Page 1 of 165
“MED SURG FINAL EXAM NCLEX “LATEST
2025 UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST
VERSION)
After administration of a dose of metoclopramide, which patient assessment
finding would show the medication was effective?
Decreased blood pressure
Absence of muscle tremors
Relief of nausea and vomiting
No further episodes of diarrhea
Relief of nausea and vomiting
A patient complaining of nausea receives a dose of metoclopramide. Which
potential adverse effect should the nurse tell the patient to report?
Tremors
Constipation
Double vision
Numbness in fingers and toes
Tremors
The nurse determines a patient has experienced the beneficial effects of
therapy with famotidine when which symptom is relieved?
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Nausea
Belching
Epigastric pain
Difficulty swallowing
Epigastric pain
A patient with a history of peptic ulcer disease has presented to the
emergency department with severe abdominal pain and a rigid, boardlike
abdomen. The health care provider suspects a perforated ulcer. Which
interventions should the nurse anticipate?
Providing IV fluids and inserting a nasogastric (NG) tube
Administering oral bicarbonate and testing the patient's gastric pH level
Performing a fecal occult blood test and administering IV calcium gluconate
Starting parenteral nutrition and placing the patient in a high-Fowler's position
Providing IV fluids and inserting a nasogastric (NG) tube
A patient is seeking emergency care after choking on a piece of steak. The
nursing assessment reveals a history of alcoholism, cigarette smoking, and
hemoptysis. Which diagnostic study is most likely to be performed on this
patient?
Barium swallow
Endoscopic biopsy
Capsule endoscopy
Endoscopic ultrasonography
Endoscopic biopsy
A patient was admitted with epigastric pain because of a gastric ulcer. Which
patient assessment warrants an urgent change in the nursing plan of care?
Back pain 3 or 4 hours after eating a meal
Chest pain relieved with eating or drinking water
Burning epigastric pain 90 minutes after breakfast
Rigid abdomen and vomiting following indigestion
Rigid abdomen and vomiting following indigestion
, Page 3 of 165
The patient with chronic gastritis is being put on a combination of medications
to eradicate Helicobacter pylori. Which drugs does the nurse know will
probably be used?
Antibiotic(s), antacid, and corticosteroid
Antibiotic(s), aspirin, and antiulcer/protectant
Antibiotic(s), proton pump inhibitor, and bismuth
Antibiotic(s) and nonsteroidal antiinflammatory drugs (NSAIDs)
Antibiotic(s), proton pump inhibitor, and bismuth
A patient was admitted with epigastric pain because of a gastric ulcer. Which
patient assessment warrants an urgent change in the nursing plan of care?
Back pain 3 or 4 hours after eating a meal
Chest pain relieved with eating or drinking water
Burning epigastric pain 90 minutes after breakfast
Rigid abdomen and vomiting following indigestion
Rigid abdomen and vomiting following indigestion
1. Polydipsia and polyuria related to diabetes mellitus are primarily due to
a. the release of ketones from cells during fat metabolism.
b. fluid shifts resulting from the osmotic effect of hyperglycemia.
c. damage to the kidneys from exposure to high levels of glucose.
d. changes in RBCs resulting from attachment of excessive glucose to
hemoglobin.
b. fluid shifts resulting from the osmotic effect of hyperglycemia.
Which statement would be correct for a patient with type 2 diabetes who was
admitted to the hospital with pneumonia?
a. The patient must receive insulin therapy to prevent ketoacidosis.
b. The patient has islet cell antibodies that have destroyed the pancreas's
ability to produce insulin.
c. The patient has minimal or absent endogenous insulin secretion and
requires daily insulin injections.
d. The patient may have sufficient endogenous insulin to prevent ketosis but is
at risk for hyperosmolar hyperglycemic syndrome.
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d. The patient may have sufficient endogenous insulin to prevent ketosis but is at risk
for hyperosmolar hyperglycemic syndrome.
Analyze the following diagnostic findings for your patient with type 2 diabetes.
Which result will need further assessment?
a. A1C 9%
b. BP 126/80 mm Hg
c. FBG 130 mg/dL (7.2 mmol/L)
d. LDL cholesterol 100 mg/dL (2.6 mmol/L)
a. A1C 9%
Which statement by the patient with type 2 diabetes is accurate?
a. "I will limit my alcohol intake to one drink."
b. "I am not allowed to eat any sweets because of my diabetes."
c. "I cannot exercise because I take a blood glucose-lowering medication."
d. "The amount of fat in my diet is not important. Only carbohydrates raise my
blood sugar."
a. "I will limit my alcohol intake to one drink."
You are caring for a patient with newly diagnosed type 1 diabetes. What
information is essential to include in your patient teaching before discharge
from the hospital (select all that apply)?
a. Insulin administration
b. Elimination of sugar from diet
c. Need to reduce physical activity
d. Use of a portable blood glucose monitor
e. Hypoglycemia prevention, symptoms, and treatment
a. Insulin administration
d. Use of a portable blood glucose monitor
e. Hypoglycemia prevention, symptoms, and treatment
What is the priority action for the nurse to take if the patient with type 2
diabetes complains of blurred vision and irritability?
a. Call the physician.
