NUR 265 Med-Surgical Nursing Exam 3: Comprehensive Question Bank
NUR 265 Med-Surgical Nursing Exam
3:
Comprehensive Question Bank
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Galen College of Nursing
Academic Year 2025–2026
Department of Medical-Surgical Nursing
Galen College of Nursing
April 2026
1
, NUR 265 Med-Surgical Nursing Exam 3: Comprehensive Question Bank
ABSTRACT
This comprehensive question bank serves as a resource for nursing students enrolled in
NUR 265 Med-Surgical Nursing at Galen College of Nursing during the 2025–2026
academic year. The examination consists of 150 multiple-choice questions carefully
designed to assess clinical reasoning, patient safety, and evidence-based nursing
knowledge across twelve core medical-surgical domains. These domains encompass
cardiovascular disorders, respiratory conditions, renal and urinary system dysfunction,
endocrine disorders, gastrointestinal diseases, neurological impairments, hematological
abnormalities, perioperative care, fluid and electrolyte balance, pain management,
infection control, and integrated NCLEX-style clinical judgment scenarios. Each question
follows the NCLEX examination framework, emphasizing prioritization, delegation,
safety, and assessment skills essential for entry-level nursing practice. Clinical rationales
accompany every question to facilitate deeper understanding of pathophysiology,
pharmacological interventions, and nursing management strategies. The question bank
aligns with current evidence-based guidelines from the American Heart Association, the
Centers for Disease Control and Prevention, and authoritative medical-surgical nursing
textbooks. This instrument is intended to prepare students for both summative course
assessments and the NCLEX-RN licensure examination, promoting competent, safe, and
compassionate patient care.
Keywords: med-surgical nursing, NCLEX examination, clinical judgment, evidence-based
practice, cardiovascular disorders, respiratory conditions, renal failure, endocrine disorders,
neurological impairments, perioperative care, pain management, infection control
2
, NUR 265 Med-Surgical Nursing Exam 3: Comprehensive Question Bank
SCORE SUMMARY TABLE
# Domain Question Range # Questions Total Points
1 Cardiovascular Q1–Q13 13 13
Disorders
2 Respiratory Q14–Q26 13 13
Conditions
3 Renal & Urinary Q27–Q38 12 12
System
4 Endocrine Q39–Q50 12 12
Disorders
5 Gastrointestinal Q51–Q62 12 12
Diseases
6 Neurological Q63–Q74 12 12
Impairments
7 Hematological Q75–Q86 12 12
Abnormalities
8 Perioperative Q87–Q99 13 13
Care
9 Fluid & Q100–Q112 13 13
Electrolyte
Balance
10 Pain Q113–Q125 13 13
Management
11 Infection Q126–Q137 12 12
Control
12 NCLEX-Style Q138–Q150 13 13
Clinical
Judgment
TOTAL Q1–Q150 150 150
Each question is worth 1 point. Passing score: 75% (113/150).
3
, NUR 265 Med-Surgical Nursing Exam 3: Comprehensive Question Bank
EXAMINATION SECTIONS
Cardiovascular Disorders
──────────────────────────────────────────────────────────────────────
1. A nurse is assessing a client with left-sided heart failure. Which of the following
findings should the nurse expect?
A) Peripheral edema and jugular vein distention
B) Crackles in the lungs and shortness of breath
C) Right upper quadrant pain and ascites
D) Bradycardia and hypotension
Rationale: Left-sided heart failure causes pulmonary congestion, leading to crackles on
auscultation and dyspnea. Peripheral edema and JVD are manifestations of right-sided heart
failure due to systemic venous congestion.
2. A client with heart failure is prescribed furosemide (Lasix). Which laboratory value
should the nurse monitor closely?
A) Sodium 140 mEq/L
B) Potassium 3.0 mEq/L
C) Calcium 9.5 mg/dL
D) Chloride 100 mEq/L
Rationale: Furosemide is a loop diuretic that causes potassium wasting (hypokalemia). A
potassium level of 3.0 mEq/L is below normal (3.5-5.0) and increases the risk of cardiac
dysrhythmias, requiring immediate intervention.
3. A nurse is providing discharge teaching to a client who has had a myocardial infarction
(MI). Which statement by the client indicates an understanding of the teaching?
A) I will take nitroglycerin 5 minutes before any physical activity.
B) I should avoid taking my aspirin if I experience stomach upset.
C) I will call 911 if my chest pain is not relieved by nitroglycerin after three
doses, 5 minutes apart.
