NCLEX RN med surg EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution
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FINAL EXAM: Medical Surgical Nursing (Evolve) NCLEX
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and Mastery Questions 2026 A+ GRADE ASSURED COMP
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LETE SOLUTIONS AND VERIFIED ANSWERS (502C0)
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QUESTION 1 vc




Term
ANSWER

Definition



QUESTION 2 vc




(1.1) Which nursing activities may be safely delegated to competent assistive personnel (
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AP)? Select all that apply. A.) Discharge teaching B.) Blood pressure monitoring C.) Gastr
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ostomy feeding D.) Oxygen administration E.) Ambulation assistance
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ANSWER

B, E
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QUESTION 3 vc




(1.2) A nurse assures a client experiencing abdominal surgical pain that comfort measur
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es, including drug therapy, will be provided as the client needs them. Which ethical princ
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iples apply in the situation? Select all that apply. A.) Beneficence B.) Social justice C.) Aut
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onomy D.) Fidelity E.) Veracity
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ANSWER

A, D, E
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QUESTION 4 vc

,(1.1 M) The nurse provides an SBAR hand-
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off communication regarding a client whose blood pressure and respiratory rate have de
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creased. Where will the nurse include these data as part of the SBAR format? A.) Situatio
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n B.) Background C.) Assessment D.) Recommendation
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ANSWER

A



QUESTION 5 vc




(1.2 M) The nurse collaborates with the registered dietitian nutritionist to improve the n
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utritional status of clients on a hospital unit. Which priority professional nursing concep
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ts apply in this situation? Select all that apply. A.) Quality Improvement B.) Ethics C.) Hea
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lth Care Disparities D.) Systems Thinking E.) Teamwork and Collaboration
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ANSWER

A, D, E
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QUESTION 6 vc




(2.1) Which environments of care will the nurse recognize as components of the health c
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are system? Select all that apply. A.) Long-term care B.) Primary care C.) Free-
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standing emergency department D.) National League of Nursing E.) Patient-
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centered medical home F.) World Health Organization vc vc vc vc vc vc




ANSWER

A, B, C, E
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QUESTION 7 vc




(2.2) What is the generalist registered nurse's role related to patient care within a syste
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m? Select all that apply. A.) Caring B.) Teaching C.) Collaborating D.) Advocating E.) Resea
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rching F.) Prescribing vc vc




ANSWER

A, B, C, D, E
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QUESTION 8 vc




(2.2 M) Which nursing action reflects implementation of systems level thinking? A.) Cond
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ucting a skin assessment on a newly admitted client B.) Documenting a pressure injury i
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n the electronic health record C.) Notifying the health care provider of a 2" x 1" pressure
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injury on the coccyx D.) Participating in a quality improvement project about eliminating
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pressure injury occurrences
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, ANSWER

D



QUESTION 9 vc




(3.1) Which assessment findings indicate to the nurse that a client taking warfarin may h
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ave decreased CLOTTING? (Select all that apply.) A.) Frequent nosebleeds B.) Lower leg s
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welling C.) Upper extremity bruising D.) Difficulty breathing E.) Intermittent chest pain F
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.) Dark stools
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ANSWER

A, C, F
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QUESTION 10 vc




(3.2) The nurse is conducting assessments for clients at potential risk for infection. Whic
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h client is MOST at risk for acquiring an INFECTION? A.) A client who had an opened incis
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ion for abdominal surgery B.) A client who has not been immunized for pneumonia or inf
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luenza C.) A client who works in a high-
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stress job for an accounting practice D.) A client who is 85 years old and in good health
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ANSWER

A



QUESTION 11 vc




(3.3) A client reports increasing diffuse pain in the entire right leg. What is the nurse's P
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RIORITY ACTION at this time? A.) Elevate the right leg on a pillow B.) Perform a peripher
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al vascular assessment C.) Check for swelling in the right leg D.) Notify the Rapid Respon
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se Team immediately
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ANSWER

B



QUESTION 12 vc




(3.2 M) Which of the following factors does the nurse recognize as being a risk for altere
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d sensory perception in the older adult client? A.) Diabetes mellitus B.) Hypotension C.)
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Osteoarthritis D.) Peptic ulcer disease vc vc vc vc




ANSWER

A