NUR 1211 MEDICAL SURGICAL FINAL
EXAM 2024-2025 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
A nurse is working with a patient who was diagnosed with HIV several months earlier. The nurse should
recognize that a patient with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte
cell count drops below what threshold?
A) 75 cells/mm3 of blood
B) 200 cells/mm3 of blood
C) 325 cells/mm3 of blood
D) 450 cells/mm3 of blood VERIFIED ANS: B) 200 cells/mm3 of blood
When CD4+ T-cell levels drop below 200 cells/mm3 of blood, the person is said to have AIDS.
A nurse is planning a patients care and is relating it to normal immune response. During what stage of
the immune response should the nurse know that antibodies or cytotoxic T cells combine and destroy
the invading microbes?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage VERIFIED ANS: D) Effector stage
In the effector stage, either the antibody of the humoral response or the cytotoxic (killer) T cell of the
cellular response reaches and couples with the antigen on the surface of the foreign invader.
,A nurse is planning the assessment of a patient who is exhibiting signs and symptoms of an autoimmune
disorder. The nurse should be aware that the incidence and prevalence of autoimmune diseases is
known to be higher among what group?
A) Young adults
B) Native Americans
C) Women
D) Hispanics VERIFIED ANS: C) Women
Many autoimmune diseases have a higher incidence in females than in males, a phenomenon believed
to be correlated with sex hormones.
Middle-aged adults are part of an age group that is known to be interested in health and health
promotion, and the nurse is planning health promotion activities accordingly. To what suggestions do
members of this age group usually respond with enthusiasm? Select all that apply.
A) How lifestyle practices can improve health
B) How to eat healthier
C) How exercise can improve your life
D) Strategies for adhering to prescribed therapy
E) Exercise for the aging VERIFIED ANS: A) How lifestyle practices can improve health
B) How to eat healthier
,C) How exercise can improve your life
Young and middle-aged adults represent an age group that not only expresses an interest in health and
health promotion but also responds enthusiastically to suggestions that show how lifestyle practices can
improve health; these lifestyle practices include nutrition and exercise. Middle-aged adults may not
respond positively to teaching aimed at the aging. Adherence is not noted to be a desired focus in this
age group.
A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly controlled type 1
diabetes has led to numerous health problems. Over the past several years Mrs. Griffin has had several
admissions to the hospital medical unit, and the nurse has often carried out health promotion
interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffins health?
A) The medical nurse
B) The community health nurse who has also worked with Mrs. Griffin
C) Mrs. Griffins primary care provider
D) Mrs. Griffin VERIFIED ANS: D) Mrs. Griffin
American society places a great importance on health and the responsibility that each of us has to
maintain and promote our own health. Therefore, the other options are incorrect.
An elderly female patient has come to the clinic for a scheduled follow-up appointment. The nurse
learns from the patients daughter that the patient is not following the instructions she received upon
discharge from the hospital last month. What is the most likely factor causing the patient not to adhere
to her therapeutic regimen?
, A) Ethnic background of health care provider
B) Costs of the prescribed regimen
C) Presence of a learning disability
D) Personality of the physician VERIFIED ANS: B) Costs of the prescribed regimen
Variables that appear to influence the degree of adherence to a prescribed therapeutic regimen include
gender, race, education, illness, complexity of the regimen, and the cost of treatments.
A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen. What
strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen
involving wound care?
A) Demonstrate a dressing change and allow the patient to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the patient how to change a dressing and check for comprehension.
D) Delegate the dressing change to a trusted family member. VERIFIED ANS: A) Demonstrate a dressing
change and allow the patient to practice.
The nurse must consider that older adults may have deficits in the ability to draw inferences, apply
information, or understand major teaching points. Demonstration and practice are essential in meeting
their learning needs.
EXAM 2024-2025 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
A nurse is working with a patient who was diagnosed with HIV several months earlier. The nurse should
recognize that a patient with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte
cell count drops below what threshold?
A) 75 cells/mm3 of blood
B) 200 cells/mm3 of blood
C) 325 cells/mm3 of blood
D) 450 cells/mm3 of blood VERIFIED ANS: B) 200 cells/mm3 of blood
When CD4+ T-cell levels drop below 200 cells/mm3 of blood, the person is said to have AIDS.
A nurse is planning a patients care and is relating it to normal immune response. During what stage of
the immune response should the nurse know that antibodies or cytotoxic T cells combine and destroy
the invading microbes?
A) Recognition stage
B) Proliferation stage
C) Response stage
D) Effector stage VERIFIED ANS: D) Effector stage
In the effector stage, either the antibody of the humoral response or the cytotoxic (killer) T cell of the
cellular response reaches and couples with the antigen on the surface of the foreign invader.
,A nurse is planning the assessment of a patient who is exhibiting signs and symptoms of an autoimmune
disorder. The nurse should be aware that the incidence and prevalence of autoimmune diseases is
known to be higher among what group?
A) Young adults
B) Native Americans
C) Women
D) Hispanics VERIFIED ANS: C) Women
Many autoimmune diseases have a higher incidence in females than in males, a phenomenon believed
to be correlated with sex hormones.
Middle-aged adults are part of an age group that is known to be interested in health and health
promotion, and the nurse is planning health promotion activities accordingly. To what suggestions do
members of this age group usually respond with enthusiasm? Select all that apply.
A) How lifestyle practices can improve health
B) How to eat healthier
C) How exercise can improve your life
D) Strategies for adhering to prescribed therapy
E) Exercise for the aging VERIFIED ANS: A) How lifestyle practices can improve health
B) How to eat healthier
,C) How exercise can improve your life
Young and middle-aged adults represent an age group that not only expresses an interest in health and
health promotion but also responds enthusiastically to suggestions that show how lifestyle practices can
improve health; these lifestyle practices include nutrition and exercise. Middle-aged adults may not
respond positively to teaching aimed at the aging. Adherence is not noted to be a desired focus in this
age group.
A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly controlled type 1
diabetes has led to numerous health problems. Over the past several years Mrs. Griffin has had several
admissions to the hospital medical unit, and the nurse has often carried out health promotion
interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffins health?
A) The medical nurse
B) The community health nurse who has also worked with Mrs. Griffin
C) Mrs. Griffins primary care provider
D) Mrs. Griffin VERIFIED ANS: D) Mrs. Griffin
American society places a great importance on health and the responsibility that each of us has to
maintain and promote our own health. Therefore, the other options are incorrect.
An elderly female patient has come to the clinic for a scheduled follow-up appointment. The nurse
learns from the patients daughter that the patient is not following the instructions she received upon
discharge from the hospital last month. What is the most likely factor causing the patient not to adhere
to her therapeutic regimen?
, A) Ethnic background of health care provider
B) Costs of the prescribed regimen
C) Presence of a learning disability
D) Personality of the physician VERIFIED ANS: B) Costs of the prescribed regimen
Variables that appear to influence the degree of adherence to a prescribed therapeutic regimen include
gender, race, education, illness, complexity of the regimen, and the cost of treatments.
A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen. What
strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen
involving wound care?
A) Demonstrate a dressing change and allow the patient to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the patient how to change a dressing and check for comprehension.
D) Delegate the dressing change to a trusted family member. VERIFIED ANS: A) Demonstrate a dressing
change and allow the patient to practice.
The nurse must consider that older adults may have deficits in the ability to draw inferences, apply
information, or understand major teaching points. Demonstration and practice are essential in meeting
their learning needs.