D) I can stop my beta-blocker once my blood pressure is normal.
4
NUR 265 Med-Surgical Nursing Exam
3:
Comprehensive Question Bank
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Galen College of Nursing
Academic Year 2025–2026
Department of Medical-Surgical Nursing
Galen College of Nursing
April 2026
1
, NUR 265 Med-Surgical Nursing Exam 3: Comprehensive Question Bank
ABSTRACT
This comprehensive question bank serves as a resource for nursing students enrolled in
NUR 265 Med-Surgical Nursing at Galen College of Nursing during the 2025–2026
academic year. The examination consists of 150 multiple-choice questions carefully
designed to assess clinical reasoning, patient safety, and evidence-based nursing
knowledge across twelve core medical-surgical domains. These domains encompass
cardiovascular disorders, respiratory conditions, renal and urinary system dysfunction,
endocrine disorders, gastrointestinal diseases, neurological impairments, hematological
abnormalities, perioperative care, fluid and electrolyte balance, pain management,
infection control, and integrated NCLEX-style clinical judgment scenarios. Each question
follows the NCLEX examination framework, emphasizing prioritization, delegation,
safety, and assessment skills essential for entry-level nursing practice. Clinical rationales
accompany every question to facilitate deeper understanding of pathophysiology,
pharmacological interventions, and nursing management strategies. The question bank
aligns with current evidence-based guidelines from the American Heart Association, the
Centers for Disease Control and Prevention, and authoritative medical-surgical nursing
textbooks. This instrument is intended to prepare students for both summative course
assessments and the NCLEX-RN licensure examination, promoting competent, safe, and
compassionate patient care.
Keywords: med-surgical nursing, NCLEX examination, clinical judgment, evidence-based
practice, cardiovascular disorders, respiratory conditions, renal failure, endocrine disorders,
neurological impairments, perioperative care, pain management, infection control
2
, NUR 265 Med-Surgical Nursing Exam 3: Comprehensive Question Bank
SCORE SUMMARY TABLE
# Domain Question Range # Questions Total Points
1 Cardiovascular Q1–Q13 13 13
Disorders
2 Respiratory Q14–Q26 13 13
Conditions
3 Renal & Urinary Q27–Q38 12 12
System
4 Endocrine Q39–Q50 12 12
Disorders
5 Gastrointestinal Q51–Q62 12 12
Diseases
6 Neurological Q63–Q74 12 12
Impairments
7 Hematological Q75–Q86 12 12
Abnormalities
8 Perioperative Q87–Q99 13 13
Care
9 Fluid & Q100–Q112 13 13
Electrolyte
Balance
10 Pain Q113–Q125 13 13
Management
11 Infection Q126–Q137 12 12
Control
12 NCLEX-Style Q138–Q150 13 13
Clinical
Judgment
TOTAL Q1–Q150 150 150
Each question is worth 1 point. Passing score: 75% (113/150).
3
, NUR 265 Med-Surgical Nursing Exam 3: Comprehensive Question Bank
EXAMINATION SECTIONS
Cardiovascular Disorders
──────────────────────────────────────────────────────────────────────
1. A nurse is assessing a client with left-sided heart failure. Which of the following
findings should the nurse expect?
A) Peripheral edema and jugular vein distention
B) Crackles in the lungs and shortness of breath
C) Right upper quadrant pain and ascites
D) Bradycardia and hypotension
Rationale: Left-sided heart failure causes pulmonary congestion, leading to crackles on
auscultation and dyspnea. Peripheral edema and JVD are manifestations of right-sided heart
failure due to systemic venous congestion.
2. A client with heart failure is prescribed furosemide (Lasix). Which laboratory value
should the nurse monitor closely?
A) Sodium 140 mEq/L
B) Potassium 3.0 mEq/L
C) Calcium 9.5 mg/dL
D) Chloride 100 mEq/L
Rationale: Furosemide is a loop diuretic that causes potassium wasting (hypokalemia). A
potassium level of 3.0 mEq/L is below normal (3.5-5.0) and increases the risk of cardiac
dysrhythmias, requiring immediate intervention.
3. A nurse is providing discharge teaching to a client who has had a myocardial infarction
(MI). Which statement by the client indicates an understanding of the teaching?
A) I will take nitroglycerin 5 minutes before any physical activity.
B) I should avoid taking my aspirin if I experience stomach upset.
C) I will call 911 if my chest pain is not relieved by nitroglycerin after three
doses, 5 minutes apart.
D) I can stop my beta-blocker once my blood pressure is normal.
4
