NUR 4500 MED SURG EXAM QUESTIONS AND ANSWERS
BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2024
MedSurge Quiz 1 - 36 37 38 39
p p p p p p p
• A hospital patient is immunocompromised because of stage 3 HIV
p p p p p p p p p
infectionand the physician has ordered a chest radiograph. How
p p p p p p p p p p
p should the nurse most safely facilitate the test?
p p p p p p p
a. Arrange for a portable x-ray machine to be used p p p p p p p p
• A patient's current antiretroviral regimen includes nucleoside
p p p p p p
p reverse transcriptase inhibitors (NRTIs). What dietary counseling
p p p p p p
p will the nurse providebased on the patient's medication regimen?
p p p p p p p p p
a. Take this medication without regard to meals.
p p p p p p
• A nurse is performing the admission assessment of a patient who has
p p p p p p p p p p p
AIDS.What components should the nurse include in this
p p p p p p p p p
p comprehensive assessment? Select all that apply. p p p p p
a. Current medication regimen p p
b. Identification of patient's support system p p p p
c. Immune system function p p
d. History of sexual practices p p p
• A patient is in the primary infection stage of HIV. What is true of this
p p p p p p p p p p p p p p
p patient'scurrent health status? p p p
a. The patient is infected with HIV but lacks HIV-specific
p p p p p p p p
antibodies.
p
• A nurse is aware of the need to assess patients' risks for anaphylaxis.
p p p p p p p p p p p p
, Whathealth care procedure constitutes the highest risk for
p p p p p p p p p
anaphylaxis?
p
a. Computed tomography with contrast solution p p p p
• A patient with multiple food and environmental allergies tells the nurse
p p p p p p p p p p
p that he is frustrated and angry about having to be so watchful all the
p p p p p p p p p p p p p
p time and wondersif it is really worth it. What would be the nurse's best
p p p p p p p p p p p p p p
response?
p
a. “I can only imagine how you feel. Would you like to talk
p p p p p p p p p p p
p about it? p
• A nurse is caring for a patient who has allergic rhinitis. What
p p p p p p p p p p p
p interventionwould be most likely to help the patient meet the goal
p p p p p p p p p p p
of improved breathing pattern?
p p p p
a. Modify the environment to reduce the severity of allergic
p p p p p p p p
p symptoms.
• The nurse in an allergy clinic is educating a new patient about the
p p p p p p p p p p p p
p pathologyof the patient's health problem. What response should the
p p p p p p p p p
p nurse describe as a possible consequence of histamine release?
p p p p p p p p
a. Contraction of bronchial smooth muscle p p p p
• A patient has presented with signs and symptoms that are consistent
p p p p p p p p p p
p with contact dermatitis. What aspect of care should the nurse
p p p p p p p p p
p prioritize when workingwith this patient?
p p p p p
a. Identifying the offending agent, if possible p p p p p
• A patient's rheumatoid arthritis (RA) has failed to respond
p p p p p p p p
p appreciably to first-line treatments and the primary care provider
p p p p p p p p
p has added prednisone to thepatient's drug regimen. What principle
p p p p p p p p p
p will guide this aspect of the patient's treatment?
p p p p p p p
a. The drug should be used for as short a time as possible.
p p p p p p p p p p p
• A patient with SLE has come to the clinic for a routine check-up.
p p p p p p p p p p p p
When auscultating the patient's apical heart rate, the nurse notes
p p p p p p p p p p
, p the presence of adistinct “scratching” sound. What is the nurse's
p p p p p p p p p p
p most appropriate action?
p p
a. Inform the primary care provider that a friction rub may be
p p p p p p p p p p
p present.
• A nurse is educating a patient with gout about lifestyle modifications
p p p p p p p p p p
p that can help control the signs and symptoms of the disease. What
p p p p p p p p p p p
recommendation should the nurse make?
p p p p p
a. Limiting intake of alcohol p p p
• A nurse is planning the care of a patient who has a long history of
p p p p p p p p p p p p p p
p chronicpain, which has only recently been diagnosed as
p p p p p p p p
p fibromyalgia. What nursing diagnosis is most likely to apply to this
p p p p p p p p p p
p woman's care needs? p p
a. Ineffective Role Performance Related to Pain p p p p p
• A nurse is admitting a patient with an immunodeficiency to the medical
p p p p p p p p p p p
p unit. In planning the care of this patient, the nurse should assess for
p p p p p p p p p p p p
p what common sign ofimmunodeficiency?
p p p p
a. Chronic diarrhea p
• A nurse is caring for a patient who has an immunodeficiency. What
p p p p p p p p p p p
p assessmentfinding should prompt the nurse to consider the
p p p p p p p p
p possibility that the patient is developing an infection?
