MED/SURG FINAL NCLEX QUESTIONS EXAM WITH 100%
VERIFIED ANSWERS
1. A student nurse is preparing blood for an A Positive A. " Since you are
patient who needs to receive a blood transfusion. A positive, you are
The nurse intervenes after which statement? considered a "uni-
versal recipient",
A. " Since you are A positive, you are considered a therefore you can
"universal recipient", therefore you can receive any receive any type of
type of blood. 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 crite-
ria can donate blood, but if you have any types of
symptoms during transfusion, let a health care staff
member know"
2. A patient has a folic acid deficiency. The nurse tells A. Leafy Green
the patient to order foods Vegetables
rich in Folic Acid. What foods are best for the patient B. Citrus Fruits
to look for when ordering D. Dried Beans
food?
A. Leafy Green Vegetables
B. Citrus Fruits
C.Chicken
D.Dried Beans
E. Hard Candy
3. 1. A patient who was recently diagnosed with Gas- B. "I will continue
troesophageal Reflux Disease (GERD) was just edu- to drink 2 cups of
cated on the importance of nutrition and what foods coffee each morn-
to avoid. What statement made by the patient, indi- ing when I wake up,
cates the need for further teaching? to make sure I have
enough energy for
a. " I will avoid foods like French fries and citrus the day"
juices to decrease my chances of acid reflux and
heart burn"
b. "I will continue to drink 2 cups of coffee each
, MED/SURG FINAL NCLEX QUESTIONS EXAM WITH 100%
VERIFIED ANSWERS
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 digest-
ing my meals"
4. A 76-year old man with chronic anemia arrives at the A, B, D
Emergency department with increased fatigue and a: hemoglobin
heart palpitations even at rest. The nurse would ex- (Hgb) of 6.8 g/dL
pect the patients' laboratory test findings to include: b: hematocrit (Hct)
(Select all that apply) value of 32%
d: a ferritin level of
a. Hemoglobin (Hgb) of 6.8 g/dL 8.2 ng/mL
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
5. A student nurse is explaining the risk factors for C. Triglycerides lev-
metabolic syndrome which statement by the student el of 130
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
6. A 68 year-old male suffering from chronic diarrhea A. Confusion
is found to have a serum phosphate level of 0.9 C. Muscle weak-
mg/dL. After reviewing this lab value the nurse can ness
expect the patient to exhibit which of the following D. Cardiac dys-
symptoms? (Select all that apply) rhythmias
A. Confusion
B. Numbness/tingling in extremities
, MED/SURG FINAL NCLEX QUESTIONS EXAM WITH 100%
VERIFIED ANSWERS
C. Muscle weakness
D. Cardiac dysrhythmias
E. Dry mucous membranes
7. The physician orders an arterial blood gas who is D. Respiratory al-
hyperventilating. The nurse can anticipate that the kalosis
blood gas results will most likely reveal that the
patient is in:
A. Metabolic alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Respiratory alkalosis
8. Thalassemia is a group of diseases that causes A. Blood transfu-
an inadequate amount of normal hemoglobin to be sions
produced in the body. Thalassemia minor is usual- B. Subcutaneous
ly asymptomatic and requires no treatments. There or IV deferoxamine
is no cure for thalassemia major, however, there D. Zinc supple-
are therapies available to help manage the disease. ments
These include: E. Splenectomy
A. Blood transfusions
B. Subcutaneous or IV deferoxamine
C. Iron supplements
D. Zinc supplements
E. Splenectomy
9. A patient diagnosed with Stage II bladder cancer A. "I will drink only
has just received a segmental cystectomy. What will small amounts of
the nurse correct the patient on for postoperative water for the first
instructions for discharge?: week."
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."
, MED/SURG FINAL NCLEX QUESTIONS EXAM WITH 100%
VERIFIED ANSWERS
D. "I have a follow-up appointment for a cystoscopy
in a few weeks."
10. A patient with upper gastrointestinal cancer has B. Skeletal muscle
been diagnosed with cancer cachexia which of the atrophy
following would the nurse expect to see?
A. Weight gain
B. Skeletal muscle atrophy
C. Increase immune function
D. Improvement in metabolic abnormalities
11. A female patient has just been diagnosed with exter- A. Pregnancy
nal hemorrhoids and asks the nurse what could have B. Normal Body
contributed to her diagnoses, which of the following Mass Index
will the nurse mention as probable risk factors? C. Prolonged con-
stipation
A. Pregnancy D. Straining in an
B. Normal Body Mass Index effort to defecate
C. Prolonged constipation E. Heavy lifting
D. Straining in an effort to defecate F. Standing or sit-
E. Heavy lifting ting for a long peri-
F. Standing or sitting for a long period of time od of time
12. The most common cause of cobalamin deficiency is A. A 36-year-old
pernicious anemia. Which of the following patients morbidity obese
may develop a cobalamin deficiency? (Select all that patient that re-
apply) cently had the
Roux-en-Y Gastric
A. A 36-year-old morbidity obese patient that re- Bypass (RYGB)
cently had the Roux-en-Y Gastric Bypass (RYGB) Surgery
Surgery B. A 45-year-old
B. A 45-year-old male construction working who has male construction
a history of smoking two packs of cigarettes a day working who has a
C. A 23-year-old female nurse apprentice who is hav- history of smoking
ing a routine colonoscopy two packs of ciga-
D. A 50-year-old male yoga instructor who is on a rettes a day
strict vegetarian diet D. A 50-year-old
E. A 28-year-old female nursing student taking Pep- male yoga instruc-
VERIFIED ANSWERS
1. A student nurse is preparing blood for an A Positive A. " Since you are
patient who needs to receive a blood transfusion. A positive, you are
The nurse intervenes after which statement? considered a "uni-
versal recipient",
A. " Since you are A positive, you are considered a therefore you can
"universal recipient", therefore you can receive any receive any type of
type of blood. 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 crite-
ria can donate blood, but if you have any types of
symptoms during transfusion, let a health care staff
member know"
2. A patient has a folic acid deficiency. The nurse tells A. Leafy Green
the patient to order foods Vegetables
rich in Folic Acid. What foods are best for the patient B. Citrus Fruits
to look for when ordering D. Dried Beans
food?
