NUR 4500 MED SURG EXAM
QUESTIONS AND ANSWERS BEST
GRADED A+ GUARANTEED SUCCESS
LATEST UPDATE 2025\2026
MedSurge Quiz 1 - 36 37 38 39
A hospital patient is immunocompromised because of stage 3 HIV
infection and the physician has ordered a chest radiograph. How
should the nurse most safely facilitate the test?
a. Arrange for a portable x-ray machine to be used
A patient's current antiretroviral regimen includes nucleoside
reverse transcriptase inhibitors (NRTIs). What dietary counseling
will the nurse provide based on the patient's medication regimen?
a. Take this medication without regard to meals.
A nurse is performing the admission assessment of a patient who has
AIDS. What components should the nurse include in this
comprehensive assessment? Select all that apply.
a. Current medication regimen
b. Identification of patient's support system
c. Immune system function
d. History of sexual practices
A patient is in the primary infection stage of HIV. What is true of this
patient's current health status?
a. The patient is infected with HIV but lacks HIV-specific
antibodies.
A nurse is aware of the need to assess patients' risks for anaphylaxis.
, What health care procedure constitutes the highest risk for
anaphylaxis?
a. Computed tomography with contrast solution
A patient with multiple food and environmental allergies tells the nurse
that he is frustrated and angry about having to be so watchful all the
time and wonders if it is really worth it. What would be the nurse's best
response?
a. “I can only imagine how you feel. Would you like to talk
about it?
A nurse is caring for a patient who has allergic rhinitis. What
intervention would be most likely to help the patient meet the goal
of improved breathing pattern?
a. Modify the environment to reduce the severity of allergic
symptoms.
The nurse in an allergy clinic is educating a new patient about the
pathology of the patient's health problem. What response should the
nurse describe as a possible consequence of histamine release?
a. Contraction of bronchial smooth muscle
A patient has presented with signs and symptoms that are consistent
with contact dermatitis. What aspect of care should the nurse
prioritize when working with this patient?
a. Identifying the offending agent, if possible
A patient's rheumatoid arthritis (RA) has failed to respond
appreciably to first-line treatments and the primary care provider
has added prednisone to the patient's drug regimen. What principle
will guide this aspect of the patient's treatment?
a. The drug should be used for as short a time as possible.
A patient with SLE has come to the clinic for a routine check-up.
When auscultating the patient's apical heart rate, the nurse notes
, the presence of a distinct “scratching” sound. What is the nurse's
most appropriate action?
a. Inform the primary care provider that a friction rub may be
present.
A nurse is educating a patient with gout about lifestyle modifications
that can help control the signs and symptoms of the disease. What
recommendation should the nurse make?
a. Limiting intake of alcohol
A nurse is planning the care of a patient who has a long history of
chronic pain, which has only recently been diagnosed as
fibromyalgia. What nursing diagnosis is most likely to apply to this
woman's care needs?
a. Ineffective Role Performance Related to Pain
A nurse is admitting a patient with an immunodeficiency to the medical
unit. In planning the care of this patient, the nurse should assess for
what common sign of immunodeficiency?
a. Chronic diarrhea
A nurse is caring for a patient who has an immunodeficiency. What
assessment finding should prompt the nurse to consider the
possibility that the patient is developing an infection?
a. Persistent diarrhea
The nurse is applying standard precautions in the care of a patient
who has an immunodeficiency. What are key elements of standard
precautions? Select all that apply.
a. Using appropriate personal protective equipment
b. Using safe injection practices
, c. Performing hand hygiene
A home health nurse is reinforcing health education with a patient
who is immunosuppressed and his family. What statement best
suggests that the patient has understood the nurse's teaching?
a. “My family needs to understand that I'll probably
need lifelong treatment.”
The nurse is preparing to administer IVIG to a patient
who has an immunodeficiency. What nursing guideline
should the nurse apply?
a. Administer pretreatment medications as ordered 30
minutes prior to infusion.
A nurse has created a plan of care for an immunodeficient patient,
specifying that care providers take the patient's pulse and respiratory
rate for a full minute. What is the rationale for this aspect of care?
a. These patients' blunted inflammatory responses can
cause subtle changes in status.
