7/3/25, 12:27 AM Med Surg II Midterm
Med Surg II Midterm ACTUAL EXAM \NEWEST EXAM 2025 -
2026 \LATEST VERSION WITH UPDATED QUESTIONS AND
ACCURATE DETAILED ANSWERS \ASSURED PASS ALREADY
A+
localized infection limited to a small area
spread to areas of the body beyond the initial
disseminated infection
site
systemic infection spread extensively throughout the body
infectious disease that ha recently increased in
emerging infections
incidence that originates from unknown source
infective agents can reemerge under the right
reemerging infections
conditions
pathogenic organisms that are highly
antimicrobial-resistant infections adaptable; change and become resistant to
treatment
vancomycin-resistant enterococci and MRSA
antimicrobial resistant infections
are examples of
lab testing helps determine the correct
treatment and it varies on a spectrum from antimicrobial, broad, narrow
to
products containing calcium/iron/magnesium
oral antibiotics should not be given with
or antacids
baseline should be done before antimicrobial
liver function tests
therapy
occurs when antibiotics reduce or eliminate
superinfection normal bacterial flora allowing other bacteria to
take over and cause infection
1/54
,7/3/25, 12:27 AM Med Surg II Midterm
herpes
hepatitis
antiviral therapy can be used for
varicella
some influenza
antifungals split into two groups systemic vs local infections
droplet precautions need to wear and
mask, influenza pertussis
illnesses are
airborne precautions need to wear and
N95, TB measles
illnesses are
contact precautions need to wear and
gown/gloves, MRSA Cdiff VRE
illnesses are
COVID spreads primarily through and
respiratory droplets, can still infect
asymptomatic person
testing of respiratory or oral-pharyngeal
COVID gold standard test
samples through RT-PCR
HIV is a that causes and targets retrovirus, immunosuppression, CD4+ T cells
immune problems with AIDS start when CD4
500 cells
cells drop below
AIDS is classified when CD4 cells drop to 200 or less
HIV is transmitted via blood, semen, vaginal secretions, breast milk
fever
swollen lymph nodes
HIV acute infection manifestations sore throat
headache
neurologic problems can occur- Guillian Barre
persistent fever
night sweats
AIDS clinical manifestations
recurrent headaches
chronic diarrhea
2/54
,7/3/25, 12:27 AM Med Surg II Midterm
oral thrush
shingles
AIDS more susceptible to infections
oral or genital herpes
Kaposi sarcoma
HIV testing blood or saliva to test for antibodies in blood
in HIV the lower the the less active the
disease therefore goal is to suppress it as much viral load
as possible
antiretroviral therapy (ART) to control and
HIV drug therapy suppress infection
adherence is essential
normal CD4 count 800-1200 cells
The nurse is teaching a newly diagnosed 34-
year-old male about his HIV infection. Which
statement by the patient would indicate the
patient needs additional education?
a. “I will need to take my HIV medication daily
for the rest of my life.”
D
b. “Although I only take one pill, it has multiple
medications combined into a single tablet.”
c. “I should notify my HIV provider if I get fevers
that do not go away with Tylenol or aspirin.”
d. “Once my viral load is undetectable I don’t
have to worry about taking my medication.”
The nurse is caring for a patient who is
receiving antiretroviral therapy (ART) for
treatment of HIV infection. Which assessment
best indicates
that the patient’s condition is improving? A
a. Decreased viral load
b. Increased drug resistance
c. Decreased CD4+ T-cell count
d. Increased aminotransferase levels
3/54
, 7/3/25, 12:27 AM Med Surg II Midterm
The nurse informs the patient with a bacterial
pneumonia that the most important
factor in antibiotic treatment is:
a. antibiotics should have been used to prevent
pneumonia.
b. all of the supplied antibiotics should be taken
B
even when symptoms have resolved.
c. enough antibiotics for 2 days’ treatment
should be reserved in case symptoms recur.
d. patients should get antibiotics for any
infection to prevent development of
streptococcal-related diseases.
