Module D Practice Questions
1. To evaluate the effectiveness of highly active antiviral therapy(HAART), the nurse will schedule
the client for which of the following?
• Viral load testing
2. Which of these patients being seen at the HIV clinic should the nurse assess first?
• Patient with 10 liquid stools in 24 hours
3. After teaching a kidney recipient about post transplant drug regimen the nurse determines that
addictions teaching is needed when the client says
• After a couple of years I will be able to stop taking the cyclosporine.
4. A patient is brought to the ER with severe wheezing, dyspnea, and peripheral edema. The nurse
assess a respiratory rate of 30 breaths per min, 68beats per min, and a BP of 88/54. Which
medication should the nurse expect to be given initially?
• Epinephrine-due to anaphylaxis
5. The RN caring for an HIV (+) patient admitted with TB can delicate which action to an unlicensed
assistive personnel?
• Stock the patients room with all the necessary PPE
6. A patient with systemic bacterial infection feels cold and has a shaking chill. Which assessment
finding will the nurse expect to find next?
• Rising body temperature
7. Which is an example of an acquired passive immunity?
• Administration of IgG to an un-immunized person exposed to a disease
8. A client with rheumatoid arthritis develops Sjögren’s syndrome. Which addition nursing
measure should the nurse include in the care plan now?
• Lubricate the eyes with artificial tears
9. A patient with an open leg wound has a WBC of 13,500 what action should the nurse take first?
• Obtain wound culture
10. Beth is a nurse who has found MRSA has colonized in her nasal cavity. Although she has not
been ill from the bacteria ho has Beths nasal cavity been described?
• Reservoir
11. The nurse is to give the client an antiviral drug. The dosage is 5mg/kg IV q12h. The client weighs
185lbs. How much will the client receive per dose?
• Mg/dose-5mg x 1kg x 185lbs = 925/2.2kg = 420.45
12. The spouse of a client with West Nile Virus(WNV) tells the nurse she is worried about her
children contracting the virus after spending time with their infected father. What should the
nurse tell the spouse regarding the transmission of West Nile?
• Make sure the children wear mosquito repellent with DEET while visiting their father.
13. What is a priority psychosocial intervention that the nurse should focus on when caring for a
client recently diagnosed with late stage HIV?
• Encourage the client and family to discuss their feelings about the disease
14. An RN is evaluating the statements of a nursing student providing instructions to the partner of
a client with Ebola. Which intervention given by the nursing student needs correction?
• You should be careful because the Ebola virus spreads through the air
• Rational: Ebola is spread through body fluids. These patients need contact precaution.
People at high risk of contraction Ebola are mortuary workers.
This study source was downloaded by 100000768614358 from CourseHero.com on 10-31-2024 09:47:25 GMT -05:00
https://www.coursehero.com/file/120343235/Mod-D-practice-questionspdf/
, 15. The client with a severe allergy to peanuts expresses concern to the nurse that she is worried
her 4yo son may inherit this allergy and be at risk for anaphylaxis. What is the nurses best
response?
• Your some may be more susceptible to allergies because you have allergies and should
be tested to learn what his specific allergies are.
• Rationale: allergic reactions can be inherited, however, specific substance allergies are
not inherited.
16. Which statement from a patient with SLE indicates that a patient has understood the nurses
teaching about the condition?
• I will use sunscreen when I am outside.
17. A patient who works outdoors has frequent contact dermatitis flares secondary to plant
irritants. The patient asks the nurse how to minimize these episode. The nurse will counsel the
patient to perform which action?
• Cleanse the skin immediately after any contact with plants
18. Which should the nurse anticipate when providing care to a toddle-age client who attends
daycare each day of the week due to continued immaturity of the immune system?
• Minor infections
19. What type of hypersensitivity reaction is caused by SLE?
• Type III
20. A client presents with small purple/brown lesions that are raised, open, and weeping. Based on
your assessment, what is your priority nursing intervention?
• Keep clean and dressed to prevent secondary infection
• Rationale: Kaposi’s sarcoma that are open and weeping should be kept clean and
covered.
21. After having a positive rapid antibody test for HIV, a client is anxious and does not appear to
hear what the nurse is saying. At this time it is most important that the nurse…
• Reminds the client about the need to return for retesting to verify the results.
22. A patient who is diagnosed with acquired immunodeficiency syndrome(AIDS) tells the nurse, “I
feel obsessed with thoughts of dying. Do you think I am just being morbid?” Which response by
the nurse is best.
