NUR 1211 MEDICAL SURGICAL STUDY GUIDE 2025/2026
QUESTIONS WITH ANSWERS GRADED A+
✔✔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 the patient to self-
catheterize at home upon discharge. What teaching method is most likely to be effective
for this patient?
A) A list of clear instructions written at a sixth-grade level
B) A short video providing useful information and demonstrations
C) An audio-recorded version of discharge instructions that can be accessed at home
,D) A discussion and demonstration between the nurse and the patient - ✔✔D) A
discussion and demonstration between the nurse and the patient
Demonstration and practice are essential ingredients of a teaching program, especially
when teaching skills. It is best to demonstrate the skill and then give the learner ample
opportunity for practice.
✔✔You are the nurse planning to teach tracheostomy care to a patient who will be
discharged home following a spinal cord injury. When preparing your teaching, which of
the following is the most important component of your teaching plan?
A) Citing the evidence that underlies each of your teaching points
B) Alleviating the patients guilt associated with not knowing appropriate self-care
C) Determining the patients readiness to learn new information
D) Including your nursing colleagues in the planning process - ✔✔C) Determining the
patients readiness to learn new information
Assessment in the teachinglearning process is directed toward the systematic collection
of data about the person and familys learning needs and readiness to learn. Patient
readiness is critical to accepting and integrating new information. Unless the patient is
ready to accept new information, patient teaching will be ineffective.
✔✔A public health nurse is preparing to hold a series of health-promotion classes for
middle-aged adults that will address a variety of topics. Which site would best meet the
learning needs of this population?
A) A well-respected physicians office
B) A large, local workplace
C) The local hospital
D) An ambulatory clinic - ✔✔B) A large, local workplace
The workplace has become a center for health-promotion activity. Health-promotion
programs can generally be offered almost anywhere in the community, but the
workplace is often more convenient for the adult, working population. This makes this
option preferable to a hospital, doctors office, or ambulatory clinic.
✔✔A nurse has been studying research that examines the association between stress
levels and negative health outcomes. Which relationship should underlie the
educational interventions that the nurse chooses to teach?
,A) Stress impairs sleep patterns.
B) Stress decreases immune function.
C) Stress increases weight.
D) Stress decreases concentration. - ✔✔B) Stress decreases immune function.
Studies have shown the negative effects of stress on health and a cause-and-effect
relationship between stress and infectious diseases, traumatic injuries (e.g., motor
vehicle crashes), and some chronic illnesses.
✔✔A public health nurse understands that health promotion should continue across the
lifespan. When planning health promotion initiatives, when in the lifespan should health
promotion begin?
A) Adolescence
B) School age
C) Preschool
D) Before birth - ✔✔D) Before birth
Health promotion should begin prior to birth because the health practices of a mother
prior to the birth of her child can be influenced positively or negatively. This makes the
other options incorrect.
✔✔A nurse is working with a teenage boy who was recently diagnosed with asthma.
During the current session, the nurse has taught the boy how to administer his
bronchodilator by metered-dose inhaler. How should the nurse evaluate the teaching
learning process?
A) Ask the boy specific questions about his medication.
B) Ask the boy whether he now understands how to use his inhaler.
C) Directly observe the boy using his inhaler to give himself a dose.
D) Assess the boys respiratory health at the next scheduled visit. - ✔✔C) Directly
observe the boy using his inhaler to give himself a dose.
Demonstration and practice are essential ingredients of a teaching program, especially
when teaching skills. It is best to demonstrate the skill and then give the learner ample
, opportunity for practice. By observing the patient using the inhaler, the nurse may
identify what learning needs to be enhanced or reinforced.
✔✔A team of public health nurses are doing strategic planning and are discussing
health promotion activities for the next year. Which of the following initiatives best
exemplifies the principles of health promotion?
A) A blood pressure clinic at a local factory
B) A family planning clinic at a community center
C) An immunization clinic at the largest local mall
D) A workplace safety seminar - ✔✔B) A family planning clinic at a community center
Health promotion may be defined as those activities that assist people in developing
resources that maintain or enhance well-being and improve their quality of life.
✔✔You are the oncoming nurse and you have just taken end-of-shift report on your
patients. One of your patients newly diagnosed with diabetes was admitted with diabetic
ketoacidosis. Which behavior best demonstrates this patients willingness to learn?
A) The patient requests a visit from the hospitals diabetic educator.
B) The patient sets aside a dessert brought in by a family member.
C) The patient wants a family member to meet with the dietician to discuss meals.
D) The patient readily allows the nurse to measure his blood glucose level. - ✔✔A) The
patient requests a visit from the hospitals diabetic educator.
Emotional readiness also affects the motivation to learn. A person who has not
accepted an existing illness or the threat of illness is not motivated to learn.
✔✔A nurse is planning an educational event for a local group of citizens who live with a
variety of physical and cognitive disabilities. What variable should the nurse prioritize
when planning this event?
A) Health-promotion needs of the group.
B) Relationships between participants and caregivers .
C) Wellness state of each individual
D) Learning needs of caregivers - ✔✔A) Health-promotion needs of the group.
