NUR 242 MED-SURG EXAM 3 PRACTICE TEST (QUESTIONS
1–100) | NCLEX-STYLE QUESTIONS AND VERIFIED
ANSWERS (2026 UPDATED REVIEW)
1. Heart Failure
A client with left-sided heart failure has crackles and dyspnea. What is the priority
intervention?
A. Restrict fluids
B. Administer diuretics
C. Elevate head of bed
D. Check daily weight
Answer: C
Rationale: Airway and breathing first; positioning improves oxygenation immediately.
2. Pulmonary Edema
Which symptom is most consistent with acute pulmonary edema?
A. Bradycardia
B. Pink frothy sputum
C. Dry cough
D. Hypertension only
Answer: B
3. Myocardial Infarction
Best initial action for chest pain unrelieved by nitroglycerin?
A. Get ECG
B. Give morphine
C. Encourage rest
D. Offer fluids
Answer: A
, 4. Oxygen Therapy (COPD)
Which oxygen delivery is safest for COPD?
A. Non-rebreather mask
B. 2 L nasal cannula
C. 10 L simple mask
D. Room air only
Answer: B
5. Asthma Attack
Which medication is first-line for acute asthma attack?
A. Steroids
B. Albuterol
C. Antibiotics
D. Diuretics
Answer: B
6. Pneumonia
Best position for patient with pneumonia?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Answer: B
7. Stroke (CVA)
First priority in suspected stroke?
A. Give aspirin
B. CT scan
C. Lower BP
, D. Check temperature
Answer: B
8. Hypoglycemia
Client is confused, sweaty, shaky. What do you do?
A. Give insulin
B. Give 15g glucose
C. Restrict food
D. Check ketones
Answer: B
9. Hyperglycemia
Which is a sign of DKA?
A. Bradycardia
B. Fruity breath odor
C. Hypothermia
D. Slow breathing
Answer: B
10. Kidney Failure
Most dangerous lab in AKI?
A. Sodium 140
B. Potassium 6.5
C. Calcium 9
D. Glucose 90
Answer: B
11. Dialysis
Which finding indicates need for dialysis?
A. Weight gain 0.5 kg
1–100) | NCLEX-STYLE QUESTIONS AND VERIFIED
ANSWERS (2026 UPDATED REVIEW)
1. Heart Failure
A client with left-sided heart failure has crackles and dyspnea. What is the priority
intervention?
A. Restrict fluids
B. Administer diuretics
C. Elevate head of bed
D. Check daily weight
Answer: C
Rationale: Airway and breathing first; positioning improves oxygenation immediately.
2. Pulmonary Edema
Which symptom is most consistent with acute pulmonary edema?
A. Bradycardia
B. Pink frothy sputum
C. Dry cough
D. Hypertension only
Answer: B
3. Myocardial Infarction
Best initial action for chest pain unrelieved by nitroglycerin?
A. Get ECG
B. Give morphine
C. Encourage rest
D. Offer fluids
Answer: A
, 4. Oxygen Therapy (COPD)
Which oxygen delivery is safest for COPD?
A. Non-rebreather mask
B. 2 L nasal cannula
C. 10 L simple mask
D. Room air only
Answer: B
5. Asthma Attack
Which medication is first-line for acute asthma attack?
A. Steroids
B. Albuterol
C. Antibiotics
D. Diuretics
Answer: B
6. Pneumonia
Best position for patient with pneumonia?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Answer: B
7. Stroke (CVA)
First priority in suspected stroke?
A. Give aspirin
B. CT scan
C. Lower BP
, D. Check temperature
Answer: B
8. Hypoglycemia
Client is confused, sweaty, shaky. What do you do?
A. Give insulin
B. Give 15g glucose
C. Restrict food
D. Check ketones
Answer: B
9. Hyperglycemia
Which is a sign of DKA?
A. Bradycardia
B. Fruity breath odor
C. Hypothermia
D. Slow breathing
Answer: B
10. Kidney Failure
Most dangerous lab in AKI?
A. Sodium 140
B. Potassium 6.5
C. Calcium 9
D. Glucose 90
Answer: B
11. Dialysis
Which finding indicates need for dialysis?
A. Weight gain 0.5 kg
