with Answers & Rationales | Success Guaranteed
1. A nurse is caring for a patient diagnosed with HIV several months earlier. The
nurse should recognize that AIDS occurs when the CD4+ T-lymphocyte count
drops below what threshold?
A. 75 cells/mm3
B. 200 cells/mm3
C. 325 cells/mm3
D. 450 cells/mm3
Correct Answer: B
Rationale: A CD4+ T-cell count below 200 cells/mm3 is diagnostic of AIDS.
2. A patient receiving chemotherapy has severe neutropenia. Which intervention
is appropriate?
A. Use infection prevention precautions
B. Encourage crowded activities
C. Avoid monitoring temperature
D. Allow exposure to infection sources
Correct Answer: A
Rationale: Neutropenic patients require infection prevention strategies.
3. A patient with chronic kidney disease requires monitoring of which laboratory
value?
A. Serum creatinine
B. Visual acuity
C. Hearing level
D. Skin temperature only
Correct Answer: A
Rationale: Creatinine helps evaluate renal function.
4. A patient with respiratory distress should be assessed first for:
A. Airway and breathing
B. Diet preferences
C. Social history
D. Sleep habits
Correct Answer: A
,Rationale: Airway and breathing are immediate priorities.
5. A patient receiving a blood transfusion develops fever and chills. What should
the nurse do first?
A. Stop the transfusion
B. Increase infusion rate
C. Continue observation only
D. Discard assessment findings
Correct Answer: A
Rationale: These may indicate a transfusion reaction requiring immediate stopping of the
transfusion.
6. A patient with rheumatoid arthritis reports morning joint stiffness. The nurse
recognizes this as:
A. A common inflammatory arthritis finding
B. A sign of dehydration
C. A respiratory complication
D. A renal disorder
Correct Answer: A
Rationale: Morning stiffness is characteristic of rheumatoid arthritis.
7. A nurse is caring for a patient diagnosed with HIV several months earlier. The
nurse should recognize that AIDS occurs when the CD4+ T-lymphocyte count
drops below what threshold?
A. 75 cells/mm3
B. 200 cells/mm3
C. 325 cells/mm3
D. 450 cells/mm3
Correct Answer: B
Rationale: A CD4+ T-cell count below 200 cells/mm3 is diagnostic of AIDS.
8. A patient receiving chemotherapy has severe neutropenia. Which intervention
is appropriate?
A. Use infection prevention precautions
B. Encourage crowded activities
C. Avoid monitoring temperature
D. Allow exposure to infection sources
Correct Answer: A
, Rationale: Neutropenic patients require infection prevention strategies.
9. A patient with chronic kidney disease requires monitoring of which laboratory
value?
A. Serum creatinine
B. Visual acuity
C. Hearing level
D. Skin temperature only
Correct Answer: A
Rationale: Creatinine helps evaluate renal function.
10. A patient with respiratory distress should be assessed first for:
A. Airway and breathing
B. Diet preferences
C. Social history
D. Sleep habits
Correct Answer: A
Rationale: Airway and breathing are immediate priorities.
11. A patient receiving a blood transfusion develops fever and chills. What should
the nurse do first?
A. Stop the transfusion
B. Increase infusion rate
C. Continue observation only
D. Discard assessment findings
Correct Answer: A
Rationale: These may indicate a transfusion reaction requiring immediate stopping of the
transfusion.
12. A patient with rheumatoid arthritis reports morning joint stiffness. The nurse
recognizes this as:
A. A common inflammatory arthritis finding
B. A sign of dehydration
C. A respiratory complication
D. A renal disorder
Correct Answer: A
Rationale: Morning stiffness is characteristic of rheumatoid arthritis.