Question 1

When is a patient with HIV considered to have progressed to AIDS?

Accepted Answer

A)  Two or more opportunistic infections are diagnosed. 
B)  Kaposi sarcoma appears. 
C)  CD4 cell level drops to 200. 
D)  Patient tested positive for enzyme-linked immunosorbent assay (ELIS
A) . 
A)  Two or more opportunistic infections are diagnosed. 
B)  Kaposi sarcoma appears. 
C)  CD4 cell level drops to 200. 
D)  Patient tested positive for enzyme-linked immunosorbent assay (ELIS
A) . C

Question 2

A nurse is caring for a patient with thrombotic thrombocytopenic purpura who is having plasmapheresis every day.Which assessment alerts the nurse of a complication?

Accepted Answer

A)  Hypotension 
B)  Seizure activity 
C)  Diarrhea 
D)  Intense headache 
A)  Hypotension 
B)  Seizure activity 
C)  Diarrhea 
D)  Intense headache A

Question 3

A nurse is caring for a patient with HIV infection who has been prescribed highly active antiretroviral therapy (HAART).What should the nurse warn the patient that inconsistent administration of the drug can result in?

Accepted Answer

A)  HIV strain becoming resistant to the drug 
B)  Decrease in antibodies in the circulating volume 
C)  Addition of another antiretroviral agent to the protocol 
D)  Rapid increase in the symptoms of AIDS 
A)  HIV strain becoming resistant to the drug 
B)  Decrease in antibodies in the circulating volume 
C)  Addition of another antiretroviral agent to the protocol 
D)  Rapid increase in the symptoms of AIDS A

Question 4

An 11-year-old girl is diagnosed with idiopathic thrombocytopenic purpura (ITP).Which parental statement helps the nurse evaluate that teaching is successful?

Accepted Answer

A)  "Our daughter can still be involved in gymnastics." 
B)  "When our daughter's hemoglobin falls below 3.5, she'll need blood." 
C)  "Our daughter will need genetic counseling before she marries." 
D)  "Our daughter should avoid drugs containing sulfonamides." 
A)  "Our daughter can still be involved in gymnastics." 
B)  "When our daughter's hemoglobin falls below 3.5, she'll need blood." 
C)  "Our daughter will need genetic counseling before she marries." 
D)  "Our daughter should avoid drugs containing sulfonamides."

Question 5

A patient with HIV complains to the home health nurse that he has been having watery diarrhea for the past 10 days.The nurse suspects toxoplasmosis.What is the most significant question for the nurse to ask?

Accepted Answer

A)  "Have you stopped taking your antiviral medication?" 
B)  "Have you been drinking alcohol?" 
C)  "Have you been eating aged cheese or organ meats?" 
D)  "Do you have a cat?" 
A)  "Have you stopped taking your antiviral medication?" 
B)  "Have you been drinking alcohol?" 
C)  "Have you been eating aged cheese or organ meats?" 
D)  "Do you have a cat?"

Question 6

Which populations are at the highest risks of contracting HIV? (Select all that apply.)

Accepted Answer

A)  Health care workers who mishandle infected sharps 
B)  Breastfed infants of HIV-infected mothers 
C)  Persons sharing living quarters with an HIV-infected person 
D)  Heterosexual partners of an HIV-infected person 
E)  Newborns of an HIV-infected mother 
A)  Health care workers who mishandle infected sharps 
B)  Breastfed infants of HIV-infected mothers 
C)  Persons sharing living quarters with an HIV-infected person 
D)  Heterosexual partners of an HIV-infected person 
E)  Newborns of an HIV-infected mother

Question 7

What does enzyme reverse transcriptase transcribe?

Accepted Answer

A)  DNA to mimic CD4 cells 
B)  T4-helper cells to RNA 
C)  HIV RNA to HIV DNA 
D)  T4 cells to HIV virions 
A)  DNA to mimic CD4 cells 
B)  T4-helper cells to RNA 
C)  HIV RNA to HIV DNA 
D)  T4 cells to HIV virions

Question 8

A nurse is preparing a teaching plan for a patient with HIV who has been diagnosed with microsporidiosis.Which implementation should be included?

