MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
1. A pa�ent who was recently diagnosed with Gastroesophageal Reflux Disease (GERD) was just
educated on the importance of nutri�on and what foods to avoid. What statement made by the pa�ent,
indicates the need for further teaching?
a. " I will avoid foods like French fries and citrus juices to decrease my chances of acid reflux and heart
burn"
b. "I will con�nue to drink 2 cups of coffee each morning when I wake up, to make sure I have enough
energy for the day"
c. " I need to find another dessert I can eat each night before bed, because the chocolate ice cream I eat
every night will exacerbate my Gastroesophageal Reflux"
d. " I need to drink more room temperature water to make sure my body has help when properly
diges�ng my meals" - ansB. "I will con�nue to drink 2 cups of coffee each morning when I wake up, to
make sure I have enough energy for the day"
A 15-year-old pa�ent presents to the emergency department with appendici�s. The nurse should
an�cipate which nursing management cares to be given? (select all that apply)
A. Keep the pa�ent NPO
B. Monitor vital signs
C. Administer fluids, analgesics, and an�eme�c's as ordered
D. Place a hea�ng pad on abdomen for pain relief
E. Give enema as ordered - ansA. Keep the pa�ent NPO
B. Monitor vital signs
C. Administer fluids, analgesics, and an�eme�c's as ordered
,MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A 17-year old male pa�ent has a diagnosis of Hemophilia A.The pa�ent understands his condi�on when
he states: (Select all that apply)
A. I should take a baby aspirin every day for heart health
B. Heparin will help my blood clot more efficiently
C. I am due for my flu shot
D. I should shave my beard with an electric razor
E. I should use a so� bristled toothbrush when I brush my teeth - ansD. I should shave my beard with an
electric razor
E. I should use a so� bristled toothbrush when I brush my teeth
A 25 year old female pa�ent is diagnosed with viral hepa��s. The provider prescribes Ribavirin, before
administering the nucleoside what test will the nurse give to the pa�ent?
a). Liver func�on test
b). Pregnancy test
c). Occult blood test
d). Urinalysis - ansb). Pregnancy test
A 27-year-old female pa�ent presents to the ICU a�er a severe thoracic burn injury. She presents with
the following vitals: BP of 90/67, HR of 135, temperature of 100.1, and respiratory rate of 24. She is
unconscious, unresponsive, and has purpura present on both lower calves. It's suspected this pa�ent is
experiencing DIC as a result of hypovolemic shock. Which of the orders should the nurse QUESTION from
the physician?
A. IV bolus of NS 0.9%
B. Administer STAT order of RBC's
C. 500 units of IV heparin
,MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
D. Administer STAT oral an�coagulants - ansD. Administer STAT oral an�coagulants
A 28 year old female pa�ent presents to the emergency room with severe bronchospasm and respiratory
distress along with swelling of the lips and tongue. The pa�ent appears to be wheezing and has flushing
of the skin. This pa�ent is experiencing shock that could be caused by which of the following (select all
that apply)
A. foods/ inges�on
B. blood or blood products
C. environmental agents
D. myocardial Infarc�on
E. Sepsis - ansA. foods/ inges�on
B. blood or blood products
C. environmental agents
A 35-year old female pa�ent comes into the clinic with a new diagnosis of Addison's disease. A�er
providing educa�on to the pa�ent about this disease, the nurse knows further teaching is required when
the pa�ent states which of the following?
A. "I will need to increase my hydrocor�sone dosage during a stressful event such as surgery or if I
contract an infec�on."
B. "Once my hormone levels stabilize my doctor can start lowering my dose and eventually I'll be able to
stop taking hormone therapy."
C. "I'm glad to know I can have a normal life expectancy as long as I follow my medica�on regimen."
D. "It's best to take my mineralocor�coids in the morning." - ansB. "Once my hormone levels stabilize my
doctor can start lowering my dose and eventually I'll be able to stop taking hormone therapy."
A 39-year-old pregnant female pa�ent presents symptoms of dysuria, urgency, and frequency, which
addi�onal symptoms, diagnos�c studies, and treatments would be associated with acute pyelonephri�s
versus cys��s?
, MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A. Flank pain, chills, and fever
B. An�bio�cs for 3 days
C. Urine cultures
D. Sensi�vity guided an�bio�c therapy
E. Symptoms generally improve a�er 1-2 days of therapy - ansA. Flank pain, chills, and fever
C. Urine cultures
D. Sensi�vity guided an�bio�c therapy
A 45-year-old male pa�ent diagnosed with CKD (chronic kidney disease) is set to discharge with plans to
con�nue hemodialysis at a dialysis center. Which statement(s), if made by the pa�ent, would indicate to
the nurse that the pa�ent has adequate understanding of hemodialysis? (Select all that apply)
a. "I may experience muscle cramps during dialysis treatment."
b. "I will drink a protein shake everyday for breakfast."
c. "I will need to restrict my fluid intake if my urine output decreases."
d. "I should make sure to eat potassium rich foods with each meal."
e. "This treatment will require blood transfusions to be effec�ve." - ansa. "I may experience muscle
cramps during dialysis treatment."
c. "I will need to restrict my fluid intake if my urine output decreases."
