NUR 1211 | NUR1211 EXAM 2 Medical
Surgical Exam | Questions and Verified
Answers with Rationale | Graded A+ | Latest
2024
An adult patient will be receiving outpatient intravenous antibiotic therapy
for the treatment of endocarditis. The nurse is preparing to perform health
education to ensure the patients adherence to the course of treatment.
Which of the following assessments should be the nurses immediate
priority?
A) Patients understanding of the teaching plan
B) Quality of the patients relationships
C) Patients previous medical history
D) Characteristics of the patients culture
- Correct Answer - D) Characteristics of the patients culture
Rationale: Before beginning health teaching, nurses must conduct an
individual cultural assessment instead of relying only on generalized
assumptions about a particular culture.
The nurse is working with a male patient who has diagnoses of coronary
artery disease and angina pectoris. During a clinic visit, the nurse learns
that he has only been taking his prescribed antiplatelet medication when he
experiences chest pain and fatigue. What nursing diagnosis is most
relevant to this assessment finding?
,A) Acute pain related to myocardial ischemia
B) Confusion related to mismanagement of drug regimen
C) Ineffective health maintenance related to inappropriate medication use
D) Ineffective role performance related to inability to manage medications
- Correct Answer - C) Ineffective health maintenance related to
inappropriate medication use
Rationale: This patients actions suggest that by taking his medications
incorrectly he is not adequately maintaining his health.
A woman has been diagnosed with breast cancer and is being treated
aggressively with a chemotherapeutic regimen. As a result of this regimen,
she has an inability to fight infection due to the fact that her bone marrow is
unable to produce a sufficient amount of what?
A) Lymphocytes
B) Cytoblasts
C) Antibodies
D) Capillaries
- Correct Answer - A) Lymphocytes
Rationale: During a mumps outbreak at a local school, a patient, who is a
school teacher, is exposed. She has previously been immunized for
mumps. What type of immunity does she possess?
A) Acquired immunity
B) Natural immunity
C) Phagocytic immunity
D) Humoral immunity
- Correct Answer - A) Acquired immunity
,Rationale: Acquired immunity usually develops as a result of prior
exposure to an antigen, often through immunization.
A gardener sustained a deep laceration while working and requires sutures.
The patient is asked about the date of her last tetanus shot, which is over
10 years ago. Based on this information, the patient will receive a tetanus
immunization. The tetanus injection will allow for the release of what?
A) Antibodies
B) Antigens
C) Cytokines
D) Phagocytes
- Correct Answer - A) Antibodies
Rationale: Immunizations activate the humoral immune response,
culminating in antibody production.
An infection control nurse is presenting an inservice reviewing the immune
response. The nurse describes the clumping effect that occurs when an
antibody acts like a cross-link between two antigens. What process is the
nurse explaining?
A) Agglutination
B) Cellular immune response
C) Humoral response
D) Phagocytic immune response
- Correct Answer - A) Agglutination
Rationale: Agglutination refers to the clumping effect occurring when an
antibody acts as a cross-link between two antigens. This takes place within
the context of the humoral immune response, but is not synonymous with it.
, A nurse has administered a child’s scheduled vaccination for rubella. This
vaccination will cause the child to develop which of the following?
A) Natural immunity
B) Active acquired immunity
C) Cellular immunity
D) Mild hypersensitivity - Correct Answer - B) Active acquired immunity
Rationale: Active acquired immunity usually develops as a result of
vaccination or contracting a disease.
A patient with a history of dermatitis takes corticosteroids on a regular
basis. The nurse should assess the patient for which of the following
complications of therapy?
A) Immunosuppression
B) Agranulocytosis
C) Anemia
D) Thrombocytopenia
- Correct Answer - A) Immunosuppression
Rationale: Corticosteroids such as prednisone can cause
immunosuppression. Corticosteroids do not typically cause
agranulocytosis, anemia, or low platelet counts.
A 16-year-old has been brought to the emergency department by his
parents after falling through the glass of a patio door, suffering a laceration.
The nurse caring for this patient knows that the site of the injury will have
an invasion of what?
A) Interferons
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