NUR 1211 MEDICAL SURGICAL EXAM 2 NEWEST EXAM 2024
COMPLETE QUESTIONS WITH DETAILED VERIFIED
ANSWERS
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) 75 cells/mm3 of blood
B) 200 cells/mm3 of blood
C) 325 cells/mm3 of blood
D) 450 cells/mm3 of blood
B) 200 cells/mm3 of blood
When CD4+ T-cell levels drop below 200 cells/mm3 of blood, the person is said to have
AIDS.
A nurse is planning a patients care and is relating it to normal immune response.
During what stage of the immune response should the nurse know that
antibodies or cytotoxic T cells combine and destroy the invading microbes?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage
D) Effector stage
In the effector stage, either the antibody of the humoral response or the cytotoxic (killer)
T cell of the cellular response reaches and couples with the antigen on the surface of
the foreign invader.
A nurse is planning the assessment of a patient who is exhibiting signs and
symptoms of an autoimmune disorder. The nurse should be aware that the
incidence and prevalence of autoimmune diseases is known to be higher among
what group?
A) Young adults
B) Native Americans
C) Women
D) Hispanics
C) Women
Many autoimmune diseases have a higher incidence in females than in males, a
phenomenon believed to be correlated with sex hormones.
,Middle-aged adults are part of an age group that is known to be interested in
health and health promotion, and the nurse is planning health promotion
activities accordingly. To what suggestions do members of this age group
usually respond with enthusiasm? Select all that apply.
A) How lifestyle practices can improve health
B) How to eat healthier
C) How exercise can improve your life
D) Strategies for adhering to prescribed therapy
E) Exercise for the aging
A) How lifestyle practices can improve health
B) How to eat healthier
C) How exercise can improve your life
Young and middle-aged adults represent an age group that not only expresses an
interest in health and health promotion but also responds enthusiastically to suggestions
that show how lifestyle practices can improve health; these lifestyle practices include
nutrition and exercise. Middle-aged adults may not respond positively to teaching aimed
at the aging. Adherence is not noted to be a desired focus in this age group.
A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly
controlled type 1 diabetes has led to numerous health problems. Over the past
several years Mrs. Griffin has had several admissions to the hospital medical
unit, and the nurse has often carried out health promotion interventions. Who is
ultimately responsible for maintaining and promoting Mrs. Griffins health?
A) The medical nurse
B) The community health nurse who has also worked with Mrs. Griffin
C) Mrs. Griffins primary care provider
D) Mrs. Griffin
D) Mrs. Griffin
American society places a great importance on health and the responsibility that each of
us has to maintain and promote our own health. Therefore, the other options are
incorrect.
An elderly female patient has come to the clinic for a scheduled follow-up
appointment. The nurse learns from the patients daughter that the patient is not
following the instructions she received upon discharge from the hospital last
,month. What is the most likely factor causing the patient not to adhere to her
therapeutic regimen?
A) Ethnic background of health care provider
B) Costs of the prescribed regimen
C) Presence of a learning disability
D) Personality of the physician
B) Costs of the prescribed regimen
Variables that appear to influence the degree of adherence to a prescribed therapeutic
regimen include gender, race, education, illness, complexity of the regimen, and the
cost of treatments.
A gerontologic nurse has observed that patients often fail to adhere to a
therapeutic regimen. What strategy should the nurse adopt to best assist an older
adult in adhering to a therapeutic regimen involving wound care?
A) Demonstrate a dressing change and allow the patient to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the patient how to change a dressing and check for
comprehension.
D) Delegate the dressing change to a trusted family member.
A) Demonstrate a dressing change and allow the patient to practice.
The nurse must consider that older adults may have deficits in the ability to draw
inferences, apply information, or understand major teaching points. Demonstration and
practice are essential in meeting their learning needs.
A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to
self-administer insulin. When planning the appropriate educational interventions
and considering variables that will affect his learning, the nurse should prioritize
which of the following factors?
A) Patients expected lifespan
B) Patients gender
C) Patients occupation
D) Patients culture
D) Patients culture
, One of the major variables that influences a patients readiness to learn is the patients
culture, because it affects how a person learns and what information is learned.
The nurse is planning to teach a 75-year-old patient with coronary artery disease
about administering her prescribed antiplatelet medication. How can the nurse
best enhance the patients ability to learn?
A) Provide links to Web sites that contain evidence-based information.
B) Exclude family members from the session to prevent distraction.
C) Use color-coded materials that are succinct and engaging.
D) Make the information directly relevant to the patients condition.
D) Make the information directly relevant to the patients condition.
Studies have shown that older adults can learn and remember if the information is
paced appropriately, relevant, and followed by appropriate feedback.
A nurse is planning care for an older adult who lives with a number of chronic
health problems. For which of the following nursing diagnoses would education
of the patient be the nurses highest priority?
A) Risk for impaired physical mobility related to joint pain
B) Functional urinary incontinence related decreased mobility
C) Activity intolerance related to contractures
D) Risk for ineffective health maintenance related to nonadherence to therapeutic
regimen
D) Risk for ineffective health maintenance related to non-adherence to therapeutic
regimen
For some nursing diagnoses, education is a primary nursing intervention. These
diagnoses include risk for ineffective management of therapeutic regimen, risk for
impaired home management, health-seeking behaviors, and decisional conflict.
The nursing instructor has given an assignment to a group of certified nurse
practitioner (CNP) students. They are to break into groups of four and complete a
health-promotion teaching project and present a report to their fellow students.
What project most clearly demonstrates the principles of health- promotion
teaching?