Accepted Answer

A)  Drink 3 quarts of fluid a day to combat dehydration. 
B)  Include milk products with every meal. 
C)  Consume liberal amounts of fat for increased energy. 
D)  Limit protein intake to reduce serum ammonia levels. 
A)  Drink 3 quarts of fluid a day to combat dehydration. 
B)  Include milk products with every meal. 
C)  Consume liberal amounts of fat for increased energy. 
D)  Limit protein intake to reduce serum ammonia levels.

Question 9

Which opportunistic fungal diseases threaten patients with HIV? (Select all that apply.)

Accepted Answer

A)  Aspergillosis 
B)  Pneumocystis jiroveci 
C)  Herpes simplex 
D)  Oral hairy leukoplakia 
E)  Tuberculosis 
A)  Aspergillosis 
B)  Pneumocystis jiroveci 
C)  Herpes simplex 
D)  Oral hairy leukoplakia 
E)  Tuberculosis

Question 10

How long does the initial stage of an HIV infection usually last?

Accepted Answer

A)  2 to 4 weeks 
B)  4 to 8 weeks 
C)  8 to 12 weeks 
D)  12 to 16 weeks 
A)  2 to 4 weeks 
B)  4 to 8 weeks 
C)  8 to 12 weeks 
D)  12 to 16 weeks

Question 11

A nurse explains to a pregnant patient with AIDS that her baby will be treated with antiretroviral drugs for _____ weeks after birth.(Use numeric characters only.)

Accepted Answer

The answer of A nurse explains to a pregnant patient...

Question 12

What sign should a nurse report when caring for the patient with AIDS who has cutaneous Kaposi sarcoma?

Accepted Answer

A)  Nausea 
B)  Fatigue 
C)  Abdominal pain 
D)  Weight loss 
A)  Nausea 
B)  Fatigue 
C)  Abdominal pain 
D)  Weight loss

Question 13

Which symptom should a nurse recognize as being pertinent to a possible diagnosis of systemic lupus erythematosus (SLE)?

Accepted Answer

A)  Butterfly rash of the face 
B)  Protruding abdomen 
C)  Thinning hair 
D)  Bloody diarrhea 
A)  Butterfly rash of the face 
B)  Protruding abdomen 
C)  Thinning hair 
D)  Bloody diarrhea

Question 14

A nurse is designing a teaching plan for a patient with AIDS.What should be included relative to food preparation precautions? (Select all that apply.)

Accepted Answer

A)  Check expiration dates on frozen foods. 
B)  Leave produce unwashed to preserve protective spray. 
C)  Drink a small glass of red wine before each meal to stimulate the appetite. 
D)  Eat three large, well-balanced meals daily. 
E)  Avoid leftovers. 
A)  Check expiration dates on frozen foods. 
B)  Leave produce unwashed to preserve protective spray. 
C)  Drink a small glass of red wine before each meal to stimulate the appetite. 
D)  Eat three large, well-balanced meals daily. 
E)  Avoid leftovers.

Question 15

Which population, according to statistics from the Centers for Disease Control and Prevention (CDC), has the greatest incidence of human immunodeficiency viral (HIV)infection in the United States?

Accepted Answer

A)  Asian Americans 
B)  African Americans 
C)  Latinos 
D)  Whites 
A)  Asian Americans 
B)  African Americans 
C)  Latinos 
D)  Whites

Question 16

Which statement by a patient diagnosed with AIDS should lead a nurse to suspect an infection by CMV?

Accepted Answer

A)  "I need to get glasses; I can't see as well as I did a few months ago." 
B)  "I need to drink more water.This diarrhea has really dehydrated me." 
C)  "I need to get smaller clothes.I have lost 10 lb in the past 6 weeks." 
D)  "I need to take some pep pills.I don't have any energy." 
A)  "I need to get glasses; I can't see as well as I did a few months ago." 
B)  "I need to drink more water.This diarrhea has really dehydrated me." 
C)  "I need to get smaller clothes.I have lost 10 lb in the past 6 weeks." 
D)  "I need to take some pep pills.I don't have any energy."

Question 17

What should a nurse include when developing a plan of care for a patient with human immunodeficiency virus (HIV)?

