2026/2027
NV 185 Final Exam Medical Surgical
Nursing II Comprehensive Review
and Practice Test Bank Study Guide
for 2026/2027
Question 1:
You enter a resident’s room and notice a new onset pressure ulcer. You need to
document this and discuss it with the nurse. Where is the MOST appropriate place to
have this discussion?
A. In the patient’s room
B. In the hallway with the family present
C. In private
D. At a local bar
Correct Answer: C. In private
Rationale:
Patient information is confidential and must be discussed in an appropriate private
setting to protect dignity and privacy. Discussing the condition in front of the patient,
family, or in public areas violates confidentiality and professional standards. Private
discussions ensure compliance with HIPAA principles and promote respectful
teamwork communication.
Question 2:
To prevent shampoo from getting into a resident’s eyes during hair care, the nursing
assistant should:
A. Use a handheld nozzle
B. Use dry shampoo only
C. Rinse hair thoroughly
D. Use a washcloth to cover the eyes
Correct Answer: D. Use a washcloth to cover the eyes
Rationale:
Covering the eyes with a washcloth protects them from irritation caused by shampoo
or water. While rinsing and handheld nozzles help with cleaning, they do not prevent
shampoo from entering the eyes. Dry shampoo may not provide proper hygiene for
residents requiring full hair washing.
,2026/2027
Question 3:
Bath water temperature for a resident should be maintained at:
A. 110–115°F
B. 110–120°F
C. 105°F
D. 105–109°F
Correct Answer: A. 110–115°F
Rationale:
Water between 110–115°F is warm enough for comfort but not hot enough to cause
burns or discomfort. Higher temperatures risk scalding, while lower temperatures may
cause chilling and discomfort, especially in elderly patients with sensitive skin.
Question 4:
The term “acute” illness refers to:
A. A condition with no expected recovery
B. A long-term incurable illness
C. A sudden onset of illness
D. A gradually developing illness
Correct Answer: C. A sudden onset of illness
Rationale:
Acute illnesses develop quickly and are often short-term. They differ from chronic
conditions, which are long-lasting and often incurable. Acute conditions may resolve
completely with treatment.
Question 5:
As a nursing assistant, your primary responsibility includes:
A. Taking verbal orders from physicians
B. Administering medications
C. Inserting urinary catheters
D. Reporting changes in resident condition to the nurse
Correct Answer: D. Reporting changes in resident condition to the nurse
Rationale:
Nursing assistants are not permitted to perform clinical procedures like medication
administration or catheter insertion. Their key responsibility is observation and
reporting changes to licensed nurses to ensure timely intervention.
,2026/2027
Question 6:
An assisted living facility provides all of the following EXCEPT:
A. Housing
B. Personal care
C. Social activities
D. 24-hour skilled nursing care
Correct Answer: D. 24-hour skilled nursing care
Rationale:
Assisted living facilities support independence by providing housing, personal care,
and social support. They do not provide continuous skilled nursing care, which is
available in skilled nursing facilities.
Question 7:
Persons who provide basic nursing care under the supervision of an RN or LPN are
called:
A. Licensed practical nurses
B. Case managers
C. Assistive personnel
D. Healthcare administrators
Correct Answer: C. Assistive personnel
Rationale:
Assistive personnel (such as nursing assistants) provide direct basic care under
supervision. They do not function as licensed professionals or administrative staff.
Question 8:
A federal health insurance program for older adults and some disabled individuals is:
A. Medicaid
B. Medicare
C. Blue Cross/Blue Shield
D. Coventry
Correct Answer: B. Medicare
Rationale:
Medicare is a federally funded insurance program primarily for individuals aged 65
and older and certain younger people with disabilities. Medicaid is state-based and
income-dependent.
, 2026/2027
Question 9:
Which nursing care model focuses primarily on tasks rather than patient-centered care?
A. Functional nursing
B. Team nursing
C. Primary nursing
D. Case management
Correct Answer: A. Functional nursing
Rationale:
Functional nursing assigns tasks to staff rather than focusing on holistic patient care.
Each worker performs specific duties such as bathing or vital signs, improving
efficiency but limiting continuity of care.
Question 10:
You promote quality of life for residents by:
A. Delegating all tasks to coworkers
B. Providing gifts like chocolate or coffee
C. Performing all tasks without resident participation
D. Speaking to individuals in a respectful manner
Correct Answer: D. Speaking to individuals in a respectful manner
Rationale:
Respectful communication preserves dignity and promotes emotional well-being.
Quality of life is enhanced when residents feel valued and involved in their care.
Question 11:
A resident with left-sided weakness should have their shirt put on by:
A. Client’s choice
B. Right sleeve first
C. Left sleeve first
D. Both sleeves together
Correct Answer: C. Left sleeve first
Rationale:
Clothing should be placed on the weaker side first to avoid strain and ease dressing.
This technique supports mobility limitations safely.
