MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
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" - ansB. "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 - ansA. Keep the patient NPO
B. Monitor vital signs
,MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
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 - ansD. 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 - ansb). 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?
,MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
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 - ansD. 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 - ansA. 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."
, MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
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." - ansB. "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 - ansA. Flank pain, chills,
and fever
C. Urine cultures
D. Sensitivity guided antibiotic therapy
A 45-year-old male patient diagnosed with CKD (chronic kidney disease) is set to
discharge with plans to continue hemodialysis at a dialysis center. Which
statement(s), if made by the patient, would indicate to the nurse that the patient has
adequate understanding of hemodialysis? (Select all that apply)
a. "I may experience muscle cramps during dialysis treatment."
b. "I will drink a protein shake everyday for breakfast."
c. "I will need to restrict my fluid intake if my urine output decreases."
d. "I should make sure to eat potassium rich foods with each meal."
e. "This treatment will require blood transfusions to be effective." - ansa. "I may
experience muscle cramps during dialysis treatment."
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
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" - ansB. "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 - ansA. Keep the patient NPO
B. Monitor vital signs
,MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
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 - ansD. 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 - ansb). 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?
,MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
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 - ansD. 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 - ansA. 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."
, MED/SURG FINAL NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
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." - ansB. "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 - ansA. Flank pain, chills,
and fever
C. Urine cultures
D. Sensitivity guided antibiotic therapy
A 45-year-old male patient diagnosed with CKD (chronic kidney disease) is set to
discharge with plans to continue hemodialysis at a dialysis center. Which
statement(s), if made by the patient, would indicate to the nurse that the patient has
adequate understanding of hemodialysis? (Select all that apply)
a. "I may experience muscle cramps during dialysis treatment."
b. "I will drink a protein shake everyday for breakfast."
c. "I will need to restrict my fluid intake if my urine output decreases."
d. "I should make sure to eat potassium rich foods with each meal."
e. "This treatment will require blood transfusions to be effective." - ansa. "I may
experience muscle cramps during dialysis treatment."
