Nur 1211 Medical Surgical Final Exam
2024-2025 Actual Exam Questions And
Correct Detailed Answers With
Rationales (Verified Answers)
A bbnurse bbis bbworking bbwith bba bbpatient bbwho bbwas bbdiagnosed bbwith bbHIV bbseveral
bbmonths bbearlier. bbThe bbnurse bbshould bbrecognize bbthat bba bbpatient bbwith bbHIV bbis
bbconsidered bbto bbhave bbAIDS bbat bbthe bbpoint bbwhen bbthe bbCD4+ bbT-lymphocyte
bbcell bbcount bbdrops bbbelow bbwhat bbthreshold?
A) bb75 bbcells/mm3 bbof bbblood bb
B) bb200 bbcells/mm3 bbof bbblood bb
C) bb325 bbcells/mm3 bbof bbblood bb
D) bb450 bbcells/mm3 bbof bbblood bb- bbcorrect bbanswers✔✔B) bb200 bbcells/mm3 bbof
bbblood
When bbCD4+ bbT-cell bblevels bbdrop bbbelow bb200 bbcells/mm3 bbof bbblood, bbthe
bbperson bbis bbsaid bbto bbhave bbAIDS.
A bbnurse bbis bbplanning bba bbpatients bbcare bband bbis bbrelating bbit bbto bbnormal
bbimmune bbresponse. bbDuring bbwhat bbstage bbof bbthe bbimmune bbresponse bbshould
bbthe bbnurse bbknow bbthat bbantibodies bbor bbcytotoxic bbT bbcells bbcombine bband
bbdestroy bbthe bbinvading bbmicrobes?
A) bbRecognition bbstage
B) bbProliferation bbstage bb
C) bbResponse bbstage
D) bbEffector bbstage bb- bbcorrect bbanswers✔✔D) bbEffector bbstage
In bbthe bbeffector bbstage, bbeither bbthe bbantibody bbof bbthe bbhumoral bbresponse bbor
bbthe bbcytotoxic bb(killer) bbT bbcell bbof bbthe bbcellular bbresponse bbreaches bband
bbcouples bbwith bbthe bbantigen bbon bbthe bbsurface bbof bbthe bbforeign bbinvader.
,A bbnurse bbis bbplanning bbthe bbassessment bbof bba bbpatient bbwho bbis bbexhibiting
bbsigns bband bbsymptoms bbof bban bbautoimmune bbdisorder. bbThe bbnurse bbshould bbbe
bbaware bbthat bbthe bbincidence bband bbprevalence bbof bbautoimmune bbdiseases bbis
bbknown bbto bbbe bbhigher bbamong bbwhat bbgroup?
A) bbYoung bbadults bb
B) bbNative bbAmericans bb
C) bbWomen
D) bbHispanics bb- bbcorrect bbanswers✔✔C) bbWomen
Many bbautoimmune bbdiseases bbhave bba bbhigher bbincidence bbin bbfemales bbthan bbin
bbmales, bba bbphenomenon bbbelieved bbto bbbe bbcorrelated bbwith bbsex bbhormones.
Middle-aged bbadults bbare bbpart bbof bban bbage bbgroup bbthat bbis bbknown bbto bbbe
bbinterested bbin bbhealth bband bbhealth bbpromotion, bband bbthe bbnurse bbis bbplanning
bbhealth bbpromotion bbactivities bbaccordingly. bbTo bbwhat bbsuggestions bbdo bbmembers
bbof bbthis bbage bbgroup bbusually bbrespond bbwith bbenthusiasm? bbSelect bball bbthat
bbapply.
A) bbHow bblifestyle bbpractices bbcan bbimprove bbhealth
B) bbHow bbto bbeat bbhealthier
C) bbHow bbexercise bbcan bbimprove bbyour bblife bb
D) bbStrategies bbfor bbadhering bbto bbprescribed bbtherapy bb
E) bbExercise bbfor bbthe bbaging bb- bbcorrect bbanswers✔✔A) bbHow bblifestyle bbpractices
bbcan bbimprove bbhealth
B) bbHow bbto bbeat bbhealthier
C) bbHow bbexercise bbcan bbimprove bbyour bblife bb
Young bband bbmiddle-aged bbadults bbrepresent bban bbage bbgroup bbthat bbnot bbonly
bbexpresses bban bbinterest bbin bbhealth bband bbhealth bbpromotion bbbut bbalso bbresponds
bbenthusiastically bbto bbsuggestions bbthat bbshow bbhow bblifestyle bbpractices bbcan
bbimprove bbhealth; bbthese bblifestyle bbpractices bbinclude bbnutrition bband bbexercise.
bbMiddle-aged bbadults bbmay bbnot bbrespond bbpositively bbto bbteaching bbaimed bbat bbthe
bbaging. bbAdherence bbis bbnot bbnoted bbto bbbe bba bbdesired bbfocus bbin bbthis bbage
bbgroup.
