1|Page
MED-SURG FINAL NCLEX 2025 | Brand New
Actual Questions With Answers
A 35-yearold female patient comes into the clinic with a new diagnosis of
Addison's disease. After providing education to the patient about this disease, the
nurse knows further teaching is required when the patient states which of the
following?
A. "I will need to increase my hydrocortisone dosage during a stressful event such
as surgery or if I contract an infection."
B. "Once my hormone levels stabilize my doctor can start lowering my dose and
eventually I'll be able to stop taking hormone therapy."
C. "I'm glad to know I can have a normal life expectancy as long as I follow my
medication regimen."
D. "It's best to take my mineralocorticoids in the morning." - correct-answer-B.
"Once my hormone levels stabilize my doctor can start lowering my dose and
eventually I'll be able to stop taking hormone therapy."
A nurse is assessing a 25-year old female patient who underwent subtotal
thyroidectomy 4 hours ago for any signs of complications. The nurse knows
immediate action is needed if the patient exhibits which of the following
symptoms (Select all that apply)?
a. Neck swelling
,2|Page
b. Irregular breathing
c. Hoarseness
d. Frequent swallowing
e. Blood on the dressings - correct-answer-a. Neck swelling
b. Irregular breathing
d. Frequent swallowing
e. Blood on the dressings
A patient comes into the emergency room that appears anxious, has decreased
urine out, tachypnea, absent bowel sounds, and cool, clammy skin. What could be
potential causes of these symptoms? Select All That Apply
A. Ruptured spleen
B. Burn injuries
C. Food additives
D. Bowel obstruction
E. GI bleeding - correct-answer-A. Ruptured spleen
B. Burn injuries
D. Bowel obstruction
E. GI bleeding
,3|Page
All of the following patients must be closely monitored following a kidney
transplantation due to an increased risk of complications EXCEPT:
A. A patient who is morbidly obese.
B. A patient with cardiovascular disease.
C. A patient with hepatitis C.
D. A patient who smokes. - correct-answer-C. A patient with hepatitis C.
A male patient who has been receiving prolonged high-dose antibiotics has
developed pearly, bluish white "milk-curd" membranous lesions on the inside of
his mouth. The nurse anticipates a diagnosis of which of the following?
A. Oral candidiasis
B. Vincent's infection
C. Herpes
D. Gingivitis - correct-answer-A. Oral candidiasis
A patient is preparing to take a capsule endoscopy for suspected Crohn's disease.
The nurse is doing pre-op teaching with the patient. Which statement would the
nurse need to correct if stated by the patient?
a. "I will not eat food the evening before the pill."
b. "I understand that I can have water two hours after I swallow the pill"
, 4|Page
c. "I will have to wait at least a day before coming back to get this pill out of me."
d. "If I have a narrowed bowel, I may need to use a patency pill before this
procedure." - correct-answer-c. "I will have to wait at least a day before coming
back to get this pill out of me."
A patient is presenting with a heart rate of 45 beats per minute, a capillary return
greater than two seconds, and cool skin temperature. The nurse suspects
neurogenic shock. Which medications does the nurse prepare to administer?
(Select all that apply)
a. Phenylephrine
b. Atropine
c. Furosemide
d. Clindamycin
e. Epinephrine - correct-answer-a. Phenylephrine
b. Atropine
A young male patient has been admitted for blood testing to assess the extent of
renal impairment after a diagnosis of acute poststreptococcal glomerulonephritis.
As the nurse, which of the following clinical manifestations would you expect to
find upon assessment of this patient? Select all that apply.
A. Rust colored urine
B. Low blood pressure
MED-SURG FINAL NCLEX 2025 | Brand New
Actual Questions With Answers
A 35-yearold female patient comes into the clinic with a new diagnosis of
Addison's disease. After providing education to the patient about this disease, the
nurse knows further teaching is required when the patient states which of the
following?
A. "I will need to increase my hydrocortisone dosage during a stressful event such
as surgery or if I contract an infection."
B. "Once my hormone levels stabilize my doctor can start lowering my dose and
eventually I'll be able to stop taking hormone therapy."
C. "I'm glad to know I can have a normal life expectancy as long as I follow my
medication regimen."
D. "It's best to take my mineralocorticoids in the morning." - correct-answer-B.
"Once my hormone levels stabilize my doctor can start lowering my dose and
eventually I'll be able to stop taking hormone therapy."
A nurse is assessing a 25-year old female patient who underwent subtotal
thyroidectomy 4 hours ago for any signs of complications. The nurse knows
immediate action is needed if the patient exhibits which of the following
symptoms (Select all that apply)?
a. Neck swelling
,2|Page
b. Irregular breathing
c. Hoarseness
d. Frequent swallowing
e. Blood on the dressings - correct-answer-a. Neck swelling
b. Irregular breathing
d. Frequent swallowing
e. Blood on the dressings
A patient comes into the emergency room that appears anxious, has decreased
urine out, tachypnea, absent bowel sounds, and cool, clammy skin. What could be
potential causes of these symptoms? Select All That Apply
A. Ruptured spleen
B. Burn injuries
C. Food additives
D. Bowel obstruction
E. GI bleeding - correct-answer-A. Ruptured spleen
B. Burn injuries
D. Bowel obstruction
E. GI bleeding
,3|Page
All of the following patients must be closely monitored following a kidney
transplantation due to an increased risk of complications EXCEPT:
A. A patient who is morbidly obese.
B. A patient with cardiovascular disease.
C. A patient with hepatitis C.
D. A patient who smokes. - correct-answer-C. A patient with hepatitis C.
A male patient who has been receiving prolonged high-dose antibiotics has
developed pearly, bluish white "milk-curd" membranous lesions on the inside of
his mouth. The nurse anticipates a diagnosis of which of the following?
A. Oral candidiasis
B. Vincent's infection
C. Herpes
D. Gingivitis - correct-answer-A. Oral candidiasis
A patient is preparing to take a capsule endoscopy for suspected Crohn's disease.
The nurse is doing pre-op teaching with the patient. Which statement would the
nurse need to correct if stated by the patient?
a. "I will not eat food the evening before the pill."
b. "I understand that I can have water two hours after I swallow the pill"
, 4|Page
c. "I will have to wait at least a day before coming back to get this pill out of me."
d. "If I have a narrowed bowel, I may need to use a patency pill before this
procedure." - correct-answer-c. "I will have to wait at least a day before coming
back to get this pill out of me."
A patient is presenting with a heart rate of 45 beats per minute, a capillary return
greater than two seconds, and cool skin temperature. The nurse suspects
neurogenic shock. Which medications does the nurse prepare to administer?
(Select all that apply)
a. Phenylephrine
b. Atropine
c. Furosemide
d. Clindamycin
e. Epinephrine - correct-answer-a. Phenylephrine
b. Atropine
A young male patient has been admitted for blood testing to assess the extent of
renal impairment after a diagnosis of acute poststreptococcal glomerulonephritis.
As the nurse, which of the following clinical manifestations would you expect to
find upon assessment of this patient? Select all that apply.
A. Rust colored urine
B. Low blood pressure
