NUR 1211 MEDICAL SURGICAL FINAL TEST EXAM 2026 ACTUAL
STUDY QUESTIONS WITH CORRECT DETAILED ANSWERS WITH
RATIONALES GUARANTEED PASS | RATED A+
A patient is being treated for cancer and the nurse has identified the nursing diagnosis of Risk for
Infection Due to Protein Losses. Protein losses inhibit immune response in which of the
following ways?
A) Causing apoptosis of cytokines
B) Increasing interferon production
C) Causing CD4+ cells to mutate
D) Depressing antibody response - Answer>>> D) Depressing antibody response
Depletion of protein reserves results in atrophy of lymphoid tissues, depression of antibody
response, reduction in the number of circulating T cells, and impaired phagocytic function.
The nurse on the medicalsurgical unit is reviewing discharge instructions with a patient who has
a history of glaucoma. The nurse should anticipate the use of what medications?
A) Potassium-sparing diuretics
B) Cholinergics
C) Antibiotics
D) Loop diuretics - Answer>>> B) Cholinergics
,Cholinergics are used in the treatment of glaucoma. The action of this medication is to increase
aqueous fluid outflow by contracting the ciliary muscle and causing miosis and opening the
trabecular meshwork.
A man was scratched by an old tool and developed a virulent staphylococcus infection. In the
course of the mans immune response, circulating lymphocytes containing the antigenic message
returned to the nearest lymph node. During what stage of the immune response did this occur?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage - Answer>>> B) Proliferation stage
In the proliferation stage, the circulating lymphocyte containing the antigenic message returns to
the nearest lymph node. Once in the node, the sensitized lymphocyte stimulates some of the
resident dormant T and B lymphocytes to enlarge, divide, and proliferate.
A nurse is assessing a 28-year-old man with HIV who has been admitted with pneumonia. In
assessing the patient, which of the following observations takes immediate priority?
A) Oral temperature of 100F
B) Tachypnea and restlessness
C) Frequent loose stools
D) Weight loss of 1 pound since yesterday - Answer>>> B) Tachypnea and restlessness
In prioritizing care, the pneumonia would be assessed first by the nurse. Tachypnea and
restlessness are symptoms of altered respiratory status and need immediate priority.
,A patient is undergoing testing to determine the overall function of her immune system. What
test can be performed to evaluate the functioning of the patients cellular immune system?
A) Immunoglobulin testing
B) Delayed hypersensitivity skin test
C) Specific antibody response
D) Total serum globulin assessment - Answer>>> B) Delayed hypersensitivity skin test
Cellular (cell-mediated) immunity tests include the delayed hypersensitivity skin test, since this
immune response is specifically dependent on the cellular immune response.
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 - 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 patient who has been newly diagnosed with systemic lupus erythematosus (SLE) has been
admitted to the medical unit. Which of the following nursing diagnoses is the most plausible
inclusion in the plan of care?
A) Fatigue Related to Anemia
B) Risk for Ineffective Tissue Perfusion Related to Venous Thromboembolism
C) Acute Confusion Related to Increased Serum Ammonia Levels
D) Risk for Ineffective Tissue Perfusion Related to Increased Hematocrit - Answer>>> A)
Fatigue Related to Anemia
Patients with SLE nearly always experience fatigue, which is partly attributable to anemia.
A nurse would identify that a colleague needs additional instruction on standard precautions
when the colleague exhibits which of the following behaviors?
A) The nurse wears face protection, gloves, and a gown when irrigating a wound.
B) The nurse washes the hands with a waterless antiseptic agent after removing a pair of soiled
gloves.
STUDY QUESTIONS WITH CORRECT DETAILED ANSWERS WITH
RATIONALES GUARANTEED PASS | RATED A+
A patient is being treated for cancer and the nurse has identified the nursing diagnosis of Risk for
Infection Due to Protein Losses. Protein losses inhibit immune response in which of the
following ways?
A) Causing apoptosis of cytokines
B) Increasing interferon production
C) Causing CD4+ cells to mutate
D) Depressing antibody response - Answer>>> D) Depressing antibody response
Depletion of protein reserves results in atrophy of lymphoid tissues, depression of antibody
response, reduction in the number of circulating T cells, and impaired phagocytic function.
The nurse on the medicalsurgical unit is reviewing discharge instructions with a patient who has
a history of glaucoma. The nurse should anticipate the use of what medications?
A) Potassium-sparing diuretics
B) Cholinergics
C) Antibiotics
D) Loop diuretics - Answer>>> B) Cholinergics
,Cholinergics are used in the treatment of glaucoma. The action of this medication is to increase
aqueous fluid outflow by contracting the ciliary muscle and causing miosis and opening the
trabecular meshwork.
A man was scratched by an old tool and developed a virulent staphylococcus infection. In the
course of the mans immune response, circulating lymphocytes containing the antigenic message
returned to the nearest lymph node. During what stage of the immune response did this occur?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage - Answer>>> B) Proliferation stage
In the proliferation stage, the circulating lymphocyte containing the antigenic message returns to
the nearest lymph node. Once in the node, the sensitized lymphocyte stimulates some of the
resident dormant T and B lymphocytes to enlarge, divide, and proliferate.
A nurse is assessing a 28-year-old man with HIV who has been admitted with pneumonia. In
assessing the patient, which of the following observations takes immediate priority?
A) Oral temperature of 100F
B) Tachypnea and restlessness
C) Frequent loose stools
D) Weight loss of 1 pound since yesterday - Answer>>> B) Tachypnea and restlessness
In prioritizing care, the pneumonia would be assessed first by the nurse. Tachypnea and
restlessness are symptoms of altered respiratory status and need immediate priority.
,A patient is undergoing testing to determine the overall function of her immune system. What
test can be performed to evaluate the functioning of the patients cellular immune system?
A) Immunoglobulin testing
B) Delayed hypersensitivity skin test
C) Specific antibody response
D) Total serum globulin assessment - Answer>>> B) Delayed hypersensitivity skin test
Cellular (cell-mediated) immunity tests include the delayed hypersensitivity skin test, since this
immune response is specifically dependent on the cellular immune response.
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 - 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 patient who has been newly diagnosed with systemic lupus erythematosus (SLE) has been
admitted to the medical unit. Which of the following nursing diagnoses is the most plausible
inclusion in the plan of care?
A) Fatigue Related to Anemia
B) Risk for Ineffective Tissue Perfusion Related to Venous Thromboembolism
C) Acute Confusion Related to Increased Serum Ammonia Levels
D) Risk for Ineffective Tissue Perfusion Related to Increased Hematocrit - Answer>>> A)
Fatigue Related to Anemia
Patients with SLE nearly always experience fatigue, which is partly attributable to anemia.
A nurse would identify that a colleague needs additional instruction on standard precautions
when the colleague exhibits which of the following behaviors?
A) The nurse wears face protection, gloves, and a gown when irrigating a wound.
B) The nurse washes the hands with a waterless antiseptic agent after removing a pair of soiled
gloves.
