NCLEX MED SURG PRACTICE EXAM
Questions Answers with Rationales version
2 GUARANTEED PASS TOP RATED A+ Latest
Updates 2025
SATA -- A nurse prepares to administer human immune globulin (IG) to a client with primary
immunodeficiency. Which information about IG does the nurse provide to the client?
"Most adverse reactions to IG are mild and transient."
"IG must be cross-matched to your specific blood type."
"IG provides lifelong immunity to certain infections."
"IG is a globular protein that provides passive immunity."
"IG is collected from human blood and provides antibodies." - CORRECT ANSWER-"Most adverse
reactions to IG are mild and transient."
"IG is a globular protein that provides passive immunity."
"IG is collected from human blood and provides antibodies."
A client newly diagnosed with celiac disease asks which foods to avoid. The nurse tells the client to avoid
eating what foods?
Chunky peanut butter
Low in fat yogurt
Whole wheat pasta
High protein tofu - CORRECT ANSWER-Whole wheat pasta
The nurse administers scheduled 0800 medications to a client eating breakfast. Which medication does
the nurse withhold from the client until verifying with the health care provider (HCP)? (See exhibit.)
Insulin aspart 4 units
,Furosemide 40 mg
Metoprolol 12.5 mg
Lisinopril 5 mg - CORRECT ANSWER-Furosemide 40 mg
The nurse cares for a client with Parkinson disease. Which intervention taken by the nurse promotes
safe ambulation?
Provide nonskid socks and give the client a walker.
Assist the client to stand and push a wheelchair along the hall.
Walk side by side with the client while supporting the client's back.
Tell the client to place their hand along the wall as they walk. - CORRECT ANSWER-Provide nonskid socks
and give the client a walker.
A client at risk for colorectal cancer receives education about lifestyle choices. The nurse emphasizes
which modifiable risk factor for colorectal cancer?
Familial adenomatous polyposis
Greater than 40 years of age
First-degree relative with cancer
Consuming a high-fat diet - CORRECT ANSWER-Consuming a high-fat diet
The oncoming nurse reviews the previous nurse's documentation of a client with acute pancreatitis. The
nurses performs which priority assessment after reviewing the previous shift's documentation? (See
exhibit.)
Reassess the client's pain.
Auscultate breath sounds.
Reassess the client's nausea.
Auscultate bowel sounds - CORRECT ANSWER-Auscultate breath sounds.
,SATA -- A client with cor pulmonale secondary to chronic obstructive pulmonary disease (COPD) is being
discharged home on oxygen therapy at 2 L nasal cannula via portable oxygen tank. What information
does the nurse include when teaching about home oxygen use?
"Ensure you have a regular delivery schedule and a spare source of oxygen available."
"Do not allow open flame or smoking in the room where oxygen is being used."
"Replace the nasal cannula and tubing every week or more often if soiled."
"Even if your dyspnea is worse, never allow the administration of oxygen above three liters."
"If you are not experiencing any dyspnea, remove the oxygen to reduce dependence." - CORRECT
ANSWER-"Ensure you have a regular delivery schedule and a spare source of oxygen available."
"Do not allow open flame or smoking in the room where oxygen is being used.
SATA -- The nurse provides education to a client with Parkinson disease and the client's family. The
nurse stresses which interventions to promote client safety?
Allow the client extra time to respond to questions.
Encourage the client to use a communication board.
Encourage the client to use an adaptive device when ambulating.
Monitor the client for difficulty eating or swallowing.
Encourage the client to move slowly to a standing position. - CORRECT ANSWER-Encourage the client to
use an adaptive device when ambulating.
Monitor the client for difficulty eating or swallowing.
Encourage the client to move slowly to a standing position.
SATA -- After a femoral artery cardiac catheterization procedure, the nurse monitors a client for which
common complications?
Heart block
Myocardial infarction
Hematoma
Retroperitoneal hemorrhage
, Pseudoaneurysm - CORRECT ANSWER-Hematoma
Retroperitoneal hemorrhage
Pseudoaneurysm
A nurse instructs a client on how to perform a testicular self-exam (TSE). Which statement alerts the
nurse that more education is needed?
"If I find any lumps, I should have it examined further by my health care provider."
"Finding one testicle lower than the other is normal."
"It is okay that one testicle is larger than the other."
"It is best to do my TSE right before sexual intercourse." - CORRECT ANSWER-"It is best to do my TSE
right before sexual intercourse."
A nurse assesses a client who is recovering from a thoracentesis. Which assessment finding is most
concerning to the nurse?
Respiratory rate of 25 breaths/min.
Expiratory wheezes in the upper and lower lobes
Heart rate 115 beats/min.
Diminished breath sounds on the affected side - CORRECT ANSWER-Diminished breath sounds on the
affected side
The nurse cares for a client with suspected Ménière disease. Which finding concerns the nurse?
The client reports pressure in the ear.
The client reports ringing in the ears.
The client reports decreased hearing.
The client reports the room is spinning. - CORRECT ANSWER-The client reports pressure in the ear.
