NUR 1211 Medical Surgical Final Exam- Questions
and Answers
Question \;1
Question \;text
A \;client \;has \;a \;white \;blood \;cell \;change \;in \;which \;the \;number \;of \;suppressor \;T-cells \;is
\;way \;below \;normal \;and\;asks \;the \;nurse \;which \;type \;of \;health \;problem(s) \;could \;be
\;expected \;as \;a \;result \;of \;this \;deficiency. \;What \;is \;the \;nurse's \;best \;response?
Select \;one:
\;a. \;“Try \;to \;avoid \;crowds \;and \;people \;who \;are \;ill \;because \;you \;are \;now \;more
\;susceptible \;to \;bacterial \;and\;viral \;infections.”
b. \ ; “You \;will \;be \;more \;prone \;to \;allergic \;reactions \;when \;exposed \;to \;allergens \;or
\;drugs.”
c. \ ; "You \;will \;need \;to \;receive \;booster \;vaccinations \;more \;often \;because \;your \;ability
\;to \;make\;antibodies \;is
reduced.”
\;d. \;“Your \;risk \;for \;cancer \;development \;is \;increased.”
Feedback
Your \;answer \;is \;incorrect.
,The \;correct \;answer \;is: \;“You \;will \;be \;more \;prone \;to \;allergic \;reactions \;when \;exposed \;to
\;allergens \;or \;drugs.”
Question \;2
Incorrect
,Question \;text
The \;nurse \;is \;preparing \;a \;client \;for \;discharge \;who \;developed \;an \;acute \;kidney \;injury
\;during \;coronary \;artery \;bypass \;graft \;surgery. \;The \;nurse \;notices \;that \;the \;client \;has \;a
\;serum \;creatinine \;of \;1.2 mg/dL \;(106 \;mcmol/L) \;and \;a \;glomerular \;filtration \;rate \;(GFR) \;of
\;75 mL/kg/1.73 m2. \;Which \;is \;the \;priority \;nursing \;action?
Select \;one:
\;a. \;Checking \;the \;remaining \;values \;on \;the \;metabolic \;panel \;and \;informing \;the \;primary
\;care \;provider \;of
all
results \;before \;the \;client \;is \;discharged
\;b. \ ; Encouraging \;the \;client \;to \;reduce \;protein \;intake \;to \;reduce \;creatinine \;production
\;until \;the \;follow-
up
visit \;with \;the \;nephrologist \;occurs
c. \;Reminding \;the \;client \;to \;remain \;hydrated \;by \;drinking \;500 mL \;of \;an \;electrolyte-
based \;solution\;daily
d. \;Educating \;the \;client \;about \;the \;need \;for \;follow-up, \;including \;re-evaluation \;of \;serum
\;creatinine \;with\;the \;primary \;care \;provider \;or \;nephrologist \;in \;8-12 \;weeks
Feedback
Your \;answer \;is \;incorrect.
The \;correct \;answer \;is: \;Educating \;the \;client \;about \;the \;need \;for \;follow-up, \;including \;re-
evaluation \;of \;serum\;creatinine \;with \;the \;primary \;care \;provider \;or \;nephrologist \;in \;8-12
\;weeks
Question \;3
Correct
, 1.00 points \;out \;of \;1.00
The \;laboratory \;values \;of \;a \;client \;who \;has \;diabetes \;mellitus \;include \;a \;fasting
\;blood \;glucose \;level \;of\;82 mg/dL \;(mmol/L) \;and \;hemoglobin \;A1C \;of \;5.9%. \;What \;is
\;the \;nurse's \;interpretation \;of \;these \;findings?
Select \;one:
a. The \;client's \;glucose \;control \;for \;the \;past \;24 \;hours \;has \;been \;good, \;but \;the
\;overall \;control \;is\;poor.
b. The \;values \;indicate \;that \;the \;client \;has \;poorly \;managed \;his \;or \;her \;disease.
c. The \;client's \;glucose \;control \;for \;the \;past \;24 \;hours \;has \;been \;poor, \;but \;the
\;overall \;control \;is\;good.
d. The \;values \;indicate \;that \;the \;client \;has \;managed \;his \;or \;her \;disease \;well.
Feedback
Your \;answer \;is \;correct.
The \;correct \;answer \;is: \;The \;values \;indicate \;that \;the \;client \;has \;managed \;his \;or \;her \;disease
\;well.
