MED/SURG NCLEX FINAL EXAM WITH QUESTIONS AND VERIFIED ANSWERS 2025
UPDATED
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" - (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 - (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"
,MED/SURG NCLEX FINAL EXAM WITH QUESTIONS AND VERIFIED ANSWERS 2025
UPDATED
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" - (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 - (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 - (ANSWER)C. Triglycerides level of 130
,MED/SURG NCLEX FINAL EXAM WITH QUESTIONS AND VERIFIED ANSWERS 2025
UPDATED
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 - (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 - (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 - (ANSWER)A. Blood transfusions
, MED/SURG NCLEX FINAL EXAM WITH QUESTIONS AND VERIFIED ANSWERS 2025
UPDATED
B. Subcutaneous or IV deferoxamine
D. Zinc supplements
E. Splenectomy
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." - (ANSWER)A. "I will drink only
small amounts of water for the first week."
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 - (ANSWER)B. Skeletal muscle atrophy
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
UPDATED
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" - (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 - (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"
,MED/SURG NCLEX FINAL EXAM WITH QUESTIONS AND VERIFIED ANSWERS 2025
UPDATED
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" - (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 - (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 - (ANSWER)C. Triglycerides level of 130
,MED/SURG NCLEX FINAL EXAM WITH QUESTIONS AND VERIFIED ANSWERS 2025
UPDATED
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 - (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 - (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 - (ANSWER)A. Blood transfusions
, MED/SURG NCLEX FINAL EXAM WITH QUESTIONS AND VERIFIED ANSWERS 2025
UPDATED
B. Subcutaneous or IV deferoxamine
D. Zinc supplements
E. Splenectomy
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." - (ANSWER)A. "I will drink only
small amounts of water for the first week."
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 - (ANSWER)B. Skeletal muscle atrophy
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
