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“MEDSURG NCLEX QUESTIONS FOR THE FINAL” EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS
MEDSURG NCLEX Questions for the Final
A 12-year-old patient presents with poor skin turgor, dry mucus membranes,
tachycardia, orthostatic hypotension, lethargy, weakness, and has rapid deep
respirations with a sweet fruity odor. The nurse suspects this patient is
suffering from
a. Hyperosmolar hyperglycemic syndrome
b. Diabetic Ketoacidosis
c. Insulin excess
d. Dehydration
b. Diabetic Ketoacidosis
A 43 year old woman is diagnosed with gastroesophageal reflux disease
(GERD). What guidelines can the nurse provide to her for managing her
symptoms? SELECT ALL THAT APPLY.
a.) Lie down after eating to relieve pressure
b.) Having peppermint or tea after eating can soothe any discomfort
c.) Avoid late night snacking
d.) Eating small, more frequent meals is better than eating a few large meals
per day
e.) Drinking fluids between meals and not with meals can help prevent reflux
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c.) Avoid late night snacking
d.) Eating small, more frequent meals is better than eating a few large meals per day
e.) Drinking fluids between meals and not with meals can help prevent reflux
A 26 year old male presents to the Emergency Department with 2 days of
bloody stools, abdominal cramping, and watery diarrhea. He is diagnosed with
e-coli poisoning. When explaining what he ate the past few days, which items
might you suspect as the e-coli carrying culprit?
a.) A bowl of oatmeal with brown sugar and raisins
b.) Vegetable soup
c.) A chocolate brownie
d.) A cheeseburger and fries
d.) A cheeseburger and fries
A patient comes into the hospital and based on the complete history and
physical examination he/she is diagnosed with Acute Poststreptococcal
Glomerulonephritis. What are the clinical manifestations that the health care
provider is going to see?
(Select all that apply)
a.) Proteinuria
b.) Hematuria with smoky appearance
c.) Hyperlipidemia
d.) Periorbital edema
e.) Flu-like symptoms
a.) Proteinuria
b.) Hematuria with smoky appearance
d.) Periorbital edema
After a patient comes into the hospital for an AKI and you notice that he/she is
experiencing severe dehydration, and oliguria. The patient does not
encompass any damage to the kidney tissue but is experiencing decreased
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circulating blood volume, which stage of AKI would this patient be in?
a.) Acute tubular necrosis
b.) Intrarenal
c.) Prerenal
d.) Postrenal
c.) Prerenal
A nurse is educating a female patient about to be discharged from the hospital
after being treated for a urinary tract infection (UTI). The nurse recognizes the
patient correctly understands the education material when they make the
following statements, EXCEPT? (SELECT ALL THAT APPLY)
a.) I should urinate approximately every 3-4 hours throughout the day
b.) I should take bubble bathes as a way to get everything clean down there
c.) I should be emptying my bladder before and after sexual intercourse
d.) I should be wiping from front to back after urinating
e.) I should stop taking my antibiotics once the symptoms of my urinary tract
infection (UTI) are gone
b.) I should take bubble bathes as a way to get everything clean down there
e.) I should stop taking my antibiotics once the symptoms of my urinary tract
infection (UTI) are gone
A patient is presenting to the emergency department with confirmed
anaphylactic shock after eating peanuts. Which order by the doctor would the
nurse question in regard to the treatment of this patient?
a.) Epinephrine IM
b.) Albuterol
c.) Nitroglycerin
d.) Diphenhydramine
c.) Nitroglycerin
A patient is admitted to the hospital with a ventricular septal rupture. He is
experiencing tachycardia, tachypnea, crackles, and a narrowing pulse
pressure. The patient is suspected to be in cardiogenic shock. The nurse
would question which medication ordered?
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a) Nitroglycerin
b) Dobutamine
c) Furosemide
d) Norepinephrine
e) Dopamine
d) Norepinephrine
The nurse is providing discharge teaching to a patient who has a new
diagnosis of Type 1 Diabetes Mellitus. The nurse understands teaching has
been effective when the patient makes which statements?
a) I have an autoimmune disorder
b) I will be able to control my disease with diet and exercise only
c) My AIC goal is less than 7%
d) I will only require a once daily injection of Lantus
e) I will carry cookies with me incase my blood glucose drops below 70
a) I have an autoimmune disorder
c) My AIC goal is less than 7%
A student nurse is providing health promotion activities to a patient and
caregiver to prevent the recurrence of a Urinary Tract Infection. Which
statement by the student would require correction from the nurse?
