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Medical-Surgical Final NCLEX Questions – Grade A+ Verified Exam Prep with Answers | 2025 Updated Study Guide

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Get fully prepared for your Medical-Surgical Final NCLEX Exam with this Grade A+ verified 2025 study guide, featuring real NCLEX-style questions and 100% verified answers. Designed for RN and LPN nursing students, this comprehensive Med-Surg prep pack covers all major NCLEX Medical-Surgical Nursing topics — including patient care, pharmacology, surgical procedures, fluid and electrolyte management, and disease pathophysiology. Each question has been carefully reviewed by nursing professionals to ensure accuracy, clarity, and alignment with the latest NCLEX-RN test plan. Whether you’re studying for your final Med-Surg exam or preparing for the NCLEX-RN, this guide helps you strengthen clinical judgment, improve test performance, and build exam confidence. Perfect for NCLEX prep, end-of-course exams, and nursing school review, this 2025 updated edition ensures success with verified content trusted by top nursing students.

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MED/SURG Final NCLEX questions
Final NCLEX Questions ? Grade A+
MED AND Verified
SURG Exam
Final NCLEX Prep with Answers | 2025 Up
questions
Study online at https://quizlet.com/_4qqr2f

1. A student nurse is preparing blood for an A Positive A. " Since you are A positive,
patient who needs to receive a blood transfusion. The you are considered a "uni-
nurse intervenes after which statement? versal recipient", therefore
you can receive any type of
A. " Since you are A positive, you are considered a blood.
"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 symp-
toms during transfusion, let a health care staff mem-
ber know"

2. A patient has a folic acid deficiency. The nurse tells A. Leafy Green Vegetables
the patient to order foods B. Citrus Fruits
rich in Folic Acid. What foods are best for the patient D. Dried Beans
to look for when ordering
food?

A. Leafy Green Vegetables
B. Citrus Fruits
C.Chicken
D.Dried Beans
E. Hard Candy

3. 1. A patient who was recently diagnosed with Gas- B. "I will continue to drink 2
troesophageal Reflux Disease (GERD) was just edu- cups of coffee each morn-
cated on the importance of nutrition and what foods ing when I wake up, to
Final NCLEX Questions ? Grade A+ Verified Exam Prep with Answers | 2025 Up


, MED/SURG Final NCLEX questions
Final NCLEX Questions ? Grade A+
MED AND Verified
SURG Exam
Final NCLEX Prep with Answers | 2025 Up
questions
Study online at https://quizlet.com/_4qqr2f

to avoid. What statement made by the patient, indi- make sure I have enough
cates the need for further teaching? energy for the day"

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 morn-
ing 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"

4. A 76-year old man with chronic anemia arrives at the A, B, D
Emergency department with increased fatigue and a: hemoglobin (Hgb) of 6.8
heart palpitations even at rest. The nurse would ex- g/dL
pect the patients' laboratory test findings to include: b: hematocrit (Hct) value of
(Select all that apply) 32%
d: a ferritin level of 8.2
a. Hemoglobin (Hgb) of 6.8 g/dL ng/mL
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

5. A student nurse is explaining the risk factors for C. Triglycerides level of 130
metabolic syndrome which statement by the student
would require correction from the nurse?
Final NCLEX Questions ? Grade A+ Verified Exam Prep with Answers | 2025 Up


, MED/SURG Final NCLEX questions
Final NCLEX Questions ? Grade A+
MED AND Verified
SURG Exam
Final NCLEX Prep with Answers | 2025 Up
questions
Study online at https://quizlet.com/_4qqr2f


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

6. A 68 year-old male suffering from chronic diarrhea is A. Confusion
found to have a serum phosphate level of 0.9 mg/dL. C. Muscle weakness
After reviewing this lab value the nurse can expect the D. Cardiac dysrhythmias
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

7. The physician orders an arterial blood gas who is D. Respiratory alkalosis
hyperventilating. The nurse can anticipate that the
blood gas results will most likely reveal that the pa-
tient is in:

A. Metabolic alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Respiratory alkalosis

8. Thalassemia is a group of diseases that causes an A. Blood transfusions
inadequate amount of normal hemoglobin to be B. Subcutaneous or IV de-
produced in the body. Thalassemia minor is usual- feroxamine
ly asymptomatic and requires no treatments. There D. Zinc supplements
is no cure for thalassemia major, however, there E. Splenectomy
Final NCLEX Questions ? Grade A+ Verified Exam Prep with Answers | 2025 Up


, MED/SURG Final NCLEX questions
Final NCLEX Questions ? Grade A+
MED AND Verified
SURG Exam
Final NCLEX Prep with Answers | 2025 Up
questions
Study online at https://quizlet.com/_4qqr2f

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

9. A patient diagnosed with Stage II bladder cancer A. "I will drink only small
has just received a segmental cystectomy. What will amounts of water for the
the nurse correct the patient on for postoperative first week."
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."

10. A patient with upper gastrointestinal cancer has been B. Skeletal muscle atrophy
diagnosed with cancer cachexia which of the follow-
ing would the nurse expect to see?

A. Weight gain
B. Skeletal muscle atrophy
C. Increase immune function
D. Improvement in metabolic abnormalities

11.
Final NCLEX Questions ? Grade A+ Verified Exam Prep with Answers | 2025 Up

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