Final Exam: Medical-Surgical Nursing
(Evolve) NCLEX and Mastery Questions
with correct Answers 2025/2026 A+
Graded 100% Verified
(1.1) Which nursing activities may be safely delegated to competent assistive personnel (AP)?
Select all that apply.
A.) Discharge teaching
B.) Blood pressure monitoring
C.) Gastrostomy feeding
D.) Oxygen administration
E.) Ambulation assistance - ANS-B, E
(1.2) A nurse assures a client experiencing abdominal surgical pain that comfort measures,
including drug therapy, will be provided as the client needs them. Which ethical principles apply
in the situation? Select all that apply.
A.) Beneficence
B.) Social justice
C.) Autonomy
D.) Fidelity
E.) Veracity - ANS-A, D, E
(1.1 M) The nurse provides an SBAR hand-off communication regarding a client whose blood
pressure and respiratory rate have decreased. Where will the nurse include these data as part
of the SBAR format?
A.) Situation
B.) Background
C.) Assessment
D.) Recommendation - ANS-A
(1.2 M) The nurse collaborates with the registered dietitian nutritionist to improve the nutritional
status of clients on a hospital unit. Which priority professional nursing concepts apply in this
situation? Select all that apply.
,A.) Quality Improvement
B.) Ethics
C.) Health Care Disparities
D.) Systems Thinking
E.) Teamwork and Collaboration - ANS-A, D, E
(2.1) Which environments of care will the nurse recognize as components of the health care
system? Select all that apply.
A.) Long-term care
B.) Primary care
C.) Free-standing emergency department
D.) National League of Nursing
E.) Patient-centered medical home
F.) World Health Organization - ANS-A, B, C, E
(2.2) What is the generalist registered nurse's role related to patient care within a system?
Select all that apply.
A.) Caring
B.) Teaching
C.) Collaborating
D.) Advocating
E.) Researching
F.) Prescribing - ANS-A, B, C, D, E
(2.1 M) The nurse is participating in a unit meeting to discuss daily nursing care expectations.
Which nursing statement reflects systems level thinking?
A.) "It is important to provide care consistent with the client's expectation."
B.) "I will always consider my client's cultural preferences when delivering care."
C.) "I have been comparing our rates of infection with other units in the hospital."
D.) "I will look for the policy about family visitation to show my client." - ANS-C
(2.2 M) Which nursing action reflects implementation of systems level thinking?
A.) Conducting a skin assessment on a newly admitted client
B.) Documenting a pressure injury in the electronic health record
C.) Notifying the health care provider of a 2" x 1" pressure injury on the coccyx
D.) Participating in a quality improvement project about eliminating pressure injury occurrences -
ANS-D
(2.3 M) How will the experienced nurse explain systems thinking to a new nurse?
,A.) Reading a journal article to enhance one's understanding of a specific disorder
B.) Providing patient-centered care to each individual, recognizing his or her uniqueness
C.) Engaging in a professional development activity to earn continuing education credit
D.) Using information from individual client care to improve outcomes at a macro level - ANS-D
(3.1) Which assessment findings indicate to the nurse that a client taking warfarin may have
decreased CLOTTING? (Select all that apply.)
A.) Frequent nosebleeds
B.) Lower leg swelling
C.) Upper extremity bruising
D.) Difficulty breathing
E.) Intermittent chest pain
F.) Dark stools - ANS-A, C, F
(3.2) The nurse is conducting assessments for clients at potential risk for infection. Which client
is MOST at risk for acquiring an INFECTION?
A.) A client who had an opened incision for abdominal surgery
B.) A client who has not been immunized for pneumonia or influenza
C.) A client who works in a high-stress job for an accounting practice
D.) A client who is 85 years old and in good health - ANS-A
(3.3) A client reports increasing diffuse pain in the entire right leg. What is the nurse's
PRIORITY ACTION at this time?
A.) Elevate the right leg on a pillow
B.) Perform a peripheral vascular assessment
C.) Check for swelling in the right leg
D.) Notify the Rapid Response Team immediately - ANS-B
(3.1 M) The nurse is assessing an older adult and notes that the client is at risk for constipation.
Which statements will the nurse include in health teaching for this client to promote optimum
bowel elimination? Select all that apply.
