MED SURG 201 FINAL EXAM 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ The nurse is assessing several patients at a community clinic.
Which patient should not receive an annual influenza vaccination?
1) A 65-year-old woman
2) A 3-year-old with cystic fibrosis
3) A 35-year-old man with a severe allergy to eggs
4) A 25-year-old pregnant woman at 20 weeks' gestation. Answer: A
35-year-old man with a severe allergy to eggs
the vaccine contains eggs and it is not recommended.
◉ A patient with the flu is experiencing tachypnea. What
intervention is inappropriate to address in the nursing diagnosis of
Ineffective Breathing Pattern related to the flu?
1) Maintain adequate hydration
2) Keep the head of the bed elevated
3) Teach the patient coughing, deep breathing, and hydration
,4) Prepare the patient for the possibility of a tracheostomy tube..
Answer: Prepare the patient for the possibility of a tracheostomy
tube.
Insertion of a tracheostomy and oxygen are not primary treatments
for ineffective airway clearance.
◉ The nurse makes a home visit to a patient recovering from
complications related to influenza. Which patient statement
indicates the need for further intervention by the nurse?
1) "I went back to work."
2) "I'm eating healthy foods now."
3) "I continue to wake up coughing at night."
4) "I have not had chills since I left the hospital.". Answer: "I continue
to wake up coughing at night."
A patient who continues to be awoken during the night because of
coughing may require further intervention by the nurse.
◉ The nurse is reviewing diagnostic and laboratory studies
performed for an older adult patient with influenza. Which result
should the nurse recognize as being consistent with influenza?
,1) Increased BUN
2) Decreased sodium level
3) Fluid-filled lungs on chest x-ray
4) Decreased white blood cell count. Answer: Decreased white blood
cell count
The white blood cell count of a patient with influenza will typically
be decreased.
◉ The nurse is planning care for a patient diagnosed with influenza.
Which intervention should the nurse include when planning this
patient's care?
1) Placing a ventilator in the room
2) Notifying other departments of the diagnosis
3) Placing the patient in a negative air flow room
4) Placing droplet and contact precaution signs on the patient room
door. Answer: Placing droplet and contact precaution signs on the
patient room door
To prevent the spread of influenza, the patient is placed in a private
room with signs for droplet and contact precautions. It is
appropriate for the health-care workers to use appropriate PPE for
these transmission-based precautions.
, ◉ An older adult patient is admitted with pneumonia. Which
manifestation is unexpected during the nurse's initial assessment?
1) Lethargy
2) Hemoptysis
3) Increased appetite
4) Increased respirations. Answer: Increased appetite
A decreased, not increased, appetite is anticipated when providing
care to a patient diagnosed with pneumonia.
◉ A nurse is caring for an older adult patient admitted to the
hospital with pneumonia. The patient asks the nurse what can be
done to decrease the risk for developing pneumonia in the future.
Which response by the nurse is inappropriate?
1) "You should avoid alcohol."
2) "You can start by not smoking."
3) "You can get the pneumonia vaccination, which may help to
decrease your risk in the
future."
4) "You should drink a yogurt drink once a day that is supplemented
with L. casei immunitas
WITH ANSWERS GRADED A+
◉ The nurse is assessing several patients at a community clinic.
Which patient should not receive an annual influenza vaccination?
1) A 65-year-old woman
2) A 3-year-old with cystic fibrosis
3) A 35-year-old man with a severe allergy to eggs
4) A 25-year-old pregnant woman at 20 weeks' gestation. Answer: A
35-year-old man with a severe allergy to eggs
the vaccine contains eggs and it is not recommended.
◉ A patient with the flu is experiencing tachypnea. What
intervention is inappropriate to address in the nursing diagnosis of
Ineffective Breathing Pattern related to the flu?
1) Maintain adequate hydration
2) Keep the head of the bed elevated
3) Teach the patient coughing, deep breathing, and hydration
,4) Prepare the patient for the possibility of a tracheostomy tube..
Answer: Prepare the patient for the possibility of a tracheostomy
tube.
Insertion of a tracheostomy and oxygen are not primary treatments
for ineffective airway clearance.
◉ The nurse makes a home visit to a patient recovering from
complications related to influenza. Which patient statement
indicates the need for further intervention by the nurse?
1) "I went back to work."
2) "I'm eating healthy foods now."
3) "I continue to wake up coughing at night."
4) "I have not had chills since I left the hospital.". Answer: "I continue
to wake up coughing at night."
A patient who continues to be awoken during the night because of
coughing may require further intervention by the nurse.
◉ The nurse is reviewing diagnostic and laboratory studies
performed for an older adult patient with influenza. Which result
should the nurse recognize as being consistent with influenza?
,1) Increased BUN
2) Decreased sodium level
3) Fluid-filled lungs on chest x-ray
4) Decreased white blood cell count. Answer: Decreased white blood
cell count
The white blood cell count of a patient with influenza will typically
be decreased.
◉ The nurse is planning care for a patient diagnosed with influenza.
Which intervention should the nurse include when planning this
patient's care?
1) Placing a ventilator in the room
2) Notifying other departments of the diagnosis
3) Placing the patient in a negative air flow room
4) Placing droplet and contact precaution signs on the patient room
door. Answer: Placing droplet and contact precaution signs on the
patient room door
To prevent the spread of influenza, the patient is placed in a private
room with signs for droplet and contact precautions. It is
appropriate for the health-care workers to use appropriate PPE for
these transmission-based precautions.
, ◉ An older adult patient is admitted with pneumonia. Which
manifestation is unexpected during the nurse's initial assessment?
1) Lethargy
2) Hemoptysis
3) Increased appetite
4) Increased respirations. Answer: Increased appetite
A decreased, not increased, appetite is anticipated when providing
care to a patient diagnosed with pneumonia.
◉ A nurse is caring for an older adult patient admitted to the
hospital with pneumonia. The patient asks the nurse what can be
done to decrease the risk for developing pneumonia in the future.
Which response by the nurse is inappropriate?
1) "You should avoid alcohol."
2) "You can start by not smoking."
3) "You can get the pneumonia vaccination, which may help to
decrease your risk in the
future."
4) "You should drink a yogurt drink once a day that is supplemented
with L. casei immunitas
