MED/SURG Final NCLEX questions
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2025/2026 passed
A. " Since you are A positive, you are considered a "universal recipient", therefore you can
receive any type of blood. - ANS ✔✔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"
A. Leafy Green Vegetables
B. Citrus Fruits
D. Dried Beans - ANS ✔✔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
,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" - ANS ✔✔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"
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 - ANS ✔✔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
,C. Triglycerides level of 130 - ANS ✔✔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
A. Confusion
C. Muscle weakness
D. Cardiac dysrhythmias - ANS ✔✔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
D. Respiratory alkalosis - ANS ✔✔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
, A. Blood transfusions
B. Subcutaneous or IV deferoxamine
D. Zinc supplements
E. Splenectomy - ANS ✔✔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
A. "I will drink only small amounts of water for the first week." - ANS ✔✔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."
B. Skeletal muscle atrophy - ANS ✔✔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
with verified answers rated A+
2025/2026 passed
A. " Since you are A positive, you are considered a "universal recipient", therefore you can
receive any type of blood. - ANS ✔✔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"
A. Leafy Green Vegetables
B. Citrus Fruits
D. Dried Beans - ANS ✔✔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
,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" - ANS ✔✔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"
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 - ANS ✔✔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
,C. Triglycerides level of 130 - ANS ✔✔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
A. Confusion
C. Muscle weakness
D. Cardiac dysrhythmias - ANS ✔✔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
D. Respiratory alkalosis - ANS ✔✔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
, A. Blood transfusions
B. Subcutaneous or IV deferoxamine
D. Zinc supplements
E. Splenectomy - ANS ✔✔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
A. "I will drink only small amounts of water for the first week." - ANS ✔✔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."
B. Skeletal muscle atrophy - ANS ✔✔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
