NCLEX - Adult Med Surg ACTUAL EXAM 2026/2027 TEST
BANK PRACTICE QUESTIONS AND STUDY GUIDE
ACCURATE EXAM COMPLETE REAL QUESTIONS AND
CORRECT VERIFIED SOLUTIONS WITH DETAILED
RATIONALES (RELIABLE ANSWERS) CURRENTLY UPDATED
VERSION 2026 EDITION
A miotic medication has been prescribed for the client with
glaucoma and the client asks the nurse about the purpose of the
medication. Which response should the nurse provide to the client?
1. "The medication will help dilate the eye to prevent pressure from
occurring."
2. "The medication will relax the muscles of the eyes and prevent
blurred vision."
3. "The medication causes the pupil to constrict and will lower the
pressure in the eye."
4. "The medication will help block the responses that are sent to the
muscles in the eye."
3.
, A client was just admitted to the hospital to rule out a GI bleed. The
client has brought several bottles of medications prescribed by
different specialists. During the admission assessment, the client
states, "Lately, I have been hearing some roaring sounds in my ears,
especially when I am alone." Which medication would the nurse
identify as the cause of the client's complaint?
1. Doxycycline
2. Acetylsalicylic acid
3. Atropine sulfate
4. Diltiazem hydrochloride
2.
A client with pemphigus is being seen in the clinic regularly. The
nurse plans care based on which description of this condition?
1. The presence of tiny red vesicles
2. An autoimmune disease that causes blistering in the
epidermis
3. The presence of skin vesicles found along the nerve
caused by a virus
4. The presence of red, raised papules and large plaques
covered by silvery scales
2.
,The nurse is caring for a client with increased intracranial pressure.
The nurse would note which trend in vital signs if the intracranial
pressure is rising?
1. Increasing temperature, increasing pulse, increasing respirations,
decreasing blood pressure.
2. Increasing temperature, decreasing pulse, decreasing
respirations, increasing blood pressure.
3. Decreasing temperature, decreasing pulse, increasing
respirations, decreasing blood pressure.
4. Decreasing temperature, increasing pulse, decreasing
respirations, increasing blood pressure.
2.
A client with a spinal cord injury is prone to experiencing autonomic
dysreflexia. The nurse should avoid which measure to minimize the
risk of occurrence?
1. Strict adherence to a bowel retraining program
2. Keeping the linen wrinkle-free under the client
3. Preventing unnecessary pressure on the lower limbs
4. Limiting bladder catheterization to once every 12 hours
4.
The nurse is evaluating the neurological signs of a client in spinal
shock following spinal cord injury. Which observation indicates that
spinal shock persists?
1. Hyperreflexia
2. Positive reflexes
3. Flaccis paralysis
4. Reflex emptying of the bladder
3.
, The nurse is assigned to care for a client with complete right-sided
hemiparesis. Which characteristics are as sociated with this
condition? Select all that apply.
1. The client is aphasic.
2. The client has weakness in the face and tongue.
3. The client has weakness on the right side of the body.
4. The client has complete bilateral paralysis of the arms and legs.
5. The client has lost the ability to move the right arm but is able to
walk independently.
6. The client has lost the ability to ambulate independently but is
able to feed and bathe himself or herself without assistance.
1,2,3.
The client is admitted to the hospital with a diagnosis of Guillain-
Barre syndrome. Which past medical history finding makes the client
most at risk for this disease?
1. Meningitis or encephalitis during the last 5 years
2. Seizures or trauma to the brain within the last year
3. Back injury or trauma to the spinal cord during the last 2 years
4. Respiratory or gastrointestinal infection during the previous
month
4.
A client has a neurological deficit involving the limbic system. Which
assessment finding is specific to this type of deficit?
1. Is disoriented to person, place, and time
2. Affect is flat, with periods of emotional lability
3. Cannot recall what was eaten for breakfast today
4. Demonstrates inability to add and subtract; does not know who
the president of the United States
2.