p p p p p p p
a. Persistent diarrhea p
• The nurse is applying standard precautions in the care of a patient who
p p p p p p p p p p p p
p has an immunodeficiency. What are key elements of standard
p p p p p p p p
p precautions? Select all thatapply. p p p p
a. Using appropriate personal protective equipment
p p p p
b. Using safe injection practices p p p
, c. Performing hand hygiene p p
• A home health nurse is reinforcing health education with a patient
p p p p p p p p p p
p who is immunosuppressed and his family. What statement best
p p p p p p p p
p suggests that the patienthas understood the nurse's teaching?
p p p p p p p p
a. “My family needs to understand that I'll probably
p p p p p p p
p need lifelongtreatment.” p p
• The nurse is preparing to administer IVIG to a patient who
p p p p p p p p p p
p has an immunodeficiency. What nursing guideline should
p p p p p p
p the nurse apply?
p p
a. Administer pretreatment medications as ordered 30 p p p p p
p minutes prior toinfusion. p p p
• A nurse has created a plan of care for an immunodeficient patient,
p p p p p p p p p p p
p specifying that care providers take the patient's pulse and respiratory
p p p p p p p p p
rate for a full minute. Whatis the rationale for this aspect of care?
p p p p p p p p p p p p p p
a. These p patients' blunted inflammatory responses can p p p p
p cause subtle changes in status. p p p p
• A nurse is providing health education regarding self-care to a
p p p p p p p p p
p patient with an immunodeficiency. What teaching point should the
p p p p p p p p
p nurse emphasize? p
a. The need for thorough oral hygienep p p p p
• A patient's primary immunodeficiency disease is characterized by the
p p p p p p p p
p inability ofwhite blood cells to initiate an inflammatory response to
p p p p p p p p p p
p infectious organisms. What is this patient's most likely diagnosis?
p p p p p p p p
a. Hyperimmunoglobulinemia E syndrome p p
• A nurse is working with a patient who was diagnosed with HIV several
p p p p p p p p p p p p
p months earlier. The nurse should recognize that a patient with HIV is
p p p p p p p p p p p
p considered to haveAIDS at the point when the CD4+ T-lymphocyte
p p p p p p p p p p
p cell count drops below what threshold?
p p p p p
a. 200 cells/mm3 of blood p p p
BEST GRADED A+ GUARANTEED SUCCESS LATEST
UPDATE 2024
MedSurge Quiz 1 - 36 37 38 39
p p p p p p p
• A hospital patient is immunocompromised because of stage 3 HIV
p p p p p p p p p
infectionand the physician has ordered a chest radiograph. How
p p p p p p p p p p
p should the nurse most safely facilitate the test?
p p p p p p p
a. Arrange for a portable x-ray machine to be used p p p p p p p p
• A patient's current antiretroviral regimen includes nucleoside
p p p p p p
p reverse transcriptase inhibitors (NRTIs). What dietary counseling
p p p p p p
p will the nurse providebased on the patient's medication regimen?
p p p p p p p p p
a. Take this medication without regard to meals.
p p p p p p
• A nurse is performing the admission assessment of a patient who has
p p p p p p p p p p p
AIDS.What components should the nurse include in this
p p p p p p p p p
p comprehensive assessment? Select all that apply. p p p p p
a. Current medication regimen p p
b. Identification of patient's support system p p p p
c. Immune system function p p
d. History of sexual practices p p p
• A patient is in the primary infection stage of HIV. What is true of this
p p p p p p p p p p p p p p
p patient'scurrent health status? p p p
a. The patient is infected with HIV but lacks HIV-specific
p p p p p p p p
antibodies.
p
• A nurse is aware of the need to assess patients' risks for anaphylaxis.
p p p p p p p p p p p p
, Whathealth care procedure constitutes the highest risk for
p p p p p p p p p
anaphylaxis?
p
a. Computed tomography with contrast solution p p p p
• A patient with multiple food and environmental allergies tells the nurse
p p p p p p p p p p
p that he is frustrated and angry about having to be so watchful all the
p p p p p p p p p p p p p
p time and wondersif it is really worth it. What would be the nurse's best
p p p p p p p p p p p p p p
response?
p
a. “I can only imagine how you feel. Would you like to talk
p p p p p p p p p p p
p about it? p
• A nurse is caring for a patient who has allergic rhinitis. What
p p p p p p p p p p p
p interventionwould be most likely to help the patient meet the goal
p p p p p p p p p p p
of improved breathing pattern?
p p p p
a. Modify the environment to reduce the severity of allergic
p p p p p p p p
p symptoms.
