1
NURS 480 Medical-Surgical FINAL EXAM
NURS 480 Medical-Surgical FINALE EXAM
1 WEST COAST UNIVERSITY PREDICTOR
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH DETAILED
RATIONALES GRADED A+ GUARANTEED PASS
ACE
A client reports to the nurse of recently visiting someone who has a shingles infection. The
client believes that having had chickenpox as a child will be protective against shingles.
How should the nurse respond? Select all that apply.
A. Ask the client to describe the type of shingles that her brother has.
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NURS 480 Medical-Surgical FINAL EXAM
B. Affirm that a person with shingles has a history of chickenpox infection.
C. Instruct the client to report the development of fatigue and low-grade fever.
D. Explain that the risk of developing shingles decreases with age.
E. Distinguish the difference between herpes varicella and herpes zoster.
Correct Answer: B,E
Choice B reason: The correct answer is b) because the nurse should affirm that a person with
shingles has a history of chickenpox infection. This response helps the client understand that
shingles are caused by the reactivation of the varicella-zoster virus, which also causes
chickenpox. By explaining this connection, the nurse can provide accurate information and
help the client understand their condition better.
Choice E reason: The correct answer is e) because distinguishing the difference between
herpes varicella (chickenpox) and herpes zoster (shingles) is crucial. This explanation helps
the client understand that shingles are a reactivation of the virus that causes chickenpox and
that having had chickenpox does not necessarily provide immunity against shingles.
Understanding the difference between the two conditions can help the client recognize the
symptoms and seek appropriate treatment.
The nurse is caring for a client with acute kidney injury (AKI). Which assessment finding
warrants immediate intervention?
A. Dyspnea and sinus tachycardia.
B. Reports of a bad taste in the mouth.
C. Low, concentrated urine output.
D. Productive cough and fever.
Correct Answer : A
The correct answer is a) because dyspnea (difficulty breathing) and sinus tachycardia (rapid
heart rate) are signs of a potentially serious condition that warrants immediate intervention.
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NURS 480 Medical-Surgical FINAL EXAM
These symptoms may indicate fluid overload, heart failure, or another critical issue that
requires prompt attention to prevent further complications.
A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness,
and drainage around the catheter site on the abdominal wall. While planning care, the
nurse is most concerned about preventing which complication related to these findings?
A. Atelectasis.
B. Outflow obstruction.
C. Exit site infection.
D. Peritonitis.
D.
The correct answer is d) because peritonitis is a serious complication that can arise from an
infection at the catheter site in a client with chronic kidney disease on peritoneal dialysis.
Peritonitis requires prompt intervention to prevent severe infection and potential life-
threatening consequences. The nurse should focus on preventing and promptly addressing
signs of infection to avoid this complication.
The nurse is developing home care instructions for a client with peripheral artery disease
(PAD). Which intervention should the nurse include?
A. Leg elevation.
B. Structured exercise.
C. Massage therapy.
D. Calorie-dense diet.
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NURS 480 Medical-Surgical FINAL EXAM
B.
The correct answer is b) because structured exercise is an important intervention for clients
with peripheral artery disease. It helps improve circulation, reduce symptoms, and increase
the distance the client can walk without pain.
A client who suffered an electrical injury with the entrance site on the left hand and the
exit site on the left foot is admitted to the burn unit. Which intervention is most important
for the nurse to include in this client's plan of care?
A. Perform passive range of motion.
B. Assess lung sounds every 4 hours.
C. Continuous cardiac monitoring.
D. Evaluate level of consciousness.
C.
The correct answer is c) because continuous cardiac monitoring is essential for clients who
have suffered electrical injuries. Electrical currents can cause cardiac arrhythmias, and
continuous monitoring helps detect and respond to any changes in heart rhythm promptly.
During a home visit, the nurse assesses the skin of a client with eczema who reports that
an exacerbation of symptoms has occurred during the last week. Which information is
most useful in determining the possible cause of the symptoms?
A. An old friend with eczema came for a visit.
B. A grandson and his new dog recently visited.
C. Corticosteroid cream was applied to eczema.
D. Recently received an influenza immunization.
B.
