NURSING 1211 MEDICAL SURGICAL FINAL EXAM
QUESTIONS AND ANSWERS WITH RATIONALES -
2024_2025
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 nurse’s 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
D) 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.
,The nursing instructor has given an assignment to a group of certified nurse
practitioner (CNP) students. They are to break into groups of four and
complete a health-promotion teaching project and present a report to their
fellow students. What project most clearly demonstrates the principles of
health- promotion teaching?
A) Demonstrating an injection technique to a patient for anticoagulant
therapy
B) Explaining the side effects of a medication to an adult patient
C) Discussing the importance of preventing sexually transmitted infections
(STI) to a group of high school students
D) Instructing an adolescent patient about safe and nutritious food
preparation
C) Discussing the importance of preventing sexually transmitted
infections (STI) to a group of high school students
Health promotion encourages people to live a healthy lifestyle and to achieve a
high level of wellness. Discussing the importance of STI prevention to a group of
high school students is the best example of a health-promotion teaching project.
This proactive intervention is a more precise example of health promotion than
the other cited examples.
Health promotion ranks high on the list of health-related concerns of the
American public. Based on current knowledge, what factor should the nurse
prioritize in an effort to promote health, longevity, and weight control in
patients?
,A) Good nutrition
B) Stress reduction
C) Use of vitamins
D)Screening for health risks
A) Good nutrition
It has been suggested that good nutrition is the single most significant factor in
determining health status, longevity, and weight control. A balanced diet that
uses few artificial ingredients and is low in fat, caffeine, and sodium constitutes
a healthy diet.
The nursing profession and nurses as individuals have a responsibility to
promote activities that foster well-being. What factor has most influenced
nurses’ abilities to play this vital role?
A) Nurses are seen as nurturing professionals.
B) Nurses possess a baccalaureate degree as the entry to practice.
C) Nurses possess an authentic desire to help others.
D) Nurses have long-established credibility with the public.
, D) Nurses have long-established credibility with the public.
Nurses, by virtue of their expertise in health and health care and their long-
established credibility with consumers, play a vital role in health promotion.
The nurse is teaching a local community group about the importance of
disease prevention. Why is the nurse justified in emphasizing disease
prevention as a component of health promotion?
A) Prevention is emphasized as the link between personal behavior and
health.
B) Most Americans die of preventable causes.
C) Health maintenance organizations (HMOs) now emphasize prevention as
the main criterion of health care.
D) External environment affects the outcome of most disease processes.
A) Prevention is emphasized as the link between personal behavior and
health.
Healthy People 2020 defines the current national health-promotion and disease-
prevention initiative for the nation.
The nurse is preparing discharge teaching for a 51-year-old woman diagnosed
with urinary retention secondary to multiple sclerosis. The nurse will teach
QUESTIONS AND ANSWERS WITH RATIONALES -
2024_2025
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 nurse’s 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
D) 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.
,The nursing instructor has given an assignment to a group of certified nurse
practitioner (CNP) students. They are to break into groups of four and
complete a health-promotion teaching project and present a report to their
fellow students. What project most clearly demonstrates the principles of
health- promotion teaching?
A) Demonstrating an injection technique to a patient for anticoagulant
therapy
B) Explaining the side effects of a medication to an adult patient
C) Discussing the importance of preventing sexually transmitted infections
(STI) to a group of high school students
D) Instructing an adolescent patient about safe and nutritious food
preparation
C) Discussing the importance of preventing sexually transmitted
infections (STI) to a group of high school students
Health promotion encourages people to live a healthy lifestyle and to achieve a
high level of wellness. Discussing the importance of STI prevention to a group of
high school students is the best example of a health-promotion teaching project.
This proactive intervention is a more precise example of health promotion than
the other cited examples.
Health promotion ranks high on the list of health-related concerns of the
American public. Based on current knowledge, what factor should the nurse
prioritize in an effort to promote health, longevity, and weight control in
patients?
,A) Good nutrition
B) Stress reduction
C) Use of vitamins
D)Screening for health risks
A) Good nutrition
It has been suggested that good nutrition is the single most significant factor in
determining health status, longevity, and weight control. A balanced diet that
uses few artificial ingredients and is low in fat, caffeine, and sodium constitutes
a healthy diet.
The nursing profession and nurses as individuals have a responsibility to
promote activities that foster well-being. What factor has most influenced
nurses’ abilities to play this vital role?
A) Nurses are seen as nurturing professionals.
B) Nurses possess a baccalaureate degree as the entry to practice.
C) Nurses possess an authentic desire to help others.
D) Nurses have long-established credibility with the public.
, D) Nurses have long-established credibility with the public.
Nurses, by virtue of their expertise in health and health care and their long-
established credibility with consumers, play a vital role in health promotion.
The nurse is teaching a local community group about the importance of
disease prevention. Why is the nurse justified in emphasizing disease
prevention as a component of health promotion?
A) Prevention is emphasized as the link between personal behavior and
health.
B) Most Americans die of preventable causes.
C) Health maintenance organizations (HMOs) now emphasize prevention as
the main criterion of health care.
D) External environment affects the outcome of most disease processes.
A) Prevention is emphasized as the link between personal behavior and
health.
Healthy People 2020 defines the current national health-promotion and disease-
prevention initiative for the nation.
The nurse is preparing discharge teaching for a 51-year-old woman diagnosed
with urinary retention secondary to multiple sclerosis. The nurse will teach
