NUR 1211 Medical Surgical Final Exam- Questions and Answers
Questionv1
Questionvtext
AvclientvhasvavwhitevbloodvcellvchangevinvwhichvthevnumbervofvsuppressorvT-
cellsvisvwayvbelowvnormalvandvasksvthevnursevwhichvtypevofvhealthvproblem(s)vcouldvbevexpectedvasvavre
sultvofvthisvdeficiency.vWhatvisvthevnurse'svbestvresponse?
Selectvone:
a.v“Tryvtovavoidvcrowdsvandvpeoplevwhovarevillvbecausevyouvarevnowvmorevsusceptiblevtovbacterialva
v
ndvviralvinfections.”
b.v “Youvwillvbevmorevpronevtovallergicvreactionsvwhenvexposedvtovallergensvorvdrugs.”
c.v "Youvwillvneedvtovreceivevboostervvaccinationsvmorevoftenvbecausevyourvabilityvtovmakevantibod
iesvis
reduced.”
vd.v“Yourvriskvforvcancervdevelopmentvisvincreased.”
Feedback
Yourvanswervisvincorrect.
Thevcorrectvanswervis:v“Youvwillvbevmorevpronevtovallergicvreactionsvwhenvexposedvtovallergensvorvdrugs.”
Questionv2
Incorrect
,Questionvtext
Thevnursevisvpreparingvavclientvforvdischargevwhovdevelopedvanvacutevkidneyvinjuryvduringvcoronaryvarte
ryvbypassvgraftvsurgery.vThevnursevnoticesvthatvthevclientvhasvavserumvcreatininevofv1.2 mg/dLv(106vmcm
ol/L)vandvavglomerularvfiltrationvratev(GFR)vofv75 mL/kg/1.73 m2.vWhichvisvthevpriorityvnursingvaction?
Selectvone:
a.vCheckingvthevremainingvvaluesvonvthevmetabolicvpanelvandvinformingvthevprimaryvcarevprovidervof
v
all
resultsvbeforevthevclientvisvdischarged
b.v Encouragingvthevclientvtovreducevproteinvintakevtovreducevcreatininevproductionvuntilvthevfollow-
v
up
visitvwithvthevnephrologistvoccurs
c.vRemindingvthevclientvtovremainvhydratedvbyvdrinkingv500 mLvofvanvelectrolyte-
basedvsolutionvdaily
d.vEducatingvthevclientvaboutvthevneedvforvfollow-up,vincludingvre-
evaluationvofvserumvcreatininevwithvthevprimaryvcarevprovidervorvnephrologistvinv8-12vweeks
Feedback
Yourvanswervisvincorrect.
Thevcorrectvanswervis:vEducatingvthevclientvaboutvthevneedvforvfollow-up,vincludingvre-
evaluationvofvserumvcreatininevwithvthevprimaryvcarevprovidervorvnephrologistvinv8-12vweeks
Questionv3
Correct
,1.00 pointsvoutvofv1.00
Thevlaboratoryvvaluesvofvavclientvwhovhasvdiabetesvmellitusvincludevavfastingvbloodvglucosevlevelv
ofv82 mg/dLv(mmol/L)vandvhemoglobinvA1Cvofv5.9%.vWhatvisvthevnurse'svinterpretationvofvthesevf
indings?
Selectvone:
a. Thevclient'svglucosevcontrolvforvthevpastv24vhoursvhasvbeenvgood,vbutvthevoverallvcontrolv
isvpoor.
b. Thevvaluesvindicatevthatvthevclientvhasvpoorlyvmanagedvhisvorvhervdisease.
c. Thevclient'svglucosevcontrolvforvthevpastv24vhoursvhasvbeenvpoor,vbutvthevoverallvcontrolv
isvgood.
d. Thevvaluesvindicatevthatvthevclientvhasvmanagedvhisvorvhervdiseasevwell.
Feedback
Yourvanswervisvcorrect.
Thevcorrectvanswervis:vThevvaluesvindicatevthatvthevclientvhasvmanagedvhisvorvhervdiseasevwell.
Questionv4
Incorrect
0.00 pointsvoutvofv1.00
, Avclientvthoughtvtovbevatvriskvforvdistributivevshockvisvgivenvavdrugvthatvconstrictsvbloodvvessels.vWh
atveffectvdoesvthevnursevexpectvthevdrugvtovhavevonvthevclient'svmeanvarterialvpressurev(MAP)?
Selectvone:
a. IncreasedvMAPvbyvincreasingvvascularvvolume
b. DecreasedvMAPvfromvwidespreadvcapillaryvleak
c. DecreasedvMAPvbyvdecreasingvvascularvvolume
d. IncreasedvMAPvwithoutvavchangevinvvascularvvolume
Feedback
Yourvanswervisvincorrect.
