MED/SURG Final NCLEX EXAM WITH
CORRECT ANSWERS 2025
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" <correct answer>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
food?
A. Leafy Green Vegetables
B. Citrus Fruits
C.Chicken
,D.Dried Beans
E. Hard Candy <correct answer>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"
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" <correct answer>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 <correct answer>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
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 <correct answer>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 <correct answer>A. Confusion
, C. Muscle weakness
D. Cardiac dysrhythmias
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 <correct answer>D. Respiratory alkalosis
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 <correct answer>A. Blood transfusions
B. Subcutaneous or IV deferoxamine
D. Zinc supplements
E. Splenectomy
CORRECT ANSWERS 2025
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" <correct answer>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
food?
A. Leafy Green Vegetables
B. Citrus Fruits
C.Chicken
,D.Dried Beans
E. Hard Candy <correct answer>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"
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" <correct answer>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 <correct answer>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
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 <correct answer>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 <correct answer>A. Confusion
, C. Muscle weakness
D. Cardiac dysrhythmias
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 <correct answer>D. Respiratory alkalosis
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 <correct answer>A. Blood transfusions
B. Subcutaneous or IV deferoxamine
D. Zinc supplements
E. Splenectomy
