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Medical-Surgical Nursing RN (NGN Style) – 2026/2027 Exam Preparation with 100 Practice Questions and Verified Answers

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This document contains 100 Next Generation NCLEX (NGN) style practice questions and answers designed for RN students studying medical-surgical nursing. The material covers essential topics including cardiovascular disorders, respiratory conditions, gastrointestinal diseases, endocrine disorders, neurological care, infection control, pharmacology, and priority-based nursing interventions. The questions are structured to strengthen clinical judgment and decision-making skills aligned with the Next Generation NCLEX used for the NCLEX-RN. It serves as a comprehensive review resource for RN students preparing for nursing exams and licensure testing.

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Medical Surgical Nursing NGN
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Medical Surgical Nursing NGN

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Medical Surgical Nursing NGN style Questions and Answers
2026/27 RN

100 Questions and Answers

Table of Contents

1. Cardiovascular System o Assessment and Management of
Patients with Cardiovascular Disorders o Hypertension and
Heart Failure: Nursing Interventions o Cardiac Medications:
Pharmacological Management o Managing Postoperative
Cardiac Clients
2. Respiratory System o Respiratory Assessment and Diagnostics
o Management of Clients with COPD and Asthma o Acute
Respiratory Distress Syndrome (ARDS) and Nursing Care o
Oxygen Therapy and Ventilation Support
3. Gastrointestinal System o Gastrointestinal Assessment and
Diagnostic Procedures o Management of Clients with GI Bleeds
and Ulcers o Postoperative Care for GI Surgeries o Nutritional
Support and Enteral Feeding
4. Endocrine System o Diabetes Mellitus: Nursing Care and
Management o Thyroid and Adrenal Disorders: Assessment and
Care o Pharmacology for Endocrine Disorders o Complications
of Diabetes and Emergency Interventions
5. Renal and Urinary System o Assessment of Renal Function and
Diagnostics o Acute and Chronic Kidney Disease: Nursing
Management
o Urinary Tract Infections and Catheter Care o Fluid and
Electrolyte Imbalances: Identification and Management

,6. Neurological System o Neurological Assessment and
Monitoring o Stroke: Acute and Long-Term Nursing Care o
Seizure Management and Safety Precautions o Pharmacological
Management of Neurological Disorders
7. Musculoskeletal System o Musculoskeletal Assessment and
Mobility o Fracture Management and Postoperative Care o
Osteoporosis and Arthritis: Nursing Interventions o Pain
Management and Rehabilitation Strategies
8. Hematological and Immune System o Blood Disorders:
Assessment and Nursing Care o Blood Transfusion Reactions:
Prevention and Management o Nursing Care for Clients with
Immune Disorders o Pharmacology for Hematological
Conditions
9. Integumentary System o Wound Care and Pressure Ulcer
Prevention o Burns: Nursing Assessment and Management o
Dermatological Conditions: Nursing Interventions o
Postoperative Skin Care and Infection Control
10. Oncology and Palliative Care o Nursing Care for Clients with
Cancer o Chemotherapy and Radiation Therapy: Side Effects
Management o Pain Management in Oncology Clients o
Palliative Care and End-of-Life Considerations
11. Perioperative Nursing Care o Preoperative Assessment and
Client Education o Intraoperative Nursing Roles and
Responsibilities
o Postoperative Care: Complications and Interventions o
Pain Management in Surgical Clients
12. Fluid, Electrolyte, and Acid-Base Balance o Assessing and
Managing Fluid Volume Deficits and Excesses o Electrolyte
Imbalances: Recognition and Treatment o Acid-Base

, Imbalances: Nursing Interventions o IV Fluid Administration and
Safety Considerations
13. Infection Control and Safety o Standard and Transmission-
Based Precautions o Nursing Care for Clients with Infections o
Medication Management for Infectious Diseases o Antibiotic
Stewardship and Nursing Implications
14. Pharmacology in Medical-Surgical Nursing o Safe Medication
Administration and Monitoring o Managing Side Effects and
Adverse Reactions o Patient Education on Medications o Drug
Interactions and Contraindications in the Medical-Surgical
Setting
15. Psychosocial Integrity in Medical-Surgical Nursing o
Therapeutic Communication with Clients and Families o
Managing Anxiety and Stress in Hospitalized Clients o Coping
Mechanisms and Patient Education o Ethical and Legal
Considerations in Medical-Surgical Nursing
16. Answer Key and Rationales o Comprehensive Answer Key for
All Chapters o Detailed Rationales for Correct and Incorrect
Answers o Review and Reflective Questions for Self-Assessment

100 Questions with Verified and Explained Answers

1. Cardiovascular System

1.1. Case Study: Heart Failure Management

Scenario: A 68-year-old client with a history of heart failure is admitted with worsening dyspnea
and lower extremity edema. The client has gained 5 pounds in the past week.

• Question 1: "What is the nurse's priority intervention?" o Options:
Administer prescribed furosemide (Lasix). (Correct Answer)
Encourage fluid intake.

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Medical Surgical Nursing NGN
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16 maart 2026
Aantal pagina's
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Geschreven in
2025/2026
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