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1. A pediatric client is recovering from an anaphylac- type I tic
reaction to an allergen. In the first assessment, the client presents
with a periorbital accumulation of blood, a common occurrence in
children. What type of allergic reaction presents "allergic shiners"?
type II
type I
type IV
type III
2. The nurse reviews laboratory results requested to Viral load track
HIV. What laboratory test measures HIV RNA levels and is the best
predictor of HIV disease progression?
Enzyme immunoassay (EIA)
CD4/CD8
Western blot
Viral load
3. Cryptococcus meningitis is suspected in a client with Stiff neck HIV.
Which manifestations would be consistent with Seizures
cryptococcus meningitis? Select all that apply.
Hyperreflexia
Psychomotor slowing
Vacant stare
Stiff neck
Seizures
4. A client with AIDS develops pneumocystis pneumo- TMP-SMZ nia.
The nurse would most likely expect to include administration of
which agent in the client's plan of care? Azithromycin
Aerosolized pentamidine
TMP-SMZ
Clindamycin
, NUR 257 EXAM 1 ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS | LATEST UPDATE 2026/2027 | GRADED A+ |
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5. A client is diagnosed with pneumocystis pneumonia TMP-SMZ
(PCP). What medication does the nurse anticipate ed-
ucating the client about for treatment?
Azithromycin
TMP-SMZ
Cephalexin
Garamycin
6. A nurse is preparing to administer an antiretroviral Lamivudine
medication to a client who is positive for HIV. The nurse identifies
the drug as a nucleoside reverse transcriptase inhibitor (NRTI).
What drug will the nurse administer? Lamivudine
Etravirine
Delavirdine
Nevirapine
7. The nurse is teaching a client with HIV how to use a "I need to hold
the male condom. The client demonstrates understand- condom by
the tip ing of the information when he makes which state- to squeeze
out the ments? Select all that apply. air before putting it
"I can keep several condoms in my wallet in my back on."
trouser pocket so they are readily available." "I should unroll "I
should avoid using baby oil or petroleum jelly with the condom all the
a condom." way over my erect
"I need to hold the condom by the tip to squeeze out penis."
the air before putting it on." I should avoid us-
"I can reuse a condom two or three times when I'm ing baby oil or pe-
having sexual intercourse." troleum jelly with a
"I should unroll the condom all the way over my erect condom."
penis."
, NUR 257 EXAM 1 ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS | LATEST UPDATE 2026/2027 | GRADED A+ |
GUARANTEED PASS!!
8. A nurse is caring for a client with human immunod- quantification of
eficiency virus (HIV). What would the nurse expect T-lymphocytes
the health care provider to order to determine
the effectiveness of treatment? ELISA with
Western blot test
enzyme-linked immunosorbent assay (ELISA)
E-rosette immunofluorescence quantification
of T-lymphocytes
9. The nurse is preparing to administer the recommend- 30 g ed dose
of intravenous gamma-globulin for a 60-kg male client. How many
grams will the nurse administer? 30 g
90 g
15 g
60 g
10. A client received 2 units of packed red blood cells Delayed
hyperwhile in the hospital with rectal bleeding. Three days sensitivity
reafter discharge, the client experienced an allergic re- sponse
sponse and began to itch and break out with hives. What type of
reaction does the nurse understand could be occurring?
Anaphylactic reaction
Delayed hypersensitivity response
Sensitization
An immediate hypersensitivity response
11. The nurse's plan of care for a client with stage 3 HIV Providing
thoraddresses the diagnosis of Risk for Impaired Skin ough oral
care Integrity Related to candidiasis. What nursing inter- before and
after
vention best addresses this risk? meals
Applying skin emollients as needed
Providing thorough oral care before and after meals
Administering prophylactic antibiotics
, NUR 257 EXAM 1 ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS | LATEST UPDATE 2026/2027 | GRADED A+ |
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Promoting nutrition and adequate fluid intake
12. A treatment option for severe combined immune de- a stem cell
transficiency (SCID) includes plant
IV immunoglobulin.
chemotherapy. vitamin
D supplements.
a stem cell transplant.
13. A client comes to the clinic to see the physician, re- Diarrhea and
abporting, "I think I ate something that I am allergic to." dominal
cramping What symptoms would be appropriate for the nurse to ask
questions about? Nasal congestion and coughing
Hives and itching
Sneezing and runny nose
Diarrhea and abdominal cramping
14. Which term defines the balance between the amount Viral set point
of HIV in the body and the immune response?
Viral clearance rate
Window period
Primary infection stage
Viral set point
15. A client with AIDS has been tested for cy- blindness
tomegalovirus (CMV) with positive titers. What
severe complication should the nurse be alert for
with cytomegalovirus?
fatigue blindness
hearing impairment
diarrhea