BANK PRACTICE QUESTIONS AND STUDY GUIDE
ACCURATE EXAM COMPLETE REAL QUESTIONS AND
CORRECT VERIFIED SOLUTIONS WITH DETAILED
RATIONALES (RELIABLE ANSWERS) CURRENTLY UPDATED
VERSION 2026 EDITION
A miotic medication has been prescribed for the client with
glaucoma and the client asks the nurse about the purpose of the
medication. Which response should the nurse provide to the client?
1. "The medication will help dilate the eye to prevent pressure from
occurring."
2. "The medication will relax the muscles of the eyes and prevent
blurred vision."
3. "The medication causes the pupil to constrict and will lower the
pressure in the eye."
4. "The medication will help block the responses that are sent to the
muscles in the eye."
3.
, A client was just admitted to the hospital to rule out a GI bleed. The
client has brought several bottles of medications prescribed by
different specialists. During the admission assessment, the client
states, "Lately, I have been hearing some roaring sounds in my ears,
especially when I am alone." Which medication would the nurse
identify as the cause of the client's complaint?
1. Doxycycline
2. Acetylsalicylic acid
3. Atropine sulfate
4. Diltiazem hydrochloride
2.
A client with pemphigus is being seen in the clinic regularly. The
nurse plans care based on which description of this condition?
1. The presence of tiny red vesicles
2. An autoimmune disease that causes blistering in the
epidermis
3. The presence of skin vesicles found along the nerve
caused by a virus
4. The presence of red, raised papules and large plaques
covered by silvery scales
2.
,The nurse is caring for a client with increased intracranial pressure.
The nurse would note which trend in vital signs if the intracranial
pressure is rising?
1. Increasing temperature, increasing pulse, increasing respirations,
decreasing blood pressure.
2. Increasing temperature, decreasing pulse, decreasing
respirations, increasing blood pressure.
3. Decreasing temperature, decreasing pulse, increasing
respirations, decreasing blood pressure.
4. Decreasing temperature, increasing pulse, decreasing
respirations, increasing blood pressure.
2.
A client with a spinal cord injury is prone to experiencing autonomic
dysreflexia. The nurse should avoid which measure to minimize the
risk of occurrence?
1. Strict adherence to a bowel retraining program
2. Keeping the linen wrinkle-free under the client
3. Preventing unnecessary pressure on the lower limbs
4. Limiting bladder catheterization to once every 12 hours
4.
The nurse is evaluating the neurological signs of a client in spinal
shock following spinal cord injury. Which observation indicates that
spinal shock persists?
1. Hyperreflexia
2. Positive reflexes
3. Flaccis paralysis
4. Reflex emptying of the bladder
3.
, The nurse is assigned to care for a client with complete right-sided
hemiparesis. Which characteristics are as sociated with this
condition? Select all that apply.
1. The client is aphasic.
2. The client has weakness in the face and tongue.
3. The client has weakness on the right side of the body.
4. The client has complete bilateral paralysis of the arms and legs.
5. The client has lost the ability to move the right arm but is able to
walk independently.
6. The client has lost the ability to ambulate independently but is
able to feed and bathe himself or herself without assistance.
1,2,3.
The client is admitted to the hospital with a diagnosis of Guillain-
Barre syndrome. Which past medical history finding makes the client
most at risk for this disease?
1. Meningitis or encephalitis during the last 5 years
2. Seizures or trauma to the brain within the last year
3. Back injury or trauma to the spinal cord during the last 2 years
4. Respiratory or gastrointestinal infection during the previous
month
4.
A client has a neurological deficit involving the limbic system. Which
assessment finding is specific to this type of deficit?
1. Is disoriented to person, place, and time
2. Affect is flat, with periods of emotional lability
3. Cannot recall what was eaten for breakfast today
4. Demonstrates inability to add and subtract; does not know who
the president of the United States
2.
