NRS 3015 Chapter 32 Prep U Study
Guide Exam with Actual Answers.
HIV is harbored within which type of cell?
A. Lymphocyte
B. Platelet
C. Erythrocyte
D. Nerve - Answer D. Lymphocyte
A client with human immunodeficiency virus (HIV) develops a nonproductive cough, shortness
of breath, a fever of 101°F and an O2 saturation of 92%. What infection caused by Pneumocystis
jiroveci does the nurse know could occur with this client?
A. Mycobacterium avium complex (MAC)
B. Pneumocystis pneumonia
C. Tuberculosis
D. Community-acquired pneumonia - Answer B. Pneumocystis pneumonia
A client in stage 1 of HIV feels well and questions having the virus. Which response by the nurse
is appropriate?
A. "Not everyone who is HIV positive has a severe case of the disease."
B. "Your immune system has increased other cells to successfully combat the virus."
C. "It's possible that the original testing was incorrect and retesting is needed."
D. "There is an equal amount of virus and the cells to combat the virus in your body." - Answer
D. "There is an equal amount of virus and the cells to combat the virus in your body."
A client received 2 units of packed red blood cells while in the hospital with rectal bleeding.
Three days after discharge, the client experienced an allergic response and began to itch and
break out with hives. What type of reaction does the nurse understand could be occurring?
A. Delayed hypersensitivity response
B. Anaphylactic reaction
C. Sensitization
D. An immediate hypersensitivity response - Answer A. Delayed hypersensitivity response
The nurse administers an injection to a client with AIDS. When finished, the nurse attempts to
recap the needle and sustains a needlestick to the finger. What is the priority action by the
nurse?
A. Obtain counseling.
,B. Call the lab to draw the nurse's blood.
C. Fill out a risk management report.
D. Report the incident to the supervisor. - Answer D. Report the incident to the supervisor.
The nurse is caring for a client whose most recent laboratory values reveal a neutrophil level of
21,000 mm3. When preparing to assess the client, the nurse should prioritize what assessment?
A. Assessing the client for signs and symptoms of infection
B. Assessing the client's activity level and functional status
C. Assessing the client for indications of internal or external hemorrhage
D. Assessing the client for signs of venous thromboembolism - Answer A. Assessing the client
for signs and symptoms of infection
A client is to receive intravenous immunoglobulin (IVIG). The infusion is started at 10 a.m. The
nurse would be alert for signs and symptoms of an anaphylactic reaction during which time
frame?
A. 10:30 to 11:00 a.m.
B. 11:00 to 11:30 a.m.
C. 11:30 a.m. to 12:00 p.m.
D. 12:30 p.m. to 1:30 p.m. - Answer A. 10:30 to 11:00 a.m.
A nurse is teaching the parents of an infant about primary immunodeficiencies. Which
statement verifies that the parents understand the teaching?
A. "The majority of primary immunodeficiencies are diagnosed in infancy."
B. "Girls are diagnosed with primary immunodeficiencies more often than boys."
C. "My baby cannot survive into childhood with a diagnosis of primary immunodeficiency."
D. "The primary immunodeficiency will disappear with age." - Answer A. "The majority of
primary immunodeficiencies are diagnosed in infancy."
A client who has been exposed to the human immunodeficiency virus (HIV) tests negative.
Which explanation by the nurse would be most appropriate?
A. "Congratulations, a negative result means that you're not infected with the virus."
B. "You're one of the lucky ones who are immune to the virus."
C. "You might still go on to develop AIDS even with negative results."
D. "Your body may not have developed antibodies yet, so we need to follow up." - Answer D.
"Your body may not have developed antibodies yet, so we need to follow up."
, A client at the walk-in clinic reports exposure to human immunodeficiency virus (HIV). The client
wants to know the precise sources through which the HIV infection is transmitted. What is the
nurse's best response?
A.Sweat
B. Saliva
C. Urine
D. Semen - Answer D. Semen
A home care nurse is visiting a client with acquired immune deficiency syndrome (AIDS) at
home. During the visit, the nurse observes the caregiver providing care. What action by the
caregiver would alert the nurse to the need for additional teaching?
A. Caregiver washes hands before and after providing care to the client.
B. Caregiver cleans the client's anal area without wearing gloves
C. Caregiver disposes of syringe and needle in a metal coffee can with lid.
D. Caregiver uses a dilute bleach solution to clean up a urine spill. - Answer B. Caregiver
cleans the client's anal area without wearing gloves
A client taking antiretroviral therapy (ART) for stage 1 of HIV wants new medications because
the CD4+ level is not much higher one year after initiation of therapy. The nurse knows that
which response will be correct when educating the client about their disease?
A. "You are entering another stage of the illness."
B. "The viral load results can show improvement."
C. "This means that medication doses have been skipped."
D. "It's possible that other medication would be more effective." - Answer "The viral load
results can show improvement."
While caring for a patient with pneumocystis pneumonia, the nurse assesses flat, purplish
lesions on the back and trunk. What does the nurse suspect these lesions indicate?
A. Molluscum contagiosum
B .Tuberculosis of the skin
C. Kaposi's sarcoma
D. Seborrheic dermatitis - Answer C. Kaposi's sarcoma
The nurse is talking with a group of teens about transmission of human immunodeficiency virus
(HIV). What body fluids does the nurse inform them will transmit the virus? Select all that apply.