Question \;4
Incorrect
0.00 points \;out \;of \;1.00
and Answers
Question \;1
Question \;text
A \;client \;has \;a \;white \;blood \;cell \;change \;in \;which \;the \;number \;of \;suppressor \;T-cells \;is
\;way \;below \;normal \;and\;asks \;the \;nurse \;which \;type \;of \;health \;problem(s) \;could \;be
\;expected \;as \;a \;result \;of \;this \;deficiency. \;What \;is \;the \;nurse's \;best \;response?
Select \;one:
\;a. \;“Try \;to \;avoid \;crowds \;and \;people \;who \;are \;ill \;because \;you \;are \;now \;more
\;susceptible \;to \;bacterial \;and\;viral \;infections.”
b. \ ; “You \;will \;be \;more \;prone \;to \;allergic \;reactions \;when \;exposed \;to \;allergens \;or
\;drugs.”
c. \ ; "You \;will \;need \;to \;receive \;booster \;vaccinations \;more \;often \;because \;your \;ability
\;to \;make\;antibodies \;is
reduced.”
\;d. \;“Your \;risk \;for \;cancer \;development \;is \;increased.”
Feedback
Your \;answer \;is \;incorrect.
,The \;correct \;answer \;is: \;“You \;will \;be \;more \;prone \;to \;allergic \;reactions \;when \;exposed \;to
\;allergens \;or \;drugs.”
Question \;2
Incorrect
,Question \;text
The \;nurse \;is \;preparing \;a \;client \;for \;discharge \;who \;developed \;an \;acute \;kidney \;injury
\;during \;coronary \;artery \;bypass \;graft \;surgery. \;The \;nurse \;notices \;that \;the \;client \;has \;a
\;serum \;creatinine \;of \;1.2 mg/dL \;(106 \;mcmol/L) \;and \;a \;glomerular \;filtration \;rate \;(GFR) \;of
\;75 mL/kg/1.73 m2. \;Which \;is \;the \;priority \;nursing \;action?
Select \;one:
\;a. \;Checking \;the \;remaining \;values \;on \;the \;metabolic \;panel \;and \;informing \;the \;primary
\;care \;provider \;of
all
results \;before \;the \;client \;is \;discharged
\;b. \ ; Encouraging \;the \;client \;to \;reduce \;protein \;intake \;to \;reduce \;creatinine \;production
\;until \;the \;follow-
up
visit \;with \;the \;nephrologist \;occurs
c. \;Reminding \;the \;client \;to \;remain \;hydrated \;by \;drinking \;500 mL \;of \;an \;electrolyte-
based \;solution\;daily
d. \;Educating \;the \;client \;about \;the \;need \;for \;follow-up, \;including \;re-evaluation \;of \;serum
\;creatinine \;with\;the \;primary \;care \;provider \;or \;nephrologist \;in \;8-12 \;weeks
Feedback
Your \;answer \;is \;incorrect.
The \;correct \;answer \;is: \;Educating \;the \;client \;about \;the \;need \;for \;follow-up, \;including \;re-
evaluation \;of \;serum\;creatinine \;with \;the \;primary \;care \;provider \;or \;nephrologist \;in \;8-12
\;weeks
Question \;3
Correct
, 1.00 points \;out \;of \;1.00
The \;laboratory \;values \;of \;a \;client \;who \;has \;diabetes \;mellitus \;include \;a \;fasting
\;blood \;glucose \;level \;of\;82 mg/dL \;(mmol/L) \;and \;hemoglobin \;A1C \;of \;5.9%. \;What \;is
\;the \;nurse's \;interpretation \;of \;these \;findings?
Select \;one:
a. The \;client's \;glucose \;control \;for \;the \;past \;24 \;hours \;has \;been \;good, \;but \;the
\;overall \;control \;is\;poor.
b. The \;values \;indicate \;that \;the \;client \;has \;poorly \;managed \;his \;or \;her \;disease.
c. The \;client's \;glucose \;control \;for \;the \;past \;24 \;hours \;has \;been \;poor, \;but \;the
\;overall \;control \;is\;good.
d. The \;values \;indicate \;that \;the \;client \;has \;managed \;his \;or \;her \;disease \;well.
Feedback
Your \;answer \;is \;correct.
The \;correct \;answer \;is: \;The \;values \;indicate \;that \;the \;client \;has \;managed \;his \;or \;her \;disease
\;well.
Question \;4
Incorrect
0.00 points \;out \;of \;1.00
