NUR 201 EXAM 1 (FORTIS) NEWEST 2026 ACTUAL
EXAM TEST BANK| NUR201 MEDICAL-SURGICAL
NURSING I EXAM 1 REVIEW WITH 200 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADE A+ (MOST RECENT!!)
The nurse is caring for a patient with diabetes who had abdominal
surgery 3 days ago. Which finding is most important for the nurse to
report to the health care provider?
a. Blood glucose of 136 mg/dL
b. Separation of proximal wound edges
c. Oral temperature of 101° F (38.3° C)
d. Patient reports increased incisional pain – Correct Answer – B.
Wound separation 3 days postoperatively indicates possible wound
dehiscence and should be immediately reported to the health care
provider. The other findings will also be reported but do not require
intervention by the HCP as rapidly.
A patient who has diabetes and acute abdominal pain is admitted for an
exploratory laparotomy. When planning postoperative interventions to
promote wound healing, what is the nurse’s highest priority?
a. Maintaining the patient’s blood glucose within a normal range
b. Ensuring that the patient has an adequate dietary protein intake
c. Giving antipyretics to keep the temperature less than 102° F (38.9° C)
pg. 1
,d. Redressing the surgical incision with a dry, sterile dressing twice daily
– Correct Answer – A.
Elevated blood glucose will impair wound healing in multiple ways.
Ensuring adequate nutrition is important for the postoperative patient,
but a higher priority is blood glucose control. A temperature of 102° F
will not impact wound healing. Application of a dry, sterile dressing
daily may be ordered, but frequent dressing changes for a wound healing
by primary intention is not necessary to promote wound healing.
Which finding is most important for the nurse to communicate to the
health care provider when caring for a patient who is receiving negative-
pressure wound therapy?
a. Low serum albumin level
b. Serosanguineous drainage
c. Deep red and moist wound bed
d. Cobblestone wound appearance – Correct Answer – A.
Serum protein levels may decrease with negative pressure therapy,
which will adversely affect wound healing. The other findings are
expected with wound healing.
A patient who has an infected abdominal wound develops a temperature
of 104° F (40° C). All the following interventions are included in the
patient’s plan of care. In which order should the nurse perform the
following actions? (Put a comma and a space between each answer
choice [A, B, C, D]).
a. Administer IV antibiotics.
pg. 2
,b. Sponge patient with cool water.
c. Perform wet-to-dry dressing change.
d. Administer acetaminophen (Tylenol). – Correct Answer - A, D, B, C
The first action should be to administer the antibiotic because treating
the infection that has caused the fever is the most important aspect of
fever management. The next priority is to lower the high fever, so the
nurse should administer acetaminophen to lower the temperature set
point. A cool sponge bath should be done after the acetaminophen is
given to lower the temperature further. The wet-to-dry dressing change
will not have an immediate impact on the infection or fever and should
be done last.
The nurse provides discharge instructions to a patient who has an
immune deficiency involving the T lymphocytes. Which health
screening should the nurse include in the teaching plan for this patient?
a. Screening for cancers
b. Screening for allergies
c. Screening for antibody deficiencies
d. Screening for autoimmune disorders – Correct Answer – A.
Cell-mediated immunity is responsible for the recognition and
destruction of cancer cells. Allergic reactions, autoimmune disorders,
and antibody deficiencies are mediated primarily by B lymphocytes and
humoral immunity.
Which example should the nurse use to explain an infant's "passive
immunity" to a new mother?
pg. 3
, a. Vaccinations
b. Breastfeeding
c. Stem cells in peripheral blood
d. Exposure to communicable diseases – Correct Answer – B.
Colostrum in breast milk provides passive immunity through antibodies
from the mother. These antibodies protect the infant for a few months.
However, memory cells are not retained, so the protection is not
permanent. Active immunity is acquired by being immunized with
vaccinations or having an infection. Stem cells are unspecialized cells
used to repopulate a person's bone marrow after high-dose
chemotherapy.
A patient is being evaluated for possible atopic dermatitis. The nurse
should expect elevation of which laboratory value?
a. IgA
b. IgE
c. Basophils
d. Neutrophils – Correct Answer – B.
Serum IgE is elevated in an allergic response (type 1 hypersensitivity
disorders). The eosinophil level will be elevated rather than neutrophil or
basophil counts. IgA is in body secretions and would not be tested when
evaluating a patient who has symptoms of atopic dermatitis.