A bbnurse bbhas bbbeen bbworking bbwith bbMrs. bbGriffin, bba bb71-year-old bbpatient bbwhose
bbpoorly bbcontrolled bbtype bb1 bbdiabetes bbhas bbled bbto bbnumerous bbhealth bbproblems.
bbOver bbthe bbpast bbseveral bbyears bbMrs. bbGriffin bbhas bbhad bbseveral bbadmissions
bbto bbthe bbhospital bbmedical bbunit, bband bbthe bbnurse bbhas bboften bbcarried bbout
,bbhealth bbpromotion bbinterventions. bbWho bbis bbultimately bbresponsible bbfor
bbmaintaining bband bbpromoting bbMrs. bbGriffins bbhealth?
A) bbThe bbmedical bbnurse
B) bbThe bbcommunity bbhealth bbnurse bbwho bbhas bbalso bbworked bbwith bbMrs. bbGriffin
C) bbMrs. bbGriffins bbprimary bbcare bbprovider
D) bbMrs. bbGriffin bb- bbcorrect bbanswers✔✔D) bbMrs. bbGriffin
American bbsociety bbplaces bba bbgreat bbimportance bbon bbhealth bband bbthe
bbresponsibility bbthat bbeach bbof bbus bbhas bbto bbmaintain bband bbpromote bbour bbown
bbhealth. bbTherefore, bbthe bbother bboptions bbare bbincorrect.
An bbelderly bbfemale bbpatient bbhas bbcome bbto bbthe bbclinic bbfor bba bbscheduled
bbfollow-up bbappointment. bbThe bbnurse bblearns bbfrom bbthe bbpatients bbdaughter bbthat
bbthe bbpatient bbis bbnot bbfollowing bbthe bbinstructions bbshe bbreceived bbupon bbdischarge
bbfrom bbthe bbhospital bblast bbmonth. bbWhat bbis bbthe bbmost bblikely bbfactor bbcausing
bbthe bbpatient bbnot bbto bbadhere bbto bbher bbtherapeutic bbregimen?
A) bbEthnic bbbackground bbof bbhealth bbcare bbprovider
B) bbCosts bbof bbthe bbprescribed bbregimen
C) bbPresence bbof bba bblearning bbdisability
D) bbPersonality bbof bbthe bbphysician bb- bbcorrect bbanswers✔✔B) bbCosts bbof bbthe
bbprescribed bbregimen
Variables bbthat bbappear bbto bbinfluence bbthe bbdegree bbof bbadherence bbto bba
bbprescribed bbtherapeutic bbregimen bbinclude bbgender, bbrace, bbeducation, bbillness,
bbcomplexity bbof bbthe bbregimen, bband bbthe bbcost bbof bbtreatments.
A bbgerontologic bbnurse bbhas bbobserved bbthat bbpatients bboften bbfail bbto bbadhere bbto
bba bbtherapeutic bbregimen. bbWhat bbstrategy bbshould bbthe bbnurse bbadopt bbto bbbest
bbassist bban bbolder bbadult bbin bbadhering bbto bba bbtherapeutic bbregimen bbinvolving
bbwound bbcare?
A) bbDemonstrate bba bbdressing bbchange bband bballow bbthe bbpatient bbto bbpractice.
B) bbProvide bba bbdetailed bbpamphlet bbon bba bbdressing bbchange.
C) bbVerbally bbinstruct bbthe bbpatient bbhow bbto bbchange bba bbdressing bband bbcheck
bbfor bbcomprehension.
, D) bbDelegate bbthe bbdressing bbchange bbto bba bbtrusted bbfamily bbmember. bb- bbcorrect
bbanswers✔✔A) bbDemonstrate bba bbdressing bbchange bband bballow bbthe bbpatient bbto
bbpractice.
The bbnurse bbmust bbconsider bbthat bbolder bbadults bbmay bbhave bbdeficits bbin bbthe
bbability bbto bbdraw bbinferences, bbapply bbinformation, bbor bbunderstand bbmajor
bbteaching bbpoints. bbDemonstration bband bbpractice bbare bbessential bbin bbmeeting
bbtheir bblearning bbneeds.