A.) "Be sure to include plenty of fresh fruits and vegetables in your diet each day."
B.) "Eat lots of high fiber foods, including whole grains each day."
C.) "BE sure to take a laxative every day to clean out your bowels and prevent toxins."
D.) "Exercise several times a week to keep our bowels working for regular elimination."
E.) "Drink at least 3 caffeinated beverages every day to keep your bowel stimulated."
F.) "Drink plenty of fluids, including water, to prevent having difficulty going to the bathroom." -
ANS-A, B, D, F
, (3.2 M) Which of the following factors does the nurse recognize as being a risk for altered
sensory perception in the older adult client?
A.) Diabetes mellitus
B.) Hypotension
C.) Osteoarthritis
D.) Peptic ulcer disease - ANS-A
(4.1) The nurse performs an initial health assessment of an older adult. Which assessment
findings indicate that the client may be at risk for falls? Select all that apply.
A.) Has presbyopia
B.) Has peripheral neuropathy
C.) Uses a cane
D.) Takes multiple medications
E.) Has bilateral cataracts
F.) Has thin papery skin - ANS-A, B, C, D, E
(4.2) A nurse conducts an assessment of an older adult's medications, including both
prescription and over-the-counter drugs. Which drug would the nurse identify as being
potentially INAPPROPRIATE for older adults?
A.) Vitamin D
B.) Losartan
C.) Nortriptyline
D.) Hydrochlorothiazide (HCTZ) - ANS-C
(4.3) An older adult's furosemide dosage was increased 2 days ago to 40 mg daily. This
morning the nurse observes that the client has become confused and very weak. What is the
nurse's BEST action?
A.) Encourage fluid intake
B.) Withhold this morning's dose of furosemide
C.) Review the most recent serum electrolyte levels
D.) Place the patient on strict intake and output - ANS-B
(4.1 M) The nurse is conducting an assessment of an older adult living in the community. Which
assessment findings are considered usual physiologic changes of aging? Select all that apply.
A.) Dementia
B.) Relocation stress
C.) Urinary incontinence
D.) Presbyopia
E.) Obesity - ANS-D
(Evolve) NCLEX and Mastery Questions
with correct Answers 2025/2026 A+
Graded 100% Verified
(1.1) Which nursing activities may be safely delegated to competent assistive personnel (AP)?
Select all that apply.
A.) Discharge teaching
B.) Blood pressure monitoring
C.) Gastrostomy feeding
D.) Oxygen administration
E.) Ambulation assistance - ANS-B, E
(1.2) A nurse assures a client experiencing abdominal surgical pain that comfort measures,
including drug therapy, will be provided as the client needs them. Which ethical principles apply
in the situation? Select all that apply.
A.) Beneficence
B.) Social justice
C.) Autonomy
D.) Fidelity
E.) Veracity - ANS-A, D, E
(1.1 M) The nurse provides an SBAR hand-off communication regarding a client whose blood
pressure and respiratory rate have decreased. Where will the nurse include these data as part
of the SBAR format?
A.) Situation
B.) Background
C.) Assessment
D.) Recommendation - ANS-A
(1.2 M) The nurse collaborates with the registered dietitian nutritionist to improve the nutritional
status of clients on a hospital unit. Which priority professional nursing concepts apply in this
situation? Select all that apply.
,A.) Quality Improvement
B.) Ethics
C.) Health Care Disparities
D.) Systems Thinking
E.) Teamwork and Collaboration - ANS-A, D, E
(2.1) Which environments of care will the nurse recognize as components of the health care
system? Select all that apply.
A.) Long-term care
B.) Primary care
C.) Free-standing emergency department
D.) National League of Nursing
E.) Patient-centered medical home
F.) World Health Organization - ANS-A, B, C, E
(2.2) What is the generalist registered nurse's role related to patient care within a system?
Select all that apply.
A.) Caring
B.) Teaching
C.) Collaborating
D.) Advocating
E.) Researching
F.) Prescribing - ANS-A, B, C, D, E
(2.1 M) The nurse is participating in a unit meeting to discuss daily nursing care expectations.
Which nursing statement reflects systems level thinking?
A.) "It is important to provide care consistent with the client's expectation."