• The nurse in an allergy clinic is educating a new patient about the
p p p p p p p p p p p p
p pathologyof the patient's health problem. What response should the
p p p p p p p p p
p nurse describe as a possible consequence of histamine release?
p p p p p p p p
a. Contraction of bronchial smooth muscle p p p p
• A patient has presented with signs and symptoms that are consistent
p p p p p p p p p p
p with contact dermatitis. What aspect of care should the nurse
p p p p p p p p p
p prioritize when workingwith this patient?
p p p p p
a. Identifying the offending agent, if possible p p p p p
• A patient's rheumatoid arthritis (RA) has failed to respond
p p p p p p p p
p appreciably to first-line treatments and the primary care provider
p p p p p p p p
p has added prednisone to thepatient's drug regimen. What principle
p p p p p p p p p
p will guide this aspect of the patient's treatment?
p p p p p p p
a. The drug should be used for as short a time as possible.
p p p p p p p p p p p
• A patient with SLE has come to the clinic for a routine check-up.
p p p p p p p p p p p p
When auscultating the patient's apical heart rate, the nurse notes
p p p p p p p p p p
, p the presence of adistinct “scratching” sound. What is the nurse's
p p p p p p p p p p
p most appropriate action?
p p
a. Inform the primary care provider that a friction rub may be
p p p p p p p p p p
p present.
• A nurse is educating a patient with gout about lifestyle modifications
p p p p p p p p p p
p that can help control the signs and symptoms of the disease. What
p p p p p p p p p p p
recommendation should the nurse make?
p p p p p
a. Limiting intake of alcohol p p p
• A nurse is planning the care of a patient who has a long history of
p p p p p p p p p p p p p p
p chronicpain, which has only recently been diagnosed as
p p p p p p p p
p fibromyalgia. What nursing diagnosis is most likely to apply to this
p p p p p p p p p p
p woman's care needs? p p
a. Ineffective Role Performance Related to Pain p p p p p
• A nurse is admitting a patient with an immunodeficiency to the medical
p p p p p p p p p p p
p unit. In planning the care of this patient, the nurse should assess for
p p p p p p p p p p p p
p what common sign ofimmunodeficiency?
p p p p
a. Chronic diarrhea p
• A nurse is caring for a patient who has an immunodeficiency. What
p p p p p p p p p p p
p assessmentfinding should prompt the nurse to consider the
p p p p p p p p
p possibility that the patient is developing an infection?
p p p p p p p
a. Persistent diarrhea p
• The nurse is applying standard precautions in the care of a patient who
p p p p p p p p p p p p
p has an immunodeficiency. What are key elements of standard
p p p p p p p p
p precautions? Select all thatapply. p p p p
a. Using appropriate personal protective equipment
p p p p
b. Using safe injection practices p p p
, c. Performing hand hygiene p p
• A home health nurse is reinforcing health education with a patient
p p p p p p p p p p
p who is immunosuppressed and his family. What statement best
p p p p p p p p
p suggests that the patienthas understood the nurse's teaching?
p p p p p p p p
a. “My family needs to understand that I'll probably
p p p p p p p
p need lifelongtreatment.” p p
• The nurse is preparing to administer IVIG to a patient who
p p p p p p p p p p
p has an immunodeficiency. What nursing guideline should
p p p p p p
p the nurse apply?
p p
a. Administer pretreatment medications as ordered 30 p p p p p
p minutes prior toinfusion. p p p
• A nurse has created a plan of care for an immunodeficient patient,
p p p p p p p p p p p
p specifying that care providers take the patient's pulse and respiratory
p p p p p p p p p
rate for a full minute. Whatis the rationale for this aspect of care?
p p p p p p p p p p p p p p
a. These p patients' blunted inflammatory responses can p p p p
p cause subtle changes in status. p p p p
• A nurse is providing health education regarding self-care to a
p p p p p p p p p
p patient with an immunodeficiency. What teaching point should the
p p p p p p p p
p nurse emphasize? p
a. The need for thorough oral hygienep p p p p
• A patient's primary immunodeficiency disease is characterized by the
p p p p p p p p
p inability ofwhite blood cells to initiate an inflammatory response to
p p p p p p p p p p
p infectious organisms. What is this patient's most likely diagnosis?
p p p p p p p p
a. Hyperimmunoglobulinemia E syndrome p p
• A nurse is working with a patient who was diagnosed with HIV several
p p p p p p p p p p p p
p months earlier. The nurse should recognize that a patient with HIV is
p p p p p p p p p p p
p considered to haveAIDS at the point when the CD4+ T-lymphocyte
p p p p p p p p p p
p cell count drops below what threshold?
p p p p p
a. 200 cells/mm3 of blood p p p
