MED/SURG Final NCLEX questions
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1. A student nurse is preparing blood for an A Positive A. " Since you are A posi-
patient who needs to receive a blood transfusion. tive, you are considered a "uni-
The nurse intervenes after which statement? versal recipient", therefore you
can receive any type of blood.
A. " Since you are A positive, you are considered a
"universal recipient", therefore you can receive any
type of blood.
B. "A positive blood types can receive A+, A-, O+ and
O-"
C. "Testing your blood type helps us determine
what type of blood you need. Not all blood types
are the same and can cause a reaction"
D. "Only certain people who meet a certain crite-
ria can donate blood, but if you have any types
of symptoms during transfusion, let a health care
staff member know"
2. A patient has a folic acid deficiency. The nurse tells A. Leafy Green Vegetables
the patient to order foods B. Citrus Fruits
rich in Folic Acid. What foods are best for the pa- D. Dried Beans
tient to look for when ordering
food?
A. Leafy Green Vegetables
B. Citrus Fruits
C.Chicken
D.Dried Beans
E. Hard Candy
3. 1. A patient who was recently diagnosed with Gas- B. "I will continue to drink 2
troesophageal Reflux Disease (GERD) was just ed- cups of coffee each morning
ucated on the importance of nutrition and what when I wake up, to make sure
, MED/SURG Final NCLEX questions
Study online at https://quizlet.com/_h17fh0
foods to avoid. What statement made by the pa- I have enough energy for the
tient, indicates the need for further teaching? day"
a. " I will avoid foods like French fries and citrus
juices to decrease my chances of acid reflux and
heart burn"
b. "I will continue 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 Gastroe-
sophageal Reflux"
d. " I need to drink more room temperature water
to make sure my body has help when properly
digesting my meals"
4. A 76-year old man with chronic anemia arrives A, B, D
at the Emergency department with increased fa- a: hemoglobin (Hgb) of 6.8
tigue and heart palpitations even at rest. The nurse g/dL
would expect the patients' laboratory test findings b: hematocrit (Hct) value of
to include: (Select all that apply) 32%
d: a ferritin level of 8.2 ng/mL
a. Hemoglobin (Hgb) of 6.8 g/dL
b. Hematocrit (Hct) value of 32%
c. An Red Blood Cell count of 4,500,000/L
d. A ferritin level of 8.2 ng/mL
e. A White Blood Cell count of 6.5 x 109/L
5. A student nurse is explaining the risk factors for C. Triglycerides level of 130
metabolic syndrome which statement by the stu-
dent would require correction from the nurse?
, MED/SURG Final NCLEX questions
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A. Waist circumference of 41 for a male
B. Body mass index of 30 or higher
C. Triglycerides level of 130
D. Blood Glucose of 168
6. A 68 year-old male suffering from chronic diarrhea A. Confusion
is found to have a serum phosphate level of 0.9 C. Muscle weakness
mg/dL. After reviewing this lab value the nurse can D. Cardiac dysrhythmias
expect the patient to exhibit which of the following
symptoms? (Select all that apply)
A. Confusion
B. Numbness/tingling in extremities
C. Muscle weakness
D. Cardiac dysrhythmias
E. Dry mucous membranes
7. The physician orders an arterial blood gas who is D. Respiratory alkalosis
hyperventilating. The nurse can anticipate that the
blood gas results will most likely reveal that the
patient is in:
A. Metabolic alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Respiratory alkalosis
8. Thalassemia is a group of diseases that causes an A. Blood transfusions
inadequate amount of normal hemoglobin to be B. Subcutaneous or IV deferox-
produced in the body. Thalassemia minor is usually amine
asymptomatic and requires no treatments. There D. Zinc supplements
is no cure for thalassemia major, however, there E. Splenectomy
, MED/SURG Final NCLEX questions
Study online at https://quizlet.com/_h17fh0
are therapies available to help manage the disease.
These include:
A. Blood transfusions
B. Subcutaneous or IV deferoxamine
C. Iron supplements
D. Zinc supplements
E. Splenectomy
9. A patient diagnosed with Stage II bladder cancer A. "I will drink only small
has just received a segmental cystectomy. What amounts of water for the first
will the nurse correct the patient on for postopera- week."
tive instructions for discharge?:
A. "I will drink only small amounts of water for the
first week."
B. "I will call the doctor if my urine is bright red for
the first few days after surgery."
C. "After a week, my urine could have dark red
flakes, and that's normal."
D. "I have a follow-up appointment for a cystoscopy
in a few weeks."
10. A patient with upper gastrointestinal cancer has B. Skeletal muscle atrophy
been diagnosed with cancer cachexia which of the
following would the nurse expect to see?
A. Weight gain
B. Skeletal muscle atrophy
C. Increase immune function
D. Improvement in metabolic abnormalities
11.