• “Can you tell me more about the kind of thoughts that you are having.”
23. Which statement made by the patient who has HIV disease and is taking a “cocktail” consisting
of protease inhibitors, nucleoside reverse transcriptase(NRTI), and non-nucleoside analogue
reverse transcriptase inhibitors indicates the need for clarification regarding the management of
this condition?
• “Because the combination of drugs kills the virus, I don’t have to worry about
transmission.”
• Rationale: Protease inhibitors SuppressViral replication and release. They do not kill the
virus.
24. A client diagnosed with systemic lupus erythematous (SLE) is scheduled for plasmapheresis. The
nurse plans to teach the client that plasmapheresis will…
• Remove antibody-antigen complexes from circulation
25. Which assessment information is most important for the nurse to obtainTo evaluate whether
treatment of a patient with anaphylaxis has been effective?
• Oxygen saturation
This study source was downloaded by 100000768614358 from CourseHero.com on 10-31-2024 09:47:25 GMT -05:00
https://www.coursehero.com/file/120343235/Mod-D-practice-questionspdf/
, 26. A 25-year-old patient with systemic lupus erythematous (SLE) who has a facial rash and alopecia
tells the nurse, “I never leave my house because I hate the way I look.” An appropriate nursing
diagnosis for this patient is…
• Social isolation related to embarrassment about the effects of SLE
27. The parents bring in a 12yo child with complaints of a sudden onset of high fever, chills, and a
headache. The nurse assesses a patchy circular type of rash around what looks like an insect
bite. Which question would be most appropriate for the nurse to ask during the interview?
• “Have you been hiking or hunting in the woods recently?”
28. A 62yo client who is having an annual check-up tells the nurse, “I don’t understand why I need
to have so many cancer screening tests now, I feel just fine!” The nurse will plan to teach the
patient about the…
• Consequences of aging on cell-mediated immunity
29. An early symptom that should alert the nurse to further evaluate a client with an HIV infection
for an opportunistic infection toxoplasmosis is?
• Headache
• Rationale: clinical manifestations of CNS infection include headache, impaired cognition,
hemiparesis, aphasia, ataxia, vision loss, and seizures.
30. In planning care, a nurse knows that the most common opportunistic infection in a HIV (+)
patient is?
• Pneumocystis jroveci pneumonitis
31. A patient who is HIV infected has a CD4 cell count of 400. Which factor is most important for the
nurse to determine before the initiation of antiretroviral therapy (ART) for this patient?
• Patient’s ability to comply with ART schedule
32. Which result for a 30yo patient with systemic lupus erythematous (SLE) is most important for
the nurse to communicate to the healthcare provider?
• Elevated creatinine levels
33. The nurses assess a patient’s surgical wound on the 1st post-op day and notes redness and
warmth around the incision. Which action by the nurse is most appropriate?
• Document the findings
• Rationale: the incisional redness and warmth are indicators of the normal initial
(inflammatory) stage of wound healing by primary intention.
34. In a client with systemic lupus erythematous (SLE) which factor is most likely to cause an
exacerbation of this disorder?
• Exposure to UV lights (EX. tanning beds)
35. Which medications are the priority in the therapeutic management of a child with tetanus?
• NSAIDs to reduce inflammation
36. The following statements are true regarding West Nile Virus (WNV)…
• The nervous system is primarily affected; neurological effects may be permanent; can
be spread to both humans and animals
37. A 5yo child is due for pre-k immunizations. After interviewing her mother, which of the following
response may indicate a possible contraindication for giving this preschooler a live vaccine (EX.
MMR) at this visit and would require further exploration by the nurse?
• They are caring for her grandmother who has just finished her second chemotherapy
treatment for breast cancer.
This study source was downloaded by 100000768614358 from CourseHero.com on 10-31-2024 09:47:25 GMT -05:00
https://www.coursehero.com/file/120343235/Mod-D-practice-questionspdf/
, 38. A patient has been admitted to the hospital with MRSA in the urine. The client has a urinary
catheter in place. No private rooms are available. Which room assignment would be most
appropriate for this patient?
• Roommate has MRSA in the urine. The roommate is ambulatory but confused.
39. A client with systemic lupus erythematous (SLE) is taking prednisone. The nurse anticipates that
the steroid may cause hypokalemia. What food will the nurse encourage the patient to eat?