A bb20-year-old bbman bbnewly bbdiagnosed bbwith bbtype bb1 bbdiabetes bbneeds bbto bblearn
bbhow bbto bbself-administer bbinsulin. bbWhen bbplanning bbthe bbappropriate bbeducational
bbinterventions bband bbconsidering bbvariables bbthat bbwill bbaffect bbhis bblearning, bbthe
bbnurse bbshould bbprioritize bbwhich bbof bbthe bbfollowing bbfactors?
A) bbPatients bbexpected bblifespan
B) bbPatients bbgender
C) bbPatients bboccupation
D) bbPatients bbculture bb- bbcorrect bbanswers✔✔D) bbPatients bbculture
One bbof bbthe bbmajor bbvariables bbthat bbinfluences bba bbpatients bbreadiness bbto bblearn
bbis bbthe bbpatients bbculture, bbbecause bbit bbaffects bbhow bba bbperson bblearns bband
bbwhat bbinformation bbis bblearned.
The bbnurse bbis bbplanning bbto bbteach bba bb75-year-old bbpatient bbwith bbcoronary
bbartery bbdisease bbabout bbadministering bbher bbprescribed bbantiplatelet bbmedication.
bbHow bbcan bbthe bbnurse bbbest bbenhance bbthe bbpatients bbability bbto bblearn?
A) bbProvide bblinks bbto bbWeb bbsites bbthat bbcontain bbevidence-based bbinformation.
B) bbExclude bbfamily bbmembers bbfrom bbthe bbsession bbto bbprevent bbdistraction.
C) bbUse bbcolor-coded bbmaterials bbthat bbare bbsuccinct bband bbengaging.
D) bbMake bbthe bbinformation bbdirectly bbrelevant bbto bbthe bbpatients bbcondition. bb-
bbcorrect bbanswers✔✔D) bbMake bbthe bbinformation bbdirectly bbrelevant bbto bbthe
bbpatients bbcondition.
Studies bbhave bbshown bbthat bbolder bbadults bbcan bblearn bband bbremember bbif bbthe
bbinformation bbis bbpaced bbappropriately, bbrelevant, bband bbfollowed bbby bbappropriate
bbfeedback.
A bbnurse bbis bbplanning bbcare bbfor bban bbolder bbadult bbwho bblives bbwith bba bbnumber
bbof bbchronic bbhealth bbproblems. bbFor bbwhich bbof bbthe bbfollowing bbnursing
2024-2025 Actual Exam Questions And
Correct Detailed Answers With
Rationales (Verified Answers)
A bbnurse bbis bbworking bbwith bba bbpatient bbwho bbwas bbdiagnosed bbwith bbHIV bbseveral
bbmonths bbearlier. bbThe bbnurse bbshould bbrecognize bbthat bba bbpatient bbwith bbHIV bbis
bbconsidered bbto bbhave bbAIDS bbat bbthe bbpoint bbwhen bbthe bbCD4+ bbT-lymphocyte
bbcell bbcount bbdrops bbbelow bbwhat bbthreshold?
A) bb75 bbcells/mm3 bbof bbblood bb
B) bb200 bbcells/mm3 bbof bbblood bb
C) bb325 bbcells/mm3 bbof bbblood bb
D) bb450 bbcells/mm3 bbof bbblood bb- bbcorrect bbanswers✔✔B) bb200 bbcells/mm3 bbof
bbblood
When bbCD4+ bbT-cell bblevels bbdrop bbbelow bb200 bbcells/mm3 bbof bbblood, bbthe
bbperson bbis bbsaid bbto bbhave bbAIDS.
A bbnurse bbis bbplanning bba bbpatients bbcare bband bbis bbrelating bbit bbto bbnormal
bbimmune bbresponse. bbDuring bbwhat bbstage bbof bbthe bbimmune bbresponse bbshould
bbthe bbnurse bbknow bbthat bbantibodies bbor bbcytotoxic bbT bbcells bbcombine bband
bbdestroy bbthe bbinvading bbmicrobes?
A) bbRecognition bbstage
B) bbProliferation bbstage bb
C) bbResponse bbstage
D) bbEffector bbstage bb- bbcorrect bbanswers✔✔D) bbEffector bbstage
In bbthe bbeffector bbstage, bbeither bbthe bbantibody bbof bbthe bbhumoral bbresponse bbor
bbthe bbcytotoxic bb(killer) bbT bbcell bbof bbthe bbcellular bbresponse bbreaches bband
bbcouples bbwith bbthe bbantigen bbon bbthe bbsurface bbof bbthe bbforeign bbinvader.
