1|Page
NUR 4500 MED SURG EXAMS 1, 2,3,4,5,6,7,8 ACTUAL EXAMS||
ACCURATE AND FREQUENTLY TESTED QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS
1) A nurse is admitting a patient with an immunodeficiency to the medical unit. In
planning the care of this patient, the nurse should assess for what common sign of
immunodeficiency?
a. Chronic diarrhea
2) A nurse is caring for a patient who has an immunodeficiency. What
assessment finding should prompt the nurse to consider the possibility that the
patient is developing an infection?
a. Persistent diarrhea
3) The nurse is applying standard precautions in the care of a patient who has an
immunodeficiency. What are key elements of standard precautions? Select all that
apply.
a. Using appropriate personal protective equipment
b. Using safe injection practices
c. Performing hand hygiene
4) A home health nurse is reinforcing health education with a patient who is
immunosuppressed and his family. What statement best suggests that the patient
has understood the nurse's teaching?
a. “My family needs to understand that I'll probably need lifelong treatment.”
5) The nurse is preparing to administer IVIG to a patient who has an
immunodeficiency. What nursing guideline should the nurse apply?
,2|Page
a. Administer pretreatment medications as ordered 30 minutes prior to
infusion.
6) A nurse has created a plan of care for an immunodeficient patient, specifying
that care providers take the patient's pulse and respiratory rate for a full minute. What
is the rationale for this aspect of care?
a. These patients' blunted inflammatory responses can cause subtle changes in
status.
7) A patient's rheumatoid arthritis (RA) has failed to respond appreciably to
first-line treatments and the primary care provider has added prednisone to the
patient's drug regimen. What principle will guide this aspect of the patient's
treatment?
a. The drug should be used for as short a time as possible.
8) A patient with SLE has come to the clinic for a routine check-up. When
auscultating the patient's apical heart rate, the nurse notes the presence of a distinct
“scratching” sound. What is the nurse's most appropriate action?
a. Inform the primary care provider that a friction rub may be present.
9) A nurse is providing health education regarding self-care to a patient with an
immunodeficiency. What teaching point should the nurse emphasize?
a. The need for thorough oral hygiene
10) A patient's primary immunodeficiency disease is characterized by the
inability of white blood cells to initiate an inflammatory response to infectious
organisms. What is this patient's most likely diagnosis?
a. Hyperimmunoglobulinemia E syndrome
,3|Page
11) A nurse is working with a patient who was diagnosed with HIV several months
earlier. The nurse should recognize that a patient with HIV is considered to have AIDS
at the point when the CD4+ T-lymphocyte cell count drops below what threshold?
a. 200 cells/mm3 of blood
12) A patient has been diagnosed with AIDS complicated by chronic diarrhea.
What nursing intervention would be appropriate for this patient?
a. Obtain a stool culture to identify possible pathogens.
13) An 18-year-old pregnant female has tested positive for HIV and asks the
nurse if her baby is going to be born with HIV. What is the nurse's best response?
a. “It's possible that your baby could contract HIV, either before, during, or
after delivery.”
14) Since the emergence of HIV/AIDS, there have been significant changes in
epidemiologic trends. Members of what group currently have the greatest risk of
contracting HIV?
a. Gay, bisexual, and other men who have sex with men
15) A hospital patient is immunocompromised because of stage 3 HIV infection and
the physician has ordered a chest radiograph. How should the nurse most safely
facilitate the test?
a. Arrange for a portable x-ray machine to be used
16) A patient's current antiretroviral regimen includes nucleoside reverse
transcriptase inhibitors (NRTIs). What dietary counseling will the nurse provide
based on the patient's medication regimen?
a. Take this medication without regard to meals.
, 4|Page
17) A nurse is performing the admission assessment of a patient who has AIDS.
What components should the nurse include in this comprehensive assessment? Select
all that apply.
a. Current medication regimen
b. Identification of patient's support system
c. Immune system function
d. History of sexual practices
18) A patient is in the primary infection stage of HIV. What is true of this
patient's current health status?
a. The patient is infected with HIV but lacks HIV-specific antibodies.
19) A nurse is aware of the need to assess patients' risks for anaphylaxis. What
health care procedure constitutes the highest risk for anaphylaxis?
a. Computed tomography with contrast solution
20) A patient with multiple food and environmental allergies tells the nurse that he
is frustrated and angry about having to be so watchful all the time and wonders if it is
really worth it. What would be the nurse's best response?
a. “I can only imagine how you feel. Would you like to talk about it?
21) A nurse is caring for a patient who has allergic rhinitis. What intervention
would be most likely to help the patient meet the goal of improved breathing
pattern?
a. Modify the environment to reduce the severity of allergic symptoms.
