MEDICAL-SURGICAL NURSING NCLEX QUESTION
BANK EXAM LATEST 2026 UPDATE 100 QUESTIONS
AND DETAILED VERIFIED ANSWERS FROM ACTUAL
EXAMS TEST GRADE A+
1.
A client with heart failure has crackles and edema. Which medication is expected
first-line?
A. Metoprolol
B. Furosemide
C. Digoxin
D. Lisinopril
Answer: B. Furosemide
Rationale: Loop diuretics reduce fluid overload quickly, improving pulmonary
congestion and edema.
2.
Which sign indicates hypoglycemia?
A. Polyuria
B. Tremors
C. Fruity breath
D. Kussmaul respirations
Answer: B. Tremors
Rationale: Tremors, sweating, and irritability are early signs of hypoglycemia.
,3.
Priority action for chest pain suspected MI?
A. Give antacids
B. Obtain ECG
C. Administer oxygen
D. Encourage rest
Answer: C. Administer oxygen
Rationale: Oxygen increases myocardial oxygen supply during ischemia.
4.
Which electrolyte imbalance causes peaked T waves?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia
Answer: B. Hyperkalemia
Rationale: Elevated potassium affects cardiac conduction producing peaked T
waves.
5.
Best position for patient with respiratory distress?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Answer: C. High Fowler’s
Rationale: Upright position improves lung expansion and oxygenation.
,6.
Which lab indicates kidney failure?
A. Increased GFR
B. Low creatinine
C. Elevated BUN
D. Low potassium
Answer: C. Elevated BUN
Rationale: BUN rises when kidney filtration decreases.
7.
First sign of infection in elderly?
A. Fever
B. Confusion
C. Rash
D. Tachycardia
Answer: B. Confusion
Rationale: Older adults often present with altered mental status first.
8.
Which insulin acts fastest?
A. NPH
B. Glargine
C. Lispro
D. Regular
Answer: C. Lispro
Rationale: Rapid-acting insulin begins working within 15 minutes.
9.
, Priority nursing action for stroke?
A. Give food
B. Assess airway
C. Lower BP aggressively
D. Encourage walking
Answer: B. Assess airway
Rationale: Airway protection is priority in acute neurologic events.
10.
Classic sign of right-sided heart failure?
A. Pulmonary edema
B. JVD
C. Hemoptysis
D. Cyanosis only
Answer: B. JVD
Rationale: Right-sided failure causes systemic venous congestion.
11.
Which finding indicates DKA?
A. Hypoglycemia
B. Metabolic alkalosis
C. Kussmaul respirations
D. Bradycardia
Answer: C. Kussmaul respirations
Rationale: Deep rapid breathing compensates for acidosis.
12.
Which medication requires monitoring INR?
A. Heparin
BANK EXAM LATEST 2026 UPDATE 100 QUESTIONS
AND DETAILED VERIFIED ANSWERS FROM ACTUAL
EXAMS TEST GRADE A+
1.
A client with heart failure has crackles and edema. Which medication is expected
first-line?
A. Metoprolol
B. Furosemide
C. Digoxin
D. Lisinopril
Answer: B. Furosemide
Rationale: Loop diuretics reduce fluid overload quickly, improving pulmonary
congestion and edema.
2.
Which sign indicates hypoglycemia?
A. Polyuria
B. Tremors
C. Fruity breath
D. Kussmaul respirations
Answer: B. Tremors
Rationale: Tremors, sweating, and irritability are early signs of hypoglycemia.
,3.
Priority action for chest pain suspected MI?
A. Give antacids
B. Obtain ECG
C. Administer oxygen
D. Encourage rest
Answer: C. Administer oxygen
Rationale: Oxygen increases myocardial oxygen supply during ischemia.
4.
Which electrolyte imbalance causes peaked T waves?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia
Answer: B. Hyperkalemia
Rationale: Elevated potassium affects cardiac conduction producing peaked T
waves.
5.
Best position for patient with respiratory distress?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Answer: C. High Fowler’s
Rationale: Upright position improves lung expansion and oxygenation.
,6.
Which lab indicates kidney failure?
A. Increased GFR
B. Low creatinine
C. Elevated BUN
D. Low potassium
Answer: C. Elevated BUN
Rationale: BUN rises when kidney filtration decreases.
7.
First sign of infection in elderly?
A. Fever
B. Confusion
C. Rash
D. Tachycardia
Answer: B. Confusion
Rationale: Older adults often present with altered mental status first.
8.
Which insulin acts fastest?
A. NPH
B. Glargine
C. Lispro
D. Regular
Answer: C. Lispro
Rationale: Rapid-acting insulin begins working within 15 minutes.
9.
, Priority nursing action for stroke?
A. Give food
B. Assess airway
C. Lower BP aggressively
D. Encourage walking
Answer: B. Assess airway
Rationale: Airway protection is priority in acute neurologic events.
10.
Classic sign of right-sided heart failure?
A. Pulmonary edema
B. JVD
C. Hemoptysis
D. Cyanosis only
Answer: B. JVD
Rationale: Right-sided failure causes systemic venous congestion.
11.
Which finding indicates DKA?
A. Hypoglycemia
B. Metabolic alkalosis
C. Kussmaul respirations
D. Bradycardia
Answer: C. Kussmaul respirations
Rationale: Deep rapid breathing compensates for acidosis.
12.
Which medication requires monitoring INR?
A. Heparin
