MEDICAL SURGICAL NURSING FINAL
EXAM PREPARATION GUIDE |
COMPREHENSIVE NCLEX STYLE REVIEW
2026 | GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,TB precautions N95, Negative pressure room
Addison's disease LOW cortisol
Cushing's disease HIGH cortisol
Hyperthyroidism symptoms Fast HR, Weight loss, Heat intolerance
Hypothyroidism symptoms Weight gain, Cold intolerance, Bradycardia
Normal WBC count 5,000-10,000
Digoxin therapeutic level 0.5-2
Digoxin toxicity symptoms Yellow halos, N/V, Dysrhythmias
Priority thinking (NCLEX style) Airway > Breathing > Circulation
Appendicitis critical interventions to avoid NO enemas, NO laxatives, NO heat
Venous disease symptoms Warm, Edema, Brown discoloration, Pain better with elevation
RA symptoms Autoimmune, Symmetrical joints, Morning stiffness
What is Murphy's sign and what does it indicate? Pain on inspiration during RUQ palpation; indicates cholecystitis.
What are the three critical 'NOs' for a patient with No enemas, no laxatives, and no heat.
suspected appendicitis?
What is the Rovsing sign? Pain in the RLQ when pressure is applied to the LLQ; indicates appendicitis.
, What are the primary triggers for GERD symptoms? Spicy foods, caffeine, alcohol, and smoking.
What are the lab ranges for Amylase and Lipase in Amylase: 25-125; Lipase: <140.
pancreatitis?
Why is an NG tube sometimes used in severe To rest the pancreas by suctioning gastric contents.
pancreatitis?
What are the dietary restrictions for a patient during a Low fiber diet.
diverticulitis flare?
Why is a colonoscopy contraindicated during acute Risk of perforation.
diverticulitis?
What are the 6 P's of Peripheral Arterial Disease (PAD)? Pain, Pallor, Pulselessness, Paresthesia, Paralysis, and Poikilothermia.
How does venous disease pain differ from arterial Venous disease pain improves with elevation, whereas arterial disease involves
disease pain? claudication (pain with activity).
What is the priority nursing intervention for a patient with Administer anticoagulants and elevate the leg; do NOT massage the area.
a DVT?
What are the classic signs of a Pulmonary Embolism (PE)? Sudden SOB, chest pain, tachycardia, anxiety, and crackles.
What is the target oxygen flow rate for a COPD patient? Low oxygen, typically 2L via nasal cannula.
What are the ABG indicators for COPD? PaO₂ < 80 and PaCO₂ > 45.
What are the transmission-based precautions for Airborne precautions: N95 mask and negative pressure room.
Tuberculosis (TB)?
What is the difference between Addison's and Cushing's Addison's is low cortisol; Cushing's is high cortisol.
disease regarding cortisol?
What is the lifelong medication for hypothyroidism? Levothyroxine.
What are the signs of Digoxin toxicity? Yellow halos, N/V, and dysrhythmias.
EXAM PREPARATION GUIDE |
COMPREHENSIVE NCLEX STYLE REVIEW
2026 | GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,TB precautions N95, Negative pressure room
Addison's disease LOW cortisol
Cushing's disease HIGH cortisol
Hyperthyroidism symptoms Fast HR, Weight loss, Heat intolerance
Hypothyroidism symptoms Weight gain, Cold intolerance, Bradycardia
Normal WBC count 5,000-10,000
Digoxin therapeutic level 0.5-2
Digoxin toxicity symptoms Yellow halos, N/V, Dysrhythmias
Priority thinking (NCLEX style) Airway > Breathing > Circulation
Appendicitis critical interventions to avoid NO enemas, NO laxatives, NO heat
Venous disease symptoms Warm, Edema, Brown discoloration, Pain better with elevation
RA symptoms Autoimmune, Symmetrical joints, Morning stiffness
What is Murphy's sign and what does it indicate? Pain on inspiration during RUQ palpation; indicates cholecystitis.
What are the three critical 'NOs' for a patient with No enemas, no laxatives, and no heat.
suspected appendicitis?
What is the Rovsing sign? Pain in the RLQ when pressure is applied to the LLQ; indicates appendicitis.
, What are the primary triggers for GERD symptoms? Spicy foods, caffeine, alcohol, and smoking.
What are the lab ranges for Amylase and Lipase in Amylase: 25-125; Lipase: <140.
pancreatitis?
Why is an NG tube sometimes used in severe To rest the pancreas by suctioning gastric contents.
pancreatitis?
What are the dietary restrictions for a patient during a Low fiber diet.
diverticulitis flare?
Why is a colonoscopy contraindicated during acute Risk of perforation.
diverticulitis?
What are the 6 P's of Peripheral Arterial Disease (PAD)? Pain, Pallor, Pulselessness, Paresthesia, Paralysis, and Poikilothermia.
How does venous disease pain differ from arterial Venous disease pain improves with elevation, whereas arterial disease involves
disease pain? claudication (pain with activity).
What is the priority nursing intervention for a patient with Administer anticoagulants and elevate the leg; do NOT massage the area.
a DVT?
What are the classic signs of a Pulmonary Embolism (PE)? Sudden SOB, chest pain, tachycardia, anxiety, and crackles.
What is the target oxygen flow rate for a COPD patient? Low oxygen, typically 2L via nasal cannula.
What are the ABG indicators for COPD? PaO₂ < 80 and PaCO₂ > 45.
What are the transmission-based precautions for Airborne precautions: N95 mask and negative pressure room.
Tuberculosis (TB)?
What is the difference between Addison's and Cushing's Addison's is low cortisol; Cushing's is high cortisol.
disease regarding cortisol?
What is the lifelong medication for hypothyroidism? Levothyroxine.
What are the signs of Digoxin toxicity? Yellow halos, N/V, and dysrhythmias.