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1. A student nurse is preparing blood for an A Positive A. " Since you are A posi-
patient who needs to receive a blood transfusion. tive, you are considered a "uni-
The nurse intervenes after which statement? versal recipient", therefore you
can receive any type of blood.
A. " Since you are A positive, you are considered a
"universal recipient", therefore you can receive any
type of blood.
B. "A positive blood types can receive A+, A-, O+ and
O-"
C. "Testing your blood type helps us determine
what type of blood you need. Not all blood types
are the same and can cause a reaction"
D. "Only certain people who meet a certain crite-
ria can donate blood, but if you have any types
of symptoms during transfusion, let a health care
staff member know"
2. A patient has a folic acid deficiency. The nurse tells A. Leafy Green Vegetables
the patient to order foods B. Citrus Fruits
rich in Folic Acid. What foods are best for the pa- D. Dried Beans
tient to look for when ordering
food?
A. Leafy Green Vegetables
B. Citrus Fruits
C.Chicken
D.Dried Beans
E. Hard Candy
3. 1. A patient who was recently diagnosed with Gas- B. "I will continue to drink 2
troesophageal Reflux Disease (GERD) was just ed- cups of coffee each morning
ucated on the importance of nutrition and what when I wake up, to make sure
, MED/SURG Final NCLEX questions
Study online at https://quizlet.com/_h17fh0
foods to avoid. What statement made by the pa- I have enough energy for the
tient, indicates the need for further teaching? day"
a. " I will avoid foods like French fries and citrus
juices to decrease my chances of acid reflux and
heart burn"
b. "I will continue 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 Gastroe-
sophageal Reflux"
d. " I need to drink more room temperature water
to make sure my body has help when properly
digesting my meals"
4. A 76-year old man with chronic anemia arrives A, B, D
at the Emergency department with increased fa- a: hemoglobin (Hgb) of 6.8
tigue and heart palpitations even at rest. The nurse g/dL
would expect the patients' laboratory test findings b: hematocrit (Hct) value of
to include: (Select all that apply) 32%
d: a ferritin level of 8.2 ng/mL
a. Hemoglobin (Hgb) of 6.8 g/dL
b. Hematocrit (Hct) value of 32%
c. An Red Blood Cell count of 4,500,000/L
d. A ferritin level of 8.2 ng/mL
e. A White Blood Cell count of 6.5 x 109/L
5. A student nurse is explaining the risk factors for C. Triglycerides level of 130
metabolic syndrome which statement by the stu-
dent would require correction from the nurse?
, MED/SURG Final NCLEX questions
Study online at https://quizlet.com/_h17fh0
A. Waist circumference of 41 for a male
B. Body mass index of 30 or higher
C. Triglycerides level of 130
D. Blood Glucose of 168
6. A 68 year-old male suffering from chronic diarrhea A. Confusion
is found to have a serum phosphate level of 0.9 C. Muscle weakness
mg/dL. After reviewing this lab value the nurse can D. Cardiac dysrhythmias
expect the patient to exhibit which of the following
symptoms? (Select all that apply)
A. Confusion
B. Numbness/tingling in extremities
C. Muscle weakness
D. Cardiac dysrhythmias
E. Dry mucous membranes
7. The physician orders an arterial blood gas who is D. Respiratory alkalosis
hyperventilating. The nurse can anticipate that the
blood gas results will most likely reveal that the
patient is in:
A. Metabolic alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Respiratory alkalosis
8. Thalassemia is a group of diseases that causes an A. Blood transfusions
inadequate amount of normal hemoglobin to be B. Subcutaneous or IV deferox-
produced in the body. Thalassemia minor is usually amine
asymptomatic and requires no treatments. There D. Zinc supplements
is no cure for thalassemia major, however, there E. Splenectomy
, MED/SURG Final NCLEX questions
Study online at https://quizlet.com/_h17fh0
are therapies available to help manage the disease.
These include:
A. Blood transfusions
B. Subcutaneous or IV deferoxamine
C. Iron supplements
D. Zinc supplements
E. Splenectomy
9. A patient diagnosed with Stage II bladder cancer A. "I will drink only small
has just received a segmental cystectomy. What amounts of water for the first
will the nurse correct the patient on for postopera- week."
tive instructions for discharge?:
A. "I will drink only small amounts of water for the
first week."
B. "I will call the doctor if my urine is bright red for
the first few days after surgery."
C. "After a week, my urine could have dark red
flakes, and that's normal."
D. "I have a follow-up appointment for a cystoscopy
in a few weeks."
10. A patient with upper gastrointestinal cancer has B. Skeletal muscle atrophy
been diagnosed with cancer cachexia which of the
following would the nurse expect to see?
A. Weight gain
B. Skeletal muscle atrophy
C. Increase immune function
D. Improvement in metabolic abnormalities
11.
