MED/SURG Final NCLEX questions
st st st
AststudentstnursestisstpreparingstbloodstforstanstAstPositivestpatientstwhostneedsst
tostreceivestastbloodsttransfusion.stThestnursestintervenesstafterstwhichststateme
nt?
st
A.st"stSincestyoustarestAstpositive,styoustarestconsideredstast"universalstrecipient
",stthereforestyoustcanstreceivestanysttypestofstblood.
B.st"AstpositivestbloodsttypesstcanstreceivestA+,stA-,stO+standstO-"
C.st"Testingstyourstbloodsttypesthelpsstusstdeterminestwhatsttypestofstbloodstyoust
need.stNotstallstbloodsttypesstarestthestsamestandstcanstcausestastreaction"
D.st"Onlystcertainstpeoplestwhostmeetstastcertainstcriteriastcanstdonatestblood,stb
utstifstyousthavestanysttypesstofstsymptomsstduringsttransfusion,stletstasthealthstca
reststaffstmemberstknow"st-stcorrectstanswer✔ ✔
A.st"stSincestyoustarestAstpositive,styoustarestconsideredstast"universalstrecipie
nt",stthereforestyoustcanstreceivestanysttypestofstblood.
Astpatientsthasstastfolicstacidstdeficiency.stThestnursesttellsstthestpatientsttostorder
stfoods
richstinstFolicstAcid.stWhatstfoodsstarestbeststforstthestpatientsttostlookstforstwhenst
ordering
food?
A.stLeafystGreenstVegetables
,B.stCitrusstFruits
C.Chicken
D.DriedstBeans
E.stHardstCandyst-stcorrectstanswer✔ ✔ A.stLeafystGreenstVegetables
B.stCitrusstFruits
D.stDriedstBeans
1.stAstpatientstwhostwasstrecentlystdiagnosedstwithstGastroesophagealstRefluxs
tDiseasest(GERD)stwasstjuststeducatedstonstthestimportancestofstnutritionstandst
whatstfoodssttostavoid.stWhatststatementstmadestbystthestpatient,stindicatesstthest
needstforstfurtherstteaching?
a.st"stIstwillstavoidstfoodsstlikestFrenchstfriesstandstcitrusstjuicessttostdecreasestmys
tchancesstofstacidstrefluxstandstheartstburn"
b.st"Istwillstcontinuesttostdrinkst2stcupsstofstcoffeesteachstmorningstwhenstIstwakest
up,sttostmakestsurestIsthavestenoughstenergystforstthestday"
c.st"stIstneedsttostfindstanotherstdessertstIstcansteatsteachstnightstbeforestbed,stbecau
sestthestchocolatesticestcreamstIsteatsteverystnightstwillstexacerbatestmystGastroe
sophagealstReflux"
d.st"stIstneedsttostdrinkstmorestroomsttemperaturestwatersttostmakestsurestmystbod
ysthassthelpstwhenstproperlystdigestingstmystmeals"st-stcorrectstanswer✔ ✔
B.st"Istwillstcontinuesttostdrinkst2stcupsstofstcoffeesteachstmorningstwhenstIstwa
kestup,sttostmakestsurestIsthavestenoughstenergystforstthestday"
,Ast76-
yearstoldstmanstwithstchronicstanemiastarrivesstatstthestEmergencystdepartments
twithstincreasedstfatiguestandstheartstpalpitationsstevenstatstrest.stThestnursestwo
uldstexpectstthestpatients'stlaboratorystteststfindingssttostinclude:st(Selectstallstth
atstapply)
st
a.stHemoglobinst(Hgb)stofst6.8stg/dL
b.stHematocritst(Hct)stvaluestofst32%
c.stAnstRedstBloodstCellstcountstofst4,500,000/L
d.stAstferritinstlevelstofst8.2stng/mL
e.stAstWhitestBloodstCellstcountstofst6.5stxst109/Lst-stcorrectstanswer✔ ✔
A,stB,stD
a:sthemoglobinst(Hgb)stofst6.8stg/dL
b:sthematocritst(Hct)stvaluestofst32%
d:stastferritinstlevelstofst8.2stng/mL
Aststudentstnursestisstexplainingstthestriskstfactorsstforstmetabolicstsyndromestw
hichststatementstbysttheststudentstwouldstrequirestcorrectionstfromstthestnurse?st
A.stWaiststcircumferencestofst41stforstastmale
B.stBodystmassstindexstofst30storsthigher
C.stTriglyceridesstlevelstofst130
, D.stBloodstGlucosestofst168st-stcorrectstanswer✔ ✔
C.stTriglyceridesstlevelstofst130
Ast68styear-
oldstmalestsufferingstfromstchronicstdiarrheastisstfoundsttosthavestastserumstphos
phatestlevelstofst0.9stmg/dL.stAfterstreviewingstthisstlabstvaluestthestnursestcanste
xpectstthestpatientsttostexhibitstwhichstofstthestfollowingstsymptoms?st(Selectsta
llstthatstapply)
A.stConfusion
B.stNumbness/tinglingstinstextremities
C.stMusclestweakness
D.stCardiacstdysrhythmias
E.stDrystmucousstmembranesst-stcorrectstanswer✔ ✔ A.stConfusion
C.stMusclestweakness
D.stCardiacstdysrhythmias
Thestphysicianstordersstanstarterialstbloodstgasstwhostissthyperventilating.stThest
nursestcanstanticipatestthatstthestbloodstgasstresultsstwillstmoststlikelystrevealstth
atstthestpatientstisstin:
A.stMetabolicstalkalosis
B.stRespiratorystacidosis
st st st
AststudentstnursestisstpreparingstbloodstforstanstAstPositivestpatientstwhostneedsst
tostreceivestastbloodsttransfusion.stThestnursestintervenesstafterstwhichststateme
nt?
st
A.st"stSincestyoustarestAstpositive,styoustarestconsideredstast"universalstrecipient
",stthereforestyoustcanstreceivestanysttypestofstblood.
