MED/SURG Final NCLEX Questions And
Answers
A vstudent vnurse vis vpreparing vblood vfor van vA vPositive vpatient vwho vneeds vto vreceive va vblood
vtransfusion. vThe vnurse vintervenes vafter vwhich vstatement?
v
A. v" vSince vyou vare vA vpositive, vyou vare vconsidered va v"universal vrecipient", vtherefore vyou vcan
vreceive vany vtype vof vblood.
B. v"A vpositive vblood vtypes vcan vreceive vA+, vA-, vO+ vand vO-"
C. v"Testing vyour vblood vtype vhelps vus vdetermine vwhat vtype vof vblood vyou vneed. vNot vall vblood
vtypes vare vthe vsame vand v can v cause va vreaction"
D. v"Only vcertain vpeople vwho vmeet va vcertain vcriteria vcan vdonate vblood, vbut vif vyou vhave vany
vtypes vof vsymptoms vduring vtransfusion, vlet va vhealth vcare vstaff vmember vknow" v- vAnswer v- vA. v"
vSince vyou vare vA v positive, vyou vare v considered va v "universal vrecipient", vtherefore vyou vcan vreceive
vany vtype vof vblood.
A vpatient vhas va vfolic vacid vdeficiency. vThe vnurse vtells vthe vpatient vto vorder vfoods
rich vin vFolic vAcid. vWhat vfoods vare vbest vfor vthe vpatient vto vlook vfor vwhen vordering
food?
A. vLeafy vGreen vVegetables
B. vCitrus vFruits
C.Chicken
D.Dried vBeans
E. vHard vCandy v- vAnswer v- vA. vLeafy vGreen vVegetables
B. vCitrus vFruits
D. vDried vBeans
,1. vA vpatient vwho vwas vrecently vdiagnosed vwith vGastroesophageal vReflux vDisease v(GERD) vwas vjust
veducated von vthe vimportance vof vnutrition vand vwhat vfoods vto vavoid. vWhat vstatement vmade vby
vthe vpatient, vindicates v the vneed vfor vfurther vteaching?
a. v" vI vwill vavoid vfoods vlike vFrench vfries vand vcitrus vjuices vto vdecrease vmy vchances vof vacid vreflux
vand vheart v burn"
b. v"I vwill vcontinue vto vdrink v2 vcups vof vcoffee veach vmorning vwhen vI vwake vup, vto vmake vsure vI
vhave venough venergy vfor vthe vday"
c. v" vI vneed vto vfind vanother vdessert vI vcan veat veach vnight vbefore vbed, vbecause vthe vchocolate vice
vcream vI veat vevery vnight vwill vexacerbate vmy vGastroesophageal vReflux"
d. v" vI vneed vto vdrink vmore vroom vtemperature vwater vto vmake vsure vmy vbody vhas vhelp vwhen
vproperly vdigesting vmy vmeals" v- vAnswer v- vB. v"I vwill vcontinue vto vdrink v 2 vcups vof vcoffee veach
vmorning vwhen vI vwake vup, v to vmake vsure vI vhave venough venergy vfor vthe vday"
A v76-year vold vman vwith vchronic vanemia varrives vat vthe vEmergency vdepartment vwith vincreased
vfatigue vand vheart vpalpitations veven vat vrest. v The vnurse vwould vexpect v the vpatients' vlaboratory
vtest vfindings vto vinclude: v(Select vall vthat vapply)
v
a. vHemoglobin v(Hgb) vof v6.8 vg/dL
b. vHematocrit v(Hct) vvalue vof v32%
c. vAn vRed vBlood vCell vcount vof v4,500,000/L
d. vA vferritin vlevel vof v8.2 vng/mL
e. vA vWhite vBlood vCell vcount vof v6.5 vx v109/L v- vAnswer v- vA, vB, vD
a: vhemoglobin v(Hgb) vof v6.8 vg/dL
b: vhematocrit v(Hct) vvalue vof v32%
d: va vferritin vlevel vof v8.2 vng/mL