A patient is admitted to the hospital with acute rejection of a kidney
transplant. Which intervention will the nurse expect for this patient?
pg. 4
EXAM TEST BANK| NUR201 MEDICAL-SURGICAL
NURSING I EXAM 1 REVIEW WITH 200 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADE A+ (MOST RECENT!!)
The nurse is caring for a patient with diabetes who had abdominal
surgery 3 days ago. Which finding is most important for the nurse to
report to the health care provider?
a. Blood glucose of 136 mg/dL
b. Separation of proximal wound edges
c. Oral temperature of 101° F (38.3° C)
d. Patient reports increased incisional pain – Correct Answer – B.
Wound separation 3 days postoperatively indicates possible wound
dehiscence and should be immediately reported to the health care
provider. The other findings will also be reported but do not require
intervention by the HCP as rapidly.
A patient who has diabetes and acute abdominal pain is admitted for an
exploratory laparotomy. When planning postoperative interventions to
promote wound healing, what is the nurse’s highest priority?
a. Maintaining the patient’s blood glucose within a normal range
b. Ensuring that the patient has an adequate dietary protein intake
c. Giving antipyretics to keep the temperature less than 102° F (38.9° C)
pg. 1
,d. Redressing the surgical incision with a dry, sterile dressing twice daily
– Correct Answer – A.
Elevated blood glucose will impair wound healing in multiple ways.
Ensuring adequate nutrition is important for the postoperative patient,
but a higher priority is blood glucose control. A temperature of 102° F
will not impact wound healing. Application of a dry, sterile dressing
daily may be ordered, but frequent dressing changes for a wound healing
by primary intention is not necessary to promote wound healing.
Which finding is most important for the nurse to communicate to the
health care provider when caring for a patient who is receiving negative-
pressure wound therapy?
a. Low serum albumin level
b. Serosanguineous drainage
c. Deep red and moist wound bed
d. Cobblestone wound appearance – Correct Answer – A.
Serum protein levels may decrease with negative pressure therapy,
which will adversely affect wound healing. The other findings are
expected with wound healing.
A patient who has an infected abdominal wound develops a temperature
of 104° F (40° C). All the following interventions are included in the
patient’s plan of care. In which order should the nurse perform the
following actions? (Put a comma and a space between each answer
choice [A, B, C, D]).
a. Administer IV antibiotics.
pg. 2
,b. Sponge patient with cool water.
c. Perform wet-to-dry dressing change.
d. Administer acetaminophen (Tylenol). – Correct Answer - A, D, B, C
The first action should be to administer the antibiotic because treating
the infection that has caused the fever is the most important aspect of
fever management. The next priority is to lower the high fever, so the
nurse should administer acetaminophen to lower the temperature set
point. A cool sponge bath should be done after the acetaminophen is
given to lower the temperature further. The wet-to-dry dressing change
will not have an immediate impact on the infection or fever and should
be done last.
The nurse provides discharge instructions to a patient who has an
immune deficiency involving the T lymphocytes. Which health
screening should the nurse include in the teaching plan for this patient?
a. Screening for cancers
b. Screening for allergies
c. Screening for antibody deficiencies
d. Screening for autoimmune disorders – Correct Answer – A.
Cell-mediated immunity is responsible for the recognition and
destruction of cancer cells. Allergic reactions, autoimmune disorders,
and antibody deficiencies are mediated primarily by B lymphocytes and
humoral immunity.
Which example should the nurse use to explain an infant's "passive
immunity" to a new mother?
pg. 3
, a. Vaccinations
b. Breastfeeding
c. Stem cells in peripheral blood
d. Exposure to communicable diseases – Correct Answer – B.
Colostrum in breast milk provides passive immunity through antibodies
from the mother. These antibodies protect the infant for a few months.
However, memory cells are not retained, so the protection is not
permanent. Active immunity is acquired by being immunized with
vaccinations or having an infection. Stem cells are unspecialized cells
used to repopulate a person's bone marrow after high-dose
chemotherapy.
A patient is being evaluated for possible atopic dermatitis. The nurse
should expect elevation of which laboratory value?
a. IgA
b. IgE
c. Basophils
d. Neutrophils – Correct Answer – B.
Serum IgE is elevated in an allergic response (type 1 hypersensitivity
disorders). The eosinophil level will be elevated rather than neutrophil or
basophil counts. IgA is in body secretions and would not be tested when
evaluating a patient who has symptoms of atopic dermatitis.
A patient is admitted to the hospital with acute rejection of a kidney
transplant. Which intervention will the nurse expect for this patient?
pg. 4
