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You are here: Home / Podcast / Medical-Surgical Mastery: 100 True or False Statements to Pass the Next Generation NCLEX

Medical-Surgical Mastery: 100 True or False Statements to Pass the Next Generation NCLEX

posted on March 26, 2024

Medical-surgical is one of the most daunting NCLEX subjects, so it’s only natural for you to be a bit anxious about it.

Lucky for you, I’m here to help.

In this week’s episode, I share with you a hundred med-surg statements that will help you test your knowledge and prepare you for the Next Generation NCLEX.

So whether this is going to be your first time taking the exam or your second or third time, this episode is for you!

Are you ready?

Tune in now and let’s ace the NCLEX together!

Let’s Answer These 100 Medical-Surgical Nursing Statements Together!

Statement #1: Psoriasis presents as itchy and scaly patches noted on the skin.

This statement is true.

Statement #2: A dark blue or black colored stoma indicates circulatory issues after an ileostomy.

This statement is true.

Statement #3: Hypocalcemia is an urgent concern in a patient diagnosed with multiple myeloma.

This statement is false. Hypercalcemia is an urgent concern in a patient diagnosed with multiple myeloma.

Statement #4: Diabetes insipidus occurs when there is too little ADH being produced by the posterior pituitary gland.

This statement is true.

Statement #5: A patient in contact with poison ivy should not shower immediately and should go to the emergency department.

This statement is false. A patient in contact with poison ivy should shower immediately and does not need to go to the emergency department.

Statement #6: Addison’s disease affects the adrenal glands, causing them to not produce enough cortisol and aldosterone.

This statement is true.

Statement #7: Myopia, astigmatism, and hyperopia are examples of reflective errors.

This statement is false. Myopia, astigmatism, and hyperopia are examples of refractive errors.

Statement #8: An early sign of diabetic ketoacidosis is polyuria.

This statement is true.

Statement #9: Compartment syndrome is a serious condition that occurs with a build up of excessive pressure inside an enclosed muscle space in the body.

This statement is true.

Statement #10: Ultraviolet radiation from sunlight is a major risk factor of basal cell carcinoma.

This statement is true.

Statement #11: Cushing’s syndrome occurs as a result of an excessive production of cortisol by the pituitary gland.

This statement is false. Cushing’s syndrome occurs as a result of an excessive production of cortisol by the adrenal cortex.

Statement #12: The largest gland in the body is the pituitary gland.

This statement is false. The largest gland in the body is the liver.

Statement #13: Addisonian crisis is caused by acute adrenal insufficiency, which is life-threatening.

This statement is true.

Statement #14: Syndrome of Inappropriate Antidiuretic Hormone Secretion occurs when there is a very little amount of ADH being produced.

This statement is false. Syndrome of Inappropriate Antidiuretic Hormone Secretion occurs when there is an excess amount of ADH being produced.

Statement #15: Skin is still intact in a stage 2 pressure injury.

This statement is false. Skin is no longer intact in a stage 2 pressure injury due to the partial-thickness skin loss of the dermis.

Statement #16: Ulcerative colitis starts at the rectum and ascends towards the colon causing inflammation.

This statement is true.

Statement #17: Cataracts and glaucoma are examples of intraocular disorders, which are eye disorders that occur inside the eyeball.

This statement is true.

Statement #18: Abdominal palpation should be avoided with a patient diagnosed with pheochromocytoma.

This statement is true.

Statement #19: The pineal gland is the smallest gland in the body, which is part of the endocrine system.

This statement is true.

Statement #20: Topical glucocorticoids do not get absorbed into the systemic circulation.

This statement is false. Topical glucocorticoids do get absorbed into the systemic circulation.

Statement #21: Fluid and electrolyte imbalances should be monitored when a patient is receiving enemas.

This statement is true.

Statement #22: Pain caused by duodenal ulcer is often alleviated after a meal.

This statement is true.

Statement #23: The patient should not lie down after meals to prevent rapid gastric emptying.

This statement is false. To prevent rapid gastric emptying, the patient should lie down for 20 to 30 minutes after meals.

Statement #24: Cholecystectomy is the removal of the kidney.

This statement is false. Cholecystectomy is the removal of the gallbladder.

Statement #25: Tinnitus indicates systemic toxicity in a patient prescribed with salicylic acid.

This statement is true.

Statement #26: Macular degeneration and hypertensive retinopathy are examples of retinal disorders, which are eye disorders that affect the innermost eye layer.

This statement is true.

Statement #27: Informed consent should be obtained prior to any invasive procedure.

This statement is true.

Statement #28: The most major complication of pulmonary contusion is acute respiratory distress syndrome (ARDS).

This statement is true.

Statement #29: Hyperpituitarism can be treated with hormone replacement therapy.

This statement is false. Hypopituitarism can be treated with hormone replacement therapy.