A vstudent vnurse vis vexplaining vthe vrisk vfactors vfor vmetabolic vsyndrome vwhich vstatement vby vthe
vstudent vwould vrequire v correction vfrom vthe vnurse? v
A. vWaist vcircumference vof v41 vfor va vmale
B. vBody vmass vindex vof v30 vor vhigher
,C. vTriglycerides vlevel vof v130
D. vBlood vGlucose vof v168 v- vAnswer v- vC. vTriglycerides vlevel vof v130
A v68 vyear-old vmale vsuffering vfrom vchronic vdiarrhea vis vfound vto vhave va vserum vphosphate vlevel
vof v0.9 vmg/dL. vAfter vreviewing vthis vlab vvalue vthe vnurse vcan vexpect v the vpatient vto vexhibit vwhich
vof vthe vfollowing vsymptoms? v(Select vall vthat vapply)
A. vConfusion
B. vNumbness/tingling vin vextremities
C. vMuscle vweakness
D. vCardiac vdysrhythmias
E. vDry vmucous vmembranes v- vAnswer v- vA. vConfusion
C. vMuscle vweakness
D. vCardiac vdysrhythmias
The vphysician vorders van varterial vblood vgas vwho vis vhyperventilating. vThe vnurse vcan vanticipate
vthat v the vblood vgas vresults vwill vmost vlikely vreveal vthat v the vpatient vis vin:
A. vMetabolic valkalosis
B. vRespiratory vacidosis
C. vMetabolic vacidosis
D. vRespiratory valkalosis v- vAnswer v- vD. vRespiratory valkalosis
Thalassemia vis va vgroup vof vdiseases vthat vcauses van vinadequate vamount vof vnormal vhemoglobin vto
vbe vproduced vin vthe vbody. vThalassemia vminor vis vusually vasymptomatic vand vrequires vno
vtreatments. vThere vis vno vcure vfor v thalassemia vmajor, vhowever, v there vare v therapies vavailable vto
vhelp vmanage vthe vdisease. vThese vinclude:
v
A. vBlood vtransfusions
B. vSubcutaneous vor vIV vdeferoxamine
C. vIron vsupplements
, D. vZinc vsupplements
E. vSplenectomy v- vAnswer v- vA. vBlood vtransfusions
B. vSubcutaneous vor vIV vdeferoxamine
D. vZinc vsupplements
E. vSplenectomy
A vpatient vdiagnosed vwith vStage vII vbladder vcancer vhas vjust vreceived va vsegmental vcystectomy.
vWhat vwill vthe vnurse vcorrect vthe vpatient von vfor vpostoperative vinstructions vfor vdischarge?:
v
A. v"I vwill vdrink vonly vsmall vamounts vof vwater vfor vthe vfirst vweek."
B. v"I vwill vcall vthe vdoctor vif vmy vurine vis vbright vred vfor vthe vfirst vfew vdays vafter vsurgery."
C. v"After va vweek, vmy vurine vcould vhave vdark vred vflakes, vand vthat's vnormal."
D. v"I vhave va vfollow-up vappointment vfor va vcystoscopy vin va vfew vweeks." v- vAnswer v- vA. v"I vwill
vdrink vonly vsmall vamounts vof vwater vfor vthe vfirst v week."
A vpatient vwith vupper vgastrointestinal vcancer vhas vbeen vdiagnosed vwith vcancer vcachexia vwhich vof
vthe vfollowing vwould vthe vnurse vexpect vto vsee?
A. vWeight vgain
B. vSkeletal vmuscle vatrophy
C. vIncrease vimmune vfunction
D. vImprovement vin vmetabolic vabnormalities v- vAnswer v- vB. vSkeletal vmuscle vatrophy
A vfemale vpatient vhas vjust vbeen vdiagnosed vwith vexternal vhemorrhoids vand vasks vthe vnurse vwhat
vcould vhave vcontributed v to vher vdiagnoses, vwhich v of vthe vfollowing vwill vthe vnurse vmention vas
vprobable vrisk vfactors?
