NUR 1211 Medical Surgical Exam 2-
.n n n n n n
Questions and Answers 2024 COMPLET
n n n n n
E 250 QUESTIONS WITH DETAILED VERI
n n n n n
FIED ANSWERS (100% CORRECT) GRAD
n n n n
ED A+ n
AnnursenisnassessingnthenskinnintegritynofnanpatientnwhonhasnAIDS.nWhennperformingnthisnin
spection,nthennursenshouldnprioritizenassessmentnof nwhatnskin nsurfaces?
A) Perianal nregion nandnoral nmucosa
B) Sacral nregion nandnlowernabdomen
C) Scalpnandnskin novernthenscapulae
D) Axillaenandnuppernthoraxn-nANSWERA)nPerianal nregion nandnoral nmucosa
Thennursenshouldninspectnall nthenpatientsnskinnsurfacesnandnmucousnmembranes,nbutntheno
ralnmucosanandnperianal nregionnarenparticularlynvulnerablentonskinnbreakdownnandnfungal ni
nfection.
An16-year-
oldnhasnbeennbroughtntonthenemergencyndepartmentnbynhisnparentsnafternfallingnthrough nt
henglassnof nanpationdoor,nsufferingnanlaceration.nThennursencaringnfornthisnpatientnknowsnth
atnthensitenof ntheninjurynwillnhavenan ninvasion nof nwhat?
A) Interferons
B) Phagocyticncells
C) Apoptosis
D) Cytokinesn-nANSWERB)nPhagocyticncells
Monocytesnmigratentoninjurynsitesnandnfunctionnasnphagocyticncells,nengulfing,ningesting,na
ndndestroyingngreaternnumbersnandnquantitiesnof nforeignnbodiesnorntoxinsnthan ngranulocyt
es.nThisnoccursninnresponsentonthenforeignnbodiesnthatnhaveninvadednthenlacerationnfromnth
endirtnon nthenbroken nglass.
An16-year-
oldnhasncomentonthenclinicnandnasksntontalkntonannurse.nThennursenasksnthenteennwhatnshenn
eedsnandnthenteennrespondsnthatnshenhasnbecomensexuallynactivenandnisnconcernednabout
ngetting nHIV.nThenteen nasksnthennursenwhatnshencanndonkeepnfromngetting nHIV.nWhatnwoul
dnbenthennursesnbestnresponse?
,A) Theresnnonwayntonbensurenyou nwontngetnHIVnexceptntonusencondomsncorrectly.
B) Onlynthencorrectnusenof nanfemalencondomnprotectsnagainstnthentransmission nof nHIV.
C) Therenarennew nwaysnof nprotectingnyourselfnfromnHIVnthatnarenbeingndiscoveredneverynd
ay.
D) Othernthan nabstinence,nonlynthenconsistentnandncorrectnusenofncondomsnisneffectiveninnp
reventingnHIV.n-nANSWERD)nOthernthan nabstinence,nonlynthenconsistentnandncorrect
usenof ncondomsnisneffectivenin npreventingnHIVn.
Othernthan nabstinence,nconsistentnandncorrectnusenof ncondomsnisnthenonlyneffectivenmetho
dntondecreasenthenrisknof nsexual ntransmission nof nHIVninfection.
An20-year-
oldnman nnewlyndiagnosednwith ntypen1ndiabetesnneedsntonlearnnhowntonselfadministerninsuli
n.nWhen nplanningnthenappropriateneducationalninterventionsnandnconsideringnvariablesntha
tnwill naffectnhisnlearning,nthennursenshouldnprioritizenwhich nof nthenfollowingnfactors?
A) Patientsnexpectednlifespan
B) Patientsngender
C) Patientsnoccupation
D) Patientsnculturen-nANSWERD)nPatientsnculture
Onenof nthenmajornvariablesnthatninfluencesnanpatientsnreadinessntonlearnnisnthenpatientsncult
ure,nbecausenitnaffectsnhow nanperson nlearnsnandnwhatninformation nisnlearned.
An21-year-
oldnmalenhasnjustnbeenndiagnosednwithnanspondyloarthropathy.nWhatnwillnbenanprioritynnurs
ingnintervention nfornthisnpatient?
A) Referral nfornassistivendevices
B) Teachingnaboutnsymptomnmanagement
C) Referral ntonclassesntonstopnsmoking
D) Settingnupnan nexercisenprogramn-
nANSWERB)nTeaching naboutnsymptomnmanagement
,Majornnursingninterventionsninnthenspondyloarthropathiesnarenrelatedntonsymptomnmanage
mentnandnmaintenancenof noptimal nfunctioning.