,A bbnurse bbis bbplanning bbthe bbassessment bbof bba bbpatient bbwho bbis bbexhibiting
bbsigns bband bbsymptoms bbof bban bbautoimmune bbdisorder. bbThe bbnurse bbshould bbbe
bbaware bbthat bbthe bbincidence bband bbprevalence bbof bbautoimmune bbdiseases bbis
bbknown bbto bbbe bbhigher bbamong bbwhat bbgroup?
A) bbYoung bbadults bb
B) bbNative bbAmericans bb
C) bbWomen
D) bbHispanics bb- bbcorrect bbanswers✔✔C) bbWomen
Many bbautoimmune bbdiseases bbhave bba bbhigher bbincidence bbin bbfemales bbthan bbin
bbmales, bba bbphenomenon bbbelieved bbto bbbe bbcorrelated bbwith bbsex bbhormones.
Middle-aged bbadults bbare bbpart bbof bban bbage bbgroup bbthat bbis bbknown bbto bbbe
bbinterested bbin bbhealth bband bbhealth bbpromotion, bband bbthe bbnurse bbis bbplanning
bbhealth bbpromotion bbactivities bbaccordingly. bbTo bbwhat bbsuggestions bbdo bbmembers
bbof bbthis bbage bbgroup bbusually bbrespond bbwith bbenthusiasm? bbSelect bball bbthat
bbapply.
A) bbHow bblifestyle bbpractices bbcan bbimprove bbhealth
B) bbHow bbto bbeat bbhealthier
C) bbHow bbexercise bbcan bbimprove bbyour bblife bb
D) bbStrategies bbfor bbadhering bbto bbprescribed bbtherapy bb
E) bbExercise bbfor bbthe bbaging bb- bbcorrect bbanswers✔✔A) bbHow bblifestyle bbpractices
bbcan bbimprove bbhealth
B) bbHow bbto bbeat bbhealthier
C) bbHow bbexercise bbcan bbimprove bbyour bblife bb
Young bband bbmiddle-aged bbadults bbrepresent bban bbage bbgroup bbthat bbnot bbonly
bbexpresses bban bbinterest bbin bbhealth bband bbhealth bbpromotion bbbut bbalso bbresponds
bbenthusiastically bbto bbsuggestions bbthat bbshow bbhow bblifestyle bbpractices bbcan
bbimprove bbhealth; bbthese bblifestyle bbpractices bbinclude bbnutrition bband bbexercise.
bbMiddle-aged bbadults bbmay bbnot bbrespond bbpositively bbto bbteaching bbaimed bbat bbthe
bbaging. bbAdherence bbis bbnot bbnoted bbto bbbe bba bbdesired bbfocus bbin bbthis bbage
bbgroup.
A bbnurse bbhas bbbeen bbworking bbwith bbMrs. bbGriffin, bba bb71-year-old bbpatient bbwhose
bbpoorly bbcontrolled bbtype bb1 bbdiabetes bbhas bbled bbto bbnumerous bbhealth bbproblems.
bbOver bbthe bbpast bbseveral bbyears bbMrs. bbGriffin bbhas bbhad bbseveral bbadmissions
bbto bbthe bbhospital bbmedical bbunit, bband bbthe bbnurse bbhas bboften bbcarried bbout
,bbhealth bbpromotion bbinterventions. bbWho bbis bbultimately bbresponsible bbfor
bbmaintaining bband bbpromoting bbMrs. bbGriffins bbhealth?
A) bbThe bbmedical bbnurse
B) bbThe bbcommunity bbhealth bbnurse bbwho bbhas bbalso bbworked bbwith bbMrs. bbGriffin
C) bbMrs. bbGriffins bbprimary bbcare bbprovider
D) bbMrs. bbGriffin bb- bbcorrect bbanswers✔✔D) bbMrs. bbGriffin
American bbsociety bbplaces bba bbgreat bbimportance bbon bbhealth bband bbthe
bbresponsibility bbthat bbeach bbof bbus bbhas bbto bbmaintain bband bbpromote bbour bbown
bbhealth. bbTherefore, bbthe bbother bboptions bbare bbincorrect.
An bbelderly bbfemale bbpatient bbhas bbcome bbto bbthe bbclinic bbfor bba bbscheduled
bbfollow-up bbappointment. bbThe bbnurse bblearns bbfrom bbthe bbpatients bbdaughter bbthat
bbthe bbpatient bbis bbnot bbfollowing bbthe bbinstructions bbshe bbreceived bbupon bbdischarge
bbfrom bbthe bbhospital bblast bbmonth. bbWhat bbis bbthe bbmost bblikely bbfactor bbcausing
bbthe bbpatient bbnot bbto bbadhere bbto bbher bbtherapeutic bbregimen?
