MED/SURG FINAL NCLEX EXAM 2025
QUESTIONS AND ANSWERS
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" - ANS 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
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 1
,food?
A. Leafy Green Vegetables
B. Citrus Fruits
C.Chicken
D.Dried Beans
E. Hard Candy - ANS 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"
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2
,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" - ANS 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 - ANS 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
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 3
, 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 - ANS 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 - ANS A. Confusion
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 4
QUESTIONS AND ANSWERS
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" - ANS 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
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 1
,food?
A. Leafy Green Vegetables
B. Citrus Fruits
C.Chicken
D.Dried Beans
E. Hard Candy - ANS 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"
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2
,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" - ANS 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 - ANS 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
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 3
, 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 - ANS 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 - ANS A. Confusion
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 4
