PEARSON EXAM CRAM NCLEX RN TEST #1 MED
SURG QUESTIONS AND ANSWERS LATEST
UPDATED 2025/2026 ALL ANSWERS 100%
CORRECT BEST GRADED A+ FOR SUCCESS
A client with ascites is scheduled for a paracentesis. Which instruction should be given to the
client before the procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure." - CORRECT ANSWERS b. "You
need to empty your bladder before the procedure."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136, and
platelets 178,000cu.mm. The nurse evaluates that the client is experiencing which of the
following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia - CORRECT ANSWERS b Hypokalemia
Due to a high census, it has been necessary for a number of clients to be transferred to
other units within the hospital. Which client should be transferred to the postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis - CORRECT ANSWERS b A 40-year-old female
with a hysterectomy
Before administering Theo-Dur (theophylline), the nurse should check the patient's:
a output
b Blood pressure
c Pulse
,d Temperature - CORRECT ANSWERS c Pulse
Which information should be given to the patient undergoing radiation therapy for breast
cancer?
a Avoid exposing radiation areas to sunlight during treatment time and for a year after
completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician - CORRECT ANSWERS a Avoid
exposing radiation areas to sunlight during treatment time and for a year after completion of
therapy
The charge nurse is making assignments for the day. After accepting the assignment to care
for a client with leukemia, the nurse tells the charge nurse that her child has chickenpox.
Which initial action should the charge nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox. - CORRECT ANSWERS d Ask the nurse if
she has ever had the chickenpox.
Which statement is true regarding therapy with Levemir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours. - CORRECT ANSWERS d The duration is 24 hours.
Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago - CORRECT ANSWERS c The elderly client
with a thyroidectomy four days ago
,The physician has ordered the Schilling test for a patient with suspected pernicious anemia.
What other vitamin level is often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine - CORRECT ANSWERS a Folic acid
A 25-year-old client arrives in the emergency room with a possible fracture of the right
femur. The nurse should anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow - CORRECT ANSWERS c Buck's traction
Which statement should be included in the teaching session of a client scheduled for a renal
biopsy?
a "You will be placed in a sitting position for the biopsy."
b "You may experience a feeling of pressure or discomfort during aspiration of the biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours following the study." - CORRECT
ANSWERS b "You may experience a feeling of pressure or discomfort during aspiration of
the biopsy."
The nurse is caring for the client who has been in a coma for two months. He has signed a
donor card, but the wife is opposed to the idea of organ donation. How should the nurse
handle the topic of organ donation with the wife?
a Tell the wife that the hospital will honor her wishes regarding organ donation, but contact
the organ-retrieval staff.
b Tell her that because her husband signed a donor card, the hospital has the right to take
the organs upon the death of her husband.
c Explain that it is necessary for her to donate her husband's organs because he signed the
permit.
, d Refrain from talking about the subject until after the death of her husband. - CORRECT
ANSWERS a Tell the wife that the hospital will honor her wishes regarding organ donation,
but contact the organ-retrieval staff.
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH
7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis - CORRECT ANSWERS c Compensated metabolic
acidosis
Before administering intravenous chemotherapy to the patient being treated, the nurse
should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat. - CORRECT ANSWERS c Administer an antiemetic.
Which one of the following statements is correct when measuring the client for crutches?
a A distance of five fingerbreadths should exist between the top of the crutch and the axilla.
b The nurse should measure three inches between the top of the crutch and the axilla.
c The client's elbows should be flexed at a 10°angle.
d The crutches should be extended 8 to 10 inches from the side of the foot. - CORRECT
ANSWERS b The nurse should measure three inches between the top of the crutch and the
axilla.