NV 185 Final Exam Medical Surgical
Nursing II Comprehensive Review
and Practice Test Bank Study Guide
for 2026/2027
Question 1:
You enter a resident’s room and notice a new onset pressure ulcer. You need to
document this and discuss it with the nurse. Where is the MOST appropriate place to
have this discussion?
A. In the patient’s room
B. In the hallway with the family present
C. In private
D. At a local bar
Correct Answer: C. In private
Rationale:
Patient information is confidential and must be discussed in an appropriate private
setting to protect dignity and privacy. Discussing the condition in front of the patient,
family, or in public areas violates confidentiality and professional standards. Private
discussions ensure compliance with HIPAA principles and promote respectful
teamwork communication.
Question 2:
To prevent shampoo from getting into a resident’s eyes during hair care, the nursing
assistant should:
A. Use a handheld nozzle
B. Use dry shampoo only
C. Rinse hair thoroughly
D. Use a washcloth to cover the eyes
Correct Answer: D. Use a washcloth to cover the eyes
Rationale:
Covering the eyes with a washcloth protects them from irritation caused by shampoo
or water. While rinsing and handheld nozzles help with cleaning, they do not prevent
shampoo from entering the eyes. Dry shampoo may not provide proper hygiene for
residents requiring full hair washing.
,2026/2027
Question 3:
Bath water temperature for a resident should be maintained at:
A. 110–115°F
B. 110–120°F
C. 105°F
D. 105–109°F
Correct Answer: A. 110–115°F
Rationale:
Water between 110–115°F is warm enough for comfort but not hot enough to cause
burns or discomfort. Higher temperatures risk scalding, while lower temperatures may
cause chilling and discomfort, especially in elderly patients with sensitive skin.
Question 4:
The term “acute” illness refers to:
A. A condition with no expected recovery
B. A long-term incurable illness
C. A sudden onset of illness
D. A gradually developing illness
Correct Answer: C. A sudden onset of illness
Rationale:
Acute illnesses develop quickly and are often short-term. They differ from chronic
conditions, which are long-lasting and often incurable. Acute conditions may resolve
completely with treatment.
Question 5:
As a nursing assistant, your primary responsibility includes:
A. Taking verbal orders from physicians
B. Administering medications
C. Inserting urinary catheters
D. Reporting changes in resident condition to the nurse
Correct Answer: D. Reporting changes in resident condition to the nurse
Rationale:
Nursing assistants are not permitted to perform clinical procedures like medication
administration or catheter insertion. Their key responsibility is observation and
reporting changes to licensed nurses to ensure timely intervention.
,2026/2027
Question 6:
An assisted living facility provides all of the following EXCEPT:
A. Housing
B. Personal care
C. Social activities
D. 24-hour skilled nursing care
Correct Answer: D. 24-hour skilled nursing care
Rationale:
Assisted living facilities support independence by providing housing, personal care,
and social support. They do not provide continuous skilled nursing care, which is
available in skilled nursing facilities.
Question 7:
Persons who provide basic nursing care under the supervision of an RN or LPN are
called:
A. Licensed practical nurses
B. Case managers
C. Assistive personnel
D. Healthcare administrators
Correct Answer: C. Assistive personnel
Rationale:
Assistive personnel (such as nursing assistants) provide direct basic care under
supervision. They do not function as licensed professionals or administrative staff.
Question 8:
A federal health insurance program for older adults and some disabled individuals is:
A. Medicaid
B. Medicare
C. Blue Cross/Blue Shield
D. Coventry
Correct Answer: B. Medicare
Rationale:
Medicare is a federally funded insurance program primarily for individuals aged 65
and older and certain younger people with disabilities. Medicaid is state-based and
income-dependent.
, 2026/2027
Question 9:
Which nursing care model focuses primarily on tasks rather than patient-centered care?
A. Functional nursing
B. Team nursing
C. Primary nursing
D. Case management
Correct Answer: A. Functional nursing
Rationale:
Functional nursing assigns tasks to staff rather than focusing on holistic patient care.
Each worker performs specific duties such as bathing or vital signs, improving
efficiency but limiting continuity of care.
Question 10:
You promote quality of life for residents by:
A. Delegating all tasks to coworkers
B. Providing gifts like chocolate or coffee
C. Performing all tasks without resident participation
D. Speaking to individuals in a respectful manner
Correct Answer: D. Speaking to individuals in a respectful manner
Rationale:
Respectful communication preserves dignity and promotes emotional well-being.
Quality of life is enhanced when residents feel valued and involved in their care.
Question 11:
A resident with left-sided weakness should have their shirt put on by:
A. Client’s choice
B. Right sleeve first
C. Left sleeve first
D. Both sleeves together
Correct Answer: C. Left sleeve first
Rationale:
Clothing should be placed on the weaker side first to avoid strain and ease dressing.
This technique supports mobility limitations safely.
