NUR1211- Medical-Surgical Nursing

Final Exam-Questions and Answers

Question 1

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Question text

A client has a white blood cell change in which the number of suppressor T-cells is way below normal and

asks the nurse which type of health problem(s) could be expected as a result of this deficiency. What is the

nurse's best response?

Select one:

 a. “Try to avoid crowds and people who are ill because you are now more susceptible to bacterial and

viral infections.”

 b. “You will be more prone to allergic reactions when exposed to allergens or drugs.”

 c. "You will need to receive booster vaccinations more often because your ability to make antibodies is

reduced.”

 d. “Your risk for cancer development is increased.”

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Your answer is incorrect.

The correct answer is: “You will be more prone to allergic reactions when exposed to allergens or drugs.”

Question 2

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The nurse is preparing a client for discharge who developed an acute kidney injury during coronary artery

bypass graft surgery. The nurse notices that the client has a serum creatinine of 1.2mg/dL (106 mcmol/L)

and a glomerular filtration rate (GFR) of 75mL/kg/1.73m2. Which is the priority nursing action?

Select one:

 a. Checking the remaining values on the metabolic panel and informing the primary care provider of

all results before the client is discharged

 b. Encouraging the client to reduce protein intake to reduce creatinine production until the follow-up

visit with the nephrologist occurs

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 c. Reminding the client to remain hydrated by drinking 500mL of an electrolyte-based solution daily

 d. Educating the client about the need for follow-up, including re-evaluation of serum creatinine with

the primary care provider or nephrologist in 8-12 weeks

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Your answer is incorrect.

The correct answer is: Educating the client about the need for follow-up, including re-evaluation of serum

creatinine with the primary care provider or nephrologist in 8-12 weeks

Question 3

Correct

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Question text

The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of

82mg/dL (mmol/L) and hemoglobin A1C of 5.9%. What is the nurse's interpretation of these findings?

Select one:

 a. The client's glucose control for the past 24 hours has been good, but the overall control is poor.

 b. The values indicate that the client has poorly managed his or her disease.

 c. The client's glucose control for the past 24 hours has been poor, but the overall control is good.

 d. The values indicate that the client has managed his or her disease well.

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Your answer is correct.

The correct answer is: The values indicate that the client has managed his or her disease well.

Question 4

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A client thought to be at risk for distributive shock is given a drug that constricts blood vessels. What effect

does the nurse expect the drug to have on the client's mean arterial pressure (MAP)?

Select one:

 a. Increased MAP by increasing vascular volume

 b. Decreased MAP from widespread capillary leak

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 c. Decreased MAP by decreasing vascular volume

 d. Increased MAP without a change in vascular volume

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Your answer is incorrect.

The correct answer is: Increased MAP without a change in vascular volume

Question 5

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Which description of respiratory physiologic features is correct?

Select one:

 a. The epiglottis closes during speech to divert air movement into and through the vocal cords to

produce sound.

 b. Any problem with the right lung interferes with gas exchange and perfusion to a greater degree than

a problem in the left lung.

 c. The elastic tissues of the tracheobronchial tree are the major structures responsible for gas

exchange.

 d. The left lung is responsible for approximately 60% of gas exchange, and the right lung is

responsible for 60% of pulmonary perfusion.

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Your answer is incorrect.

The correct answer is: Any problem with the right lung interferes with gas exchange and perfusion to a

greater degree than a problem in the left lung.

Question 6

Correct

1.00 points out of 1.00

Question text

The nurse notes that a client with a history of chronic obstructive pulmonary disease (COPD) who is

receiving oxygen therapy at 2L/min and had an oxygen saturation of 88% 1 hour ago now has dyspnea and

an oxygen saturation of 80%. Should the nurse increase the FiO2?

Select one:

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