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WCU 120 Med Surge Week 7 | West Coast University | 2026/2027 | Exam Questions with Correct Answers and Rationales

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This WCU 120 Medical-Surgical Nursing Week 7 study document provides an extensive collection of exam-style questions with correct answers and detailed rationales for the 2026/2027 academic year. Across 110 pages, the material reviews infection prevention and control, standard and transmission-based precautions, healthcare-associated infections (HAIs), antibiotic resistance, HIV/AIDS transmission and management, antiretroviral therapy (ART), pre- and post-exposure prophylaxis, epidemiology, COVID-19, and nursing interventions. The hematology portion provides substantial review of hematopoiesis, blood components, erythrocytes and hemoglobin, leukocytes, platelets, hemostasis and coagulation, lymphatic and splenic function, CBC and differential interpretation, ESR, ferritin testing, bone marrow aspiration and biopsy, and age-related hematologic changes. The later material extends into hematologic disorders and clinical management, including anemia, leukemia, lymphoma, multiple myeloma, splenectomy and blood-transfusion concepts. The question format combines standard multiple-choice questions with select-all-that-apply items and answer rationales, making the document useful for reviewing both factual knowledge and nursing clinical judgment. For example, the infection material addresses incidence versus prevalence, epidemics and pandemics, pathogens, drug resistance and MRSA, while the HIV section reviews CD4 counts, viral load, ART goals and post-exposure prophylaxis. For an external academic reference, these subject areas closely correspond to the scope of Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 12th edition, by Harding, Kwong, Hagler and Reinisch (Elsevier, 2022). Elsevier describes the textbook as evidence-based medical-surgical nursing content covering clinical problems, nursing management, health promotion and acute interventions, with emphasis on clinical judgment and NCLEX preparation. Elsevier Shop The associated Study Guide for Lewis's Medical-Surgical Nursing specifically uses multiple-choice and alternate-format questions, clinical scenarios and NCLEX-style exercises to reinforce medical-surgical nursing concepts. Elsevier Shop Relevant students: This resource is most relevant to students taking WCU 120 or comparable Medical-Surgical Nursing courses, particularly undergraduate nursing students preparing for weekly examinations, course assessments and cumulative Med-Surg review. More broadly, the referenced Lewis text is intended for undergraduate students in ADN, BSN, RN-to-BSN and accelerated BSN medical-surgical nursing programs. Elsevier Shop Keywords: WCU 120, Med Surg Week 7, Medical Surgical Nursing, nursing exam, Med Surg exam questions, Med Surg questions and answers, nursing exam rationales, infection control, standard precautions, transmission based precautions, HIV AIDS nursing, antiretroviral therapy, ART nursing, CD4 count, viral load, post exposure prophylaxis, antibiotic resistance, healthcare associated infections, hematology nursing, hematopoiesis, blood disorders, anemia nursing, leukemia nursing, lymphoma nursing, multiple myeloma, hemostasis, coagulation, blood transfusion, bone marrow biopsy, CBC interpretation, nursing practice questions, SATA nursing questions, NCLEX practice questions, nursing clinical judgment

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WCU 120 Med Surge week 7
2026/2027 Exam Questions and
Correct Answers | New Update



The nurse teaches the staff that standard precautions would be used

when providing care for which type of patient?

Pediatric and older adult patients

All patients regardless of diagnosis

Patients who are immunocompromised


Patients with a history of infectious diseases - ANSWER ✔✔All

patients regardless of diagnosis




Rationale:

,Standard precautions apply to (1) blood; (2) all body fluids, secretions,

and excretions; (3) non-intact skin; and (4) mucous membranes.

Standard precautions are designed to reduce the risk for transmission of

microorganisms in hospitals. They should be applied to all patients

regardless of diagnosis or presumed infection status. Standard

precautions include all the OSHA blood-borne pathogens standard

requirements.

A pregnant woman is newly diagnosed with human immunodeficiency

virus (HIV) infection is upset. What would the nurse teach this patient

about her baby's risk of being born with HIV infection?

"The baby will be infected with HIV."

"Having a cesarean section will keep your baby from having HIV."

"Treatment with antiretroviral therapy will decrease the baby's chance of

HIV infection."

"The duration and frequency of contact with the organism will determine

if the baby gets HIV infection." - ANSWER ✔✔"Treatment with

antiretroviral therapy will decrease the baby's chance of HIV infection."

Rationale:

On average, 25% of infants born to women with untreated HIV will be

born with HIV. The risk of transmission is reduced to less than 2% if the

,infected pregnant woman is treated with antiretroviral therapy. Duration

and frequency of contact with the HIV organism is one variable that

influences whether transmission of HIV occurs. Volume, virulence, and

concentration of the organism as well as host immune status are

variables related to transmission via blood, semen, vaginal secretions, or

breast milk.

The nurse is providing care for a patient who has been living with human

immunodeficiency virus (HIV) infection for several years. Which

assessment finding would the nurse recognize as being a sign of an

acute exacerbation of the disease?

A new onset of polycythemia

Presence of mononucleosis-like symptoms

A sharp decrease in the patient's CD4+ count


A sudden increase in the patient's WBC count - ANSWER ✔✔A sharp

decrease in the patient's CD4+ count

Rationale:

A decrease in CD4+ count signals an exacerbation of the severity of HIV.

Polycythemia is not characteristic of the course of HIV. A patient's WBC

count is very unlikely to suddenly increase, with decreases being typical.



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3

, Mononucleosis-like symptoms such as malaise, headache, and fatigue

are typical of early HIV infection and seroconversion.

A heterosexual patient is concerned that they may contract human

immunodeficiency virus (HIV) from a bisexual partner. What would the

nurse include when teaching about preexposure prophylaxis? (Select all

that apply.)

Take fluconazole (Diflucan).

Take amphotericin B (Fungizone).

Use condoms for risk-reducing sexual relations.

Take emtricitabine and tenofovir (Truvada) regularly.


Have regular HIV testing for the patient and partner. - ANSWER

✔✔Use condoms for risk-reducing sexual relations.


Take emtricitabine and tenofovir (Truvada) regularly.

Have regular HIV testing for the patient and partner.

Rationale:

Using male or female condoms, having regular HIV testing for the

patient and partner, and taking emtricitabine and tenofovir regularly have

shown to decrease the infection of heterosexual women having sex with

a partner who participates in high-risk behavior. Fluconazole and

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