NUR 1211 MEDICAL SURGICAL FINAL
EXAM 2025 ACTUAL EXAM QUESTIONS
AND ANSWERS
A mnurse mis mworking mwith ma mpatient mwho mwas mdiagnosed mwith mHIV mseveral mmonths mearlier.
mThe mnurse mshould mrecognize mthat ma mpatient mwith mHIV mis mconsidered mto mhave mAIDS mat mthe
mpoint mwhen mthe mCD4+ mT-lymphocyte mcell mcount mdrops mbelow mwhat mthreshold?
A) m75 mcells/mm3 mof mblood m
B) m200 mcells/mm3 mof mblood m
C) m325 mcells/mm3 mof mblood m
D) m450 mcells/mm3 mof mblood m- mAnswer m- mB) m200 mcells/mm3 mof mblood
When mCD4+ mT-cell mlevels mdrop mbelow m200 mcells/mm3 mof mblood, mthe mperson mis msaid mto
mhave mAIDS.
A mnurse mis mplanning ma mpatients mcare mand mis mrelating mit mto mnormal mimmune mresponse.
mDuring mwhat mstage mof mthe mimmune mresponse mshould mthe mnurse mknow mthat mantibodies mor
mcytotoxic mT mcells mcombine mand mdestroy mthe minvading mmicrobes?
A) mRecognition mstage
B) mProliferation mstage m
C) mResponse mstage
D) mEffector mstage m- mAnswer m- mD) mEffector mstage
In mthe meffector mstage, meither mthe mantibody mof mthe mhumoral mresponse mor mthe mcytotoxic
m(killer) mT mcell mof mthe mcellular mresponse mreaches mand mcouples mwith mthe mantigen mon mthe
msurface mof mthe mforeign minvader.
,A mnurse mis mplanning mthe massessment mof ma mpatient mwho mis mexhibiting msigns mand msymptoms
mof man mautoimmune mdisorder. mThe mnurse mshould mbe maware mthat mthe mincidence mand
mprevalence mof mautoimmune mdiseases mis mknown mto mbe mhigher mamong mwhat mgroup?
A) mYoung madults m
B) mNative mAmericans m
C) mWomen
D) mHispanics m- mAnswer m- mC) mWomen
Many mautoimmune mdiseases mhave ma mhigher mincidence min mfemales mthan min mmales, ma
mphenomenon mbelieved mto mbe mcorrelated mwith msex mhormones.
Middle-aged madults mare mpart mof man mage mgroup mthat mis mknown mto mbe minterested min mhealth
mand mhealth mpromotion, mand mthe mnurse mis mplanning mhealth mpromotion mactivities maccordingly.
mTo mwhat msuggestions mdo mmembers mof mthis mage mgroup musually mrespond mwith menthusiasm?
mSelect mall mthat mapply.
A) mHow mlifestyle mpractices mcan mimprove mhealth
B) mHow mto meat mhealthier
C) mHow mexercise mcan mimprove myour mlife m
D) mStrategies mfor madhering mto mprescribed mtherapy m
E) mExercise mfor mthe maging m- mAnswer m- mA) mHow mlifestyle mpractices mcan mimprove mhealth
B) mHow mto meat mhealthier
C) mHow mexercise mcan mimprove myour mlife m
,Young mand mmiddle-aged madults mrepresent man mage mgroup mthat mnot monly mexpresses man
minterest min mhealth mand mhealth mpromotion mbut malso mresponds menthusiastically mto msuggestions
mthat mshow mhow mlifestyle mpractices mcan mimprove mhealth; mthese mlifestyle mpractices minclude
mnutrition mand mexercise. mMiddle-aged madults mmay mnot mrespond mpositively mto mteaching maimed
mat mthe maging. mAdherence mis mnot mnoted mto mbe ma mdesired mfocus min mthis mage mgroup.
A mnurse mhas mbeen mworking mwith mMrs. mGriffin, ma m71-year-old mpatient mwhose mpoorly
mcontrolled mtype m1 mdiabetes mhas mled mto mnumerous mhealth mproblems. mOver mthe mpast mseveral
myears mMrs. mGriffin mhas mhad mseveral madmissions mto mthe mhospital mmedical munit, mand mthe
mnurse mhas moften mcarried mout mhealth mpromotion minterventions. mWho mis multimately
mresponsible mfor mmaintaining mand mpromoting mMrs. mGriffins mhealth?
A) mThe mmedical mnurse
B) mThe mcommunity mhealth mnurse mwho mhas malso mworked mwith mMrs. mGriffin
C) mMrs. mGriffins mprimary mcare mprovider
D) mMrs. mGriffin m- mAnswer m- mD) mMrs. mGriffin
American msociety mplaces ma mgreat mimportance mon mhealth mand mthe mresponsibility mthat meach
mof mus mhas mto mmaintain mand mpromote mour mown mhealth. mTherefore, mthe mother moptions mare
mincorrect.