Statement #30: The definitive diagnostic testing of cancer is biopsy.

This statement is true.

Statement #31: The patient should be NPO prior to a lung biopsy.

This statement is true.

Statement #32: Hepatic encephalopathy and ascites are potential complications of cirrhosis.

This statement is true.

Statement #33: Droplet precautions are required for a patient diagnosed with active tuberculosis.

This statement is false. Airborne precautions are required for a patient diagnosed with active tuberculosis.

Statement #34: Hyperkalemia can lead to cardiac arrhythmias.

This statement is true.

Statement #35: The major cause of death in an immunocompromised patient is myocardial infarction.

This statement is false. The major cause of death in an immunocompromised patient is infection.

Statement #36: Fluid overload should be monitored in patients diagnosed with heart failure.

This statement is true.

Statement #37: Muscle weakness, hypotension, and bradycardia are signs and symptoms of hypomagnesemia.

This statement is false. Muscle weakness, hypotension, and bradycardia are signs and symptoms of hypermagnesemia.

Statement #38: Airborne precautions are required for a patient diagnosed with latent tuberculosis.

This statement is false. Airborne precautions are not required for a patient diagnosed with latent tuberculosis.

Statement #39: Vasopressin antagonists may be prescribed to decrease overproduction of ADH.

This statement is true.

Statement #40: Vaginal bleeding after hysterectomy should be monitored for excessive bleeding.

This statement is true.

Statement #41: Holter monitoring is an invasive test to identify dysrhythmias.

This statement is false. Holter monitoring is a noninvasive test to identify dysrhythmias.

Statement #42: Cardiac catheterization is an invasive procedure in which a catheter is inserted into the chamber or vessel of the heart to examine the heart.

This statement is true.

Statement #43: Morphine should be administered to a patient experiencing a myocardial infarction for pain relief.

This statement is true.

Statement #44: Hyperpituitarism, also known as acromegaly, occurs when there’s hypersecretion of growth hormones.

This statement is true.

Statement #45: The unaffected arm should be elevated after a mastectomy to prevent lymphedema.

This statement is false. The affected arm should be elevated after a mastectomy to prevent lymphedema.

Statement #46: Accumulation of fluid in the pericardial sac is a condition known as cardiac tamponade that requires immediate medical attention.

This statement is true.

Statement #47: Anticoagulation therapy is required for a lifetime in patients with mechanical heart valves.

This statement is true.

Statement #48: A decrease in blood pressure and increased pulse rate are signs of hemorrhage occurring.

This statement is true.

Statement #49: Oxytocin is a hormone that is released from the anterior pituitary.

This statement is false. Oxytocin is a hormone that is released from the posterior pituitary.

Statement #50: Airway should be prioritized for a patient with a laryngeal tumor.

This statement is true.

Statement #51: Embolectomy is performed to remove an embolus, which is causing blood flow obstruction.

This statement is true.

Statement #52: Blood pressure is regulated by the gallbladder that secrete renin.

This statement is false. Blood pressure is regulated by the kidneys that secrete renin.

Statement #53: Meniere’s disease can lead to vertigo and hearing loss.

This statement is true.

Statement #54: Hyperuricemia is noted in a patient diagnosed with gout.

This statement is true.

Statement #55: Signs of decreased cardiac output are hypotension and dizziness.

This statement is true.

Statement #56: The nurse should remove the object that is penetrating the eye as soon as possible.

This statement is false. The healthcare provider should remove the object that is penetrating the eye.

Statement #57: Liver function tests should be performed to watch out for hepatotoxicity when a patient is taking Diazepam.

This statement is true.

Statement #58: Signs of renal impairment should be monitored in a patient diagnosed with systemic lupus erythematosus.

This statement is true.

Statement #59: Goodpasture’s syndrome, which is a rare autoimmune disorder, can lead to glomerulonephritis and pulmonary hemorrhage.

This statement is true.

Statement #60: A patient with chronic kidney disease should have a high-phosphorus diet.

This statement is false. A patient with chronic kidney disease should have a low-phosphorus diet.

Statement #61: The ring-shaped rash occurs in all patients with Lyme disease.

This statement is false. The ring-shaped rash sometimes does not appear in patients with Lyme disease.

Statement #62: Allopurinol is prescribed for a patient with rheumatoid arthritis.

This statement is false. Allopurinol is prescribed for a patient with gout.

Statement #63: Nonsteroidal anti-inflammatory drugs are the common drugs used to address musculoskeletal pain.

This statement is true.

Statement #64: Alendronate is prescribed to prevent or treat osteoporosis.

This statement is true.

Statement #65: Arteriovenous fistula have a higher rate of infection than a catheter in a patient receiving dialysis treatment.

This statement is false. Arteriovenous fistula have a lower rate of infection than a catheter in a patient receiving dialysis treatment.

