NUR 1211 Medical Surgical Exam
2- FINAL EXAM NEWEST 2024 ACTUAL EXAM
COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
A nurse is working with a client who was diagnosed with HIV several months earlier.
The nurse should recognize that a client 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 - ANSWER>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 clients 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 - ANSWER>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 client who is exhibiting signs and symptomsof
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 - ANSWER>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 - ANSWER>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 client 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 - ANSWER>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 client has come to the clinic for a scheduled follow-up appointment.
The nurse learns from the clients daughter that the client is not following the
instructions she received upon discharge from the hospital last month. What is the most
likely factor causing the client 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 - ANSWER>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 clients 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 client to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the client how to change a dressing and check for comprehension.
D) Delegate the dressing change to a trusted family member. - ANSWER>A)
Demonstrate a dressing change and allow the client 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) Clients expected lifespan
B) Clients gender
C) Clients occupation
, D) Clients culture - ANSWER>D) Clients culture
One of the major variables that influences a clients readiness to learn is the clients
culture, because it affects how a person learns and what information is learned.
The nurse is planning to teach a 75-year-old client with coronary artery disease about
administering her prescribed antiplatelet medication. How can the nurse best enhance
the clients 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 clients condition. - ANSWER>D)
Make the information directly relevant to the clients 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 clientbe
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 - ANSWER>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 client for anticoagulant therapy
2- FINAL EXAM NEWEST 2024 ACTUAL EXAM
COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
A nurse is working with a client who was diagnosed with HIV several months earlier.
The nurse should recognize that a client 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 - ANSWER>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 clients 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 - ANSWER>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 client who is exhibiting signs and symptomsof
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 - ANSWER>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 - ANSWER>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 client 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 - ANSWER>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 client has come to the clinic for a scheduled follow-up appointment.
The nurse learns from the clients daughter that the client is not following the
instructions she received upon discharge from the hospital last month. What is the most
likely factor causing the client 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 - ANSWER>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 clients 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 client to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the client how to change a dressing and check for comprehension.
D) Delegate the dressing change to a trusted family member. - ANSWER>A)
Demonstrate a dressing change and allow the client 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) Clients expected lifespan
B) Clients gender
C) Clients occupation
, D) Clients culture - ANSWER>D) Clients culture
One of the major variables that influences a clients readiness to learn is the clients
culture, because it affects how a person learns and what information is learned.
The nurse is planning to teach a 75-year-old client with coronary artery disease about
administering her prescribed antiplatelet medication. How can the nurse best enhance
the clients 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 clients condition. - ANSWER>D)
Make the information directly relevant to the clients 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 clientbe
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 - ANSWER>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 client for anticoagulant therapy