An40-year-
oldnwoman nwasndiagnosednwithnRaynaudsnphenomenonnseveralnyearsnearliernandnhasnso
ughtncarenbecausenof nanprogressivenworseningnofnhernsymptoms.nThenpatientnalsonstatesnt
hatnmanynof nhernskinnsurfacesnarenstiff,nlikenthenskinnisnbeingnstretchednfromnallndirections.n
Thennursenshouldnrecognizenthenneednfornmedical nreferral nfornthenassessmentnof nwhatnheal
th nproblem?
A) Giantncell narteritisn(GCA)
B) Fibromyalgian(FM)
C) Rheumatoidnarthritisn(RA)
D) Scleroderman-nANSWERD)nScleroderma
Sclerodermanstartsninsidiouslynwith nRaynaudsnphenomenon nandnswellingnin nthenhands.
An56-year-
oldnpatientnhasncomentonthenclinicnfornhisnroutineneyenexamination nandnisntoldnhenneedsnbi
focals.nThenpatientnasksnthennursenwhatnchangeninnhisneyesnhasncausednhisnneednfornbifo
cals.nHow nshouldnthennursenrespond?
A) You nknow,nyou narengettingnoldernnow nandnwenchangenasnwengetnolder.
B) Thenpartsnof nourneyesnage,njustnlikenthenrestnofnus,nandnthisnisnnothingntoncausenyountonw
orry.
C) Therenisnangradualnthickeningnof nthenlensnofntheneyenandnitncannlimitntheneyesnabilitynforna
ccommodation.
D) Theneyengetsnshorter,nbackntonfront,nasnwenagenandnitnchangesnhow nwenseenthings.n -
ANSWERC)nTherenisnangradual nthickeningnofnthenlensnof ntheneyenandnitncan nlimitntheneyes
abilitynfornaccommodation .
Asnanresultnof nanlossnof naccommodativenpowerninnthenlensnwithnage,nmanynadultsnrequirenbif
ocalsnornothernformsnof nvisual ncorrection.nThisnisnnotnattributablentonanchangeninnthenshapen
of nthenocularnglobe.nThennursenshouldnnotndismissnorndownplaynthenpatientsnconcerns.
An6-month-
oldninfantnisnbroughtntonthenED nbynhisnparentsnforninconsolablencryingnandnpullingnatnhisnrigh
tnear.nWhen nassessingnthisninfant,nthenadvancednpracticennursenisnawarenthatnthentympani
cnmembranenshouldnbenwhatncolornin nanhealthynear?
A) Yellowish-white
, B) Pink
C) Gray
D) Bluish-whiten-nANSWERC)nGray
Thenhealthyntympanicnmembranenappearsnpearlyngraynandnisnpositionednobliquelynatnthenb
asenof nthenearncanal.nAnynotherncolornisnsuggestivenof nanpathological nprocess.
An6-year-
oldnchildnisnbroughtntonthenpediatricnclinicnfornthenassessmentnofnrednessnandndischargenfro
mntheneyenandnisndiagnosednwithnviralnconjunctivitis.nWhatnisnthenmostnimportantninformatio
n ntondiscussnwith nthenparentsnandnchild?
A) Handwashingncan npreventnthenspreadnof nthendiseasentonothers.
B) Thenimportancenof ncompliancenwith nantibioticntherapy
C) Signsnandnsymptomsnof ncomplications,nsuch nasnmeningitisnandnsepticemia
D) Thenlikelynneednfornsurgeryntonpreventnscarringnof nthenconjunctivan-
nANSWERA)nHandwashing ncan npreventnthenspreadnof nthendisease ntonothers.
Thennursenmustninformnthenparentsnandnchildnthatnviralnconjunctivitisnisnhighlyncontagiousn
andninstructionsnshouldnemphasizenthenimportancenofnhandwashingnandnavoidingnsharin
gntowels,nfacencloths,nandneyendrops.
Anchildngoesntonthenschool nnursenandncomplainsnof nnotnbeingnablentonhearnthenteacher.nWh
atntestncouldnthenschool nnursenperformnthatnwouldnpreliminarilynindicatenhearingnloss?
A) Audiometry
B) Rinnentest
C) Whisperntest
D) Weberntestn-nANSWERC)nWhisperntest
Angeneral nestimatenof nhearingncannbenmadenbynassessingnthenpatientsnabilityntonhearnanwhi
sperednphrasenornantickingnwatch,ntestingnonenearnatnantime.
Anchildnhasnbeennexperiencingnrecurrentnepisodesnof nacutenotitisnmedian(AOM).nThennurs
enshouldnanticipatenthatnwhatnintervention nisnlikelyntonbenordered?