“MED SURG FINAL EXAM NCLEX “LATEST
2025 UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST
VERSION)
After administration of a dose of metoclopramide, which patient assessment
finding would show the medication was effective?
Decreased blood pressure
Absence of muscle tremors
Relief of nausea and vomiting
No further episodes of diarrhea
Relief of nausea and vomiting
A patient complaining of nausea receives a dose of metoclopramide. Which
potential adverse effect should the nurse tell the patient to report?
Tremors
Constipation
Double vision
Numbness in fingers and toes
Tremors
The nurse determines a patient has experienced the beneficial effects of
therapy with famotidine when which symptom is relieved?
, Page 2 of 165
Nausea
Belching
Epigastric pain
Difficulty swallowing
Epigastric pain
A patient with a history of peptic ulcer disease has presented to the
emergency department with severe abdominal pain and a rigid, boardlike
abdomen. The health care provider suspects a perforated ulcer. Which
interventions should the nurse anticipate?
Providing IV fluids and inserting a nasogastric (NG) tube
Administering oral bicarbonate and testing the patient's gastric pH level
Performing a fecal occult blood test and administering IV calcium gluconate
Starting parenteral nutrition and placing the patient in a high-Fowler's position
Providing IV fluids and inserting a nasogastric (NG) tube
A patient is seeking emergency care after choking on a piece of steak. The
nursing assessment reveals a history of alcoholism, cigarette smoking, and
hemoptysis. Which diagnostic study is most likely to be performed on this
patient?
Barium swallow
Endoscopic biopsy
Capsule endoscopy
Endoscopic ultrasonography
Endoscopic biopsy
A patient was admitted with epigastric pain because of a gastric ulcer. Which
patient assessment warrants an urgent change in the nursing plan of care?
Back pain 3 or 4 hours after eating a meal
Chest pain relieved with eating or drinking water
Burning epigastric pain 90 minutes after breakfast
Rigid abdomen and vomiting following indigestion
Rigid abdomen and vomiting following indigestion
, Page 3 of 165
The patient with chronic gastritis is being put on a combination of medications
to eradicate Helicobacter pylori. Which drugs does the nurse know will
probably be used?
Antibiotic(s), antacid, and corticosteroid
Antibiotic(s), aspirin, and antiulcer/protectant
Antibiotic(s), proton pump inhibitor, and bismuth
Antibiotic(s) and nonsteroidal antiinflammatory drugs (NSAIDs)
Antibiotic(s), proton pump inhibitor, and bismuth
A patient was admitted with epigastric pain because of a gastric ulcer. Which
patient assessment warrants an urgent change in the nursing plan of care?
Back pain 3 or 4 hours after eating a meal
Chest pain relieved with eating or drinking water
Burning epigastric pain 90 minutes after breakfast
Rigid abdomen and vomiting following indigestion
Rigid abdomen and vomiting following indigestion
1. Polydipsia and polyuria related to diabetes mellitus are primarily due to
a. the release of ketones from cells during fat metabolism.
b. fluid shifts resulting from the osmotic effect of hyperglycemia.
c. damage to the kidneys from exposure to high levels of glucose.
d. changes in RBCs resulting from attachment of excessive glucose to
hemoglobin.
b. fluid shifts resulting from the osmotic effect of hyperglycemia.
Which statement would be correct for a patient with type 2 diabetes who was
admitted to the hospital with pneumonia?
a. The patient must receive insulin therapy to prevent ketoacidosis.
b. The patient has islet cell antibodies that have destroyed the pancreas's
ability to produce insulin.
c. The patient has minimal or absent endogenous insulin secretion and
requires daily insulin injections.
d. The patient may have sufficient endogenous insulin to prevent ketosis but is
at risk for hyperosmolar hyperglycemic syndrome.
, Page 4 of 165
d. The patient may have sufficient endogenous insulin to prevent ketosis but is at risk
for hyperosmolar hyperglycemic syndrome.
Analyze the following diagnostic findings for your patient with type 2 diabetes.
Which result will need further assessment?
a. A1C 9%
b. BP 126/80 mm Hg
c. FBG 130 mg/dL (7.2 mmol/L)
d. LDL cholesterol 100 mg/dL (2.6 mmol/L)
a. A1C 9%
Which statement by the patient with type 2 diabetes is accurate?
a. "I will limit my alcohol intake to one drink."
b. "I am not allowed to eat any sweets because of my diabetes."
c. "I cannot exercise because I take a blood glucose-lowering medication."
d. "The amount of fat in my diet is not important. Only carbohydrates raise my
blood sugar."
a. "I will limit my alcohol intake to one drink."
You are caring for a patient with newly diagnosed type 1 diabetes. What
information is essential to include in your patient teaching before discharge
from the hospital (select all that apply)?
a. Insulin administration
b. Elimination of sugar from diet
c. Need to reduce physical activity
d. Use of a portable blood glucose monitor
e. Hypoglycemia prevention, symptoms, and treatment
a. Insulin administration
d. Use of a portable blood glucose monitor
e. Hypoglycemia prevention, symptoms, and treatment
What is the priority action for the nurse to take if the patient with type 2
diabetes complains of blurred vision and irritability?
a. Call the physician.
