NUR 1211 MEDICAL SURGICAL
FINAL EXAM 2024-2025 ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS)EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
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 CORRECT -ANSWERSB) 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 CORRECT -ANSWERSD) 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 CORRECT -ANSWERSC) 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 CORRECT -ANSWERSA) 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 CORRECT -ANSWERSD) 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 CORRECT -ANSWERSB) 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. CORRECT -
ANSWERSA) 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 CORRECT -ANSWERSD) 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. CORRECT
-ANSWERSD) 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 CORRECT -ANSWERSD) 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.
FINAL EXAM 2024-2025 ACTUAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS)EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
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 CORRECT -ANSWERSB) 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 CORRECT -ANSWERSD) 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 CORRECT -ANSWERSC) 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 CORRECT -ANSWERSA) 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 CORRECT -ANSWERSD) 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 CORRECT -ANSWERSB) 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. CORRECT -
ANSWERSA) 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 CORRECT -ANSWERSD) 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. CORRECT
-ANSWERSD) 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 CORRECT -ANSWERSD) 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.
