EXAM 2025-2026 ACTUAL EXAM
QUESTIONS AND 240 CORRECT
DETAILED VERIFIED ANSWERS.
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 - ANSWER 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
dr.j
,NUR 1211 MEDICAL SURGICAL FINAL
EXAM 2025-2026 ACTUAL EXAM
QUESTIONS AND 240 CORRECT
DETAILED VERIFIED ANSWERS.
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 - ANSWER 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. - ANSWER A) Demonstrate a dressing
change and allow the patient to practice.
dr.j
,NUR 1211 MEDICAL SURGICAL FINAL
EXAM 2025-2026 ACTUAL EXAM
QUESTIONS AND 240 CORRECT
DETAILED VERIFIED ANSWERS.
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.
A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to self-administer insulin.
When planning the appropriate educational interventions and considering variables that will affect his
learning, the nurse should prioritize which of the following factors?
A) Patients expected lifespan
B) Patients gender
C) Patients occupation
D) Patients culture - ANSWER D) Patients culture
One of the major variables that influences a patients readiness to learn is the patients culture, because it
affects how a person learns and what information is learned.
The nurse is planning to teach a 75-year-old patient with coronary artery disease about administering
her prescribed antiplatelet medication. How can the nurse best enhance the patients ability to learn?
A) Provide links to Web sites that contain evidence-based information.
B) Exclude family members from the session to prevent distraction.
C) Use color-coded materials that are succinct and engaging.
dr.j
, NUR 1211 MEDICAL SURGICAL FINAL
EXAM 2025-2026 ACTUAL EXAM
QUESTIONS AND 240 CORRECT
DETAILED VERIFIED ANSWERS.
D) Make the information directly relevant to the patients condition. - ANSWER D) Make the information
directly relevant to the patients condition.
Studies have shown that older adults can learn and remember if the information is paced appropriately,
relevant, and followed by appropriate feedback.
A nurse is planning care for an older adult who lives with a number of chronic health problems. For
which of the following nursing diagnoses would education of the patient be the nurses highest priority?
A) Risk for impaired physical mobility related to joint pain
B) Functional urinary incontinence related decreased mobility
C) Activity intolerance related to contractures
D) Risk for ineffective health maintenance related to nonadherence to therapeutic regimen - ANSWER D)
Risk for ineffective health maintenance related to non-adherence to therapeutic regimen
For some nursing diagnoses, education is a primary nursing intervention. These diagnoses include risk
for ineffective management of therapeutic regimen, risk for impaired home management, health-
seeking behaviors, and decisional conflict.
The nursing instructor has given an assignment to a group of certified nurse practitioner (CNP) students.
They are to break into groups of four and complete a health-promotion teaching project and present a
report to their fellow students. What project most clearly demonstrates the principles of health-
promotion teaching?
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