A) Ossiculoplasty
B) Insertion nof nancochlearnimplant
C) Stapedectomy
.n n n n n n
Questions and Answers 2024 COMPLET
n n n n n
E 250 QUESTIONS WITH DETAILED VERI
n n n n n
FIED ANSWERS (100% CORRECT) GRAD
n n n n
ED A+ n
AnnursenisnassessingnthenskinnintegritynofnanpatientnwhonhasnAIDS.nWhennperformingnthisnin
spection,nthennursenshouldnprioritizenassessmentnof nwhatnskin nsurfaces?
A) Perianal nregion nandnoral nmucosa
B) Sacral nregion nandnlowernabdomen
C) Scalpnandnskin novernthenscapulae
D) Axillaenandnuppernthoraxn-nANSWERA)nPerianal nregion nandnoral nmucosa
Thennursenshouldninspectnall nthenpatientsnskinnsurfacesnandnmucousnmembranes,nbutntheno
ralnmucosanandnperianal nregionnarenparticularlynvulnerablentonskinnbreakdownnandnfungal ni
nfection.
An16-year-
oldnhasnbeennbroughtntonthenemergencyndepartmentnbynhisnparentsnafternfallingnthrough nt
henglassnof nanpationdoor,nsufferingnanlaceration.nThennursencaringnfornthisnpatientnknowsnth
atnthensitenof ntheninjurynwillnhavenan ninvasion nof nwhat?
A) Interferons
B) Phagocyticncells
C) Apoptosis
D) Cytokinesn-nANSWERB)nPhagocyticncells
Monocytesnmigratentoninjurynsitesnandnfunctionnasnphagocyticncells,nengulfing,ningesting,na
ndndestroyingngreaternnumbersnandnquantitiesnof nforeignnbodiesnorntoxinsnthan ngranulocyt
es.nThisnoccursninnresponsentonthenforeignnbodiesnthatnhaveninvadednthenlacerationnfromnth
endirtnon nthenbroken nglass.
An16-year-
oldnhasncomentonthenclinicnandnasksntontalkntonannurse.nThennursenasksnthenteennwhatnshenn
eedsnandnthenteennrespondsnthatnshenhasnbecomensexuallynactivenandnisnconcernednabout
ngetting nHIV.nThenteen nasksnthennursenwhatnshencanndonkeepnfromngetting nHIV.nWhatnwoul
dnbenthennursesnbestnresponse?
,A) Theresnnonwayntonbensurenyou nwontngetnHIVnexceptntonusencondomsncorrectly.
B) Onlynthencorrectnusenof nanfemalencondomnprotectsnagainstnthentransmission nof nHIV.
C) Therenarennew nwaysnof nprotectingnyourselfnfromnHIVnthatnarenbeingndiscoveredneverynd
ay.
D) Othernthan nabstinence,nonlynthenconsistentnandncorrectnusenofncondomsnisneffectiveninnp
reventingnHIV.n-nANSWERD)nOthernthan nabstinence,nonlynthenconsistentnandncorrect
usenof ncondomsnisneffectivenin npreventingnHIVn.
Othernthan nabstinence,nconsistentnandncorrectnusenof ncondomsnisnthenonlyneffectivenmetho
dntondecreasenthenrisknof nsexual ntransmission nof nHIVninfection.
An20-year-
oldnman nnewlyndiagnosednwith ntypen1ndiabetesnneedsntonlearnnhowntonselfadministerninsuli
n.nWhen nplanningnthenappropriateneducationalninterventionsnandnconsideringnvariablesntha
tnwill naffectnhisnlearning,nthennursenshouldnprioritizenwhich nof nthenfollowingnfactors?
A) Patientsnexpectednlifespan
B) Patientsngender
C) Patientsnoccupation
D) Patientsnculturen-nANSWERD)nPatientsnculture
Onenof nthenmajornvariablesnthatninfluencesnanpatientsnreadinessntonlearnnisnthenpatientsncult
ure,nbecausenitnaffectsnhow nanperson nlearnsnandnwhatninformation nisnlearned.
An21-year-
oldnmalenhasnjustnbeenndiagnosednwithnanspondyloarthropathy.nWhatnwillnbenanprioritynnurs
ingnintervention nfornthisnpatient?
A) Referral nfornassistivendevices
B) Teachingnaboutnsymptomnmanagement
C) Referral ntonclassesntonstopnsmoking
D) Settingnupnan nexercisenprogramn-
nANSWERB)nTeaching naboutnsymptomnmanagement
,Majornnursingninterventionsninnthenspondyloarthropathiesnarenrelatedntonsymptomnmanage
mentnandnmaintenancenof noptimal nfunctioning.
