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Exam (elaborations)

MED_SURG Final NCLEX

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MED_SURG Final NCLEX

Institution
MED_SURG
Course
MED_SURG

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1 of 116

Term


An 18 year old female patient presents to the Emergency
Department complaining of severe cramping pain and has a history
of Crohnes disease. The nurse knows that typically this cramping pain
associated with Crohns disease stems from what location in the
body:


A. occurs anywhere along GI tract, most frequently the distal illium
B. Starts in the rectum an spreads in a continuous pattern up the
colon
C. Is considered inflammation of the mucosa of the stomach
D. Is inflammation and irritation in the esophagus



Give this one a try later!




A. occurs anywhere along GI A. Confusion
tract, most frequently the C. Muscle weakness
distal illium D. Cardiac dysrhythmias

, B. WBC > 100,00 A. Temperature greater than 100.4 F
C. thrombocytopenia (38 C)
D. increase number of lymphocytes B. Urine output < 30 ml/hr
in bone marrow C. Heart rate > 100 bpm


Don't know?




2 of 116

Term


A patient diagnosed with Stage II bladder cancer has just received a
segmental cystectomy. What will the nurse correct the patient on for
postoperative instructions for discharge?:


A. "I will drink only small amounts of water for the first week."
B. "I will call the doctor if my urine is bright red for the first few days
after surgery."
C. "After a week, my urine could have dark red flakes, and that's
normal."
D. "I have a follow-up appointment for a cystoscopy in a few weeks."



Give this one a try later!



B. Ultrasound
C. Renal Biopsy
D. CT Scan




A. "I will drink only small amounts of water for the first week."

, b. "I will take my iron supplements 1 hour before meals and with orange juice."
c. "If I am ingesting undiluted liquid iron, I will use a straw because the solution
will stain my teeth."
e. "I may experience constipation, so I will include high-fiber foods in my diet,
drink 3 liters of water every day, and use stool softeners as needed."

B. Administers loop diuretics
D. Gives Veltassa at 0900 with other 0900 medications


Don't know?




3 of 116

Term


Which patient is most at risk for developing a urinary tract infection?


A. A 30 year old male who is a triathlete and exercises multiple times
a day
B. A 22 year old male with multiple sex partners
C. An obese 75 year old woman who lives in an assisted living home
and suffers from dementia and incontinence.
D. A 24 year old female who has had a kidney stone before and
enjoys taking bubble baths



Give this one a try later!




C. An obese 75 year old
woman who lives in an a) Changes in vital signs
assisted living home and c) Change in bowel sounds
suffers from dementia and e) Change in patient's pain
incontinence.




B. Administers loop diuretics
D. Gives Veltassa at 0900 with other

, A. A catheter inserted through the 0900 medications
anterior abdominal wall.

Don't know?




4 of 116

Term


A patient is preparing to take a capsule endoscopy for suspected
Crohn's disease. The nurse is doing pre-op teaching with the patient.
Which statement would the nurse need to correct if stated by the
patient?


a. "I will not eat food the evening before the pill."
b. "I understand that I can have water two hours after I swallow the
pill"
c. "I will have to wait at least a day before coming back to get this pill
out of me."
d. "If I have a narrowed bowel, I may need to use a patency pill
before this procedure."



Give this one a try later!



c. "I will have to wait at least a
A. "I will drink only small amounts of
day before coming back to
water for the first week."
get this pill out of me."




B. Administers loop diuretics c. 0.9% NaCl Solution
D. Gives Veltassa at 0900 with other e. Oxygen via a Nasal Cannula or
0900 medications Non-Rebreather Mask

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Institution
MED_SURG
Course
MED_SURG

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Uploaded on
May 25, 2026
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Written in
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