• Broccoli
• Rationale: potassium is plenty up in green leafy veggies.
40. An older adult who takes medication for coronary artery disease (CAD) has just been diagnosed
with a symptomatic chronic human immunology virus (HIV) infection. Which information will the
nurse include in patient teaching?
• Many medications have interactions with antiretroviral drugs.
41. The nurse provides discharge instructions to a client who has an immune deficiency involving
the T lymphocytes. Which screening should the nurse include in the teaching plan for this client?
• Screening for malignancy
42. A patient who will begin antiretroviral therapy reports having trouble sticking with the drug
regimen in the past. Which action will the nurse take?
• Offer written and verbal information about each drugs purpose
43. The nurse plans to teach a patient how to manage allergic rhinitis. What information should the
nurse include in the teaching plan.
• Identification and avoidance of environmental triggers are the best way to avoid
symptoms.
44. The following interventions are ordered by the healthcare provider for a patient who had
respiratory distress and syncope after eating strawberries. Which will the hires complete first?
• Give epinephrine
45. A nurse is to give a client 80mg of diphenhydramine (Benadryl) by IV push. The vial contains a
solution of 25mg/mL. Exactly how many mL of diphenhydramine is the correct does to give the
client?
• 80/25=3.2mL
46. The clients laboratory report shows deposits of immunoglobulin G (IgG) Along the basement
membrane of the lungs.The primary healthcare provider interpret these findings as a sign of
Good-pasture’s syndrome. What was the reason for this condition?
• Good-pasture’s syndrome occurs when circulating anti-bodies combine with tissue
antigens.
47. Which type of hypersensitivity reaction is atopic dermatitis?
• Type I
48. The nurse can delegate care of which patient to a licensed practical nurse (LPN)?
• A client who requires a Hydrocolloid dressing change for a stage three sacral ulcer.
49. A client with an abdominal wound infected with MRSA is scheduled for a CT scan of the
abdomen. To ensure client and visitor safety during transport, the nurse should implement
which precaution?
• Cover the infected site with a dressing.
This study source was downloaded by 100000768614358 from CourseHero.com on 10-31-2024 09:47:25 GMT -05:00
https://www.coursehero.com/file/120343235/Mod-D-practice-questionspdf/
1. To evaluate the effectiveness of highly active antiviral therapy(HAART), the nurse will schedule
the client for which of the following?
• Viral load testing
2. Which of these patients being seen at the HIV clinic should the nurse assess first?
• Patient with 10 liquid stools in 24 hours
3. After teaching a kidney recipient about post transplant drug regimen the nurse determines that
addictions teaching is needed when the client says
• After a couple of years I will be able to stop taking the cyclosporine.
4. A patient is brought to the ER with severe wheezing, dyspnea, and peripheral edema. The nurse
assess a respiratory rate of 30 breaths per min, 68beats per min, and a BP of 88/54. Which
medication should the nurse expect to be given initially?
• Epinephrine-due to anaphylaxis
5. The RN caring for an HIV (+) patient admitted with TB can delicate which action to an unlicensed
assistive personnel?
• Stock the patients room with all the necessary PPE
6. A patient with systemic bacterial infection feels cold and has a shaking chill. Which assessment
finding will the nurse expect to find next?
• Rising body temperature
7. Which is an example of an acquired passive immunity?
• Administration of IgG to an un-immunized person exposed to a disease
8. A client with rheumatoid arthritis develops Sjögren’s syndrome. Which addition nursing
measure should the nurse include in the care plan now?
• Lubricate the eyes with artificial tears
9. A patient with an open leg wound has a WBC of 13,500 what action should the nurse take first?
• Obtain wound culture
10. Beth is a nurse who has found MRSA has colonized in her nasal cavity. Although she has not
been ill from the bacteria ho has Beths nasal cavity been described?
• Reservoir
11. The nurse is to give the client an antiviral drug. The dosage is 5mg/kg IV q12h. The client weighs
185lbs. How much will the client receive per dose?
• Mg/dose-5mg x 1kg x 185lbs = 925/2.2kg = 420.45
12. The spouse of a client with West Nile Virus(WNV) tells the nurse she is worried about her
children contracting the virus after spending time with their infected father. What should the
nurse tell the spouse regarding the transmission of West Nile?
• Make sure the children wear mosquito repellent with DEET while visiting their father.
13. What is a priority psychosocial intervention that the nurse should focus on when caring for a
client recently diagnosed with late stage HIV?
