Question 1

Which nursing action should be implemented to increase the comfort of a patient with oral hair leukoplakia?

Accepted Answer

A)  Allow aspirin to melt in the mouth and then wash out with warm water. 
B)  Encourage mouth rinses with warm salt water several times a day. 
C)  Limit intake of ice cream and other cold foods. 
D)  Offer fluids through a straw. 
A)  Allow aspirin to melt in the mouth and then wash out with warm water. 
B)  Encourage mouth rinses with warm salt water several times a day. 
C)  Limit intake of ice cream and other cold foods. 
D)  Offer fluids through a straw.

Question 2

A young man at the HIV clinic tells the nurse how relieved he is that he does not have HIV because he now has no symptoms at all when just a few weeks ago he felt awful.What is the most appropriate nursing response?

Accepted Answer

A)  "Flulike symptoms frequently are misdiagnosed as HIV." 
B)  "In the latent stage, the physical symptoms are reduced, but the HIV is still present in the lymph nodes." 
C)  "A high antibody count can overwhelm HIV infection in the early stage." 
D)  "Antiretroviral drugs are very effective in the first stage in reducing symptoms." 
A)  "Flulike symptoms frequently are misdiagnosed as HIV." 
B)  "In the latent stage, the physical symptoms are reduced, but the HIV is still present in the lymph nodes." 
C)  "A high antibody count can overwhelm HIV infection in the early stage." 
D)  "Antiretroviral drugs are very effective in the first stage in reducing symptoms."

Question 3

What indicates that a patient has entered the third stage of HIV infection?

Accepted Answer

A)  T-helper CD4 cell count of 500 
B)  Rise in antibody count 
C)  Drop in viral load 
D)  Increase in T4 helper cells 
A)  T-helper CD4 cell count of 500 
B)  Rise in antibody count 
C)  Drop in viral load 
D)  Increase in T4 helper cells

Question 4

A nurse explains that HIV is introduced to the systemic circulation by the _____, which is found in the mucous membranes.

Accepted Answer

The answer of A nurse explains that HIV is introduced...

Question 5

A nurse explains that in autoimmune diseases, the body identifies its own proteins as foreign matter and sets out to destroy itself.Which are examples of autoimmune diseases? (Select all that apply.)

Accepted Answer

A)  SLE 
B)  Type 1 diabetes mellitus (DM) 
C)  Rheumatoid arthritis (R
A)  
D)  Osteoarthritis 
E)  Pancreatitis 
A)  SLE 
B)  Type 1 diabetes mellitus (DM) 
C)  Rheumatoid arthritis (R
A)  
D)  Osteoarthritis 
E)  Pancreatitis

Question 6

Which factors explain the increase in HIV infections in persons over the age of 50 years? (Select all that apply.)

Accepted Answer

A)  Older persons are usually not questioned by health professionals about sex or drug abuse. 
B)  Older persons are more promiscuous in earlier years. 
C)  Older persons are less likely to seek HIV screening. 
D)  Older persons mistake HIV symptoms as part of the discomforts of increased age. 
E)  Older persons tend to use hormonal forms of contraception. 
A)  Older persons are usually not questioned by health professionals about sex or drug abuse. 
B)  Older persons are more promiscuous in earlier years. 
C)  Older persons are less likely to seek HIV screening. 
D)  Older persons mistake HIV symptoms as part of the discomforts of increased age. 
E)  Older persons tend to use hormonal forms of contraception.

Question 7

A nurse is assessing a patient with AIDS for risk factors.What is recognized as the most risky behavior in the patient history?

Accepted Answer

A)  Oral sex without contact with the glans penis 
B)  Oral sex with a condom 
C)  Use of sex toys 
D)  Anal sex with a condom 
A)  Oral sex without contact with the glans penis 
B)  Oral sex with a condom 
C)  Use of sex toys 
D)  Anal sex with a condom

Question 8

What is most appropriate for a nurse to include when preparing discharge plans for a patient with SLE?

Accepted Answer

A)  Need to consume 2 L of fluid daily 
B)  Close monitoring of daily blood glucose level 
C)  Use of daily sunscreens with a sun protection factor (SPF)higher than 15 
D)  Careful concern for certain food allergies 
A)  Need to consume 2 L of fluid daily 
B)  Close monitoring of daily blood glucose level 
C)  Use of daily sunscreens with a sun protection factor (SPF)higher than 15 
D)  Careful concern for certain food allergies

Question 9

What is the most common form of transmission of the HIV virus?

Accepted Answer

A)  Injection drug use 
B)  Heterosexual contact 
C)  Exposure to contaminated blood products 
D)  Male to male 
A)  Injection drug use 
B)  Heterosexual contact 
C)  Exposure to contaminated blood products 
D)  Male to male

Question 10

What should a patient with HIV avoid to prevent bacillary angiomatosis (BA)?

Accepted Answer

A)  Cats 
B)  Large crowds of people 
C)  Consuming unwashed fruits 
D)  Exposure to mosquito bites 
A)  Cats 
B)  Large crowds of people 
C)  Consuming unwashed fruits 
D)  Exposure to mosquito bites

Question 11

A nurse is caring for a patient with HIV infection taking Retrovir, a nucleoside antiviral that is a reverse transcriptase inhibitor.For what should the nurse be especially observant?

Accepted Answer

A)  Decreased urine output 
B)  Hypertensive episodes 
C)  Jaundice 
D)  Edema of the face 
A)  Decreased urine output 
B)  Hypertensive episodes 
C)  Jaundice 
D)  Edema of the face

Question 12

Which should take priority in the care of an outpatient with AIDS?