NUR 4500 MED SURG EXAMS 1, 2,3,4,5,6,7,8 ACTUAL EXAMS||
ACCURATE AND FREQUENTLY TESTED QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS
1) A nurse is admitting a patient with an immunodeficiency to the medical unit. In
planning the care of this patient, the nurse should assess for what common sign of
immunodeficiency?
a. Chronic diarrhea
2) A nurse is caring for a patient who has an immunodeficiency. What
assessment finding should prompt the nurse to consider the possibility that the
patient is developing an infection?
a. Persistent diarrhea
3) The nurse is applying standard precautions in the care of a patient who has an
immunodeficiency. What are key elements of standard precautions? Select all that
apply.
a. Using appropriate personal protective equipment
b. Using safe injection practices
c. Performing hand hygiene
4) A home health nurse is reinforcing health education with a patient who is
immunosuppressed and his family. What statement best suggests that the patient
has understood the nurse's teaching?
a. “My family needs to understand that I'll probably need lifelong treatment.”
5) The nurse is preparing to administer IVIG to a patient who has an
immunodeficiency. What nursing guideline should the nurse apply?
,2|Page
a. Administer pretreatment medications as ordered 30 minutes prior to
infusion.
6) A nurse has created a plan of care for an immunodeficient patient, specifying
that care providers take the patient's pulse and respiratory rate for a full minute. What
is the rationale for this aspect of care?
a. These patients' blunted inflammatory responses can cause subtle changes in
status.
7) A patient's rheumatoid arthritis (RA) has failed to respond appreciably to
first-line treatments and the primary care provider has added prednisone to the
patient's drug regimen. What principle will guide this aspect of the patient's
treatment?
a. The drug should be used for as short a time as possible.
8) A patient with SLE has come to the clinic for a routine check-up. When
auscultating the patient's apical heart rate, the nurse notes the presence of a distinct
“scratching” sound. What is the nurse's most appropriate action?
a. Inform the primary care provider that a friction rub may be present.
9) A nurse is providing health education regarding self-care to a patient with an
immunodeficiency. What teaching point should the nurse emphasize?
a. The need for thorough oral hygiene
10) A patient's primary immunodeficiency disease is characterized by the
inability of white blood cells to initiate an inflammatory response to infectious
organisms. What is this patient's most likely diagnosis?
a. Hyperimmunoglobulinemia E syndrome
,3|Page
11) A nurse is working with a patient who was diagnosed with HIV several months
earlier. The nurse should recognize that a patient with HIV is considered to have AIDS
at the point when the CD4+ T-lymphocyte cell count drops below what threshold?
a. 200 cells/mm3 of blood
12) A patient has been diagnosed with AIDS complicated by chronic diarrhea.
What nursing intervention would be appropriate for this patient?
a. Obtain a stool culture to identify possible pathogens.
13) An 18-year-old pregnant female has tested positive for HIV and asks the
nurse if her baby is going to be born with HIV. What is the nurse's best response?
a. “It's possible that your baby could contract HIV, either before, during, or
after delivery.”
14) Since the emergence of HIV/AIDS, there have been significant changes in
epidemiologic trends. Members of what group currently have the greatest risk of
contracting HIV?
a. Gay, bisexual, and other men who have sex with men
15) A hospital patient is immunocompromised because of stage 3 HIV infection and
the physician has ordered a chest radiograph. How should the nurse most safely
facilitate the test?
a. Arrange for a portable x-ray machine to be used
16) A patient's current antiretroviral regimen includes nucleoside reverse
transcriptase inhibitors (NRTIs). What dietary counseling will the nurse provide
based on the patient's medication regimen?
a. Take this medication without regard to meals.
, 4|Page
17) A nurse is performing the admission assessment of a patient who has AIDS.
What components should the nurse include in this comprehensive assessment? Select
all that apply.
a. Current medication regimen
b. Identification of patient's support system
c. Immune system function
d. History of sexual practices
18) A patient is in the primary infection stage of HIV. What is true of this
patient's current health status?
a. The patient is infected with HIV but lacks HIV-specific antibodies.
19) A nurse is aware of the need to assess patients' risks for anaphylaxis. What
health care procedure constitutes the highest risk for anaphylaxis?
a. Computed tomography with contrast solution
20) A patient with multiple food and environmental allergies tells the nurse that he
is frustrated and angry about having to be so watchful all the time and wonders if it is
really worth it. What would be the nurse's best response?
a. “I can only imagine how you feel. Would you like to talk about it?
21) A nurse is caring for a patient who has allergic rhinitis. What intervention
would be most likely to help the patient meet the goal of improved breathing
pattern?
a. Modify the environment to reduce the severity of allergic symptoms.