• Encourage the client and family to discuss their feelings about the disease
14. An RN is evaluating the statements of a nursing student providing instructions to the partner of
a client with Ebola. Which intervention given by the nursing student needs correction?
• You should be careful because the Ebola virus spreads through the air
• Rational: Ebola is spread through body fluids. These patients need contact precaution.
People at high risk of contraction Ebola are mortuary workers.
This study source was downloaded by 100000768614358 from CourseHero.com on 10-31-2024 09:47:25 GMT -05:00
https://www.coursehero.com/file/120343235/Mod-D-practice-questionspdf/
, 15. The client with a severe allergy to peanuts expresses concern to the nurse that she is worried
her 4yo son may inherit this allergy and be at risk for anaphylaxis. What is the nurses best
response?
• Your some may be more susceptible to allergies because you have allergies and should
be tested to learn what his specific allergies are.
• Rationale: allergic reactions can be inherited, however, specific substance allergies are
not inherited.
16. Which statement from a patient with SLE indicates that a patient has understood the nurses
teaching about the condition?
• I will use sunscreen when I am outside.
17. A patient who works outdoors has frequent contact dermatitis flares secondary to plant
irritants. The patient asks the nurse how to minimize these episode. The nurse will counsel the
patient to perform which action?
• Cleanse the skin immediately after any contact with plants
18. Which should the nurse anticipate when providing care to a toddle-age client who attends
daycare each day of the week due to continued immaturity of the immune system?
• Minor infections
19. What type of hypersensitivity reaction is caused by SLE?
• Type III
20. A client presents with small purple/brown lesions that are raised, open, and weeping. Based on
your assessment, what is your priority nursing intervention?
• Keep clean and dressed to prevent secondary infection
• Rationale: Kaposi’s sarcoma that are open and weeping should be kept clean and
covered.
21. After having a positive rapid antibody test for HIV, a client is anxious and does not appear to
hear what the nurse is saying. At this time it is most important that the nurse…
• Reminds the client about the need to return for retesting to verify the results.
22. A patient who is diagnosed with acquired immunodeficiency syndrome(AIDS) tells the nurse, “I
feel obsessed with thoughts of dying. Do you think I am just being morbid?” Which response by
the nurse is best.
• “Can you tell me more about the kind of thoughts that you are having.”
23. Which statement made by the patient who has HIV disease and is taking a “cocktail” consisting
of protease inhibitors, nucleoside reverse transcriptase(NRTI), and non-nucleoside analogue
reverse transcriptase inhibitors indicates the need for clarification regarding the management of
this condition?
• “Because the combination of drugs kills the virus, I don’t have to worry about
transmission.”
• Rationale: Protease inhibitors SuppressViral replication and release. They do not kill the
virus.
24. A client diagnosed with systemic lupus erythematous (SLE) is scheduled for plasmapheresis. The
nurse plans to teach the client that plasmapheresis will…
• Remove antibody-antigen complexes from circulation
25. Which assessment information is most important for the nurse to obtainTo evaluate whether
treatment of a patient with anaphylaxis has been effective?
• Oxygen saturation
This study source was downloaded by 100000768614358 from CourseHero.com on 10-31-2024 09:47:25 GMT -05:00
https://www.coursehero.com/file/120343235/Mod-D-practice-questionspdf/
, 26. A 25-year-old patient with systemic lupus erythematous (SLE) who has a facial rash and alopecia
tells the nurse, “I never leave my house because I hate the way I look.” An appropriate nursing
diagnosis for this patient is…
• Social isolation related to embarrassment about the effects of SLE
27. The parents bring in a 12yo child with complaints of a sudden onset of high fever, chills, and a
headache. The nurse assesses a patchy circular type of rash around what looks like an insect
bite. Which question would be most appropriate for the nurse to ask during the interview?
• “Have you been hiking or hunting in the woods recently?”
28. A 62yo client who is having an annual check-up tells the nurse, “I don’t understand why I need
to have so many cancer screening tests now, I feel just fine!” The nurse will plan to teach the
patient about the…
• Consequences of aging on cell-mediated immunity
29. An early symptom that should alert the nurse to further evaluate a client with an HIV infection
for an opportunistic infection toxoplasmosis is?
• Headache
• Rationale: clinical manifestations of CNS infection include headache, impaired cognition,
hemiparesis, aphasia, ataxia, vision loss, and seizures.