A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-trimethoprim)
for treatment of a urinary tract infection. Before beginning the medication, the patient
should be assessed for which of the following disorders?
a G6PD deficiency
b β-thalassemia
c Sickle cell anemia
d Von Willebrand disease - CORRECT ANSWERS a G6PD deficiency
SURG QUESTIONS AND ANSWERS LATEST
UPDATED 2025/2026 ALL ANSWERS 100%
CORRECT BEST GRADED A+ FOR SUCCESS
A client with ascites is scheduled for a paracentesis. Which instruction should be given to the
client before the procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure." - CORRECT ANSWERS b. "You
need to empty your bladder before the procedure."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136, and
platelets 178,000cu.mm. The nurse evaluates that the client is experiencing which of the
following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia - CORRECT ANSWERS b Hypokalemia
Due to a high census, it has been necessary for a number of clients to be transferred to
other units within the hospital. Which client should be transferred to the postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis - CORRECT ANSWERS b A 40-year-old female
with a hysterectomy
Before administering Theo-Dur (theophylline), the nurse should check the patient's:
a output
b Blood pressure
c Pulse
,d Temperature - CORRECT ANSWERS c Pulse
Which information should be given to the patient undergoing radiation therapy for breast
cancer?
a Avoid exposing radiation areas to sunlight during treatment time and for a year after
completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician - CORRECT ANSWERS a Avoid
exposing radiation areas to sunlight during treatment time and for a year after completion of
therapy
The charge nurse is making assignments for the day. After accepting the assignment to care
for a client with leukemia, the nurse tells the charge nurse that her child has chickenpox.
Which initial action should the charge nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox. - CORRECT ANSWERS d Ask the nurse if
she has ever had the chickenpox.
Which statement is true regarding therapy with Levemir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours. - CORRECT ANSWERS d The duration is 24 hours.
Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago - CORRECT ANSWERS c The elderly client
with a thyroidectomy four days ago
,The physician has ordered the Schilling test for a patient with suspected pernicious anemia.
What other vitamin level is often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine - CORRECT ANSWERS a Folic acid
A 25-year-old client arrives in the emergency room with a possible fracture of the right
femur. The nurse should anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow - CORRECT ANSWERS c Buck's traction
Which statement should be included in the teaching session of a client scheduled for a renal
biopsy?
a "You will be placed in a sitting position for the biopsy."
b "You may experience a feeling of pressure or discomfort during aspiration of the biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours following the study." - CORRECT
ANSWERS b "You may experience a feeling of pressure or discomfort during aspiration of
the biopsy."
The nurse is caring for the client who has been in a coma for two months. He has signed a
donor card, but the wife is opposed to the idea of organ donation. How should the nurse
handle the topic of organ donation with the wife?
a Tell the wife that the hospital will honor her wishes regarding organ donation, but contact
the organ-retrieval staff.
b Tell her that because her husband signed a donor card, the hospital has the right to take
the organs upon the death of her husband.
c Explain that it is necessary for her to donate her husband's organs because he signed the
permit.
, d Refrain from talking about the subject until after the death of her husband. - CORRECT
ANSWERS a Tell the wife that the hospital will honor her wishes regarding organ donation,
but contact the organ-retrieval staff.
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH
7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis - CORRECT ANSWERS c Compensated metabolic
acidosis
Before administering intravenous chemotherapy to the patient being treated, the nurse
should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat. - CORRECT ANSWERS c Administer an antiemetic.
Which one of the following statements is correct when measuring the client for crutches?
a A distance of five fingerbreadths should exist between the top of the crutch and the axilla.
b The nurse should measure three inches between the top of the crutch and the axilla.
c The client's elbows should be flexed at a 10°angle.
d The crutches should be extended 8 to 10 inches from the side of the foot. - CORRECT
ANSWERS b The nurse should measure three inches between the top of the crutch and the
axilla.
A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-trimethoprim)
for treatment of a urinary tract infection. Before beginning the medication, the patient
should be assessed for which of the following disorders?
a G6PD deficiency
b β-thalassemia
c Sickle cell anemia
d Von Willebrand disease - CORRECT ANSWERS a G6PD deficiency