a.) When providing appropriate hygiene wipe from back to front after urinating
b.) Maintain adequate fluid intake
c.) Report to the HCP symptoms or signs of recurrent UTI
d.) Consider drinking unsweetened cranberry juice or taking cranberry extract
tablets 300-400 mg/day
a.) When providing appropriate hygiene wipe from back to front after urinating
What clinical manifestations would you expect to find in a patient diagnosed
with Irritable Bowel Disease presenting with hypomagnesemia? (Select all that
apply)
a.) Trousseau's sign
“MEDSURG NCLEX QUESTIONS FOR THE FINAL” EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS
MEDSURG NCLEX Questions for the Final
A 12-year-old patient presents with poor skin turgor, dry mucus membranes,
tachycardia, orthostatic hypotension, lethargy, weakness, and has rapid deep
respirations with a sweet fruity odor. The nurse suspects this patient is
suffering from
a. Hyperosmolar hyperglycemic syndrome
b. Diabetic Ketoacidosis
c. Insulin excess
d. Dehydration
b. Diabetic Ketoacidosis
A 43 year old woman is diagnosed with gastroesophageal reflux disease
(GERD). What guidelines can the nurse provide to her for managing her
symptoms? SELECT ALL THAT APPLY.
a.) Lie down after eating to relieve pressure
b.) Having peppermint or tea after eating can soothe any discomfort
c.) Avoid late night snacking
d.) Eating small, more frequent meals is better than eating a few large meals
per day
e.) Drinking fluids between meals and not with meals can help prevent reflux
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c.) Avoid late night snacking
d.) Eating small, more frequent meals is better than eating a few large meals per day
e.) Drinking fluids between meals and not with meals can help prevent reflux
A 26 year old male presents to the Emergency Department with 2 days of
bloody stools, abdominal cramping, and watery diarrhea. He is diagnosed with
e-coli poisoning. When explaining what he ate the past few days, which items
might you suspect as the e-coli carrying culprit?
a.) A bowl of oatmeal with brown sugar and raisins
b.) Vegetable soup
c.) A chocolate brownie
d.) A cheeseburger and fries
d.) A cheeseburger and fries
A patient comes into the hospital and based on the complete history and
physical examination he/she is diagnosed with Acute Poststreptococcal
Glomerulonephritis. What are the clinical manifestations that the health care
provider is going to see?
(Select all that apply)
a.) Proteinuria
b.) Hematuria with smoky appearance
c.) Hyperlipidemia
d.) Periorbital edema
e.) Flu-like symptoms
a.) Proteinuria
b.) Hematuria with smoky appearance
d.) Periorbital edema
After a patient comes into the hospital for an AKI and you notice that he/she is
experiencing severe dehydration, and oliguria. The patient does not
encompass any damage to the kidney tissue but is experiencing decreased
, Page 3 of 84
circulating blood volume, which stage of AKI would this patient be in?
a.) Acute tubular necrosis
b.) Intrarenal
c.) Prerenal
d.) Postrenal
c.) Prerenal
A nurse is educating a female patient about to be discharged from the hospital
after being treated for a urinary tract infection (UTI). The nurse recognizes the
patient correctly understands the education material when they make the
following statements, EXCEPT? (SELECT ALL THAT APPLY)
a.) I should urinate approximately every 3-4 hours throughout the day
b.) I should take bubble bathes as a way to get everything clean down there
c.) I should be emptying my bladder before and after sexual intercourse
d.) I should be wiping from front to back after urinating
e.) I should stop taking my antibiotics once the symptoms of my urinary tract
infection (UTI) are gone
b.) I should take bubble bathes as a way to get everything clean down there
e.) I should stop taking my antibiotics once the symptoms of my urinary tract
infection (UTI) are gone
A patient is presenting to the emergency department with confirmed
anaphylactic shock after eating peanuts. Which order by the doctor would the
nurse question in regard to the treatment of this patient?
a.) Epinephrine IM
b.) Albuterol
c.) Nitroglycerin
d.) Diphenhydramine
c.) Nitroglycerin
A patient is admitted to the hospital with a ventricular septal rupture. He is
experiencing tachycardia, tachypnea, crackles, and a narrowing pulse
pressure. The patient is suspected to be in cardiogenic shock. The nurse
would question which medication ordered?
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a) Nitroglycerin
b) Dobutamine
c) Furosemide
d) Norepinephrine
e) Dopamine
d) Norepinephrine
The nurse is providing discharge teaching to a patient who has a new
diagnosis of Type 1 Diabetes Mellitus. The nurse understands teaching has
been effective when the patient makes which statements?
a) I have an autoimmune disorder
b) I will be able to control my disease with diet and exercise only
c) My AIC goal is less than 7%
d) I will only require a once daily injection of Lantus
e) I will carry cookies with me incase my blood glucose drops below 70
a) I have an autoimmune disorder
c) My AIC goal is less than 7%
A student nurse is providing health promotion activities to a patient and
caregiver to prevent the recurrence of a Urinary Tract Infection. Which
statement by the student would require correction from the nurse?
a.) When providing appropriate hygiene wipe from back to front after urinating
b.) Maintain adequate fluid intake
c.) Report to the HCP symptoms or signs of recurrent UTI
d.) Consider drinking unsweetened cranberry juice or taking cranberry extract
tablets 300-400 mg/day
a.) When providing appropriate hygiene wipe from back to front after urinating
What clinical manifestations would you expect to find in a patient diagnosed
with Irritable Bowel Disease presenting with hypomagnesemia? (Select all that
apply)
a.) Trousseau's sign
