MED/SURG FINAL NCLEX QUESTIONS WITH
ACCURATE ANSWERS
1. A patient who was recently diagnosed with Gastroesophageal Reflux Disease
(GERD) was just educated on the importance of nutrition and what foods to avoid.
What statement made by the patient, indicates the need for further teaching?
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 Gastroesophageal
Reflux"
d. " I need to drink more room temperature water to make sure my body has help
when properly digesting my meals" correct answer 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"
A 15-year-old patient presents to the emergency department with appendicitis.
The nurse should anticipate which nursing management cares to be given? (select
all that apply)
A. Keep the patient NPO
B. Monitor vital signs
C. Administer fluids, analgesics, and antiemetic's as ordered
,D. Place a heating pad on abdomen for pain relief
E. Give enema as ordered correct answer A. Keep the patient NPO
B. Monitor vital signs
C. Administer fluids, analgesics, and antiemetic's as ordered
A 17-year old male patient has a diagnosis of Hemophilia A.The patient
understands his condition when he states: (Select all that apply)
A. I should take a baby aspirin every day for heart health
B. Heparin will help my blood clot more efficiently
C. I am due for my flu shot
D. I should shave my beard with an electric razor
E. I should use a soft bristled toothbrush when I brush my teeth correct answer D.
I should shave my beard with an electric razor
E. I should use a soft bristled toothbrush when I brush my teeth
A 25 year old female patient is diagnosed with viral hepatitis. The provider
prescribes Ribavirin, before administering the nucleoside what test will the nurse
give to the patient?
a). Liver function test
b). Pregnancy test
,c). Occult blood test
d). Urinalysis correct answer b). Pregnancy test
A 27-year-old female patient presents to the ICU after a severe thoracic burn
injury. She presents with the following vitals: BP of 90/67, HR of 135, temperature
of 100.1, and respiratory rate of 24. She is unconscious, unresponsive, and has
purpura present on both lower calves. It's suspected this patient is experiencing
DIC as a result of hypovolemic shock. Which of the orders should the nurse
QUESTION from the physician?
A. IV bolus of NS 0.9%
B. Administer STAT order of RBC's
C. 500 units of IV heparin
D. Administer STAT oral anticoagulants correct answer D. Administer STAT oral
anticoagulants
A 28 year old female patient presents to the emergency room with severe
bronchospasm and respiratory distress along with swelling of the lips and tongue.
The patient appears to be wheezing and has flushing of the skin. This patient is
experiencing shock that could be caused by which of the following (select all that
apply)
A. foods/ ingestion
B. blood or blood products
C. environmental agents
D. myocardial Infarction
E. Sepsis correct answer A. foods/ ingestion
B. blood or blood products
, C. environmental agents
A 35-year old female patient comes into the clinic with a new diagnosis of
Addison's disease. After providing education to the patient about this disease, the
nurse knows further teaching is required when the patient states which of the
following?
A. "I will need to increase my hydrocortisone dosage during a stressful event such
as surgery or if I contract an infection."
B. "Once my hormone levels stabilize my doctor can start lowering my dose and
eventually I'll be able to stop taking hormone therapy."
C. "I'm glad to know I can have a normal life expectancy as long as I follow my
medication regimen."
D. "It's best to take my mineralocorticoids in the morning." correct answer B.
"Once my hormone levels stabilize my doctor can start lowering my dose and
eventually I'll be able to stop taking hormone therapy."
A 39-year-old pregnant female patient presents symptoms of dysuria, urgency,
and frequency, which additional symptoms, diagnostic studies, and treatments
would be associated with acute pyelonephritis versus cystitis?
A. Flank pain, chills, and fever
B. Antibiotics for 3 days
C. Urine cultures
D. Sensitivity guided antibiotic therapy
E. Symptoms generally improve after 1-2 days of therapy correct answer A. Flank
pain, chills, and fever
C. Urine cultures
ACCURATE ANSWERS
1. A patient who was recently diagnosed with Gastroesophageal Reflux Disease
(GERD) was just educated on the importance of nutrition and what foods to avoid.
What statement made by the patient, indicates the need for further teaching?
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 Gastroesophageal
Reflux"
d. " I need to drink more room temperature water to make sure my body has help
when properly digesting my meals" correct answer 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"
A 15-year-old patient presents to the emergency department with appendicitis.
The nurse should anticipate which nursing management cares to be given? (select
all that apply)
A. Keep the patient NPO
B. Monitor vital signs
C. Administer fluids, analgesics, and antiemetic's as ordered
,D. Place a heating pad on abdomen for pain relief
E. Give enema as ordered correct answer A. Keep the patient NPO
B. Monitor vital signs
C. Administer fluids, analgesics, and antiemetic's as ordered
A 17-year old male patient has a diagnosis of Hemophilia A.The patient
understands his condition when he states: (Select all that apply)
A. I should take a baby aspirin every day for heart health
B. Heparin will help my blood clot more efficiently
C. I am due for my flu shot
D. I should shave my beard with an electric razor
E. I should use a soft bristled toothbrush when I brush my teeth correct answer D.
I should shave my beard with an electric razor
E. I should use a soft bristled toothbrush when I brush my teeth
A 25 year old female patient is diagnosed with viral hepatitis. The provider
prescribes Ribavirin, before administering the nucleoside what test will the nurse
give to the patient?
a). Liver function test
b). Pregnancy test
,c). Occult blood test
d). Urinalysis correct answer b). Pregnancy test
A 27-year-old female patient presents to the ICU after a severe thoracic burn
injury. She presents with the following vitals: BP of 90/67, HR of 135, temperature
of 100.1, and respiratory rate of 24. She is unconscious, unresponsive, and has
purpura present on both lower calves. It's suspected this patient is experiencing
DIC as a result of hypovolemic shock. Which of the orders should the nurse
QUESTION from the physician?
A. IV bolus of NS 0.9%
B. Administer STAT order of RBC's
C. 500 units of IV heparin
D. Administer STAT oral anticoagulants correct answer D. Administer STAT oral
anticoagulants
A 28 year old female patient presents to the emergency room with severe
bronchospasm and respiratory distress along with swelling of the lips and tongue.
The patient appears to be wheezing and has flushing of the skin. This patient is
experiencing shock that could be caused by which of the following (select all that
apply)
A. foods/ ingestion
B. blood or blood products
C. environmental agents
D. myocardial Infarction
E. Sepsis correct answer A. foods/ ingestion
B. blood or blood products
, C. environmental agents
A 35-year old female patient comes into the clinic with a new diagnosis of
Addison's disease. After providing education to the patient about this disease, the
nurse knows further teaching is required when the patient states which of the
following?
A. "I will need to increase my hydrocortisone dosage during a stressful event such
as surgery or if I contract an infection."
B. "Once my hormone levels stabilize my doctor can start lowering my dose and
eventually I'll be able to stop taking hormone therapy."
C. "I'm glad to know I can have a normal life expectancy as long as I follow my
medication regimen."
D. "It's best to take my mineralocorticoids in the morning." correct answer B.
"Once my hormone levels stabilize my doctor can start lowering my dose and
eventually I'll be able to stop taking hormone therapy."
A 39-year-old pregnant female patient presents symptoms of dysuria, urgency,
and frequency, which additional symptoms, diagnostic studies, and treatments
would be associated with acute pyelonephritis versus cystitis?
A. Flank pain, chills, and fever
B. Antibiotics for 3 days
C. Urine cultures
D. Sensitivity guided antibiotic therapy
E. Symptoms generally improve after 1-2 days of therapy correct answer A. Flank
pain, chills, and fever
C. Urine cultures
