NUR 209 Medical-Surgical Nursing II Exam
(2025–2026) – 200 Practice Questions with Detailed
Rationales
This practice examination contains 200 multiple■choice questions designed to help nursing students
prepare for Medical■Surgical Nursing II examinations. Major topics include cardiovascular, respiratory,
endocrine, renal, neurological, gastrointestinal, oncology, and critical care nursing. Correct answers are
highlighted in yellow and each question includes a detailed rationale.
Q1. (Respiratory Disorders) A nurse is caring for a hospitalized patient with a condition related to
respiratory disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q2. (Endocrine Disorders) A nurse is caring for a hospitalized patient with a condition related to
endocrine disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q3. (Renal and Urinary Disorders) A nurse is caring for a hospitalized patient with a condition related to
renal and urinary disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
,C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q4. (Neurological Disorders) A nurse is caring for a hospitalized patient with a condition related to
neurological disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q5. (Gastrointestinal Disorders) A nurse is caring for a hospitalized patient with a condition related to
gastrointestinal disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q6. (Oncology Nursing) A nurse is caring for a hospitalized patient with a condition related to oncology
nursing. Which nursing action is the most appropriate to promote patient safety and effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
,Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q7. (Critical Care Nursing) A nurse is caring for a hospitalized patient with a condition related to critical
care nursing. Which nursing action is the most appropriate to promote patient safety and effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q8. (Cardiovascular Disorders) A nurse is caring for a hospitalized patient with a condition related to
cardiovascular disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q9. (Respiratory Disorders) A nurse is caring for a hospitalized patient with a condition related to
respiratory disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
, standards and patient privacy regulations.
Q10. (Endocrine Disorders) A nurse is caring for a hospitalized patient with a condition related to
endocrine disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q11. (Renal and Urinary Disorders) A nurse is caring for a hospitalized patient with a condition related
to renal and urinary disorders. Which nursing action is the most appropriate to promote patient safety
and effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q12. (Neurological Disorders) A nurse is caring for a hospitalized patient with a condition related to
neurological disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
(2025–2026) – 200 Practice Questions with Detailed
Rationales
This practice examination contains 200 multiple■choice questions designed to help nursing students
prepare for Medical■Surgical Nursing II examinations. Major topics include cardiovascular, respiratory,
endocrine, renal, neurological, gastrointestinal, oncology, and critical care nursing. Correct answers are
highlighted in yellow and each question includes a detailed rationale.
Q1. (Respiratory Disorders) A nurse is caring for a hospitalized patient with a condition related to
respiratory disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q2. (Endocrine Disorders) A nurse is caring for a hospitalized patient with a condition related to
endocrine disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q3. (Renal and Urinary Disorders) A nurse is caring for a hospitalized patient with a condition related to
renal and urinary disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
,C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q4. (Neurological Disorders) A nurse is caring for a hospitalized patient with a condition related to
neurological disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q5. (Gastrointestinal Disorders) A nurse is caring for a hospitalized patient with a condition related to
gastrointestinal disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q6. (Oncology Nursing) A nurse is caring for a hospitalized patient with a condition related to oncology
nursing. Which nursing action is the most appropriate to promote patient safety and effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
,Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q7. (Critical Care Nursing) A nurse is caring for a hospitalized patient with a condition related to critical
care nursing. Which nursing action is the most appropriate to promote patient safety and effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q8. (Cardiovascular Disorders) A nurse is caring for a hospitalized patient with a condition related to
cardiovascular disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q9. (Respiratory Disorders) A nurse is caring for a hospitalized patient with a condition related to
respiratory disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
, standards and patient privacy regulations.
Q10. (Endocrine Disorders) A nurse is caring for a hospitalized patient with a condition related to
endocrine disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q11. (Renal and Urinary Disorders) A nurse is caring for a hospitalized patient with a condition related
to renal and urinary disorders. Which nursing action is the most appropriate to promote patient safety
and effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
Q12. (Neurological Disorders) A nurse is caring for a hospitalized patient with a condition related to
neurological disorders. Which nursing action is the most appropriate to promote patient safety and
effective care?
A. Delay patient assessment until physician rounds
B. Perform a focused assessment and apply evidence■based nursing interventions
C. Postpone documentation until the shift is finished
D. Share patient details with staff not involved in care
Rationale: Performing a focused assessment and implementing evidence■based nursing interventions
are essential components of professional nursing practice. Early assessment allows the nurse to
identify complications, prioritize care, and communicate findings promptly. Delaying assessment or
documentation can compromise patient safety, while sharing confidential information violates ethical
standards and patient privacy regulations.