QUESTIONS WITH ANSWERS GRADED A+
✔✔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 the patient to self-
catheterize at home upon discharge. What teaching method is most likely to be effective
for this patient?
A) A list of clear instructions written at a sixth-grade level
B) A short video providing useful information and demonstrations
C) An audio-recorded version of discharge instructions that can be accessed at home
,D) A discussion and demonstration between the nurse and the patient - ✔✔D) A
discussion and demonstration between the nurse and the patient
Demonstration and practice are essential ingredients of a teaching program, especially
when teaching skills. It is best to demonstrate the skill and then give the learner ample
opportunity for practice.
✔✔You are the nurse planning to teach tracheostomy care to a patient who will be
discharged home following a spinal cord injury. When preparing your teaching, which of
the following is the most important component of your teaching plan?
A) Citing the evidence that underlies each of your teaching points
B) Alleviating the patients guilt associated with not knowing appropriate self-care
C) Determining the patients readiness to learn new information
D) Including your nursing colleagues in the planning process - ✔✔C) Determining the
patients readiness to learn new information
Assessment in the teachinglearning process is directed toward the systematic collection
of data about the person and familys learning needs and readiness to learn. Patient
readiness is critical to accepting and integrating new information. Unless the patient is
ready to accept new information, patient teaching will be ineffective.
✔✔A public health nurse is preparing to hold a series of health-promotion classes for
middle-aged adults that will address a variety of topics. Which site would best meet the
learning needs of this population?
A) A well-respected physicians office
B) A large, local workplace
C) The local hospital
D) An ambulatory clinic - ✔✔B) A large, local workplace
The workplace has become a center for health-promotion activity. Health-promotion
programs can generally be offered almost anywhere in the community, but the
workplace is often more convenient for the adult, working population. This makes this
option preferable to a hospital, doctors office, or ambulatory clinic.
✔✔A nurse has been studying research that examines the association between stress
levels and negative health outcomes. Which relationship should underlie the
educational interventions that the nurse chooses to teach?
,A) Stress impairs sleep patterns.
B) Stress decreases immune function.
C) Stress increases weight.
D) Stress decreases concentration. - ✔✔B) Stress decreases immune function.
Studies have shown the negative effects of stress on health and a cause-and-effect
relationship between stress and infectious diseases, traumatic injuries (e.g., motor
vehicle crashes), and some chronic illnesses.
✔✔A public health nurse understands that health promotion should continue across the
lifespan. When planning health promotion initiatives, when in the lifespan should health
promotion begin?
A) Adolescence
B) School age
C) Preschool
D) Before birth - ✔✔D) Before birth
Health promotion should begin prior to birth because the health practices of a mother
prior to the birth of her child can be influenced positively or negatively. This makes the
other options incorrect.
✔✔A nurse is working with a teenage boy who was recently diagnosed with asthma.
During the current session, the nurse has taught the boy how to administer his
bronchodilator by metered-dose inhaler. How should the nurse evaluate the teaching
learning process?
A) Ask the boy specific questions about his medication.
B) Ask the boy whether he now understands how to use his inhaler.
C) Directly observe the boy using his inhaler to give himself a dose.
D) Assess the boys respiratory health at the next scheduled visit. - ✔✔C) Directly
observe the boy using his inhaler to give himself a dose.
Demonstration and practice are essential ingredients of a teaching program, especially
when teaching skills. It is best to demonstrate the skill and then give the learner ample
, opportunity for practice. By observing the patient using the inhaler, the nurse may
identify what learning needs to be enhanced or reinforced.
✔✔A team of public health nurses are doing strategic planning and are discussing
health promotion activities for the next year. Which of the following initiatives best
exemplifies the principles of health promotion?
A) A blood pressure clinic at a local factory
B) A family planning clinic at a community center
C) An immunization clinic at the largest local mall
D) A workplace safety seminar - ✔✔B) A family planning clinic at a community center
Health promotion may be defined as those activities that assist people in developing
resources that maintain or enhance well-being and improve their quality of life.
✔✔You are the oncoming nurse and you have just taken end-of-shift report on your
patients. One of your patients newly diagnosed with diabetes was admitted with diabetic
ketoacidosis. Which behavior best demonstrates this patients willingness to learn?
A) The patient requests a visit from the hospitals diabetic educator.
B) The patient sets aside a dessert brought in by a family member.
C) The patient wants a family member to meet with the dietician to discuss meals.
D) The patient readily allows the nurse to measure his blood glucose level. - ✔✔A) The
patient requests a visit from the hospitals diabetic educator.
Emotional readiness also affects the motivation to learn. A person who has not
accepted an existing illness or the threat of illness is not motivated to learn.
✔✔A nurse is planning an educational event for a local group of citizens who live with a
variety of physical and cognitive disabilities. What variable should the nurse prioritize
when planning this event?
A) Health-promotion needs of the group.
B) Relationships between participants and caregivers .
C) Wellness state of each individual
D) Learning needs of caregivers - ✔✔A) Health-promotion needs of the group.