A. Leafy Green Vegetables
B. Citrus Fruits
C.Chicken
D.Dried Beans
E. Hard Candy
3. 1. A patient who was recently diagnosed with Gas- B. "I will continue
troesophageal Reflux Disease (GERD) was just edu- to drink 2 cups of
cated on the importance of nutrition and what foods coffee each morn-
to avoid. What statement made by the patient, indi- ing when I wake up,
cates the need for further teaching? to make sure I have
enough energy for
a. " I will avoid foods like French fries and citrus the day"
juices to decrease my chances of acid reflux and
heart burn"
b. "I will continue to drink 2 cups of coffee each
, MED/SURG FINAL NCLEX QUESTIONS EXAM WITH 100%
VERIFIED ANSWERS
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 digest-
ing my meals"
4. A 76-year old man with chronic anemia arrives at the A, B, D
Emergency department with increased fatigue and a: hemoglobin
heart palpitations even at rest. The nurse would ex- (Hgb) of 6.8 g/dL
pect the patients' laboratory test findings to include: b: hematocrit (Hct)
(Select all that apply) value of 32%
d: a ferritin level of
a. Hemoglobin (Hgb) of 6.8 g/dL 8.2 ng/mL
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
5. A student nurse is explaining the risk factors for C. Triglycerides lev-
metabolic syndrome which statement by the student el of 130
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
6. A 68 year-old male suffering from chronic diarrhea A. Confusion
is found to have a serum phosphate level of 0.9 C. Muscle weak-
mg/dL. After reviewing this lab value the nurse can ness
expect the patient to exhibit which of the following D. Cardiac dys-
symptoms? (Select all that apply) rhythmias
A. Confusion
B. Numbness/tingling in extremities
, MED/SURG FINAL NCLEX QUESTIONS EXAM WITH 100%
VERIFIED ANSWERS
C. Muscle weakness
D. Cardiac dysrhythmias
E. Dry mucous membranes
7. The physician orders an arterial blood gas who is D. Respiratory al-
hyperventilating. The nurse can anticipate that the kalosis
blood gas results will most likely reveal that the
patient is in:
A. Metabolic alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Respiratory alkalosis
8. Thalassemia is a group of diseases that causes A. Blood transfu-
an inadequate amount of normal hemoglobin to be sions
produced in the body. Thalassemia minor is usual- B. Subcutaneous
ly asymptomatic and requires no treatments. There or IV deferoxamine
is no cure for thalassemia major, however, there D. Zinc supple-
are therapies available to help manage the disease. ments
These include: E. Splenectomy
A. Blood transfusions
B. Subcutaneous or IV deferoxamine
C. Iron supplements
D. Zinc supplements
E. Splenectomy
9. A patient diagnosed with Stage II bladder cancer A. "I will drink only
has just received a segmental cystectomy. What will small amounts of
the nurse correct the patient on for postoperative water for the first
instructions for discharge?: week."
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."
, MED/SURG FINAL NCLEX QUESTIONS EXAM WITH 100%
VERIFIED ANSWERS
D. "I have a follow-up appointment for a cystoscopy
in a few weeks."
10. A patient with upper gastrointestinal cancer has B. Skeletal muscle
been diagnosed with cancer cachexia which of the atrophy
following would the nurse expect to see?
A. Weight gain
B. Skeletal muscle atrophy
C. Increase immune function
D. Improvement in metabolic abnormalities
11. A female patient has just been diagnosed with exter- A. Pregnancy
nal hemorrhoids and asks the nurse what could have B. Normal Body
contributed to her diagnoses, which of the following Mass Index
will the nurse mention as probable risk factors? C. Prolonged con-
stipation
A. Pregnancy D. Straining in an
B. Normal Body Mass Index effort to defecate
C. Prolonged constipation E. Heavy lifting
D. Straining in an effort to defecate F. Standing or sit-
E. Heavy lifting ting for a long peri-
F. Standing or sitting for a long period of time od of time
12. The most common cause of cobalamin deficiency is A. A 36-year-old
pernicious anemia. Which of the following patients morbidity obese
may develop a cobalamin deficiency? (Select all that patient that re-
apply) cently had the
Roux-en-Y Gastric
A. A 36-year-old morbidity obese patient that re- Bypass (RYGB)
cently had the Roux-en-Y Gastric Bypass (RYGB) Surgery
Surgery B. A 45-year-old
B. A 45-year-old male construction working who has male construction
a history of smoking two packs of cigarettes a day working who has a
C. A 23-year-old female nurse apprentice who is hav- history of smoking
ing a routine colonoscopy two packs of ciga-
D. A 50-year-old male yoga instructor who is on a rettes a day
strict vegetarian diet D. A 50-year-old
E. A 28-year-old female nursing student taking Pep- male yoga instruc-