A nurse is providing health education regarding self-care to a
patient with an immunodeficiency. What teaching point should
the nurse emphasize?
a. The need for thorough oral hygiene
A patient's primary immunodeficiency disease is characterized by the
inability of white blood cells to initiate an inflammatory response to
infectious organisms. What is this patient's most likely diagnosis?
a. Hyperimmunoglobulinemia E syndrome
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. 200 cells/mm3 of blood
QUESTIONS AND ANSWERS BEST
GRADED A+ GUARANTEED SUCCESS
LATEST UPDATE 2025\2026
MedSurge Quiz 1 - 36 37 38 39
A hospital patient is immunocompromised because of stage 3 HIV
infection and the physician has ordered a chest radiograph. How
should the nurse most safely facilitate the test?
a. Arrange for a portable x-ray machine to be used
A patient's current antiretroviral regimen includes nucleoside
reverse transcriptase inhibitors (NRTIs). What dietary counseling
will the nurse provide based on the patient's medication regimen?
a. Take this medication without regard to meals.
A nurse is performing the admission assessment of a patient who has
AIDS. What components should the nurse include in this
comprehensive assessment? Select all that apply.
a. Current medication regimen
b. Identification of patient's support system
c. Immune system function
d. History of sexual practices
A patient is in the primary infection stage of HIV. What is true of this
patient's current health status?
a. The patient is infected with HIV but lacks HIV-specific
antibodies.
A nurse is aware of the need to assess patients' risks for anaphylaxis.
, What health care procedure constitutes the highest risk for
anaphylaxis?
a. Computed tomography with contrast solution
A patient with multiple food and environmental allergies tells the nurse
that he is frustrated and angry about having to be so watchful all the
time and wonders if it is really worth it. What would be the nurse's best
response?
a. “I can only imagine how you feel. Would you like to talk
about it?
A nurse is caring for a patient who has allergic rhinitis. What
intervention would be most likely to help the patient meet the goal
of improved breathing pattern?
a. Modify the environment to reduce the severity of allergic
symptoms.
The nurse in an allergy clinic is educating a new patient about the
pathology of the patient's health problem. What response should the
nurse describe as a possible consequence of histamine release?
a. Contraction of bronchial smooth muscle
A patient has presented with signs and symptoms that are consistent
with contact dermatitis. What aspect of care should the nurse
prioritize when working with this patient?
a. Identifying the offending agent, if possible
A patient's rheumatoid arthritis (RA) has failed to respond
appreciably to first-line treatments and the primary care provider
has added prednisone to the patient's drug regimen. What principle
will guide this aspect of the patient's treatment?
a. The drug should be used for as short a time as possible.
A patient with SLE has come to the clinic for a routine check-up.
When auscultating the patient's apical heart rate, the nurse notes
, the presence of a distinct “scratching” sound. What is the nurse's
most appropriate action?
a. Inform the primary care provider that a friction rub may be
present.
A nurse is educating a patient with gout about lifestyle modifications
that can help control the signs and symptoms of the disease. What
recommendation should the nurse make?
a. Limiting intake of alcohol
A nurse is planning the care of a patient who has a long history of
chronic pain, which has only recently been diagnosed as
fibromyalgia. What nursing diagnosis is most likely to apply to this
woman's care needs?
a. Ineffective Role Performance Related to Pain
A nurse is admitting a patient with an immunodeficiency to the medical
unit. In planning the care of this patient, the nurse should assess for
what common sign of immunodeficiency?
a. Chronic diarrhea
A nurse is caring for a patient who has an immunodeficiency. What
assessment finding should prompt the nurse to consider the
possibility that the patient is developing an infection?
a. Persistent diarrhea
The nurse is applying standard precautions in the care of a patient
who has an immunodeficiency. What are key elements of standard
precautions? Select all that apply.
a. Using appropriate personal protective equipment
b. Using safe injection practices
, c. Performing hand hygiene
A home health nurse is reinforcing health education with a patient
who is immunosuppressed and his family. What statement best
suggests that the patient has understood the nurse's teaching?
a. “My family needs to understand that I'll probably
need lifelong treatment.”
The nurse is preparing to administer IVIG to a patient
who has an immunodeficiency. What nursing guideline
should the nurse apply?
a. Administer pretreatment medications as ordered 30
minutes prior to infusion.
A nurse has created a plan of care for an immunodeficient patient,
specifying that care providers take the patient's pulse and respiratory
rate for a full minute. What is the rationale for this aspect of care?
a. These patients' blunted inflammatory responses can
cause subtle changes in status.
A nurse is providing health education regarding self-care to a
patient with an immunodeficiency. What teaching point should
the nurse emphasize?
a. The need for thorough oral hygiene
A patient's primary immunodeficiency disease is characterized by the
inability of white blood cells to initiate an inflammatory response to
infectious organisms. What is this patient's most likely diagnosis?
a. Hyperimmunoglobulinemia E syndrome
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. 200 cells/mm3 of blood