An40-year-
oldnwoman nwasndiagnosednwithnRaynaudsnphenomenonnseveralnyearsnearliernandnhasnso
ughtncarenbecausenof nanprogressivenworseningnofnhernsymptoms.nThenpatientnalsonstatesnt
hatnmanynof nhernskinnsurfacesnarenstiff,nlikenthenskinnisnbeingnstretchednfromnallndirections.n
Thennursenshouldnrecognizenthenneednfornmedical nreferral nfornthenassessmentnof nwhatnheal
th nproblem?
A) Giantncell narteritisn(GCA)
B) Fibromyalgian(FM)
C) Rheumatoidnarthritisn(RA)
D) Scleroderman-nANSWERD)nScleroderma
Sclerodermanstartsninsidiouslynwith nRaynaudsnphenomenon nandnswellingnin nthenhands.
An56-year-
oldnpatientnhasncomentonthenclinicnfornhisnroutineneyenexamination nandnisntoldnhenneedsnbi
focals.nThenpatientnasksnthennursenwhatnchangeninnhisneyesnhasncausednhisnneednfornbifo
cals.nHow nshouldnthennursenrespond?
A) You nknow,nyou narengettingnoldernnow nandnwenchangenasnwengetnolder.
B) Thenpartsnof nourneyesnage,njustnlikenthenrestnofnus,nandnthisnisnnothingntoncausenyountonw
orry.
C) Therenisnangradualnthickeningnof nthenlensnofntheneyenandnitncannlimitntheneyesnabilitynforna
ccommodation.
D) Theneyengetsnshorter,nbackntonfront,nasnwenagenandnitnchangesnhow nwenseenthings.n -
ANSWERC)nTherenisnangradual nthickeningnofnthenlensnof ntheneyenandnitncan nlimitntheneyes
abilitynfornaccommodation .
Asnanresultnof nanlossnof naccommodativenpowerninnthenlensnwithnage,nmanynadultsnrequirenbif
ocalsnornothernformsnof nvisual ncorrection.nThisnisnnotnattributablentonanchangeninnthenshapen
of nthenocularnglobe.nThennursenshouldnnotndismissnorndownplaynthenpatientsnconcerns.
An6-month-
oldninfantnisnbroughtntonthenED nbynhisnparentsnforninconsolablencryingnandnpullingnatnhisnrigh
tnear.nWhen nassessingnthisninfant,nthenadvancednpracticennursenisnawarenthatnthentympani
cnmembranenshouldnbenwhatncolornin nanhealthynear?
A) Yellowish-white
, B) Pink
C) Gray
D) Bluish-whiten-nANSWERC)nGray
Thenhealthyntympanicnmembranenappearsnpearlyngraynandnisnpositionednobliquelynatnthenb
asenof nthenearncanal.nAnynotherncolornisnsuggestivenof nanpathological nprocess.
An6-year-
oldnchildnisnbroughtntonthenpediatricnclinicnfornthenassessmentnofnrednessnandndischargenfro
mntheneyenandnisndiagnosednwithnviralnconjunctivitis.nWhatnisnthenmostnimportantninformatio
n ntondiscussnwith nthenparentsnandnchild?
A) Handwashingncan npreventnthenspreadnof nthendiseasentonothers.
B) Thenimportancenof ncompliancenwith nantibioticntherapy
C) Signsnandnsymptomsnof ncomplications,nsuch nasnmeningitisnandnsepticemia
D) Thenlikelynneednfornsurgeryntonpreventnscarringnof nthenconjunctivan-
nANSWERA)nHandwashing ncan npreventnthenspreadnof nthendisease ntonothers.
Thennursenmustninformnthenparentsnandnchildnthatnviralnconjunctivitisnisnhighlyncontagiousn
andninstructionsnshouldnemphasizenthenimportancenofnhandwashingnandnavoidingnsharin
gntowels,nfacencloths,nandneyendrops.
Anchildngoesntonthenschool nnursenandncomplainsnof nnotnbeingnablentonhearnthenteacher.nWh
atntestncouldnthenschool nnursenperformnthatnwouldnpreliminarilynindicatenhearingnloss?
A) Audiometry
B) Rinnentest
C) Whisperntest
D) Weberntestn-nANSWERC)nWhisperntest
Angeneral nestimatenof nhearingncannbenmadenbynassessingnthenpatientsnabilityntonhearnanwhi
sperednphrasenornantickingnwatch,ntestingnonenearnatnantime.
Anchildnhasnbeennexperiencingnrecurrentnepisodesnof nacutenotitisnmedian(AOM).nThennurs
enshouldnanticipatenthatnwhatnintervention nisnlikelyntonbenordered?
A) Ossiculoplasty
B) Insertion nof nancochlearnimplant
C) Stapedectomy