B.) "I will always consider my client's cultural preferences when delivering care."
C.) "I have been comparing our rates of infection with other units in the hospital."
D.) "I will look for the policy about family visitation to show my client." - ANS-C
(2.2 M) Which nursing action reflects implementation of systems level thinking?
A.) Conducting a skin assessment on a newly admitted client
B.) Documenting a pressure injury in the electronic health record
C.) Notifying the health care provider of a 2" x 1" pressure injury on the coccyx
D.) Participating in a quality improvement project about eliminating pressure injury occurrences -
ANS-D
(2.3 M) How will the experienced nurse explain systems thinking to a new nurse?
,A.) Reading a journal article to enhance one's understanding of a specific disorder
B.) Providing patient-centered care to each individual, recognizing his or her uniqueness
C.) Engaging in a professional development activity to earn continuing education credit
D.) Using information from individual client care to improve outcomes at a macro level - ANS-D
(3.1) Which assessment findings indicate to the nurse that a client taking warfarin may have
decreased CLOTTING? (Select all that apply.)
A.) Frequent nosebleeds
B.) Lower leg swelling
C.) Upper extremity bruising
D.) Difficulty breathing
E.) Intermittent chest pain
F.) Dark stools - ANS-A, C, F
(3.2) The nurse is conducting assessments for clients at potential risk for infection. Which client
is MOST at risk for acquiring an INFECTION?
A.) A client who had an opened incision for abdominal surgery
B.) A client who has not been immunized for pneumonia or influenza
C.) A client who works in a high-stress job for an accounting practice
D.) A client who is 85 years old and in good health - ANS-A
(3.3) A client reports increasing diffuse pain in the entire right leg. What is the nurse's
PRIORITY ACTION at this time?
A.) Elevate the right leg on a pillow
B.) Perform a peripheral vascular assessment
C.) Check for swelling in the right leg
D.) Notify the Rapid Response Team immediately - ANS-B
(3.1 M) The nurse is assessing an older adult and notes that the client is at risk for constipation.
Which statements will the nurse include in health teaching for this client to promote optimum
bowel elimination? Select all that apply.
A.) "Be sure to include plenty of fresh fruits and vegetables in your diet each day."
B.) "Eat lots of high fiber foods, including whole grains each day."
C.) "BE sure to take a laxative every day to clean out your bowels and prevent toxins."
D.) "Exercise several times a week to keep our bowels working for regular elimination."
E.) "Drink at least 3 caffeinated beverages every day to keep your bowel stimulated."
F.) "Drink plenty of fluids, including water, to prevent having difficulty going to the bathroom." -
ANS-A, B, D, F
, (3.2 M) Which of the following factors does the nurse recognize as being a risk for altered
sensory perception in the older adult client?
A.) Diabetes mellitus
B.) Hypotension
C.) Osteoarthritis
D.) Peptic ulcer disease - ANS-A
(4.1) The nurse performs an initial health assessment of an older adult. Which assessment
findings indicate that the client may be at risk for falls? Select all that apply.
A.) Has presbyopia
B.) Has peripheral neuropathy
C.) Uses a cane
D.) Takes multiple medications
E.) Has bilateral cataracts
F.) Has thin papery skin - ANS-A, B, C, D, E
(4.2) A nurse conducts an assessment of an older adult's medications, including both
prescription and over-the-counter drugs. Which drug would the nurse identify as being
potentially INAPPROPRIATE for older adults?
A.) Vitamin D
B.) Losartan
C.) Nortriptyline
D.) Hydrochlorothiazide (HCTZ) - ANS-C
(4.3) An older adult's furosemide dosage was increased 2 days ago to 40 mg daily. This
morning the nurse observes that the client has become confused and very weak. What is the
nurse's BEST action?
A.) Encourage fluid intake
B.) Withhold this morning's dose of furosemide
C.) Review the most recent serum electrolyte levels
D.) Place the patient on strict intake and output - ANS-B
(4.1 M) The nurse is conducting an assessment of an older adult living in the community. Which
assessment findings are considered usual physiologic changes of aging? Select all that apply.
A.) Dementia
B.) Relocation stress
C.) Urinary incontinence
D.) Presbyopia
E.) Obesity - ANS-D