Accepted Answer

A)  Therapeutic regimen management 
B)  Physical mobility 
C)  Skin integrity 
D)  Social isolation 
A)  Therapeutic regimen management 
B)  Physical mobility 
C)  Skin integrity 
D)  Social isolation

Question 13

A very anxious young man comes to the clinic believing that he may have HIV infection because of his persistent influenza-like symptoms and his risky sexual behavior.What should the nurse anticipate that a positive blood analysis would show?

Accepted Answer

A)  High levels of CD8 cells 
B)  High levels of HIV-infected cells 
C)  Low levels of T cells 
D)  Low levels of antibodies 
A)  High levels of CD8 cells 
B)  High levels of HIV-infected cells 
C)  Low levels of T cells 
D)  Low levels of antibodies

Question 14

A 24-year-old woman is admitted to the hospital for a complete medical examination.Her current complaints are indicative of SLE.Which symptom would indicate this diagnosis?

Accepted Answer

A)  Recent weight gain of 10 lb 
B)  Difficulty breathing in the morning 
C)  Frequent episodes of diarrhea 
D)  Musculoskeletal pain in the hands 
A)  Recent weight gain of 10 lb 
B)  Difficulty breathing in the morning 
C)  Frequent episodes of diarrhea 
D)  Musculoskeletal pain in the hands

Question 15

A nurse is educating patients about the progression of HIV infections.Which statement by the patient in the latent stage indicates that teaching has been effective?

Accepted Answer

A)  "I had better get my affairs in order.I don't have a lot of time left." 
B)  "Whew! I thought when I got AIDS that I was a 'goner.'" 
C)  "Now I won't have to take all those expensive drugs that I have been using." 
D)  "I can still enjoy life and live pretty much as I want for the next several years." 
A)  "I had better get my affairs in order.I don't have a lot of time left." 
B)  "Whew! I thought when I got AIDS that I was a 'goner.'" 
C)  "Now I won't have to take all those expensive drugs that I have been using." 
D)  "I can still enjoy life and live pretty much as I want for the next several years."

Question 16

A nurse removes a potted plant from the room of a patient with HIV.What is the nurse trying to prevent?

Accepted Answer

A)  Aspergillosis 
B)  Candidiasis 
C)  Coccidioidomycosis 
D)  Cytomegalovirus (CMV) 
A)  Aspergillosis 
B)  Candidiasis 
C)  Coccidioidomycosis 
D)  Cytomegalovirus (CMV)

Question 17

A patient with HIV is diagnosed with progressive multifocal leukoencephalopathy (PML).What should a nurse encourage the patient to do?

Accepted Answer

A)  Take daily exercise for 30 minutes. 
B)  Avoid excessive fats in the diet. 
C)  Remove all potted plants from inside the home. 
D)  Prepare advanced directives. 
A)  Take daily exercise for 30 minutes. 
B)  Avoid excessive fats in the diet. 
C)  Remove all potted plants from inside the home. 
D)  Prepare advanced directives.

Question 18

The nursing staff of an oncology unit cautions visitors to be free of infections before visiting patients.What can chemotherapy and decreased bone marrow production cause in these patients?

Accepted Answer

A)  Hemorrhage 
B)  Neutropenia 
C)  Edema 
D)  Hypovolemia 
A)  Hemorrhage 
B)  Neutropenia 
C)  Edema 
D)  Hypovolemia

Question 19

What childhood exposure causes painful shingles experienced by the patient with HIV?

Accepted Answer

A)  Measles 
B)  Mumps 
C)  Impetigo 
D)  Chickenpox 
A)  Measles 
B)  Mumps 
C)  Impetigo 
D)  Chickenpox

Exam 32: Immunologic Disorders

Which nursing action should be implemented to increase the comfort of a patient with oral hair leukoplakia?

A young man at the HIV clinic tells the nurse how relieved he is that he does not have HIV because he now has no symptoms at all when just a few weeks ago he felt awful.What is the most appropriate nursing response?

What indicates that a patient has entered the third stage of HIV infection?

A nurse explains that HIV is introduced to the systemic circulation by the _____, which is found in the mucous membranes.

A nurse explains that in autoimmune diseases, the body identifies its own proteins as foreign matter and sets out to destroy itself.Which are examples of autoimmune diseases? (Select all that apply.)

Which factors explain the increase in HIV infections in persons over the age of 50 years? (Select all that apply.)

A nurse is assessing a patient with AIDS for risk factors.What is recognized as the most risky behavior in the patient history?

What is most appropriate for a nurse to include when preparing discharge plans for a patient with SLE?

What is the most common form of transmission of the HIV virus?

What should a patient with HIV avoid to prevent bacillary angiomatosis (BA)?

A nurse is caring for a patient with HIV infection taking Retrovir, a nucleoside antiviral that is a reverse transcriptase inhibitor.For what should the nurse be especially observant?

Which should take priority in the care of an outpatient with AIDS?

A very anxious young man comes to the clinic believing that he may have HIV infection because of his persistent influenza-like symptoms and his risky sexual behavior.What should the nurse anticipate that a positive blood analysis would show?

A 24-year-old woman is admitted to the hospital for a complete medical examination.Her current complaints are indicative of SLE.Which symptom would indicate this diagnosis?

A nurse is educating patients about the progression of HIV infections.Which statement by the patient in the latent stage indicates that teaching has been effective?

A nurse removes a potted plant from the room of a patient with HIV.What is the nurse trying to prevent?

A patient with HIV is diagnosed with progressive multifocal leukoencephalopathy (PML).What should a nurse encourage the patient to do?

The nursing staff of an oncology unit cautions visitors to be free of infections before visiting patients.What can chemotherapy and decreased bone marrow production cause in these patients?

What childhood exposure causes painful shingles experienced by the patient with HIV?

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

Psychobiological Disorders