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NUR 265 Exam 4 Comprehensive
Practice Exam Questions & Verified
Answers Updated 2026 Just Released
Pass Guaranteed
This practice exam covers the key concepts for NUR 265 Exam 4
including HIV/AIDS, opportunistic infections, autoimmune disorders,
organ transplantation, oncology emergencies, and oncology nursing
concepts. Each question is followed by the correct answer and a detailed
rationale explaining the clinical reasoning and nursing priorities.
PART 1: HIV/AIDS AND OPPORTUNISTIC INFECTIONS
Question 1
The nurse working in the emergency department is triaging a client who
has presented with chest pain, shortness of breath, a productive cough,
and reports of night sweats. The client's health history includes acquired
immune deficiency syndrome (AIDS) and a recent laboratory result that
reveals a low CD4+ count. Airborne precautions have been initiated.
Which of the following actions should the nurse take next?
A. Prepare the client for insertion of a chest tube
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B. Assess the client for shingles
C. Check the client's temperature
D. Obtain a throat culture
Verified Answer: C
Rationale: A fever is a symptom of AIDS exacerbation and potential
opportunistic infection. The nurse should check the client's temperature
first to assess for fever which would indicate infection. Airborne
precautions have already been initiated for suspected tuberculosis, so the
next priority is temperature assessment .
Question 2
The newly hired nurse is developing a plan of care for a client who has
AIDS and was just diagnosed with Pneumocystis jiroveci pneumonia
(PJP) and pain. Which of the following interventions should the nurse
preceptor question?
A. Telling the client to keep the door to the room closed at all times
B. Placing the client on a pressure-relieving mattress
C. Instructing the client to drink at least three liters of fluid throughout
the day
D. Offering the client food high in calories and protein
Verified Answer: B
Rationale: A pressure-relieving mattress is not an appropriate
intervention for PJP. PJP requires airborne precautions so the door
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should remain closed. Fluid intake and high-calorie high-protein
nutrition are appropriate for managing PJP .
Question 3
The nurse is caring for a client with AIDS who has just been diagnosed
with cryptococcal meningitis. Which of the following actions should the
nurse take?
A. Initiate airborne precautions for the next 72 hours
B. Initiate seizure precautions with padded side rails
C. Administer IV pentamidine isethionate
D. Thicken the client's liquids to honey consistency
Verified Answer: B
Rationale: Patients with cryptococcal meningitis may have seizures.
Seizure precautions including padded side rails should be implemented
to prevent injury. Cryptococcal meningitis is a fungal infection of the
central nervous system common in AIDS patients with low CD4 counts .
Question 4
The nurse has provided medication instructions to a client who has HIV
and has been prescribed combination antiretroviral therapy (cART).
Which of the following client statements indicates a correct
understanding of the teaching?
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A. "I am less likely to develop opportunistic infections once I begin
taking my prescribed medications"
B. "I should discontinue my medications if I develop severe diarrhea"
C. "I can avoid developing drug resistance if I take 90% of my drugs on
time"
D. "I understand that this combination of drugs will kill the virus"
Verified Answer: C
Rationale: It is important to teach patients to take at least 90% of their
medications on time to prevent drug resistance. cART does not cure
HIV, but it suppresses viral replication. Missing doses can lead to
resistance and treatment failure .
Question 5
The nurse working in a community health center has instructed a group
of clients who have AIDS about ways to prevent infection. Which of the
following statements, if made by a client, would indicate the need for
additional teaching?
A. "I will eat plenty of fresh fruits and raw vegetables"
B. "I will make sure no one uses my deodorant or toothpaste"
C. "I will avoid planting vegetables and flowers in our garden"
D. "I will wear gloves and then wash my hands immediately if I need to
change my cat's litter box"
Verified Answer: A
NUR 265 Exam 4 Comprehensive
Practice Exam Questions & Verified
Answers Updated 2026 Just Released
Pass Guaranteed
This practice exam covers the key concepts for NUR 265 Exam 4
including HIV/AIDS, opportunistic infections, autoimmune disorders,
organ transplantation, oncology emergencies, and oncology nursing
concepts. Each question is followed by the correct answer and a detailed
rationale explaining the clinical reasoning and nursing priorities.
PART 1: HIV/AIDS AND OPPORTUNISTIC INFECTIONS
Question 1
The nurse working in the emergency department is triaging a client who
has presented with chest pain, shortness of breath, a productive cough,
and reports of night sweats. The client's health history includes acquired
immune deficiency syndrome (AIDS) and a recent laboratory result that
reveals a low CD4+ count. Airborne precautions have been initiated.
Which of the following actions should the nurse take next?
A. Prepare the client for insertion of a chest tube
,2 | Page
B. Assess the client for shingles
C. Check the client's temperature
D. Obtain a throat culture
Verified Answer: C
Rationale: A fever is a symptom of AIDS exacerbation and potential
opportunistic infection. The nurse should check the client's temperature
first to assess for fever which would indicate infection. Airborne
precautions have already been initiated for suspected tuberculosis, so the
next priority is temperature assessment .
Question 2
The newly hired nurse is developing a plan of care for a client who has
AIDS and was just diagnosed with Pneumocystis jiroveci pneumonia
(PJP) and pain. Which of the following interventions should the nurse
preceptor question?
A. Telling the client to keep the door to the room closed at all times
B. Placing the client on a pressure-relieving mattress
C. Instructing the client to drink at least three liters of fluid throughout
the day
D. Offering the client food high in calories and protein
Verified Answer: B
Rationale: A pressure-relieving mattress is not an appropriate
intervention for PJP. PJP requires airborne precautions so the door
,3 | Page
should remain closed. Fluid intake and high-calorie high-protein
nutrition are appropriate for managing PJP .
Question 3
The nurse is caring for a client with AIDS who has just been diagnosed
with cryptococcal meningitis. Which of the following actions should the
nurse take?
A. Initiate airborne precautions for the next 72 hours
B. Initiate seizure precautions with padded side rails
C. Administer IV pentamidine isethionate
D. Thicken the client's liquids to honey consistency
Verified Answer: B
Rationale: Patients with cryptococcal meningitis may have seizures.
Seizure precautions including padded side rails should be implemented
to prevent injury. Cryptococcal meningitis is a fungal infection of the
central nervous system common in AIDS patients with low CD4 counts .
Question 4
The nurse has provided medication instructions to a client who has HIV
and has been prescribed combination antiretroviral therapy (cART).
Which of the following client statements indicates a correct
understanding of the teaching?
, 4 | Page
A. "I am less likely to develop opportunistic infections once I begin
taking my prescribed medications"
B. "I should discontinue my medications if I develop severe diarrhea"
C. "I can avoid developing drug resistance if I take 90% of my drugs on
time"
D. "I understand that this combination of drugs will kill the virus"
Verified Answer: C
Rationale: It is important to teach patients to take at least 90% of their
medications on time to prevent drug resistance. cART does not cure
HIV, but it suppresses viral replication. Missing doses can lead to
resistance and treatment failure .
Question 5
The nurse working in a community health center has instructed a group
of clients who have AIDS about ways to prevent infection. Which of the
following statements, if made by a client, would indicate the need for
additional teaching?
A. "I will eat plenty of fresh fruits and raw vegetables"
B. "I will make sure no one uses my deodorant or toothpaste"
C. "I will avoid planting vegetables and flowers in our garden"
D. "I will wear gloves and then wash my hands immediately if I need to
change my cat's litter box"
Verified Answer: A