A) Demonstrating an injection technique to a patient for anticoagulant therapy
B) Explaining the side effects of a medication to an adult patient
C) Discussing the importance of preventing sexually transmitted infections (STI)
COMPLETE QUESTIONS WITH DETAILED VERIFIED
ANSWERS
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) 75 cells/mm3 of blood
B) 200 cells/mm3 of blood
C) 325 cells/mm3 of blood
D) 450 cells/mm3 of blood
B) 200 cells/mm3 of blood
When CD4+ T-cell levels drop below 200 cells/mm3 of blood, the person is said to have
AIDS.
A nurse is planning a patients care and is relating it to normal immune response.
During what stage of the immune response should the nurse know that
antibodies or cytotoxic T cells combine and destroy the invading microbes?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage
D) Effector stage
In the effector stage, either the antibody of the humoral response or the cytotoxic (killer)
T cell of the cellular response reaches and couples with the antigen on the surface of
the foreign invader.
A nurse is planning the assessment of a patient who is exhibiting signs and
symptoms of an autoimmune disorder. The nurse should be aware that the
incidence and prevalence of autoimmune diseases is known to be higher among
what group?
A) Young adults
B) Native Americans
C) Women
D) Hispanics
C) Women
Many autoimmune diseases have a higher incidence in females than in males, a
phenomenon believed to be correlated with sex hormones.
,Middle-aged adults are part of an age group that is known to be interested in
health and health promotion, and the nurse is planning health promotion
activities accordingly. To what suggestions do members of this age group
usually respond with enthusiasm? Select all that apply.
A) How lifestyle practices can improve health
B) How to eat healthier
C) How exercise can improve your life
D) Strategies for adhering to prescribed therapy
E) Exercise for the aging
A) How lifestyle practices can improve health
B) How to eat healthier
C) How exercise can improve your life
Young and middle-aged adults represent an age group that not only expresses an
interest in health and health promotion but also responds enthusiastically to suggestions
that show how lifestyle practices can improve health; these lifestyle practices include
nutrition and exercise. Middle-aged adults may not respond positively to teaching aimed
at the aging. Adherence is not noted to be a desired focus in this age group.
A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly
controlled type 1 diabetes has led to numerous health problems. Over the past
several years Mrs. Griffin has had several admissions to the hospital medical
unit, and the nurse has often carried out health promotion interventions. Who is
ultimately responsible for maintaining and promoting Mrs. Griffins health?
A) The medical nurse
B) The community health nurse who has also worked with Mrs. Griffin
C) Mrs. Griffins primary care provider
D) Mrs. Griffin
D) Mrs. Griffin
American society places a great importance on health and the responsibility that each of
us has to maintain and promote our own health. Therefore, the other options are
incorrect.
An elderly female patient has come to the clinic for a scheduled follow-up
appointment. The nurse learns from the patients daughter that the patient is not
following the instructions she received upon discharge from the hospital last
,month. What is the most likely factor causing the patient not to adhere to her
therapeutic regimen?
A) Ethnic background of health care provider
B) Costs of the prescribed regimen
C) Presence of a learning disability
D) Personality of the physician
B) Costs of the prescribed regimen
Variables that appear to influence the degree of adherence to a prescribed therapeutic
regimen include gender, race, education, illness, complexity of the regimen, and the
cost of treatments.
A gerontologic nurse has observed that patients often fail to adhere to a
therapeutic regimen. What strategy should the nurse adopt to best assist an older
adult in adhering to a therapeutic regimen involving wound care?
A) Demonstrate a dressing change and allow the patient to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the patient how to change a dressing and check for
comprehension.
D) Delegate the dressing change to a trusted family member.
A) Demonstrate a dressing change and allow the patient to practice.
The nurse must consider that older adults may have deficits in the ability to draw
inferences, apply information, or understand major teaching points. Demonstration and
practice are essential in meeting their learning needs.
A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to
self-administer insulin. When planning the appropriate educational interventions
and considering variables that will affect his learning, the nurse should prioritize
which of the following factors?
A) Patients expected lifespan
B) Patients gender
C) Patients occupation
D) Patients culture
D) Patients culture
, One of the major variables that influences a patients readiness to learn is the patients
culture, because it affects how a person learns and what information is learned.
The nurse is planning to teach a 75-year-old patient with coronary artery disease
about administering her prescribed antiplatelet medication. How can the nurse
best enhance the patients ability to learn?
A) Provide links to Web sites that contain evidence-based information.
B) Exclude family members from the session to prevent distraction.
C) Use color-coded materials that are succinct and engaging.
D) Make the information directly relevant to the patients condition.
D) Make the information directly relevant to the patients condition.
Studies have shown that older adults can learn and remember if the information is
paced appropriately, relevant, and followed by appropriate feedback.
A nurse is planning care for an older adult who lives with a number of chronic
health problems. For which of the following nursing diagnoses would education
of the patient be the nurses highest priority?
A) Risk for impaired physical mobility related to joint pain
B) Functional urinary incontinence related decreased mobility
C) Activity intolerance related to contractures
D) Risk for ineffective health maintenance related to nonadherence to therapeutic
regimen
D) Risk for ineffective health maintenance related to non-adherence to therapeutic
regimen
For some nursing diagnoses, education is a primary nursing intervention. These
diagnoses include risk for ineffective management of therapeutic regimen, risk for
impaired home management, health-seeking behaviors, and decisional conflict.
The nursing instructor has given an assignment to a group of certified nurse
practitioner (CNP) students. They are to break into groups of four and complete a
health-promotion teaching project and present a report to their fellow students.
What project most clearly demonstrates the principles of health- promotion
teaching?
A) Demonstrating an injection technique to a patient for anticoagulant therapy
B) Explaining the side effects of a medication to an adult patient
C) Discussing the importance of preventing sexually transmitted infections (STI)