B.st"AstpositivestbloodsttypesstcanstreceivestA+,stA-,stO+standstO-"
C.st"Testingstyourstbloodsttypesthelpsstusstdeterminestwhatsttypestofstbloodstyoust
need.stNotstallstbloodsttypesstarestthestsamestandstcanstcausestastreaction"
D.st"Onlystcertainstpeoplestwhostmeetstastcertainstcriteriastcanstdonatestblood,stb
utstifstyousthavestanysttypesstofstsymptomsstduringsttransfusion,stletstasthealthstca
reststaffstmemberstknow"st-stcorrectstanswer✔ ✔
A.st"stSincestyoustarestAstpositive,styoustarestconsideredstast"universalstrecipie
nt",stthereforestyoustcanstreceivestanysttypestofstblood.
Astpatientsthasstastfolicstacidstdeficiency.stThestnursesttellsstthestpatientsttostorder
stfoods
richstinstFolicstAcid.stWhatstfoodsstarestbeststforstthestpatientsttostlookstforstwhenst
ordering
food?
A.stLeafystGreenstVegetables
,B.stCitrusstFruits
C.Chicken
D.DriedstBeans
E.stHardstCandyst-stcorrectstanswer✔ ✔ A.stLeafystGreenstVegetables
B.stCitrusstFruits
D.stDriedstBeans
1.stAstpatientstwhostwasstrecentlystdiagnosedstwithstGastroesophagealstRefluxs
tDiseasest(GERD)stwasstjuststeducatedstonstthestimportancestofstnutritionstandst
whatstfoodssttostavoid.stWhatststatementstmadestbystthestpatient,stindicatesstthest
needstforstfurtherstteaching?
a.st"stIstwillstavoidstfoodsstlikestFrenchstfriesstandstcitrusstjuicessttostdecreasestmys
tchancesstofstacidstrefluxstandstheartstburn"
b.st"Istwillstcontinuesttostdrinkst2stcupsstofstcoffeesteachstmorningstwhenstIstwakest
up,sttostmakestsurestIsthavestenoughstenergystforstthestday"
c.st"stIstneedsttostfindstanotherstdessertstIstcansteatsteachstnightstbeforestbed,stbecau
sestthestchocolatesticestcreamstIsteatsteverystnightstwillstexacerbatestmystGastroe
sophagealstReflux"
d.st"stIstneedsttostdrinkstmorestroomsttemperaturestwatersttostmakestsurestmystbod
ysthassthelpstwhenstproperlystdigestingstmystmeals"st-stcorrectstanswer✔ ✔
B.st"Istwillstcontinuesttostdrinkst2stcupsstofstcoffeesteachstmorningstwhenstIstwa
kestup,sttostmakestsurestIsthavestenoughstenergystforstthestday"
,Ast76-
yearstoldstmanstwithstchronicstanemiastarrivesstatstthestEmergencystdepartments
twithstincreasedstfatiguestandstheartstpalpitationsstevenstatstrest.stThestnursestwo
uldstexpectstthestpatients'stlaboratorystteststfindingssttostinclude:st(Selectstallstth
atstapply)
st
a.stHemoglobinst(Hgb)stofst6.8stg/dL
b.stHematocritst(Hct)stvaluestofst32%
c.stAnstRedstBloodstCellstcountstofst4,500,000/L
d.stAstferritinstlevelstofst8.2stng/mL
e.stAstWhitestBloodstCellstcountstofst6.5stxst109/Lst-stcorrectstanswer✔ ✔
A,stB,stD
a:sthemoglobinst(Hgb)stofst6.8stg/dL
b:sthematocritst(Hct)stvaluestofst32%
d:stastferritinstlevelstofst8.2stng/mL
Aststudentstnursestisstexplainingstthestriskstfactorsstforstmetabolicstsyndromestw
hichststatementstbysttheststudentstwouldstrequirestcorrectionstfromstthestnurse?st
A.stWaiststcircumferencestofst41stforstastmale
B.stBodystmassstindexstofst30storsthigher
C.stTriglyceridesstlevelstofst130
, D.stBloodstGlucosestofst168st-stcorrectstanswer✔ ✔
C.stTriglyceridesstlevelstofst130
Ast68styear-
oldstmalestsufferingstfromstchronicstdiarrheastisstfoundsttosthavestastserumstphos
phatestlevelstofst0.9stmg/dL.stAfterstreviewingstthisstlabstvaluestthestnursestcanste
xpectstthestpatientsttostexhibitstwhichstofstthestfollowingstsymptoms?st(Selectsta
llstthatstapply)
A.stConfusion
B.stNumbness/tinglingstinstextremities
C.stMusclestweakness
D.stCardiacstdysrhythmias
E.stDrystmucousstmembranesst-stcorrectstanswer✔ ✔ A.stConfusion
C.stMusclestweakness
D.stCardiacstdysrhythmias
Thestphysicianstordersstanstarterialstbloodstgasstwhostissthyperventilating.stThest
nursestcanstanticipatestthatstthestbloodstgasstresultsstwillstmoststlikelystrevealstth
atstthestpatientstisstin:
A.stMetabolicstalkalosis
B.stRespiratorystacidosis