COMPLETE MED/SURG FINAL NCLEX QUESTIONS AND ANSWERS GRADED A+ 2025/2026

COMPLETE MED/SURG FINAL NCLEX QUESTIONS
AND ANSWERS GRADED A+ 2025/2026




A .student .nurse .is .preparing .blood .for .an .A .Positive .patient .who .needs .to .receive .a .blood
.transfusion. .The .nurse .intervenes .after .which .statement?

.

A. ." .Since .you .are .A .positive, .you .are .considered .a ."universal .recipient", .therefore .you
.can .receive .any .type .of .blood.


B. ."A .positive .blood .types .can .receive .A+, .A-, .O+ .and .O-"

C. ."Testing .your .blood .type .helps .us .determine .what .type .of .blood .you .need. .Not .all
.blood .types .are .the .same .and .can .cause .a .reaction"


D. ."Only .certain .people .who .meet .a .certain .criteria .can .donate .blood, .but .if .you .have .any
.types .of .symptoms .during .transfusion, .let .a .health .care .staff .member .know" .- .CORRECT

.ANSWER-A. ." .Since .you .are .A .positive, .you .are .considered .a ."universal .recipient",

.therefore .you .can .receive .any .type .of .blood.




A .patient .has .a .folic .acid .deficiency. .The .nurse .tells .the .patient .to .order .foods

rich .in .Folic .Acid. .What .foods .are .best .for .the .patient .to .look .for .when .ordering

food?



A. .Leafy .Green .Vegetables

B. .Citrus .Fruits

C.Chicken

D.Dried .Beans

E. .Hard .Candy .- .CORRECT .ANSWER-A. .Leafy .Green .Vegetables

,B. .Citrus .Fruits

D. .Dried .Beans



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 .76-year .old .man .with .chronic .anemia .arrives .at .the .Emergency .department .with
.increased .fatigue .and .heart .palpitations .even .at .rest. .The .nurse .would .expect .the

.patients' .laboratory .test .findings .to .include: .(Select .all .that .apply)

.

a. .Hemoglobin .(Hgb) .of .6.8 .g/dL

b. .Hematocrit .(Hct) .value .of .32%

c. .An .Red .Blood .Cell .count .of .4,500,000/L

d. .A .ferritin .level .of .8.2 .ng/mL

e. .A .White .Blood .Cell .count .of .6.5 .x .109/L .- .CORRECT .ANSWER-A, .B, .D

a: .hemoglobin .(Hgb) .of .6.8 .g/dL

b: .hematocrit .(Hct) .value .of .32%

d: .a .ferritin .level .of .8.2 .ng/mL

,A .student .nurse .is .explaining .the .risk .factors .for .metabolic .syndrome .which .statement .by
.the .student .would .require .correction .from .the .nurse? .




A. .Waist .circumference .of .41 .for .a .male

B. .Body .mass .index .of .30 .or .higher

C. .Triglycerides .level .of .130

D. .Blood .Glucose .of .168 .- .CORRECT .ANSWER-C. .Triglycerides .level .of .130



A .68 .year-old .male .suffering .from .chronic .diarrhea .is .found .to .have .a .serum .phosphate
.level .of .0.9 .mg/dL. .After .reviewing .this .lab .value .the .nurse .can .expect .the .patient .to

.exhibit .which .of .the .following .symptoms? .(Select .all .that .apply)




A. .Confusion

B. .Numbness/tingling .in .extremities

C. .Muscle .weakness

D. .Cardiac .dysrhythmias

E. .Dry .mucous .membranes .- .CORRECT .ANSWER-A. .Confusion

C. .Muscle .weakness

D. .Cardiac .dysrhythmias



The .physician .orders .an .arterial .blood .gas .who .is .hyperventilating. .The .nurse .can
.anticipate .that .the .blood .gas .results .will .most .likely .reveal .that .the .patient .is .in:




A. .Metabolic .alkalosis

B. .Respiratory .acidosis

C. .Metabolic .acidosis

D. .Respiratory .alkalosis .- .CORRECT .ANSWER-D. .Respiratory .alkalosis

, Thalassemia .is .a .group .of .diseases .that .causes .an .inadequate .amount .of .normal
.hemoglobin .to .be .produced .in .the .body. .Thalassemia .minor .is .usually .asymptomatic .and

.requires .no .treatments. .There .is .no .cure .for .thalassemia .major, .however, .there .are

.therapies .available .to .help .manage .the .disease. .These .include:

.

A. .Blood .transfusions

B. .Subcutaneous .or .IV .deferoxamine

C. .Iron .supplements

D. .Zinc .supplements

E. .Splenectomy .- .CORRECT .ANSWER-A. .Blood .transfusions

B. .Subcutaneous .or .IV .deferoxamine

D. .Zinc .supplements

E. .Splenectomy



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




A .patient .with .upper .gastrointestinal .cancer .has .been .diagnosed .with .cancer .cachexia
.which .of .the .following .would .the .nurse .expect .to .see?




A. .Weight .gain

B. .Skeletal .muscle .atrophy

C. .Increase .immune .function