An melderly mfemale mpatient mhas mcome mto mthe mclinic mfor ma mscheduled mfollow-up mappointment.
mThe mnurse mlearns mfrom mthe mpatients mdaughter mthat mthe mpatient mis mnot mfollowing mthe
minstructions mshe mreceived mupon mdischarge mfrom mthe mhospital mlast mmonth. mWhat mis mthe
mmost mlikely mfactor mcausing mthe mpatient mnot mto madhere mto mher mtherapeutic mregimen?
A) mEthnic mbackground mof mhealth mcare mprovider
B) mCosts mof mthe mprescribed mregimen
, C) mPresence mof ma mlearning mdisability
D) mPersonality mof mthe mphysician m- mAnswer m- mB) mCosts mof mthe mprescribed mregimen
Variables mthat mappear mto minfluence mthe mdegree mof madherence mto ma mprescribed mtherapeutic
mregimen minclude mgender, mrace, meducation, millness, mcomplexity mof mthe mregimen, mand mthe
mcost mof mtreatments.
A mgerontologic mnurse mhas mobserved mthat mpatients moften mfail mto madhere mto ma mtherapeutic
mregimen. mWhat mstrategy mshould mthe mnurse madopt mto mbest massist man molder madult min
madhering mto ma mtherapeutic mregimen minvolving mwound mcare?
A) mDemonstrate ma mdressing mchange mand mallow mthe mpatient mto mpractice.
B) mProvide ma mdetailed mpamphlet mon ma mdressing mchange.
C) mVerbally minstruct mthe mpatient mhow mto mchange ma mdressing mand mcheck mfor mcomprehension.
D) mDelegate mthe mdressing mchange mto ma mtrusted mfamily mmember. m- mAnswer m- mA)
mDemonstrate ma mdressing mchange mand mallow mthe mpatient mto mpractice.
The mnurse mmust mconsider mthat molder madults mmay mhave mdeficits min mthe mability mto mdraw
minferences, mapply minformation, mor munderstand mmajor mteaching mpoints. mDemonstration mand
mpractice mare messential min mmeeting mtheir mlearning mneeds.
A m20-year-old mman mnewly mdiagnosed mwith mtype m1 mdiabetes mneeds mto mlearn mhow mto mself-
administer minsulin. mWhen mplanning mthe mappropriate meducational minterventions mand mconsidering
mvariables mthat mwill maffect mhis mlearning, mthe mnurse mshould mprioritize mwhich mof mthe mfollowing
mfactors?
A) mPatients mexpected mlifespan
EXAM 2025 ACTUAL EXAM QUESTIONS
AND ANSWERS
A mnurse mis mworking mwith ma mpatient mwho mwas mdiagnosed mwith mHIV mseveral mmonths mearlier.
mThe mnurse mshould mrecognize mthat ma mpatient mwith mHIV mis mconsidered mto mhave mAIDS mat mthe
mpoint mwhen mthe mCD4+ mT-lymphocyte mcell mcount mdrops mbelow mwhat mthreshold?
A) m75 mcells/mm3 mof mblood m
B) m200 mcells/mm3 mof mblood m
C) m325 mcells/mm3 mof mblood m
D) m450 mcells/mm3 mof mblood m- mAnswer m- mB) m200 mcells/mm3 mof mblood
When mCD4+ mT-cell mlevels mdrop mbelow m200 mcells/mm3 mof mblood, mthe mperson mis msaid mto
mhave mAIDS.
A mnurse mis mplanning ma mpatients mcare mand mis mrelating mit mto mnormal mimmune mresponse.
mDuring mwhat mstage mof mthe mimmune mresponse mshould mthe mnurse mknow mthat mantibodies mor
mcytotoxic mT mcells mcombine mand mdestroy mthe minvading mmicrobes?
A) mRecognition mstage
B) mProliferation mstage m
C) mResponse mstage
D) mEffector mstage m- mAnswer m- mD) mEffector mstage
In mthe meffector mstage, meither mthe mantibody mof mthe mhumoral mresponse mor mthe mcytotoxic
m(killer) mT mcell mof mthe mcellular mresponse mreaches mand mcouples mwith mthe mantigen mon mthe
msurface mof mthe mforeign minvader.
,A mnurse mis mplanning mthe massessment mof ma mpatient mwho mis mexhibiting msigns mand msymptoms
mof man mautoimmune mdisorder. mThe mnurse mshould mbe maware mthat mthe mincidence mand
mprevalence mof mautoimmune mdiseases mis mknown mto mbe mhigher mamong mwhat mgroup?
A) mYoung madults m
B) mNative mAmericans m
C) mWomen
D) mHispanics m- mAnswer m- mC) mWomen
Many mautoimmune mdiseases mhave ma mhigher mincidence min mfemales mthan min mmales, ma
mphenomenon mbelieved mto mbe mcorrelated mwith msex mhormones.