A. vPregnancy
B. vNormal vBody vMass vIndex
C. vProlonged vconstipation
D. vStraining vin van veffort vto vdefecate
Answers
A vstudent vnurse vis vpreparing vblood vfor van vA vPositive vpatient vwho vneeds vto vreceive va vblood
vtransfusion. vThe vnurse vintervenes vafter vwhich vstatement?
v
A. v" vSince vyou vare vA vpositive, vyou vare vconsidered va v"universal vrecipient", vtherefore vyou vcan
vreceive vany vtype vof vblood.
B. v"A vpositive vblood vtypes vcan vreceive vA+, vA-, vO+ vand vO-"
C. v"Testing vyour vblood vtype vhelps vus vdetermine vwhat vtype vof vblood vyou vneed. vNot vall vblood
vtypes vare vthe vsame vand v can v cause va vreaction"
D. v"Only vcertain vpeople vwho vmeet va vcertain vcriteria vcan vdonate vblood, vbut vif vyou vhave vany
vtypes vof vsymptoms vduring vtransfusion, vlet va vhealth vcare vstaff vmember vknow" v- vAnswer v- vA. v"
vSince vyou vare vA v positive, vyou vare v considered va v "universal vrecipient", vtherefore vyou vcan vreceive
vany vtype vof vblood.
A vpatient vhas va vfolic vacid vdeficiency. vThe vnurse vtells vthe vpatient vto vorder vfoods
rich vin vFolic vAcid. vWhat vfoods vare vbest vfor vthe vpatient vto vlook vfor vwhen vordering
food?
A. vLeafy vGreen vVegetables
B. vCitrus vFruits
C.Chicken
D.Dried vBeans
E. vHard vCandy v- vAnswer v- vA. vLeafy vGreen vVegetables
B. vCitrus vFruits
D. vDried vBeans
,1. vA vpatient vwho vwas vrecently vdiagnosed vwith vGastroesophageal vReflux vDisease v(GERD) vwas vjust
veducated von vthe vimportance vof vnutrition vand vwhat vfoods vto vavoid. vWhat vstatement vmade vby
vthe vpatient, vindicates v the vneed vfor vfurther vteaching?
a. v" vI vwill vavoid vfoods vlike vFrench vfries vand vcitrus vjuices vto vdecrease vmy vchances vof vacid vreflux
vand vheart v burn"
b. v"I vwill vcontinue vto vdrink v2 vcups vof vcoffee veach vmorning vwhen vI vwake vup, vto vmake vsure vI
vhave venough venergy vfor vthe vday"
c. v" vI vneed vto vfind vanother vdessert vI vcan veat veach vnight vbefore vbed, vbecause vthe vchocolate vice
vcream vI veat vevery vnight vwill vexacerbate vmy vGastroesophageal vReflux"
d. v" vI vneed vto vdrink vmore vroom vtemperature vwater vto vmake vsure vmy vbody vhas vhelp vwhen
vproperly vdigesting vmy vmeals" v- vAnswer v- vB. v"I vwill vcontinue vto vdrink v 2 vcups vof vcoffee veach
vmorning vwhen vI vwake vup, v to vmake vsure vI vhave venough venergy vfor vthe vday"
A v76-year vold vman vwith vchronic vanemia varrives vat vthe vEmergency vdepartment vwith vincreased
vfatigue vand vheart vpalpitations veven vat vrest. v The vnurse vwould vexpect v the vpatients' vlaboratory
vtest vfindings vto vinclude: v(Select vall vthat vapply)
v
a. vHemoglobin v(Hgb) vof v6.8 vg/dL
b. vHematocrit v(Hct) vvalue vof v32%
c. vAn vRed vBlood vCell vcount vof v4,500,000/L
d. vA vferritin vlevel vof v8.2 vng/mL
e. vA vWhite vBlood vCell vcount vof v6.5 vx v109/L v- vAnswer v- vA, vB, vD
a: vhemoglobin v(Hgb) vof v6.8 vg/dL
b: vhematocrit v(Hct) vvalue vof v32%
d: va vferritin vlevel vof v8.2 vng/mL
