NUR 1211 Medical Surgical Exam
2- FINAL EXAM NEWEST 2024 ACTUAL EXAM
COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
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 .have .AIDS .at
.the .point .when .the .CD4+ .T-lymphocyte .cell .count .drops .below .what .threshold?
A) 75 .cells/mm3 .of .blood
B) 200 .cells/mm3 .of .blood
C) 325 .cells/mm3 .of .blood
D) 450 .cells/mm3 .of .blood .- .ANSWER>>B) .200 .cells/mm3 .of .blood
When .CD4+ .T-cell .levels .drop .below .200 .cells/mm3 .of .blood, .the .person .is .said .to
.have .AIDS.
A .nurse .is .planning .a .patients .care .and .is .relating .it .to .normal .immune .response.
.During .what .stage .of .the .immune .response .should .the .nurse .know .that .antibodies .or
.cytotoxic .T .cells .combine .and .destroy .the .invading .microbes?
A) Recognition .stage
B) Proliferation .stage
C) Response .stage
D) Effector .stage .- .ANSWER>>D) .Effector .stage
In .the .effector .stage, .either .the .antibody .of .the .humoral .response .or .the .cytotoxic
.(killer) .T .cell .of .the .cellular .response .reaches .and .couples .with .the .antigen .on .the
.surface .of .the .foreign .invader.
A .nurse .is .planning .the .assessment .of .a .patient .who .is .exhibiting .signs .and
.symptoms .of .an .autoimmune .disorder. .The .nurse .should .be .aware .that .the
.incidence .and .prevalence .of .autoimmune .diseases .is .known .to .be .higher .among
.what .group?
A) Young .adults
B) Native .Americans
C) Women
D) Hispanics .- .ANSWER>>C) .Women
,Many .autoimmune .diseases .have .a .higher .incidence .in .females .than .in .males, .a
.phenomenon .believed .to .be .correlated .with .sex .hormones.
Middle-aged .adults .are .part .of .an .age .group .that .is .known .to .be .interested .in .health
.and .health .promotion, .and .the .nurse .is .planning .health .promotion .activities
.accordingly. .To .what .suggestions .do .members .of .this .age .group .usually .respond
.with .enthusiasm?
Select .all .that .apply.
A) How .lifestyle .practices .can .improve .health
B) How .to .eat .healthier
C) How .exercise .can .improve .your .life
D) Strategies .for .adhering .to .prescribed .therapy
E) Exercise .for .the .aging .- .ANSWER>>A) .How .lifestyle .practices .can .improve .health
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 .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.
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.
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?
A) Demonstrating .an .injection .technique .to .a .patient .for .anticoagulant .therapy
2- FINAL EXAM NEWEST 2024 ACTUAL EXAM
COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
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 .have .AIDS .at
.the .point .when .the .CD4+ .T-lymphocyte .cell .count .drops .below .what .threshold?
A) 75 .cells/mm3 .of .blood
B) 200 .cells/mm3 .of .blood
C) 325 .cells/mm3 .of .blood
D) 450 .cells/mm3 .of .blood .- .ANSWER>>B) .200 .cells/mm3 .of .blood
When .CD4+ .T-cell .levels .drop .below .200 .cells/mm3 .of .blood, .the .person .is .said .to
.have .AIDS.
A .nurse .is .planning .a .patients .care .and .is .relating .it .to .normal .immune .response.
.During .what .stage .of .the .immune .response .should .the .nurse .know .that .antibodies .or
.cytotoxic .T .cells .combine .and .destroy .the .invading .microbes?
A) Recognition .stage
B) Proliferation .stage
C) Response .stage
D) Effector .stage .- .ANSWER>>D) .Effector .stage
In .the .effector .stage, .either .the .antibody .of .the .humoral .response .or .the .cytotoxic
.(killer) .T .cell .of .the .cellular .response .reaches .and .couples .with .the .antigen .on .the
.surface .of .the .foreign .invader.
A .nurse .is .planning .the .assessment .of .a .patient .who .is .exhibiting .signs .and
.symptoms .of .an .autoimmune .disorder. .The .nurse .should .be .aware .that .the
.incidence .and .prevalence .of .autoimmune .diseases .is .known .to .be .higher .among
.what .group?
A) Young .adults
B) Native .Americans
C) Women
D) Hispanics .- .ANSWER>>C) .Women
,Many .autoimmune .diseases .have .a .higher .incidence .in .females .than .in .males, .a
.phenomenon .believed .to .be .correlated .with .sex .hormones.
Middle-aged .adults .are .part .of .an .age .group .that .is .known .to .be .interested .in .health
.and .health .promotion, .and .the .nurse .is .planning .health .promotion .activities
.accordingly. .To .what .suggestions .do .members .of .this .age .group .usually .respond
.with .enthusiasm?
Select .all .that .apply.
A) How .lifestyle .practices .can .improve .health
B) How .to .eat .healthier
C) How .exercise .can .improve .your .life
D) Strategies .for .adhering .to .prescribed .therapy
E) Exercise .for .the .aging .- .ANSWER>>A) .How .lifestyle .practices .can .improve .health
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 .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.
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.
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?
A) Demonstrating .an .injection .technique .to .a .patient .for .anticoagulant .therapy