Thevcorrectvanswervis:v IncreasedvMAPvwithoutvavchangevinvvascularvvolume
Questionv5
Incorrect
0.00vpointsvoutvofv1.00
Questionv1
Questionvtext
AvclientvhasvavwhitevbloodvcellvchangevinvwhichvthevnumbervofvsuppressorvT-
cellsvisvwayvbelowvnormalvandvasksvthevnursevwhichvtypevofvhealthvproblem(s)vcouldvbevexpectedvasvavre
sultvofvthisvdeficiency.vWhatvisvthevnurse'svbestvresponse?
Selectvone:
a.v“Tryvtovavoidvcrowdsvandvpeoplevwhovarevillvbecausevyouvarevnowvmorevsusceptiblevtovbacterialva
v
ndvviralvinfections.”
b.v “Youvwillvbevmorevpronevtovallergicvreactionsvwhenvexposedvtovallergensvorvdrugs.”
c.v "Youvwillvneedvtovreceivevboostervvaccinationsvmorevoftenvbecausevyourvabilityvtovmakevantibod
iesvis
reduced.”
vd.v“Yourvriskvforvcancervdevelopmentvisvincreased.”
Feedback
Yourvanswervisvincorrect.
Thevcorrectvanswervis:v“Youvwillvbevmorevpronevtovallergicvreactionsvwhenvexposedvtovallergensvorvdrugs.”
Questionv2
Incorrect
,Questionvtext
Thevnursevisvpreparingvavclientvforvdischargevwhovdevelopedvanvacutevkidneyvinjuryvduringvcoronaryvarte
ryvbypassvgraftvsurgery.vThevnursevnoticesvthatvthevclientvhasvavserumvcreatininevofv1.2 mg/dLv(106vmcm
ol/L)vandvavglomerularvfiltrationvratev(GFR)vofv75 mL/kg/1.73 m2.vWhichvisvthevpriorityvnursingvaction?
Selectvone:
a.vCheckingvthevremainingvvaluesvonvthevmetabolicvpanelvandvinformingvthevprimaryvcarevprovidervof
v
all
resultsvbeforevthevclientvisvdischarged
b.v Encouragingvthevclientvtovreducevproteinvintakevtovreducevcreatininevproductionvuntilvthevfollow-
v
up
visitvwithvthevnephrologistvoccurs
c.vRemindingvthevclientvtovremainvhydratedvbyvdrinkingv500 mLvofvanvelectrolyte-
basedvsolutionvdaily
d.vEducatingvthevclientvaboutvthevneedvforvfollow-up,vincludingvre-
evaluationvofvserumvcreatininevwithvthevprimaryvcarevprovidervorvnephrologistvinv8-12vweeks
Feedback
Yourvanswervisvincorrect.
Thevcorrectvanswervis:vEducatingvthevclientvaboutvthevneedvforvfollow-up,vincludingvre-
evaluationvofvserumvcreatininevwithvthevprimaryvcarevprovidervorvnephrologistvinv8-12vweeks
Questionv3
Correct
,1.00 pointsvoutvofv1.00
Thevlaboratoryvvaluesvofvavclientvwhovhasvdiabetesvmellitusvincludevavfastingvbloodvglucosevlevelv
ofv82 mg/dLv(mmol/L)vandvhemoglobinvA1Cvofv5.9%.vWhatvisvthevnurse'svinterpretationvofvthesevf
indings?
Selectvone:
a. Thevclient'svglucosevcontrolvforvthevpastv24vhoursvhasvbeenvgood,vbutvthevoverallvcontrolv
isvpoor.
b. Thevvaluesvindicatevthatvthevclientvhasvpoorlyvmanagedvhisvorvhervdisease.
c. Thevclient'svglucosevcontrolvforvthevpastv24vhoursvhasvbeenvpoor,vbutvthevoverallvcontrolv
isvgood.
d. Thevvaluesvindicatevthatvthevclientvhasvmanagedvhisvorvhervdiseasevwell.
Feedback
Yourvanswervisvcorrect.
Thevcorrectvanswervis:vThevvaluesvindicatevthatvthevclientvhasvmanagedvhisvorvhervdiseasevwell.
Questionv4
Incorrect
0.00 pointsvoutvofv1.00
, Avclientvthoughtvtovbevatvriskvforvdistributivevshockvisvgivenvavdrugvthatvconstrictsvbloodvvessels.vWh
atveffectvdoesvthevnursevexpectvthevdrugvtovhavevonvthevclient'svmeanvarterialvpressurev(MAP)?
Selectvone:
a. IncreasedvMAPvbyvincreasingvvascularvvolume
b. DecreasedvMAPvfromvwidespreadvcapillaryvleak
c. DecreasedvMAPvbyvdecreasingvvascularvvolume
d. IncreasedvMAPvwithoutvavchangevinvvascularvvolume
Feedback
Yourvanswervisvincorrect.
Thevcorrectvanswervis:v IncreasedvMAPvwithoutvavchangevinvvascularvvolume
Questionv5
Incorrect
0.00vpointsvoutvofv1.00