30. In planning care, a nurse knows that the most common opportunistic infection in a HIV (+)
patient is?
• Pneumocystis jroveci pneumonitis
31. A patient who is HIV infected has a CD4 cell count of 400. Which factor is most important for the
nurse to determine before the initiation of antiretroviral therapy (ART) for this patient?
• Patient’s ability to comply with ART schedule
32. Which result for a 30yo patient with systemic lupus erythematous (SLE) is most important for
the nurse to communicate to the healthcare provider?
• Elevated creatinine levels
33. The nurses assess a patient’s surgical wound on the 1st post-op day and notes redness and
warmth around the incision. Which action by the nurse is most appropriate?
• Document the findings
• Rationale: the incisional redness and warmth are indicators of the normal initial
(inflammatory) stage of wound healing by primary intention.
34. In a client with systemic lupus erythematous (SLE) which factor is most likely to cause an
exacerbation of this disorder?
• Exposure to UV lights (EX. tanning beds)
35. Which medications are the priority in the therapeutic management of a child with tetanus?
• NSAIDs to reduce inflammation
36. The following statements are true regarding West Nile Virus (WNV)…
• The nervous system is primarily affected; neurological effects may be permanent; can
be spread to both humans and animals
37. A 5yo child is due for pre-k immunizations. After interviewing her mother, which of the following
response may indicate a possible contraindication for giving this preschooler a live vaccine (EX.
MMR) at this visit and would require further exploration by the nurse?
• They are caring for her grandmother who has just finished her second chemotherapy
treatment for breast cancer.
This study source was downloaded by 100000768614358 from CourseHero.com on 10-31-2024 09:47:25 GMT -05:00
https://www.coursehero.com/file/120343235/Mod-D-practice-questionspdf/
, 38. A patient has been admitted to the hospital with MRSA in the urine. The client has a urinary
catheter in place. No private rooms are available. Which room assignment would be most
appropriate for this patient?
• Roommate has MRSA in the urine. The roommate is ambulatory but confused.
39. A client with systemic lupus erythematous (SLE) is taking prednisone. The nurse anticipates that
the steroid may cause hypokalemia. What food will the nurse encourage the patient to eat?
• Broccoli
• Rationale: potassium is plenty up in green leafy veggies.
40. An older adult who takes medication for coronary artery disease (CAD) has just been diagnosed
with a symptomatic chronic human immunology virus (HIV) infection. Which information will the
nurse include in patient teaching?
• Many medications have interactions with antiretroviral drugs.
41. The nurse provides discharge instructions to a client who has an immune deficiency involving
the T lymphocytes. Which screening should the nurse include in the teaching plan for this client?
• Screening for malignancy
42. A patient who will begin antiretroviral therapy reports having trouble sticking with the drug
regimen in the past. Which action will the nurse take?
• Offer written and verbal information about each drugs purpose
43. The nurse plans to teach a patient how to manage allergic rhinitis. What information should the
nurse include in the teaching plan.
• Identification and avoidance of environmental triggers are the best way to avoid
symptoms.
44. The following interventions are ordered by the healthcare provider for a patient who had
respiratory distress and syncope after eating strawberries. Which will the hires complete first?
• Give epinephrine
45. A nurse is to give a client 80mg of diphenhydramine (Benadryl) by IV push. The vial contains a
solution of 25mg/mL. Exactly how many mL of diphenhydramine is the correct does to give the
client?
• 80/25=3.2mL
46. The clients laboratory report shows deposits of immunoglobulin G (IgG) Along the basement
membrane of the lungs.The primary healthcare provider interpret these findings as a sign of
Good-pasture’s syndrome. What was the reason for this condition?
• Good-pasture’s syndrome occurs when circulating anti-bodies combine with tissue
antigens.
47. Which type of hypersensitivity reaction is atopic dermatitis?
• Type I
48. The nurse can delegate care of which patient to a licensed practical nurse (LPN)?
• A client who requires a Hydrocolloid dressing change for a stage three sacral ulcer.
49. A client with an abdominal wound infected with MRSA is scheduled for a CT scan of the
abdomen. To ensure client and visitor safety during transport, the nurse should implement
which precaution?
• Cover the infected site with a dressing.
This study source was downloaded by 100000768614358 from CourseHero.com on 10-31-2024 09:47:25 GMT -05:00
https://www.coursehero.com/file/120343235/Mod-D-practice-questionspdf/