infectious disease spread through sexual
STIs are
contact of an infected person
Bacterial STIs chlamydia
gonorrhea
syphilis
genital herpes
HIV
STI viruses Hepatitis B an C
HPV
Molluscum
STI parasitic infections trichomoniasis
most common STI
men most common site is urethra
chlamydial infections
women most common site is cervix
lab test swab or urine sample diagnostics
often asymptomatic
pain with urination or testicular pain in men
chlamydial infection clinical manifestations vaginal discharge or abnormal bleeding in
women
sore throat
chlamydial infection treatment doxycycline
4/54
Med Surg II Midterm ACTUAL EXAM \NEWEST EXAM 2025 -
2026 \LATEST VERSION WITH UPDATED QUESTIONS AND
ACCURATE DETAILED ANSWERS \ASSURED PASS ALREADY
A+
localized infection limited to a small area
spread to areas of the body beyond the initial
disseminated infection
site
systemic infection spread extensively throughout the body
infectious disease that ha recently increased in
emerging infections
incidence that originates from unknown source
infective agents can reemerge under the right
reemerging infections
conditions
pathogenic organisms that are highly
antimicrobial-resistant infections adaptable; change and become resistant to
treatment
vancomycin-resistant enterococci and MRSA
antimicrobial resistant infections
are examples of
lab testing helps determine the correct
treatment and it varies on a spectrum from antimicrobial, broad, narrow
to
products containing calcium/iron/magnesium
oral antibiotics should not be given with
or antacids
baseline should be done before antimicrobial
liver function tests
therapy
occurs when antibiotics reduce or eliminate
superinfection normal bacterial flora allowing other bacteria to
take over and cause infection
1/54
,7/3/25, 12:27 AM Med Surg II Midterm
herpes
hepatitis
antiviral therapy can be used for
varicella
some influenza
antifungals split into two groups systemic vs local infections
droplet precautions need to wear and
mask, influenza pertussis
illnesses are
airborne precautions need to wear and
N95, TB measles
illnesses are
contact precautions need to wear and
gown/gloves, MRSA Cdiff VRE
illnesses are
COVID spreads primarily through and
respiratory droplets, can still infect
asymptomatic person
testing of respiratory or oral-pharyngeal
COVID gold standard test
samples through RT-PCR
HIV is a that causes and targets retrovirus, immunosuppression, CD4+ T cells
immune problems with AIDS start when CD4
500 cells
cells drop below
AIDS is classified when CD4 cells drop to 200 or less
HIV is transmitted via blood, semen, vaginal secretions, breast milk
fever
swollen lymph nodes
HIV acute infection manifestations sore throat
headache
neurologic problems can occur- Guillian Barre
persistent fever
night sweats
AIDS clinical manifestations
recurrent headaches
chronic diarrhea
2/54
,7/3/25, 12:27 AM Med Surg II Midterm
oral thrush
shingles
AIDS more susceptible to infections
oral or genital herpes
Kaposi sarcoma
HIV testing blood or saliva to test for antibodies in blood
in HIV the lower the the less active the
disease therefore goal is to suppress it as much viral load
as possible
antiretroviral therapy (ART) to control and
HIV drug therapy suppress infection
adherence is essential
normal CD4 count 800-1200 cells
The nurse is teaching a newly diagnosed 34-
year-old male about his HIV infection. Which
statement by the patient would indicate the
patient needs additional education?
a. “I will need to take my HIV medication daily
for the rest of my life.”
D
b. “Although I only take one pill, it has multiple
medications combined into a single tablet.”
c. “I should notify my HIV provider if I get fevers
that do not go away with Tylenol or aspirin.”
d. “Once my viral load is undetectable I don’t
have to worry about taking my medication.”
The nurse is caring for a patient who is
receiving antiretroviral therapy (ART) for
treatment of HIV infection. Which assessment
best indicates
that the patient’s condition is improving? A
a. Decreased viral load
b. Increased drug resistance
c. Decreased CD4+ T-cell count
d. Increased aminotransferase levels
3/54
, 7/3/25, 12:27 AM Med Surg II Midterm
The nurse informs the patient with a bacterial
pneumonia that the most important
factor in antibiotic treatment is:
a. antibiotics should have been used to prevent
pneumonia.
b. all of the supplied antibiotics should be taken
B
even when symptoms have resolved.
c. enough antibiotics for 2 days’ treatment
should be reserved in case symptoms recur.
d. patients should get antibiotics for any
infection to prevent development of
streptococcal-related diseases.
infectious disease spread through sexual
STIs are
contact of an infected person
Bacterial STIs chlamydia
gonorrhea
syphilis
genital herpes
HIV
STI viruses Hepatitis B an C
HPV
Molluscum
STI parasitic infections trichomoniasis
most common STI
men most common site is urethra
chlamydial infections
women most common site is cervix
lab test swab or urine sample diagnostics
often asymptomatic
pain with urination or testicular pain in men
chlamydial infection clinical manifestations vaginal discharge or abnormal bleeding in
women
sore throat
chlamydial infection treatment doxycycline
4/54
