1 | Page
230 COMPLETE NCLEX-STYLE QUESTIONS & ANSWERS
(2026-2027) FROM DAVIS ADVANTAGE FOR MEDICAL-
SURGICAL NURSING 3RD EDITION TEST BANK | HOFFMAN
& SULLIVAN | 100% CORRECT ALREADY GRADED A+,
GUARANTEED PASS
Question 1
A nurse is applying the QSEN competencies in practice. Which action best
demonstrates the Safety competency?
A. Reviewing the latest nursing research
B. Double-checking a client’s medication before administration
C. Teaching a client about insulin administration
D. Collaborating with the physical therapist for mobility
Correct Answer: B
Rationale: The Safety competency emphasizes minimizing risk and preventing
harm. Double-checking medications ensures correct administration and prevents
medication errors. The other options reflect other QSEN competencies (evidence-
based practice, patient-centered care, teamwork).
Question 2
A patient with chronic illness asks, “Why do I need to keep coming for follow-ups
if I feel fine?” The nurse’s best response is:
A. “Because your doctor said so.”
B. “Chronic conditions require regular monitoring to prevent complications.”
C. “You can stop if you don’t feel sick.”
D. “It’s part of our hospital policy.”
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Correct Answer: B
Rationale: Chronic illness requires ongoing management to prevent
complications and maintain stability. Acknowledging the need for consistent
follow-up supports patient education and adherence.
Question 3
A nurse caring for an older adult with multiple comorbidities should prioritize
which intervention?
A. Encouraging independence
B. Managing polypharmacy
C. Promoting fluid intake
D. Arranging social activities
Correct Answer: B
Rationale: Polypharmacy increases risk of adverse drug events, especially in older
adults with multiple health conditions. While all interventions are beneficial,
medication safety is the highest priority.
Question 4
The nurse uses the Clinical Judgment Measurement Model (CJMM). Which
action reflects the Recognize Cues phase?
A. Documenting the nursing care plan
B. Identifying abnormal lab results
C. Prioritizing interventions
D. Evaluating patient outcomes
Correct Answer: B
Rationale: Recognizing cues means identifying relevant clinical data, such as
abnormal labs or assessment findings. Prioritizing and evaluating occur in later
phases.
Question 5
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Which nursing diagnosis is most appropriate for a patient experiencing shortness
of breath, oxygen saturation of 85%, and restlessness?
A. Risk for Infection
B. Impaired Gas Exchange
C. Anxiety
D. Activity Intolerance
Correct Answer: B
Rationale: Clinical signs point to impaired oxygenation, making Impaired Gas
Exchange the priority diagnosis.
Question 6
A nurse prepares to teach a patient newly diagnosed with diabetes. Which teaching
strategy reflects patient-centered care?
A. Providing a printed handout without discussion
B. Asking the patient about their learning preferences
C. Using only medical terminology
D. Telling the patient what they “must do”
Correct Answer: B
Rationale: Patient-centered care emphasizes individualizing education to the
patient’s needs and preferences.
Question 7
A nurse prioritizes care for four clients. Which client should be assessed first?
A. Client with blood glucose of 250 mg/dL
B. Client with postoperative pain rating 8/10
C. Client with new-onset confusion and restlessness
D. Client waiting for discharge instructions
Correct Answer: C
Rationale: New-onset confusion may indicate hypoxia or acute neurological
change, which is a priority using ABCs and safety.
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Question 8
In interprofessional collaboration, which statement by the nurse best supports
teamwork?
A. “I will make all the care decisions.”
B. “The physical therapist should follow my plan.”
C. “Let’s review the patient’s mobility goals together.”
D. “The physician will handle everything.”
Correct Answer: C
Rationale: Effective teamwork requires shared decision-making and
collaboration.
Question 9
A client refuses treatment due to religious beliefs. What is the nurse’s best action?
A. Insist that treatment is necessary
B. Notify the provider and explore alternatives
C. Document refusal but proceed with care
D. Convince the family to pressure the client
Correct Answer: B
Rationale: Respecting autonomy and cultural values while collaborating for safe
alternatives is best practice.
Question 10
A patient with heart failure is admitted with worsening edema and dyspnea. Which
intervention should the nurse do first?