Questions Answers with Rationales version
2 GUARANTEED PASS TOP RATED A+ Latest
Updates 2025
SATA -- A nurse prepares to administer human immune globulin (IG) to a client with primary
immunodeficiency. Which information about IG does the nurse provide to the client?
"Most adverse reactions to IG are mild and transient."
"IG must be cross-matched to your specific blood type."
"IG provides lifelong immunity to certain infections."
"IG is a globular protein that provides passive immunity."
"IG is collected from human blood and provides antibodies." - CORRECT ANSWER-"Most adverse
reactions to IG are mild and transient."
"IG is a globular protein that provides passive immunity."
"IG is collected from human blood and provides antibodies."
A client newly diagnosed with celiac disease asks which foods to avoid. The nurse tells the client to avoid
eating what foods?
Chunky peanut butter
Low in fat yogurt
Whole wheat pasta
High protein tofu - CORRECT ANSWER-Whole wheat pasta
The nurse administers scheduled 0800 medications to a client eating breakfast. Which medication does
the nurse withhold from the client until verifying with the health care provider (HCP)? (See exhibit.)
Insulin aspart 4 units
,Furosemide 40 mg
Metoprolol 12.5 mg
Lisinopril 5 mg - CORRECT ANSWER-Furosemide 40 mg
The nurse cares for a client with Parkinson disease. Which intervention taken by the nurse promotes
safe ambulation?
Provide nonskid socks and give the client a walker.
Assist the client to stand and push a wheelchair along the hall.
Walk side by side with the client while supporting the client's back.
Tell the client to place their hand along the wall as they walk. - CORRECT ANSWER-Provide nonskid socks
and give the client a walker.
A client at risk for colorectal cancer receives education about lifestyle choices. The nurse emphasizes
which modifiable risk factor for colorectal cancer?
Familial adenomatous polyposis
Greater than 40 years of age
First-degree relative with cancer
Consuming a high-fat diet - CORRECT ANSWER-Consuming a high-fat diet
The oncoming nurse reviews the previous nurse's documentation of a client with acute pancreatitis. The
nurses performs which priority assessment after reviewing the previous shift's documentation? (See
exhibit.)
Reassess the client's pain.
Auscultate breath sounds.
Reassess the client's nausea.
Auscultate bowel sounds - CORRECT ANSWER-Auscultate breath sounds.
,SATA -- A client with cor pulmonale secondary to chronic obstructive pulmonary disease (COPD) is being
discharged home on oxygen therapy at 2 L nasal cannula via portable oxygen tank. What information
does the nurse include when teaching about home oxygen use?
"Ensure you have a regular delivery schedule and a spare source of oxygen available."
"Do not allow open flame or smoking in the room where oxygen is being used."
"Replace the nasal cannula and tubing every week or more often if soiled."
"Even if your dyspnea is worse, never allow the administration of oxygen above three liters."
"If you are not experiencing any dyspnea, remove the oxygen to reduce dependence." - CORRECT
ANSWER-"Ensure you have a regular delivery schedule and a spare source of oxygen available."
"Do not allow open flame or smoking in the room where oxygen is being used.
SATA -- The nurse provides education to a client with Parkinson disease and the client's family. The
nurse stresses which interventions to promote client safety?
Allow the client extra time to respond to questions.
Encourage the client to use a communication board.
Encourage the client to use an adaptive device when ambulating.
Monitor the client for difficulty eating or swallowing.
Encourage the client to move slowly to a standing position. - CORRECT ANSWER-Encourage the client to
use an adaptive device when ambulating.
Monitor the client for difficulty eating or swallowing.
Encourage the client to move slowly to a standing position.
SATA -- After a femoral artery cardiac catheterization procedure, the nurse monitors a client for which
common complications?
Heart block
Myocardial infarction
Hematoma
Retroperitoneal hemorrhage
, Pseudoaneurysm - CORRECT ANSWER-Hematoma
Retroperitoneal hemorrhage
Pseudoaneurysm
A nurse instructs a client on how to perform a testicular self-exam (TSE). Which statement alerts the
nurse that more education is needed?
"If I find any lumps, I should have it examined further by my health care provider."
"Finding one testicle lower than the other is normal."
"It is okay that one testicle is larger than the other."
"It is best to do my TSE right before sexual intercourse." - CORRECT ANSWER-"It is best to do my TSE
right before sexual intercourse."
A nurse assesses a client who is recovering from a thoracentesis. Which assessment finding is most
concerning to the nurse?
Respiratory rate of 25 breaths/min.
Expiratory wheezes in the upper and lower lobes
Heart rate 115 beats/min.
Diminished breath sounds on the affected side - CORRECT ANSWER-Diminished breath sounds on the
affected side
The nurse cares for a client with suspected Ménière disease. Which finding concerns the nurse?
The client reports pressure in the ear.
The client reports ringing in the ears.
The client reports decreased hearing.
The client reports the room is spinning. - CORRECT ANSWER-The client reports pressure in the ear.