Statement #66: The healthcare staff should stand at the unaffected side of the patient when providing ambulation assistance.

This statement is false. The healthcare staff should stand at the affected side of the patient when providing ambulation assistance.

Statement #67: Pulselessness is a late sign of compartment syndrome.

This statement is true.

Statement #68: Special precautions are required after a bone scan.

This statement is false. Special precautions are not required after a bone scan.

Statement #69: There is no cure for multiple sclerosis, which affects the central nervous system.

This statement is true.

Statement #70: Complications of hemodialysis treatments include hypotension, sepsis, shock, and disequilibrium syndrome.

This statement is true.

Statement #71: Antimyasthenic medications are administered for the treatment of myasthenia gravis, which is a lifelong therapy.

This statement is true.

Statement #72: Respiratory difficulty, dysphagia, and muscle weakness are noted in a patient with amyotrophic lateral sclerosis, which is an incurable degenerative disease.

This statement is true.

Statement #73: Parkinson’s disease is cured with levodopa combined with carbidopa medication therapy.

This statement is false. Parkinson’s disease does not have a cure, but it is a progressive neurological disorder. This is managed by medication therapy, which is levodopa combined with carbidopa.

Statement #74: The auditory center is regulated by the parietal lobe.

This statement is false. The auditory center is regulated by the temporal lobe.

Statement #75: Cloudy fluid that is being drained out of the abdomen after the exchange process during peritoneal dialysis is an early sign of peritonitis.

This statement is true.

Statement #76: The second cranial nerve is the oculomotor nerve, which affects vision.

This statement is false. The second cranial nerve is the optic nerve, which affects vision.

Statement #77: Glaucoma is a chronic condition that requires lifelong treatment.

This statement is true.

Statement #78: The most common symptom of digoxin toxicity is gastrointestinal upset.

This statement is true.

Statement #79: A patient with heart failure that presents with lung crackles and tachycardia is experiencing pulmonary edema.

This statement is true.

Statement #80: An early sign of peritonitis is acute abdominal pain and abdominal distention.

This statement is true.

Statement #81: The leading cause of peripheral artery disease is chronic obstructive pulmonary disorder.

This statement is false. The leading cause of peripheral artery disease is atherosclerosis.

Statement #82: A patient that is experiencing an acute asthma episode should be placed in a side-lying position.

This statement is false. A patient that is experiencing an acute asthma episode should be placed in a high-Fowler’s position.

Statement #83: Crohn’s disease is a chronic inflammatory bowel disease that affects the digestive tract lining.

This statement is true.

Statement #84: Hemianopsia is blindness in the entire visual field.

This statement is false. Hemianopsia is blindness in half of the visual field.

Statement #85: Acute pyelonephritis can lead to acute kidney infection.

This statement is true.

Statement #86: A mydriatic medication is given for pupil constriction.

This statement is false. A mydriatic medication is given for pupil dilation.

Statement #87: Tonometry is a test to screen for glaucoma and to measure the effectiveness of glaucoma treatment.

This statement is true.

Statement #88: To test cranial nerve VII, which is the facial nerve, the patient should be instructed to close the eyes tightly, smile, and frown.

This statement is true.

Statement #89: Transverse fracture is when the bone is fractured perpendicular to its length, which is a straight line that occurs in the opposite direction of the bone.

This statement is true.

Statement #90: Benign prostatic hypertrophy usually affects adolescents.

This statement is false. Benign prostatic hypertrophy usually affects patients that are 50 or older.

Statement #91: Hearing loss, pain, and headaches is seen in mastoiditis, which is an infection of the mastoid bone.

This statement is true.

Statement #92: Check if the patient is pregnant before performing radiographic procedures.

This statement is true.

Statement #93: The lowest possible score on the Glasgow Coma Scale is 1.

This statement is false. The lowest possible score on the Glasgow Coma Scale is 3.

Statement #94: Trendelenburg’s position should be avoided in an unconscious patient.

This statement is true.

Statement #95: Fever is usually noted in a patient diagnosed with pyelonephritis.

This statement is true.

Statement #96: West Nile Virus infection can affect the central nervous system causing severe neurological disease.

This statement is true.

Statement #97: An extremity with a cast should be elevated after the first 24 to 48 hours to reduce swelling.

This statement is false. An extremity with a cast should be elevated during the first 24 to 48 hours to reduce swelling.

Statement #98: Low back pain radiating down a lower extremity is usually noted in a patient with a herniated lumbar disc.

This statement is true.

Statement #99: An early sign of fat emboli is an altered mental state.

This statement is true.

Statement #100: The normal IOP, which is Intraocular Pressure, ranges between 1 to 10 mm Hg.

This statement is false. The normal IOP, which is Intraocular Pressure, ranges between 10 to 21 mm Hg.

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