A. Administer prescribed diuretic
B. Assess lung sounds and oxygen saturation
C. Weigh the patient
D. Elevate legs on pillows
230 COMPLETE NCLEX-STYLE QUESTIONS & ANSWERS
(2026-2027) FROM DAVIS ADVANTAGE FOR MEDICAL-
SURGICAL NURSING 3RD EDITION TEST BANK | HOFFMAN
& SULLIVAN | 100% CORRECT ALREADY GRADED A+,
GUARANTEED PASS
Question 1
A nurse is applying the QSEN competencies in practice. Which action best
demonstrates the Safety competency?
A. Reviewing the latest nursing research
B. Double-checking a client’s medication before administration
C. Teaching a client about insulin administration
D. Collaborating with the physical therapist for mobility
Correct Answer: B
Rationale: The Safety competency emphasizes minimizing risk and preventing
harm. Double-checking medications ensures correct administration and prevents
medication errors. The other options reflect other QSEN competencies (evidence-
based practice, patient-centered care, teamwork).
Question 2
A patient with chronic illness asks, “Why do I need to keep coming for follow-ups
if I feel fine?” The nurse’s best response is:
A. “Because your doctor said so.”
B. “Chronic conditions require regular monitoring to prevent complications.”
C. “You can stop if you don’t feel sick.”
D. “It’s part of our hospital policy.”
,2 | Page
Correct Answer: B
Rationale: Chronic illness requires ongoing management to prevent
complications and maintain stability. Acknowledging the need for consistent
follow-up supports patient education and adherence.
Question 3
A nurse caring for an older adult with multiple comorbidities should prioritize
which intervention?
A. Encouraging independence
B. Managing polypharmacy
C. Promoting fluid intake
D. Arranging social activities
Correct Answer: B
Rationale: Polypharmacy increases risk of adverse drug events, especially in older
adults with multiple health conditions. While all interventions are beneficial,
medication safety is the highest priority.
Question 4
The nurse uses the Clinical Judgment Measurement Model (CJMM). Which
action reflects the Recognize Cues phase?
A. Documenting the nursing care plan
B. Identifying abnormal lab results
C. Prioritizing interventions
D. Evaluating patient outcomes
Correct Answer: B
Rationale: Recognizing cues means identifying relevant clinical data, such as
abnormal labs or assessment findings. Prioritizing and evaluating occur in later
phases.
Question 5
,3 | Page
Which nursing diagnosis is most appropriate for a patient experiencing shortness
of breath, oxygen saturation of 85%, and restlessness?
A. Risk for Infection
B. Impaired Gas Exchange
C. Anxiety
D. Activity Intolerance
Correct Answer: B
Rationale: Clinical signs point to impaired oxygenation, making Impaired Gas
Exchange the priority diagnosis.
Question 6
A nurse prepares to teach a patient newly diagnosed with diabetes. Which teaching
strategy reflects patient-centered care?
A. Providing a printed handout without discussion
B. Asking the patient about their learning preferences
C. Using only medical terminology
D. Telling the patient what they “must do”
Correct Answer: B
Rationale: Patient-centered care emphasizes individualizing education to the
patient’s needs and preferences.
Question 7
A nurse prioritizes care for four clients. Which client should be assessed first?
A. Client with blood glucose of 250 mg/dL
B. Client with postoperative pain rating 8/10
C. Client with new-onset confusion and restlessness
D. Client waiting for discharge instructions
Correct Answer: C
Rationale: New-onset confusion may indicate hypoxia or acute neurological
change, which is a priority using ABCs and safety.
, 4 | Page
Question 8
In interprofessional collaboration, which statement by the nurse best supports
teamwork?
A. “I will make all the care decisions.”
B. “The physical therapist should follow my plan.”
C. “Let’s review the patient’s mobility goals together.”
D. “The physician will handle everything.”
Correct Answer: C
Rationale: Effective teamwork requires shared decision-making and
collaboration.
Question 9
A client refuses treatment due to religious beliefs. What is the nurse’s best action?
A. Insist that treatment is necessary
B. Notify the provider and explore alternatives
C. Document refusal but proceed with care
D. Convince the family to pressure the client
Correct Answer: B
Rationale: Respecting autonomy and cultural values while collaborating for safe
alternatives is best practice.
Question 10
A patient with heart failure is admitted with worsening edema and dyspnea. Which
intervention should the nurse do first?
A. Administer prescribed diuretic
B. Assess lung sounds and oxygen saturation
C. Weigh the patient
D. Elevate legs on pillows