The correct answer is b) because the recent visit by a grandson and his new dog suggests
NURS 480 Medical-Surgical FINAL EXAM
NURS 480 Medical-Surgical FINALE EXAM
1 WEST COAST UNIVERSITY PREDICTOR
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH DETAILED
RATIONALES GRADED A+ GUARANTEED PASS
ACE
A client reports to the nurse of recently visiting someone who has a shingles infection. The
client believes that having had chickenpox as a child will be protective against shingles.
How should the nurse respond? Select all that apply.
A. Ask the client to describe the type of shingles that her brother has.
, 2
NURS 480 Medical-Surgical FINAL EXAM
B. Affirm that a person with shingles has a history of chickenpox infection.
C. Instruct the client to report the development of fatigue and low-grade fever.
D. Explain that the risk of developing shingles decreases with age.
E. Distinguish the difference between herpes varicella and herpes zoster.
Correct Answer: B,E
Choice B reason: The correct answer is b) because the nurse should affirm that a person with
shingles has a history of chickenpox infection. This response helps the client understand that
shingles are caused by the reactivation of the varicella-zoster virus, which also causes
chickenpox. By explaining this connection, the nurse can provide accurate information and
help the client understand their condition better.
Choice E reason: The correct answer is e) because distinguishing the difference between
herpes varicella (chickenpox) and herpes zoster (shingles) is crucial. This explanation helps
the client understand that shingles are a reactivation of the virus that causes chickenpox and
that having had chickenpox does not necessarily provide immunity against shingles.
Understanding the difference between the two conditions can help the client recognize the
symptoms and seek appropriate treatment.
The nurse is caring for a client with acute kidney injury (AKI). Which assessment finding
warrants immediate intervention?
A. Dyspnea and sinus tachycardia.
B. Reports of a bad taste in the mouth.
C. Low, concentrated urine output.
D. Productive cough and fever.
Correct Answer : A
The correct answer is a) because dyspnea (difficulty breathing) and sinus tachycardia (rapid
heart rate) are signs of a potentially serious condition that warrants immediate intervention.
, 3
NURS 480 Medical-Surgical FINAL EXAM
These symptoms may indicate fluid overload, heart failure, or another critical issue that
requires prompt attention to prevent further complications.
A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness,
and drainage around the catheter site on the abdominal wall. While planning care, the
nurse is most concerned about preventing which complication related to these findings?
A. Atelectasis.
B. Outflow obstruction.
C. Exit site infection.
D. Peritonitis.
D.
The correct answer is d) because peritonitis is a serious complication that can arise from an
infection at the catheter site in a client with chronic kidney disease on peritoneal dialysis.
Peritonitis requires prompt intervention to prevent severe infection and potential life-
threatening consequences. The nurse should focus on preventing and promptly addressing
signs of infection to avoid this complication.
The nurse is developing home care instructions for a client with peripheral artery disease
(PAD). Which intervention should the nurse include?
A. Leg elevation.
B. Structured exercise.
C. Massage therapy.
D. Calorie-dense diet.
, 4
NURS 480 Medical-Surgical FINAL EXAM
B.
The correct answer is b) because structured exercise is an important intervention for clients
with peripheral artery disease. It helps improve circulation, reduce symptoms, and increase
the distance the client can walk without pain.
A client who suffered an electrical injury with the entrance site on the left hand and the
exit site on the left foot is admitted to the burn unit. Which intervention is most important
for the nurse to include in this client's plan of care?
A. Perform passive range of motion.
B. Assess lung sounds every 4 hours.
C. Continuous cardiac monitoring.
D. Evaluate level of consciousness.
C.
The correct answer is c) because continuous cardiac monitoring is essential for clients who
have suffered electrical injuries. Electrical currents can cause cardiac arrhythmias, and
continuous monitoring helps detect and respond to any changes in heart rhythm promptly.
During a home visit, the nurse assesses the skin of a client with eczema who reports that
an exacerbation of symptoms has occurred during the last week. Which information is
most useful in determining the possible cause of the symptoms?
A. An old friend with eczema came for a visit.
B. A grandson and his new dog recently visited.
C. Corticosteroid cream was applied to eczema.
D. Recently received an influenza immunization.
B.
The correct answer is b) because the recent visit by a grandson and his new dog suggests
