues such as accurate patient identification,
communication, infection prevention, and fall reduction.
5. A nurse practicing “patient-centered care” would prioritize which
action?
A. Focusing on tasks only
B. Making decisions without patient input
C. Respecting patient values, preferences, and expressed needs
D. Using a one-size-fits-all approach
Answer: C. Respecting patient values, preferences, and expressed needs
Rationale: Patient-centered care involves shared decision-making and
respecting the patient’s perspective.
,3|Page
6. A patient states, “I am scared about my surgery tomorrow.” Which is
the best therapeutic response?
A. “Don’t worry, everything will be fine.”
B. “Why are you scared?”
C. “Tell me more about your concerns.”
D. “You shouldn’t be nervous.”
Answer: C. “Tell me more about your concerns.”
Rationale: This open-ended, therapeutic response encourages expression of
feelings without judgment or false reassurance.
7. Which statement reflects the goal of health promotion in medical-
surgical nursing?
A. Preventing disease and promoting well-being
B. Treating only advanced illness
C. Focusing only on rehabilitation
D. Ignoring lifestyle interventions
Answer: A. Preventing disease and promoting well-being
Rationale: Health promotion emphasizes prevention, risk reduction, and
lifestyle choices to support wellness.
8. Which nursing role involves teaching patients about medications and
lifestyle changes?
A. Advocate
B. Educator
C. Researcher
D. Case manager
Answer: B. Educator
Rationale: Education is a major component of nursing care, empowering
patients to manage their health.
, 4|Page
9. A patient admitted for pneumonia refuses antibiotics. What principle
is applied if the nurse respects this choice?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Answer: B. Autonomy
Rationale: Autonomy means the patient has the right to make informed
decisions about their care.
10. Which nursing action demonstrates beneficence?
A. Providing pain medication promptly
B. Refusing to care for a difficult patient
C. Withholding information to save time
D. Ignoring patient preferences
Answer: A. Providing pain medication promptly
Rationale: Beneficence is doing good and promoting well-being, such as
relieving pain.
11. What is the nurse’s primary responsibility in informed consent?
A. Explaining surgical risks in detail
B. Ensuring the consent form is signed voluntarily
C. Discussing alternatives to surgery in depth
D. Performing the consent procedure
Answer: B. Ensuring the consent form is signed voluntarily
Rationale: The provider explains risks/alternatives; the nurse verifies
voluntariness and signatures.
12. Which situation would require reporting under mandatory
reporting laws?
MEDICAL-SURGICAL NURSING FINAL EXAM PACK 2026 | 150+
VERIFIED QUESTIONS & RATIONALES,100% CORRECT
ALREADY GRADED A+
1. Which concept best describes the overall focus of medical-surgical
nursing?
A. Acute care only
B. Nursing of patients with chronic illness only
C. Care of adult patients with diverse health problems in various settings
D. Care focused only on surgical patients
Answer: C. Care of adult patients with diverse health problems in
various settings
Rationale: Med-surg nursing covers adult patients across acute, chronic, and
rehabilitative care in multiple settings, not just hospitals.
2. Which is a primary role of evidence-based practice in med-surg
nursing?
A. Promoting nursing theories without data
B. Reducing critical thinking requirements
C. Using best research evidence with clinical expertise and patient
preference
D. Limiting nursing practice to textbooks
Answer: C. Using best research evidence with clinical expertise and
patient preference
Rationale: Evidence-based practice integrates research, expertise, and
patient values to guide safe, effective care.
,2|Page
3. Which organization develops and updates NCLEX test plans that
guide nursing education and practice?
A. American Nurses Association (ANA)
B. National Council of State Boards of Nursing (NCSBN)
C. Joint Commission
D. World Health Organization (WHO)
Answer: B. National Council of State Boards of Nursing (NCSBN)
Rationale: NCSBN creates NCLEX exams, setting minimum competency
standards for nurses.
4. Which patient safety initiative is a key focus of The Joint
Commission?
A. Expanding nurse-to-patient ratios
B. National Patient Safety Goals (NPSGs)
C. Nurse licensure exams
D. Increasing hospital profits
Answer: B. National Patient Safety Goals (NPSGs)
Rationale: NPSGs address issues such as accurate patient identification,
communication, infection prevention, and fall reduction.
5. A nurse practicing “patient-centered care” would prioritize which
action?
A. Focusing on tasks only
B. Making decisions without patient input
C. Respecting patient values, preferences, and expressed needs
D. Using a one-size-fits-all approach
Answer: C. Respecting patient values, preferences, and expressed needs
Rationale: Patient-centered care involves shared decision-making and
respecting the patient’s perspective.
,3|Page
6. A patient states, “I am scared about my surgery tomorrow.” Which is
the best therapeutic response?
A. “Don’t worry, everything will be fine.”
B. “Why are you scared?”
C. “Tell me more about your concerns.”
D. “You shouldn’t be nervous.”
Answer: C. “Tell me more about your concerns.”
Rationale: This open-ended, therapeutic response encourages expression of
feelings without judgment or false reassurance.
7. Which statement reflects the goal of health promotion in medical-
surgical nursing?
A. Preventing disease and promoting well-being
B. Treating only advanced illness
C. Focusing only on rehabilitation
D. Ignoring lifestyle interventions
Answer: A. Preventing disease and promoting well-being
Rationale: Health promotion emphasizes prevention, risk reduction, and
lifestyle choices to support wellness.
8. Which nursing role involves teaching patients about medications and
lifestyle changes?
A. Advocate
B. Educator
C. Researcher
D. Case manager
Answer: B. Educator
Rationale: Education is a major component of nursing care, empowering
patients to manage their health.
, 4|Page
9. A patient admitted for pneumonia refuses antibiotics. What principle
is applied if the nurse respects this choice?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Answer: B. Autonomy
Rationale: Autonomy means the patient has the right to make informed
decisions about their care.
10. Which nursing action demonstrates beneficence?
A. Providing pain medication promptly
B. Refusing to care for a difficult patient
C. Withholding information to save time
D. Ignoring patient preferences
Answer: A. Providing pain medication promptly
Rationale: Beneficence is doing good and promoting well-being, such as
relieving pain.
11. What is the nurse’s primary responsibility in informed consent?
A. Explaining surgical risks in detail
B. Ensuring the consent form is signed voluntarily
C. Discussing alternatives to surgery in depth
D. Performing the consent procedure
Answer: B. Ensuring the consent form is signed voluntarily
Rationale: The provider explains risks/alternatives; the nurse verifies
voluntariness and signatures.
12. Which situation would require reporting under mandatory
reporting laws?
