PEARSON EXAM CRAM NCLEX RN TEST 1 MED SURG
QUESTIONS AND ANSWERS LATEST UPDATE 2026/2027
WITH CORRECT VERIFIED ANSWERS BEST GRADED A+ FOR
EXCELLENT PASS.
After attending a company picnic, several clients are admitted to the emergency room with E. coli
food poisoning. The most likely source of infection is:
Hamburger
Hot dog
Potato salad
Baked beans - CORRECT ANSWERS a Hamburger
The client has an order for sliding scale insulin at 1900 hours and Lantus (glargine) insulin at the
same hour. The nurse should:
Administer the two medications together.
Administer the medications in two injections.
Draw up the Lantus insulin and then the regular insulin and administer them together.
Contact the doctor because these medications should not be given to the same client. - CORRECT
ANSWERS b Administer the medications in two injections.
The nurse should carefully monitor the client for which common dysrhythmia that can occur during
suctioning?
Bradycardia
Tachycardia
Ventricular ectopic beats
Sick sinus syndrome - CORRECT ANSWERS a Bradycardia
A client with rheumatoid arthritis has Sjogren's syndrome. The nurse can help relieve the symptoms
of Sjogren's syndrome by:
Providing heat to the joints
Instilling eyedrops
Administering pain medication
Providing small, frequent meals - CORRECT ANSWERS b Instilling eyedrops
,PEARSON EXAM CRAM NCLEX RN TEST 1 MED SURG
QUESTIONS AND ANSWERS LATEST UPDATE 2026/2027
WITH CORRECT VERIFIED ANSWERS BEST GRADED A+ FOR
EXCELLENT PASS.
dry eyes
A client has developed diabetes insipidous after removal of a pituitary tumor. Which finding would
the nurse expect?
Polyuria
Hypertension
Polyphagia
Hyperkalemia - CORRECT ANSWERS a Polyuria
The nurse is evaluating teaching effectiveness on a client with a gastrointestinal disorder prescribed a
gluten-free diet. Which diet choice indicates that the client understands the instructions given?
Steamed broccoli
Wheat toast
Chocolate chip cookie
Bran cereal - CORRECT ANSWERS a Steamed broccoli
A client with pneumocystis jiroveci pneumonia is receiving intravenous Pentam (pentamidine). While
administering the medication, the nurse should give priority to checking the client's:
Deep tendon reflexes
Blood pressure
Urine output
Tissue turgor - CORRECT ANSWERS b Blood pressure
if infused too rapidly, can cause severe hypotension and hypoglycemia.
A client with COPD is in respiratory failure. Which of the following results would be the most
sensitive indicator that the client requires a mechanical ventilator?
PCO2 58
,PEARSON EXAM CRAM NCLEX RN TEST 1 MED SURG
QUESTIONS AND ANSWERS LATEST UPDATE 2026/2027
WITH CORRECT VERIFIED ANSWERS BEST GRADED A+ FOR
EXCELLENT PASS.
SaO2 90
PH 7.23
HCO3 30 - CORRECT ANSWERS c PH 7.23
An elderly client with glaucoma has been prescribed Timoptic (timolol) eyedrops. Timoptic should be
used with caution in clients with a history of:
Diabetes
Gastric ulcers
Emphysema
Pancreatitis - CORRECT ANSWERS c Emphysema
Beta blockers such as timolol (Timoptic) can cause bronchospas in the client w/chronic obstructv lung
disease
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His
ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor
orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval - CORRECT ANSWERS d Prolonged QT interval
Quinidine can cause widened Q-T intervals and heart block.
A client with ascites is scheduled for a paracentesis. Which instruction should be given to the client
before the procedure?
a "You will need to lay flat during the procedure."
, PEARSON EXAM CRAM NCLEX RN TEST 1 MED SURG
QUESTIONS AND ANSWERS LATEST UPDATE 2026/2027
WITH CORRECT VERIFIED ANSWERS BEST GRADED A+ FOR
EXCELLENT PASS.
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure." - CORRECT ANSWERS b. "You need to
empty your bladder before the procedure."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136, and platelets
178,000cu.mm. The nurse evaluates that the client is experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia - CORRECT ANSWERS b Hypokalemia
Due to a high census, it has been necessary for a number of clients to be transferred to other units
within the hospital. Which client should be transferred to the postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis - CORRECT ANSWERS b A 40-year-old female with a
hysterectomy
Before administering Theo-Dur (theophylline), the nurse should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature - CORRECT ANSWERS c Pulse
Which information should be given to the patient undergoing radiation therapy for breast cancer?
a Avoid exposing radiation areas to sunlight during treatment time and for a year after completion of
therapy
QUESTIONS AND ANSWERS LATEST UPDATE 2026/2027
WITH CORRECT VERIFIED ANSWERS BEST GRADED A+ FOR
EXCELLENT PASS.