Accepted Answer

A)  Careful aseptic technique to prevent infection 
B)  Instruction to limit fluids to prevent congestive heart failure 
C)  Oral alcohol rinses to control mouth infections 
D)  Selections of high-fat foods in the daily diet 
A)  Careful aseptic technique to prevent infection 
B)  Instruction to limit fluids to prevent congestive heart failure 
C)  Oral alcohol rinses to control mouth infections 
D)  Selections of high-fat foods in the daily diet

Question 18

What should a patient be encouraged to do before the initiation of any anti-HIV drug protocol?

Accepted Answer

A)  Give up sexual activity for several months. 
B)  Follow the strict dietary guidelines. 
C)  Comply with the drug protocol. 
D)  Involve the partner in a support program. 
A)  Give up sexual activity for several months. 
B)  Follow the strict dietary guidelines. 
C)  Comply with the drug protocol. 
D)  Involve the partner in a support program.

Question 19

A nurse assesses a neutrophil count of 900/mm3 in a patient with acute leukemia.What should the nurse anticipate initiating?

Accepted Answer

A)  A high-protein diet 
B)  Increased doses of steroids 
C)  Compromised host precautions 
D)  Injections of blood-building medication 
A)  A high-protein diet 
B)  Increased doses of steroids 
C)  Compromised host precautions 
D)  Injections of blood-building medication

Question 20

A nurse is caring for a patient in the last stages of leukemia and is aware that the patient is at risk from the bacteria of his own body.Which is an example of internal bacteria?

Accepted Answer

A)  Beta-hemolytic streptococci 
B)  Streptococcus pneumoniae 
C)  Streptococcus viridans 
D)  Pseudomonas aeruginosa 
A)  Beta-hemolytic streptococci 
B)  Streptococcus pneumoniae 
C)  Streptococcus viridans 
D)  Pseudomonas aeruginosa

Exam 32: Immunologic Disorders

When is a patient with HIV considered to have progressed to AIDS?

A nurse is caring for a patient with thrombotic thrombocytopenic purpura who is having plasmapheresis every day.Which assessment alerts the nurse of a complication?

A nurse is caring for a patient with HIV infection who has been prescribed highly active antiretroviral therapy (HAART).What should the nurse warn the patient that inconsistent administration of the drug can result in?

An 11-year-old girl is diagnosed with idiopathic thrombocytopenic purpura (ITP).Which parental statement helps the nurse evaluate that teaching is successful?

A patient with HIV complains to the home health nurse that he has been having watery diarrhea for the past 10 days.The nurse suspects toxoplasmosis.What is the most significant question for the nurse to ask?

Which populations are at the highest risks of contracting HIV? (Select all that apply.)

What does enzyme reverse transcriptase transcribe?

A nurse is preparing a teaching plan for a patient with HIV who has been diagnosed with microsporidiosis.Which implementation should be included?

Which opportunistic fungal diseases threaten patients with HIV? (Select all that apply.)

How long does the initial stage of an HIV infection usually last?

A nurse explains to a pregnant patient with AIDS that her baby will be treated with antiretroviral drugs for _____ weeks after birth.(Use numeric characters only.)

What sign should a nurse report when caring for the patient with AIDS who has cutaneous Kaposi sarcoma?

Which symptom should a nurse recognize as being pertinent to a possible diagnosis of systemic lupus erythematosus (SLE)?

A nurse is designing a teaching plan for a patient with AIDS.What should be included relative to food preparation precautions? (Select all that apply.)

Which population, according to statistics from the Centers for Disease Control and Prevention (CDC), has the greatest incidence of human immunodeficiency viral (HIV)infection in the United States?

Which statement by a patient diagnosed with AIDS should lead a nurse to suspect an infection by CMV?

What should a nurse include when developing a plan of care for a patient with human immunodeficiency virus (HIV)?

What should a patient be encouraged to do before the initiation of any anti-HIV drug protocol?

A nurse assesses a neutrophil count of 900/mm3 in a patient with acute leukemia.What should the nurse anticipate initiating?

A nurse is caring for a patient in the last stages of leukemia and is aware that the patient is at risk from the bacteria of his own body.Which is an example of internal bacteria?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

A nurse assesses a neutrophil count of 900/mm³ in a patient with acute leukemia.What should the nurse anticipate initiating?