NCLEX MED SURG EXAM / MED SURG NCLEX FINAL
EXAM LATEST 2024 -2025 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) A NEW UPDATED
VERSION | GUARANTEED PASS A+ NEW!! (REVISED
EXAM)
A client with multiple pulmonary emboli (PE) is scheduled for placement of an inferior vena cava (IVC)
filter. Which statement by the nurse explains the purpose of this intervention?
"The device traps blood clots traveling to the lungs."
"It alerts the healthcare provider when clots develop."
"The device is inserted to dissolve blood clots in the heart."
"Medication is delivered to enhance anticoagulation therapy." - CORRECT ANSWER-"The device traps
blood clots traveling to the lungs."
A nurse cares for a client with terminal chronic obstructive pulmonary disease (COPD). The family had a
team meeting with the health care provider and has decided to take the client home. The nurse begins
the discharge process and coordinates with which supportive service?
Home health nursing
Meals on Wheels
Hospice care
Long-term care - CORRECT ANSWER-Hospice care
A nurse provides education about the new diagnosis of bladder cancer to an older client, who is a
longterm smoker with no significant medical history, and her family. The family asks about risk factors
associated with bladder cancer. The nurse responds best with which risk factor for this client?
"Cigarette smoking."
"Previous cancer diagnosis."
"Gender."
"Urinary tract infection." - CORRECT ANSWER-"Cigarette smoking."
,A client is prescribed cisplatin. The nurse requests clarification when the client is also prescribed what
drug while taking cisplatin?
Ondansetron
Acetaminophen
Ampicillin
Gentamicin - CORRECT ANSWER-Gentamicin
A nurse assesses a client with pneumonia for bronchophony. The nurse uses what procedure?
Have the client say a long E sound while auscultating the lungs.
Have the client say "ninety-nine" while placing the palms on the chest wall.
Ask the client to whisper a phrase while auscultating the lungs.
Have the client say "ninety-nine" while auscultating the lungs. - CORRECT ANSWER-Have the client say
"ninety-nine" while auscultating the lungs.
The nurse teaches a client about exercise-induced angina occurring during exercise. Which steps does
the nurse teach the client to take? (Place each option in order, from first priority to last.)
Stop the exercise activity.
Rest until the pain eases.
Take a nitroglycerin dose.
Call the healthcare provider. - CORRECT ANSWER-Stop the exercise activity.
Rest until the pain eases.
Take a nitroglycerin dose.
Call the healthcare provider.
SATA -- The nurse educator provides information regarding established risk factors for heart disease.
Which non-modifiable risk factor increases risk for cardiovascular disease (CVD) for an adult client?
Obesity
Type 2 diabetes
Family history
Metabolic syndrome - CORRECT ANSWER-Family history
,SATA -- A client with Crohn's disease comes to the hospital for a possible complication. The nurse
teaches a student nurse that which complications are common with Crohn's disease?
Stool with bright red blood
Malnutrition
Intestinal obstruction
Anxiety
Anemia - CORRECT ANSWER-Malnutrition
Intestinal obstruction
Anxiety
Anemia
A client arrives to the medical unit with a diagnosis of hepatitis. The health care provider believes the
client contracted the disease from contaminated food. The nurse explains to the student nurse that
which form of hepatitis is the most likely cause?
Hepatitis B
Hepatitis D
Hepatitis C
Hepatitis A - CORRECT ANSWER-Hepatitis A
The nurse performs the Weber tuning fork test on a client. Which finding indicates the client may have
sensorineural hearing loss in the left ear?
The client cannot hear a whisper in the left ear from 2 feet away.
The client stops hearing the tuning fork before the nurse does.
The client experiences lateralization to the right ear.
Air conduction is 2 times longer than bone conduction. - CORRECT ANSWER-The client experiences
lateralization to the right ear.
SATA -- The nurse cares for a client with left-sided heart failure. Which actions does the nurse
implement?
Assess peripheral pulses for strength and quality.
, Document rhythm strips every shift.
Administer diuretic therapy as prescribed.
Assess heart rate every hour.
Provide a low-sodium diet. - CORRECT ANSWER-Assess peripheral pulses for strength and quality.
Document rhythm strips every shift.
Administer diuretic therapy as prescribed.
Assess heart rate every hour.
Provide a low-sodium diet.
A nurse cares for a client with a nasopharyngeal carcinoma. Which virus has been associated with this
specific carcinoma?
Norovirus
Epstein-Barr virus
Zika virus
Influenza virus - CORRECT ANSWER-Epstein-Barr virus
A client undergoing chemotherapy treatment for uterine cancer asks the nurse how chemotherapeutic
medications work. Which statement made by the nurse is a correct response?
"Chemotherapeutic drugs attack all rapidly dividing cells in your body."
"Chemotherapeutic agents stimulate the cancer cells to divide."
"Antineoplastics change your defective DNA structure, causing cell death."
"The toxins in all antineoplastic drugs weaken cancer cells." - CORRECT ANSWER-"Chemotherapeutic
drugs attack all rapidly dividing cells in your body."
SATA -- A nurse develops a care plan for a male client. The nurse includes which statements about
prostate cancer?
Symptoms may mimic those of benign prostatic hypertrophy.
Prostate cancer is usually an adenocarcinoma.
Having a relative with prostate cancer is a risk factor.