After attending a company picnic, several clients are admitted to the emergency room with E. coli
food poisoning. The most likely source of infection is:
Hamburger
Hot dog
Potato salad
Baked beans - CORRECT ANSWERS a Hamburger
The client has an order for sliding scale insulin at 1900 hours and Lantus (glargine) insulin at the
same hour. The nurse should:
Administer the two medications together.
Administer the medications in two injections.
Draw up the Lantus insulin and then the regular insulin and administer them together.
Contact the doctor because these medications should not be given to the same client. - CORRECT
ANSWERS b Administer the medications in two injections.
The nurse should carefully monitor the client for which common dysrhythmia that can occur during
suctioning?
Bradycardia
Tachycardia
Ventricular ectopic beats
Sick sinus syndrome - CORRECT ANSWERS a Bradycardia
A client with rheumatoid arthritis has Sjogren's syndrome. The nurse can help relieve the symptoms
of Sjogren's syndrome by:
Providing heat to the joints
Instilling eyedrops
Administering pain medication
Providing small, frequent meals - CORRECT ANSWERS b Instilling eyedrops
,PEARSON EXAM CRAM NCLEX RN TEST 1 MED SURG
QUESTIONS AND ANSWERS LATEST UPDATE 2026/2027
WITH CORRECT VERIFIED ANSWERS BEST GRADED A+ FOR
EXCELLENT PASS.
dry eyes
A client has developed diabetes insipidous after removal of a pituitary tumor. Which finding would
the nurse expect?
Polyuria
Hypertension
Polyphagia
Hyperkalemia - CORRECT ANSWERS a Polyuria
The nurse is evaluating teaching effectiveness on a client with a gastrointestinal disorder prescribed a
gluten-free diet. Which diet choice indicates that the client understands the instructions given?
Steamed broccoli
Wheat toast
Chocolate chip cookie
Bran cereal - CORRECT ANSWERS a Steamed broccoli
A client with pneumocystis jiroveci pneumonia is receiving intravenous Pentam (pentamidine). While
administering the medication, the nurse should give priority to checking the client's:
Deep tendon reflexes
Blood pressure
Urine output
Tissue turgor - CORRECT ANSWERS b Blood pressure
if infused too rapidly, can cause severe hypotension and hypoglycemia.
A client with COPD is in respiratory failure. Which of the following results would be the most
sensitive indicator that the client requires a mechanical ventilator?
PCO2 58
,PEARSON EXAM CRAM NCLEX RN TEST 1 MED SURG
QUESTIONS AND ANSWERS LATEST UPDATE 2026/2027
WITH CORRECT VERIFIED ANSWERS BEST GRADED A+ FOR
EXCELLENT PASS.
SaO2 90
PH 7.23
HCO3 30 - CORRECT ANSWERS c PH 7.23
An elderly client with glaucoma has been prescribed Timoptic (timolol) eyedrops. Timoptic should be
used with caution in clients with a history of:
Diabetes
Gastric ulcers
Emphysema
Pancreatitis - CORRECT ANSWERS c Emphysema
Beta blockers such as timolol (Timoptic) can cause bronchospas in the client w/chronic obstructv lung
disease
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His
ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor
orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval - CORRECT ANSWERS d Prolonged QT interval
Quinidine can cause widened Q-T intervals and heart block.
A client with ascites is scheduled for a paracentesis. Which instruction should be given to the client
before the procedure?
a "You will need to lay flat during the procedure."
, PEARSON EXAM CRAM NCLEX RN TEST 1 MED SURG
QUESTIONS AND ANSWERS LATEST UPDATE 2026/2027
WITH CORRECT VERIFIED ANSWERS BEST GRADED A+ FOR
EXCELLENT PASS.
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure." - CORRECT ANSWERS b. "You need to
empty your bladder before the procedure."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136, and platelets
178,000cu.mm. The nurse evaluates that the client is experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia - CORRECT ANSWERS b Hypokalemia
Due to a high census, it has been necessary for a number of clients to be transferred to other units
within the hospital. Which client should be transferred to the postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis - CORRECT ANSWERS b A 40-year-old female with a
hysterectomy
Before administering Theo-Dur (theophylline), the nurse should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature - CORRECT ANSWERS c Pulse
Which information should be given to the patient undergoing radiation therapy for breast cancer?
a Avoid exposing radiation areas to sunlight during treatment time and for a year after completion of
therapy