A. semen
B. urine
C. breast milk
Guide Exam with Actual Answers.
HIV is harbored within which type of cell?
A. Lymphocyte
B. Platelet
C. Erythrocyte
D. Nerve - Answer D. Lymphocyte
A client with human immunodeficiency virus (HIV) develops a nonproductive cough, shortness
of breath, a fever of 101°F and an O2 saturation of 92%. What infection caused by Pneumocystis
jiroveci does the nurse know could occur with this client?
A. Mycobacterium avium complex (MAC)
B. Pneumocystis pneumonia
C. Tuberculosis
D. Community-acquired pneumonia - Answer B. Pneumocystis pneumonia
A client in stage 1 of HIV feels well and questions having the virus. Which response by the nurse
is appropriate?
A. "Not everyone who is HIV positive has a severe case of the disease."
B. "Your immune system has increased other cells to successfully combat the virus."
C. "It's possible that the original testing was incorrect and retesting is needed."
D. "There is an equal amount of virus and the cells to combat the virus in your body." - Answer
D. "There is an equal amount of virus and the cells to combat the virus in your body."
A client received 2 units of packed red blood cells while in the hospital with rectal bleeding.
Three days after discharge, the client experienced an allergic response and began to itch and
break out with hives. What type of reaction does the nurse understand could be occurring?
A. Delayed hypersensitivity response
B. Anaphylactic reaction
C. Sensitization
D. An immediate hypersensitivity response - Answer A. Delayed hypersensitivity response
The nurse administers an injection to a client with AIDS. When finished, the nurse attempts to
recap the needle and sustains a needlestick to the finger. What is the priority action by the
nurse?
A. Obtain counseling.
,B. Call the lab to draw the nurse's blood.
C. Fill out a risk management report.
D. Report the incident to the supervisor. - Answer D. Report the incident to the supervisor.
The nurse is caring for a client whose most recent laboratory values reveal a neutrophil level of
21,000 mm3. When preparing to assess the client, the nurse should prioritize what assessment?
A. Assessing the client for signs and symptoms of infection
B. Assessing the client's activity level and functional status
C. Assessing the client for indications of internal or external hemorrhage
D. Assessing the client for signs of venous thromboembolism - Answer A. Assessing the client
for signs and symptoms of infection
A client is to receive intravenous immunoglobulin (IVIG). The infusion is started at 10 a.m. The
nurse would be alert for signs and symptoms of an anaphylactic reaction during which time
frame?
A. 10:30 to 11:00 a.m.
B. 11:00 to 11:30 a.m.
C. 11:30 a.m. to 12:00 p.m.
D. 12:30 p.m. to 1:30 p.m. - Answer A. 10:30 to 11:00 a.m.
A nurse is teaching the parents of an infant about primary immunodeficiencies. Which
statement verifies that the parents understand the teaching?
A. "The majority of primary immunodeficiencies are diagnosed in infancy."
B. "Girls are diagnosed with primary immunodeficiencies more often than boys."
C. "My baby cannot survive into childhood with a diagnosis of primary immunodeficiency."
D. "The primary immunodeficiency will disappear with age." - Answer A. "The majority of
primary immunodeficiencies are diagnosed in infancy."
A client who has been exposed to the human immunodeficiency virus (HIV) tests negative.
Which explanation by the nurse would be most appropriate?
A. "Congratulations, a negative result means that you're not infected with the virus."
B. "You're one of the lucky ones who are immune to the virus."
C. "You might still go on to develop AIDS even with negative results."
D. "Your body may not have developed antibodies yet, so we need to follow up." - Answer D.
"Your body may not have developed antibodies yet, so we need to follow up."
, A client at the walk-in clinic reports exposure to human immunodeficiency virus (HIV). The client
wants to know the precise sources through which the HIV infection is transmitted. What is the
nurse's best response?
A.Sweat
B. Saliva
C. Urine
D. Semen - Answer D. Semen
A home care nurse is visiting a client with acquired immune deficiency syndrome (AIDS) at
home. During the visit, the nurse observes the caregiver providing care. What action by the
caregiver would alert the nurse to the need for additional teaching?
A. Caregiver washes hands before and after providing care to the client.
B. Caregiver cleans the client's anal area without wearing gloves
C. Caregiver disposes of syringe and needle in a metal coffee can with lid.
D. Caregiver uses a dilute bleach solution to clean up a urine spill. - Answer B. Caregiver
cleans the client's anal area without wearing gloves
A client taking antiretroviral therapy (ART) for stage 1 of HIV wants new medications because
the CD4+ level is not much higher one year after initiation of therapy. The nurse knows that
which response will be correct when educating the client about their disease?
A. "You are entering another stage of the illness."
B. "The viral load results can show improvement."
C. "This means that medication doses have been skipped."
D. "It's possible that other medication would be more effective." - Answer "The viral load
results can show improvement."
While caring for a patient with pneumocystis pneumonia, the nurse assesses flat, purplish
lesions on the back and trunk. What does the nurse suspect these lesions indicate?
A. Molluscum contagiosum
B .Tuberculosis of the skin
C. Kaposi's sarcoma
D. Seborrheic dermatitis - Answer C. Kaposi's sarcoma
The nurse is talking with a group of teens about transmission of human immunodeficiency virus
(HIV). What body fluids does the nurse inform them will transmit the virus? Select all that apply.
A. semen
B. urine
C. breast milk