Prostate cancer can be detected through a test for specific antigens.
EXAM LATEST 2024 -2025 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) A NEW UPDATED
VERSION | GUARANTEED PASS A+ NEW!! (REVISED
EXAM)
A client with multiple pulmonary emboli (PE) is scheduled for placement of an inferior vena cava (IVC)
filter. Which statement by the nurse explains the purpose of this intervention?
"The device traps blood clots traveling to the lungs."
"It alerts the healthcare provider when clots develop."
"The device is inserted to dissolve blood clots in the heart."
"Medication is delivered to enhance anticoagulation therapy." - CORRECT ANSWER-"The device traps
blood clots traveling to the lungs."
A nurse cares for a client with terminal chronic obstructive pulmonary disease (COPD). The family had a
team meeting with the health care provider and has decided to take the client home. The nurse begins
the discharge process and coordinates with which supportive service?
Home health nursing
Meals on Wheels
Hospice care
Long-term care - CORRECT ANSWER-Hospice care
A nurse provides education about the new diagnosis of bladder cancer to an older client, who is a
longterm smoker with no significant medical history, and her family. The family asks about risk factors
associated with bladder cancer. The nurse responds best with which risk factor for this client?
"Cigarette smoking."
"Previous cancer diagnosis."
"Gender."
"Urinary tract infection." - CORRECT ANSWER-"Cigarette smoking."
,A client is prescribed cisplatin. The nurse requests clarification when the client is also prescribed what
drug while taking cisplatin?
Ondansetron
Acetaminophen
Ampicillin
Gentamicin - CORRECT ANSWER-Gentamicin
A nurse assesses a client with pneumonia for bronchophony. The nurse uses what procedure?
Have the client say a long E sound while auscultating the lungs.
Have the client say "ninety-nine" while placing the palms on the chest wall.
Ask the client to whisper a phrase while auscultating the lungs.
Have the client say "ninety-nine" while auscultating the lungs. - CORRECT ANSWER-Have the client say
"ninety-nine" while auscultating the lungs.
The nurse teaches a client about exercise-induced angina occurring during exercise. Which steps does
the nurse teach the client to take? (Place each option in order, from first priority to last.)
Stop the exercise activity.
Rest until the pain eases.
Take a nitroglycerin dose.
Call the healthcare provider. - CORRECT ANSWER-Stop the exercise activity.
Rest until the pain eases.
Take a nitroglycerin dose.
Call the healthcare provider.
SATA -- The nurse educator provides information regarding established risk factors for heart disease.
Which non-modifiable risk factor increases risk for cardiovascular disease (CVD) for an adult client?
Obesity
Type 2 diabetes
Family history
Metabolic syndrome - CORRECT ANSWER-Family history
,SATA -- A client with Crohn's disease comes to the hospital for a possible complication. The nurse
teaches a student nurse that which complications are common with Crohn's disease?
Stool with bright red blood
Malnutrition
Intestinal obstruction
Anxiety
Anemia - CORRECT ANSWER-Malnutrition
Intestinal obstruction
Anxiety
Anemia
A client arrives to the medical unit with a diagnosis of hepatitis. The health care provider believes the
client contracted the disease from contaminated food. The nurse explains to the student nurse that
which form of hepatitis is the most likely cause?
Hepatitis B
Hepatitis D
Hepatitis C
Hepatitis A - CORRECT ANSWER-Hepatitis A
The nurse performs the Weber tuning fork test on a client. Which finding indicates the client may have
sensorineural hearing loss in the left ear?
The client cannot hear a whisper in the left ear from 2 feet away.
The client stops hearing the tuning fork before the nurse does.
The client experiences lateralization to the right ear.
Air conduction is 2 times longer than bone conduction. - CORRECT ANSWER-The client experiences
lateralization to the right ear.
SATA -- The nurse cares for a client with left-sided heart failure. Which actions does the nurse
implement?
Assess peripheral pulses for strength and quality.
, Document rhythm strips every shift.
Administer diuretic therapy as prescribed.
Assess heart rate every hour.
Provide a low-sodium diet. - CORRECT ANSWER-Assess peripheral pulses for strength and quality.
Document rhythm strips every shift.
Administer diuretic therapy as prescribed.
Assess heart rate every hour.
Provide a low-sodium diet.
A nurse cares for a client with a nasopharyngeal carcinoma. Which virus has been associated with this
specific carcinoma?
Norovirus
Epstein-Barr virus
Zika virus
Influenza virus - CORRECT ANSWER-Epstein-Barr virus
A client undergoing chemotherapy treatment for uterine cancer asks the nurse how chemotherapeutic
medications work. Which statement made by the nurse is a correct response?
"Chemotherapeutic drugs attack all rapidly dividing cells in your body."
"Chemotherapeutic agents stimulate the cancer cells to divide."
"Antineoplastics change your defective DNA structure, causing cell death."
"The toxins in all antineoplastic drugs weaken cancer cells." - CORRECT ANSWER-"Chemotherapeutic
drugs attack all rapidly dividing cells in your body."
SATA -- A nurse develops a care plan for a male client. The nurse includes which statements about
prostate cancer?
Symptoms may mimic those of benign prostatic hypertrophy.
Prostate cancer is usually an adenocarcinoma.
Having a relative with prostate cancer is a risk factor.
Prostate cancer can be detected through a test for specific antigens.
