NURS 4500 MED SURG EXAM
QUESTIONS AND ANSWERS
LATEST UPDATE.
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
providebased 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 wondersif 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 pathologyof
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
workingwith 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
thepatient'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
ofimmunodeficiency?
a. Chronic diarrhea
A nurse is caring for a patient who has an immunodeficiency. What
assessmentfinding 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
thatapply.
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
patienthas understood the nurse's teaching?
a. “My family needs to understand that I'll probably need
lifelongtreatment.”
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 toinfusion.
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 ofwhite 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 haveAIDS at the point when the CD4+ T-lymphocyte cell
count drops below what threshold?
a. 200 cells/mm3 of blood
A patient has been diagnosed with AIDS complicated by chronic diarrhea.
What nursing intervention would be appropriate for this patient?
a. Obtain a stool culture to identify possible pathogens.
An 18-year-old pregnant female has tested positive for HIV and asks the nurse
if her baby is going to be born with HIV. What is the nurse's best response?
a. “It's possible that your baby could contract HIV, either
before,during, or after delivery.”
Since the emergence of HIV/AIDS, there have been significant changes in
QUESTIONS AND ANSWERS
LATEST UPDATE.
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
providebased 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 wondersif 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 pathologyof
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
workingwith 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
thepatient'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
ofimmunodeficiency?
a. Chronic diarrhea
A nurse is caring for a patient who has an immunodeficiency. What
assessmentfinding 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
thatapply.
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
patienthas understood the nurse's teaching?
a. “My family needs to understand that I'll probably need
lifelongtreatment.”
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 toinfusion.
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 ofwhite 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 haveAIDS at the point when the CD4+ T-lymphocyte cell
count drops below what threshold?
a. 200 cells/mm3 of blood
A patient has been diagnosed with AIDS complicated by chronic diarrhea.
What nursing intervention would be appropriate for this patient?
a. Obtain a stool culture to identify possible pathogens.
An 18-year-old pregnant female has tested positive for HIV and asks the nurse
if her baby is going to be born with HIV. What is the nurse's best response?
a. “It's possible that your baby could contract HIV, either
before,during, or after delivery.”
Since the emergence of HIV/AIDS, there have been significant changes in