A) bbEthnic bbbackground bbof bbhealth bbcare bbprovider
B) bbCosts bbof bbthe bbprescribed bbregimen
C) bbPresence bbof bba bblearning bbdisability
D) bbPersonality bbof bbthe bbphysician bb- bbcorrect bbanswers✔✔B) bbCosts bbof bbthe
bbprescribed bbregimen
Variables bbthat bbappear bbto bbinfluence bbthe bbdegree bbof bbadherence bbto bba
bbprescribed bbtherapeutic bbregimen bbinclude bbgender, bbrace, bbeducation, bbillness,
bbcomplexity bbof bbthe bbregimen, bband bbthe bbcost bbof bbtreatments.
A bbgerontologic bbnurse bbhas bbobserved bbthat bbpatients bboften bbfail bbto bbadhere bbto
bba bbtherapeutic bbregimen. bbWhat bbstrategy bbshould bbthe bbnurse bbadopt bbto bbbest
bbassist bban bbolder bbadult bbin bbadhering bbto bba bbtherapeutic bbregimen bbinvolving
bbwound bbcare?
A) bbDemonstrate bba bbdressing bbchange bband bballow bbthe bbpatient bbto bbpractice.
B) bbProvide bba bbdetailed bbpamphlet bbon bba bbdressing bbchange.
C) bbVerbally bbinstruct bbthe bbpatient bbhow bbto bbchange bba bbdressing bband bbcheck
bbfor bbcomprehension.
, D) bbDelegate bbthe bbdressing bbchange bbto bba bbtrusted bbfamily bbmember. bb- bbcorrect
bbanswers✔✔A) bbDemonstrate bba bbdressing bbchange bband bballow bbthe bbpatient bbto
bbpractice.
The bbnurse bbmust bbconsider bbthat bbolder bbadults bbmay bbhave bbdeficits bbin bbthe
bbability bbto bbdraw bbinferences, bbapply bbinformation, bbor bbunderstand bbmajor
bbteaching bbpoints. bbDemonstration bband bbpractice bbare bbessential bbin bbmeeting
bbtheir bblearning bbneeds.
A bb20-year-old bbman bbnewly bbdiagnosed bbwith bbtype bb1 bbdiabetes bbneeds bbto bblearn
bbhow bbto bbself-administer bbinsulin. bbWhen bbplanning bbthe bbappropriate bbeducational
bbinterventions bband bbconsidering bbvariables bbthat bbwill bbaffect bbhis bblearning, bbthe
bbnurse bbshould bbprioritize bbwhich bbof bbthe bbfollowing bbfactors?
A) bbPatients bbexpected bblifespan
B) bbPatients bbgender
C) bbPatients bboccupation
D) bbPatients bbculture bb- bbcorrect bbanswers✔✔D) bbPatients bbculture
One bbof bbthe bbmajor bbvariables bbthat bbinfluences bba bbpatients bbreadiness bbto bblearn
bbis bbthe bbpatients bbculture, bbbecause bbit bbaffects bbhow bba bbperson bblearns bband
bbwhat bbinformation bbis bblearned.
The bbnurse bbis bbplanning bbto bbteach bba bb75-year-old bbpatient bbwith bbcoronary
bbartery bbdisease bbabout bbadministering bbher bbprescribed bbantiplatelet bbmedication.
bbHow bbcan bbthe bbnurse bbbest bbenhance bbthe bbpatients bbability bbto bblearn?
A) bbProvide bblinks bbto bbWeb bbsites bbthat bbcontain bbevidence-based bbinformation.
B) bbExclude bbfamily bbmembers bbfrom bbthe bbsession bbto bbprevent bbdistraction.
C) bbUse bbcolor-coded bbmaterials bbthat bbare bbsuccinct bband bbengaging.
D) bbMake bbthe bbinformation bbdirectly bbrelevant bbto bbthe bbpatients bbcondition. bb-
bbcorrect bbanswers✔✔D) bbMake bbthe bbinformation bbdirectly bbrelevant bbto bbthe
bbpatients bbcondition.
Studies bbhave bbshown bbthat bbolder bbadults bbcan bblearn bband bbremember bbif bbthe
bbinformation bbis bbpaced bbappropriately, bbrelevant, bband bbfollowed bbby bbappropriate
bbfeedback.
A bbnurse bbis bbplanning bbcare bbfor bban bbolder bbadult bbwho bblives bbwith bba bbnumber
bbof bbchronic bbhealth bbproblems. bbFor bbwhich bbof bbthe bbfollowing bbnursing