A 46-year-old woman has a new diagnosis of Irritable Bowel Syndrome. The nurse knows that the pa�ent
understands the educa�on about Irritable Bowel Syndrome when she states:
A. "I will avoid ea�ng wheat, milk, apples and other food that will irritate my symptoms"
B. "I will limit my caffeine, sugar and alcohol intake because it will irritate my condi�on"
C. "Potassium, sodium, and phosphate will need to be restricted from my diet to prevent unwanted
symptoms"
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
1. A pa�ent who was recently diagnosed with Gastroesophageal Reflux Disease (GERD) was just
educated on the importance of nutri�on and what foods to avoid. What statement made by the pa�ent,
indicates the need for further teaching?
a. " I will avoid foods like French fries and citrus juices to decrease my chances of acid reflux and heart
burn"
b. "I will con�nue to drink 2 cups of coffee each morning when I wake up, to make sure I have enough
energy for the day"
c. " I need to find another dessert I can eat each night before bed, because the chocolate ice cream I eat
every night will exacerbate my Gastroesophageal Reflux"
d. " I need to drink more room temperature water to make sure my body has help when properly
diges�ng my meals" - ansB. "I will con�nue to drink 2 cups of coffee each morning when I wake up, to
make sure I have enough energy for the day"
A 15-year-old pa�ent presents to the emergency department with appendici�s. The nurse should
an�cipate which nursing management cares to be given? (select all that apply)
A. Keep the pa�ent NPO
B. Monitor vital signs
C. Administer fluids, analgesics, and an�eme�c's as ordered
D. Place a hea�ng pad on abdomen for pain relief
E. Give enema as ordered - ansA. Keep the pa�ent NPO
B. Monitor vital signs
C. Administer fluids, analgesics, and an�eme�c's as ordered
,MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A 17-year old male pa�ent has a diagnosis of Hemophilia A.The pa�ent understands his condi�on when
he states: (Select all that apply)
A. I should take a baby aspirin every day for heart health
B. Heparin will help my blood clot more efficiently
C. I am due for my flu shot
D. I should shave my beard with an electric razor
E. I should use a so� bristled toothbrush when I brush my teeth - ansD. I should shave my beard with an
electric razor
E. I should use a so� bristled toothbrush when I brush my teeth
A 25 year old female pa�ent is diagnosed with viral hepa��s. The provider prescribes Ribavirin, before
administering the nucleoside what test will the nurse give to the pa�ent?
a). Liver func�on test
b). Pregnancy test
c). Occult blood test
d). Urinalysis - ansb). Pregnancy test
A 27-year-old female pa�ent presents to the ICU a�er a severe thoracic burn injury. She presents with
the following vitals: BP of 90/67, HR of 135, temperature of 100.1, and respiratory rate of 24. She is
unconscious, unresponsive, and has purpura present on both lower calves. It's suspected this pa�ent is
experiencing DIC as a result of hypovolemic shock. Which of the orders should the nurse QUESTION from
the physician?
A. IV bolus of NS 0.9%
B. Administer STAT order of RBC's
C. 500 units of IV heparin
,MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
D. Administer STAT oral an�coagulants - ansD. Administer STAT oral an�coagulants
A 28 year old female pa�ent presents to the emergency room with severe bronchospasm and respiratory
distress along with swelling of the lips and tongue. The pa�ent appears to be wheezing and has flushing
of the skin. This pa�ent is experiencing shock that could be caused by which of the following (select all
that apply)
A. foods/ inges�on
B. blood or blood products
C. environmental agents
D. myocardial Infarc�on
E. Sepsis - ansA. foods/ inges�on
B. blood or blood products
C. environmental agents
A 35-year old female pa�ent comes into the clinic with a new diagnosis of Addison's disease. A�er
providing educa�on to the pa�ent about this disease, the nurse knows further teaching is required when
the pa�ent states which of the following?
A. "I will need to increase my hydrocor�sone dosage during a stressful event such as surgery or if I
contract an infec�on."
B. "Once my hormone levels stabilize my doctor can start lowering my dose and eventually I'll be able to
stop taking hormone therapy."
C. "I'm glad to know I can have a normal life expectancy as long as I follow my medica�on regimen."
D. "It's best to take my mineralocor�coids in the morning." - ansB. "Once my hormone levels stabilize my
doctor can start lowering my dose and eventually I'll be able to stop taking hormone therapy."
A 39-year-old pregnant female pa�ent presents symptoms of dysuria, urgency, and frequency, which
addi�onal symptoms, diagnos�c studies, and treatments would be associated with acute pyelonephri�s
versus cys��s?
, MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A. Flank pain, chills, and fever
B. An�bio�cs for 3 days
C. Urine cultures
D. Sensi�vity guided an�bio�c therapy
E. Symptoms generally improve a�er 1-2 days of therapy - ansA. Flank pain, chills, and fever
C. Urine cultures
D. Sensi�vity guided an�bio�c therapy
A 45-year-old male pa�ent diagnosed with CKD (chronic kidney disease) is set to discharge with plans to
con�nue hemodialysis at a dialysis center. Which statement(s), if made by the pa�ent, would indicate to
the nurse that the pa�ent has adequate understanding of hemodialysis? (Select all that apply)
a. "I may experience muscle cramps during dialysis treatment."
b. "I will drink a protein shake everyday for breakfast."
c. "I will need to restrict my fluid intake if my urine output decreases."
d. "I should make sure to eat potassium rich foods with each meal."
e. "This treatment will require blood transfusions to be effec�ve." - ansa. "I may experience muscle
cramps during dialysis treatment."
c. "I will need to restrict my fluid intake if my urine output decreases."
A 46-year-old woman has a new diagnosis of Irritable Bowel Syndrome. The nurse knows that the pa�ent
understands the educa�on about Irritable Bowel Syndrome when she states:
A. "I will avoid ea�ng wheat, milk, apples and other food that will irritate my symptoms"
B. "I will limit my caffeine, sugar and alcohol intake because it will irritate my condi�on"
C. "Potassium, sodium, and phosphate will need to be restricted from my diet to prevent unwanted
symptoms"