Middle-aged madults mare mpart mof man mage mgroup mthat mis mknown mto mbe minterested min mhealth
mand mhealth mpromotion, mand mthe mnurse mis mplanning mhealth mpromotion mactivities maccordingly.
mTo mwhat msuggestions mdo mmembers mof mthis mage mgroup musually mrespond mwith menthusiasm?
mSelect mall mthat mapply.
A) mHow mlifestyle mpractices mcan mimprove mhealth
B) mHow mto meat mhealthier
C) mHow mexercise mcan mimprove myour mlife m
D) mStrategies mfor madhering mto mprescribed mtherapy m
E) mExercise mfor mthe maging m- mAnswer m- mA) mHow mlifestyle mpractices mcan mimprove mhealth
B) mHow mto meat mhealthier
C) mHow mexercise mcan mimprove myour mlife m
,Young mand mmiddle-aged madults mrepresent man mage mgroup mthat mnot monly mexpresses man
minterest min mhealth mand mhealth mpromotion mbut malso mresponds menthusiastically mto msuggestions
mthat mshow mhow mlifestyle mpractices mcan mimprove mhealth; mthese mlifestyle mpractices minclude
mnutrition mand mexercise. mMiddle-aged madults mmay mnot mrespond mpositively mto mteaching maimed
mat mthe maging. mAdherence mis mnot mnoted mto mbe ma mdesired mfocus min mthis mage mgroup.
A mnurse mhas mbeen mworking mwith mMrs. mGriffin, ma m71-year-old mpatient mwhose mpoorly
mcontrolled mtype m1 mdiabetes mhas mled mto mnumerous mhealth mproblems. mOver mthe mpast mseveral
myears mMrs. mGriffin mhas mhad mseveral madmissions mto mthe mhospital mmedical munit, mand mthe
mnurse mhas moften mcarried mout mhealth mpromotion minterventions. mWho mis multimately
mresponsible mfor mmaintaining mand mpromoting mMrs. mGriffins mhealth?
A) mThe mmedical mnurse
B) mThe mcommunity mhealth mnurse mwho mhas malso mworked mwith mMrs. mGriffin
C) mMrs. mGriffins mprimary mcare mprovider
D) mMrs. mGriffin m- mAnswer m- mD) mMrs. mGriffin
American msociety mplaces ma mgreat mimportance mon mhealth mand mthe mresponsibility mthat meach
mof mus mhas mto mmaintain mand mpromote mour mown mhealth. mTherefore, mthe mother moptions mare
mincorrect.
An melderly mfemale mpatient mhas mcome mto mthe mclinic mfor ma mscheduled mfollow-up mappointment.
mThe mnurse mlearns mfrom mthe mpatients mdaughter mthat mthe mpatient mis mnot mfollowing mthe
minstructions mshe mreceived mupon mdischarge mfrom mthe mhospital mlast mmonth. mWhat mis mthe
mmost mlikely mfactor mcausing mthe mpatient mnot mto madhere mto mher mtherapeutic mregimen?
A) mEthnic mbackground mof mhealth mcare mprovider
B) mCosts mof mthe mprescribed mregimen
, C) mPresence mof ma mlearning mdisability
D) mPersonality mof mthe mphysician m- mAnswer m- mB) mCosts mof mthe mprescribed mregimen
Variables mthat mappear mto minfluence mthe mdegree mof madherence mto ma mprescribed mtherapeutic
mregimen minclude mgender, mrace, meducation, millness, mcomplexity mof mthe mregimen, mand mthe
mcost mof mtreatments.
A mgerontologic mnurse mhas mobserved mthat mpatients moften mfail mto madhere mto ma mtherapeutic
mregimen. mWhat mstrategy mshould mthe mnurse madopt mto mbest massist man molder madult min
madhering mto ma mtherapeutic mregimen minvolving mwound mcare?
A) mDemonstrate ma mdressing mchange mand mallow mthe mpatient mto mpractice.
B) mProvide ma mdetailed mpamphlet mon ma mdressing mchange.
C) mVerbally minstruct mthe mpatient mhow mto mchange ma mdressing mand mcheck mfor mcomprehension.
D) mDelegate mthe mdressing mchange mto ma mtrusted mfamily mmember. m- mAnswer m- mA)
mDemonstrate ma mdressing mchange mand mallow mthe mpatient mto mpractice.
The mnurse mmust mconsider mthat molder madults mmay mhave mdeficits min mthe mability mto mdraw
minferences, mapply minformation, mor munderstand mmajor mteaching mpoints. mDemonstration mand
mpractice mare messential min mmeeting mtheir mlearning mneeds.
A m20-year-old mman mnewly mdiagnosed mwith mtype m1 mdiabetes mneeds mto mlearn mhow mto mself-
administer minsulin. mWhen mplanning mthe mappropriate meducational minterventions mand mconsidering
mvariables mthat mwill maffect mhis mlearning, mthe mnurse mshould mprioritize mwhich mof mthe mfollowing
mfactors?
A) mPatients mexpected mlifespan