A vstudent vnurse vis vexplaining vthe vrisk vfactors vfor vmetabolic vsyndrome vwhich vstatement vby vthe
vstudent vwould vrequire v correction vfrom vthe vnurse? v
A. vWaist vcircumference vof v41 vfor va vmale
B. vBody vmass vindex vof v30 vor vhigher
,C. vTriglycerides vlevel vof v130
D. vBlood vGlucose vof v168 v- vAnswer v- vC. vTriglycerides vlevel vof v130
A v68 vyear-old vmale vsuffering vfrom vchronic vdiarrhea vis vfound vto vhave va vserum vphosphate vlevel
vof v0.9 vmg/dL. vAfter vreviewing vthis vlab vvalue vthe vnurse vcan vexpect v the vpatient vto vexhibit vwhich
vof vthe vfollowing vsymptoms? v(Select vall vthat vapply)
A. vConfusion
B. vNumbness/tingling vin vextremities
C. vMuscle vweakness
D. vCardiac vdysrhythmias
E. vDry vmucous vmembranes v- vAnswer v- vA. vConfusion
C. vMuscle vweakness
D. vCardiac vdysrhythmias
The vphysician vorders van varterial vblood vgas vwho vis vhyperventilating. vThe vnurse vcan vanticipate
vthat v the vblood vgas vresults vwill vmost vlikely vreveal vthat v the vpatient vis vin:
A. vMetabolic valkalosis
B. vRespiratory vacidosis
C. vMetabolic vacidosis
D. vRespiratory valkalosis v- vAnswer v- vD. vRespiratory valkalosis
Thalassemia vis va vgroup vof vdiseases vthat vcauses van vinadequate vamount vof vnormal vhemoglobin vto
vbe vproduced vin vthe vbody. vThalassemia vminor vis vusually vasymptomatic vand vrequires vno
vtreatments. vThere vis vno vcure vfor v thalassemia vmajor, vhowever, v there vare v therapies vavailable vto
vhelp vmanage vthe vdisease. vThese vinclude:
v
A. vBlood vtransfusions
B. vSubcutaneous vor vIV vdeferoxamine
C. vIron vsupplements
, D. vZinc vsupplements
E. vSplenectomy v- vAnswer v- vA. vBlood vtransfusions
B. vSubcutaneous vor vIV vdeferoxamine
D. vZinc vsupplements
E. vSplenectomy
A vpatient vdiagnosed vwith vStage vII vbladder vcancer vhas vjust vreceived va vsegmental vcystectomy.
vWhat vwill vthe vnurse vcorrect vthe vpatient von vfor vpostoperative vinstructions vfor vdischarge?:
v
A. v"I vwill vdrink vonly vsmall vamounts vof vwater vfor vthe vfirst vweek."
B. v"I vwill vcall vthe vdoctor vif vmy vurine vis vbright vred vfor vthe vfirst vfew vdays vafter vsurgery."
C. v"After va vweek, vmy vurine vcould vhave vdark vred vflakes, vand vthat's vnormal."
D. v"I vhave va vfollow-up vappointment vfor va vcystoscopy vin va vfew vweeks." v- vAnswer v- vA. v"I vwill
vdrink vonly vsmall vamounts vof vwater vfor vthe vfirst v week."
A vpatient vwith vupper vgastrointestinal vcancer vhas vbeen vdiagnosed vwith vcancer vcachexia vwhich vof
vthe vfollowing vwould vthe vnurse vexpect vto vsee?
A. vWeight vgain
B. vSkeletal vmuscle vatrophy
C. vIncrease vimmune vfunction
D. vImprovement vin vmetabolic vabnormalities v- vAnswer v- vB. vSkeletal vmuscle vatrophy
A vfemale vpatient vhas vjust vbeen vdiagnosed vwith vexternal vhemorrhoids vand vasks vthe vnurse vwhat
vcould vhave vcontributed v to vher vdiagnoses, vwhich v of vthe vfollowing vwill vthe vnurse vmention vas
vprobable vrisk vfactors?
A. vPregnancy
B. vNormal vBody vMass vIndex
C. vProlonged vconstipation
D. vStraining vin van veffort vto vdefecate
