NSG 1240 Medical-Surgical Nursing I
Midterm Practice Exam Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025|2026 Q&A | Instant
Download Pdf
1. A nurse is caring for a patient with COPD. Which oxygen delivery device is
most appropriate to use?
a. Non-rebreather mask
b. Venturi mask
c. Nasal cannula at 6 L/min
d. Simple face mask
Answer: b. Venturi mask
Rationale: The Venturi mask delivers precise oxygen concentrations, ideal
for COPD patients who need controlled O2 levels.
,2. A client with pneumonia is experiencing dyspnea. Which position should
the nurse place the client in?
a. Supine
b. Trendelenburg
c. High Fowler’s
d. Prone
Answer: c. High Fowler’s
Rationale: High Fowler’s position maximizes lung expansion and improves
ventilation.
3. Which finding is most concerning in a client with heart failure?
a. +1 edema in ankles
b. Weight gain of 3 pounds in 2 days
c. Fatigue
d. Occasional cough
Answer: b. Weight gain of 3 pounds in 2 days
Rationale: Rapid weight gain indicates fluid retention, a sign of worsening
heart failure.
4. A nurse is teaching a diabetic client about foot care. Which instruction is
correct?
a. Soak feet daily
b. Walk barefoot indoors
,c. Cut toenails straight across
d. Apply lotion between toes
Answer: c. Cut toenails straight across
Rationale: Straight cuts prevent ingrown nails; soaking and lotion between
toes increase infection risk.
5. Which lab result is most important to monitor in a client receiving
furosemide?
a. Calcium
b. Potassium
c. Magnesium
d. Sodium
Answer: b. Potassium
Rationale: Furosemide is a loop diuretic that causes potassium loss, risking
hypokalemia.
6. A client is scheduled for surgery in 2 hours. Which action by the nurse is a
priority?
a. Verify consent form
b. Obtain vital signs
c. Have client void
d. Administer pre-op antibiotics
Answer: a. Verify consent form
, Rationale: Ensuring informed consent is a legal requirement before
sedation or surgery.
7. Which assessment finding indicates hypovolemia?
a. Bounding pulse
b. Jugular vein distension
c. Dry mucous membranes
d. Crackles in lungs
Answer: c. Dry mucous membranes
Rationale: Hypovolemia leads to dehydration symptoms such as dry
mucosa and low BP.
8. A client with type 2 diabetes reports blurred vision and fatigue. Which lab
should be checked?
a. CBC
b. Hemoglobin A1C
c. Potassium
d. BUN
Answer: b. Hemoglobin A1C
Rationale: A1C measures average glucose over 3 months, explaining
chronic hyperglycemia.
Midterm Practice Exam Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025|2026 Q&A | Instant
Download Pdf
1. A nurse is caring for a patient with COPD. Which oxygen delivery device is
most appropriate to use?
a. Non-rebreather mask
b. Venturi mask
c. Nasal cannula at 6 L/min
d. Simple face mask
Answer: b. Venturi mask
Rationale: The Venturi mask delivers precise oxygen concentrations, ideal
for COPD patients who need controlled O2 levels.
,2. A client with pneumonia is experiencing dyspnea. Which position should
the nurse place the client in?
a. Supine
b. Trendelenburg
c. High Fowler’s
d. Prone
Answer: c. High Fowler’s
Rationale: High Fowler’s position maximizes lung expansion and improves
ventilation.
3. Which finding is most concerning in a client with heart failure?
a. +1 edema in ankles
b. Weight gain of 3 pounds in 2 days
c. Fatigue
d. Occasional cough
Answer: b. Weight gain of 3 pounds in 2 days
Rationale: Rapid weight gain indicates fluid retention, a sign of worsening
heart failure.
4. A nurse is teaching a diabetic client about foot care. Which instruction is
correct?
a. Soak feet daily
b. Walk barefoot indoors
,c. Cut toenails straight across
d. Apply lotion between toes
Answer: c. Cut toenails straight across
Rationale: Straight cuts prevent ingrown nails; soaking and lotion between
toes increase infection risk.
5. Which lab result is most important to monitor in a client receiving
furosemide?
a. Calcium
b. Potassium
c. Magnesium
d. Sodium
Answer: b. Potassium
Rationale: Furosemide is a loop diuretic that causes potassium loss, risking
hypokalemia.
6. A client is scheduled for surgery in 2 hours. Which action by the nurse is a
priority?
a. Verify consent form
b. Obtain vital signs
c. Have client void
d. Administer pre-op antibiotics
Answer: a. Verify consent form
, Rationale: Ensuring informed consent is a legal requirement before
sedation or surgery.
7. Which assessment finding indicates hypovolemia?
a. Bounding pulse
b. Jugular vein distension
c. Dry mucous membranes
d. Crackles in lungs
Answer: c. Dry mucous membranes
Rationale: Hypovolemia leads to dehydration symptoms such as dry
mucosa and low BP.
8. A client with type 2 diabetes reports blurred vision and fatigue. Which lab
should be checked?
a. CBC
b. Hemoglobin A1C
c. Potassium
d. BUN
Answer: b. Hemoglobin A1C
Rationale: A1C measures average glucose over 3 months, explaining
chronic hyperglycemia.
