MED/SURG Final NCLEX questions
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1. 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", there-
fore 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. " Since you are A positive, you are considered a "universal recipient", therefore you can receive any type
of blood.
2. 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: A. Leafy Green Vegetables
B. Citrus Fruits
D. Dried Beans
3. 1. A patient who was recently diagnosed with Gastroesophageal Reflux Dis-
ease (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"
, MED/SURG Final NCLEX questions
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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": 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"
4. 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: 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
5. 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: C. Triglycerides level of 130
6. 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
, MED/SURG Final NCLEX questions
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C. Muscle weakness
D. Cardiac dysrhythmias
E. Dry mucous membranes: A. Confusion
C. Muscle weakness
D. Cardiac dysrhythmias
7. 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: D. Respiratory alkalosis
8. 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. Blood transfusions
B. Subcutaneous or IV deferoxamine
D. Zinc supplements
E. Splenectomy
9. A patient diagnosed with Stage II bladder cancer has just received a segmen-
tal 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."
, MED/SURG Final NCLEX questions
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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.": A. "I will drink
only small amounts of water for the first week."
10. 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
D. Improvement in metabolic abnormalities: B. Skeletal muscle atrophy
11. A female patient has just been diagnosed with external hemorrhoids and
asks the nurse what could have contributed to her diagnoses, which of the
following will the nurse mention as probable risk factors?
A. Pregnancy
B. Normal Body Mass Index
C. Prolonged constipation
D. Straining in an effort to defecate
E. Heavy lifting
F. Standing or sitting for a long period of time: A. Pregnancy
B. Normal Body Mass Index
C. Prolonged constipation
D. Straining in an effort to defecate
E. Heavy lifting
F. Standing or sitting for a long period of time
12. The most common cause of cobalamin deficiency is pernicious anemia.
Which of the following patients may develop a cobalamin deficiency? (Select
all that apply)
A. A 36-year-old morbidity obese patient that recently had the Roux-en-Y
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1. 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", there-
fore 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. " Since you are A positive, you are considered a "universal recipient", therefore you can receive any type
of blood.
2. 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: A. Leafy Green Vegetables
B. Citrus Fruits
D. Dried Beans
3. 1. A patient who was recently diagnosed with Gastroesophageal Reflux Dis-
ease (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"
, MED/SURG Final NCLEX questions
Study online at https://quizlet.com/_4qqr2f
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": 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"
4. 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: 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
5. 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: C. Triglycerides level of 130
6. 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
, MED/SURG Final NCLEX questions
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C. Muscle weakness
D. Cardiac dysrhythmias
E. Dry mucous membranes: A. Confusion
C. Muscle weakness
D. Cardiac dysrhythmias
7. 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: D. Respiratory alkalosis
8. 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. Blood transfusions
B. Subcutaneous or IV deferoxamine
D. Zinc supplements
E. Splenectomy
9. A patient diagnosed with Stage II bladder cancer has just received a segmen-
tal 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."
, MED/SURG Final NCLEX questions
Study online at https://quizlet.com/_4qqr2f
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.": A. "I will drink
only small amounts of water for the first week."
10. 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
D. Improvement in metabolic abnormalities: B. Skeletal muscle atrophy
11. A female patient has just been diagnosed with external hemorrhoids and
asks the nurse what could have contributed to her diagnoses, which of the
following will the nurse mention as probable risk factors?
A. Pregnancy
B. Normal Body Mass Index
C. Prolonged constipation
D. Straining in an effort to defecate
E. Heavy lifting
F. Standing or sitting for a long period of time: A. Pregnancy
B. Normal Body Mass Index
C. Prolonged constipation
D. Straining in an effort to defecate
E. Heavy lifting
F. Standing or sitting for a long period of time
12. The most common cause of cobalamin deficiency is pernicious anemia.
Which of the following patients may develop a cobalamin deficiency? (Select
all that apply)
A. A 36-year-old morbidity obese patient that recently had the Roux-en-Y
