NUR257 EXAM 1 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
NEWLY UPDATED 2026
A pediatric client is recovering from an anaphylactic reaction to an allergen. In the
initial assessment, the client exhibits periorbital discoloration ("allergic shiners"),
which is common in pediatric allergic conditions. Which classification of
hypersensitivity reaction accounts for this presentation? A. Type I B. Type II C.
Type III D. Type IV ✔✔ Option A: Type I
A nurse is evaluating laboratory parameters used to monitor a patient diagnosed
with HIV. Which specific laboratory assay quantifies HIV RNA levels and serves
as the primary predictor of disease progression? A. Enzyme immunoassay (EIA) B.
CD4/CD8 ratio C. Western blot D. Viral load ✔✔ Option D: Viral load
A healthcare provider suspects Cryptococcus meningitis in a patient living with
HIV. Which clinical manifestations align with this opportunistic central nervous
system infection? (Select all that apply) A. Hyperreflexia B. Psychomotor slowing
C. Vacant stare D. Stiff neck E. Seizures ✔✔ Options D and E: Stiff neck &
Seizures
A client with AIDS develops pneumocystis pneumonia. 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 -ANSWER ✔✔TMP-SMZ
A client is diagnosed with pneumocystis pneumonia (PCP). What medication does
the nurse anticipate educating the client about for treatment?
Azithromycin
,TMP-SMZ
Cephalexin
Garamycin -ANSWER ✔✔TMP-SMZ
A client comes to the clinic to see the physician, reporting, "I think I ate something
that I am allergic to." 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 -ANSWER ✔✔Diarrhea and abdominal
cramping
A nurse is preparing to administer an antiretroviral 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 -ANSWER ✔✔Lamivudine
The nurse is teaching a client with HIV how to use a male condom. The client
demonstrates understanding of the information when he makes which statements?
Select all that apply.
"I can keep several condoms in my wallet in my back trouser pocket so they are
readily available."
"I should avoid using baby oil or petroleum jelly with a condom."
"I need to hold the condom by the tip to squeeze out the air before putting it on."
,"I can reuse a condom two or three times when I'm having sexual intercourse."
"I should unroll the condom all the way over my erect penis." -ANSWER ✔✔"I
need to hold the condom by the tip to squeeze out the air before putting it on."
"I should unroll the condom all the way over my erect penis."
I should avoid using baby oil or petroleum jelly with a condom."
A nurse is caring for a client with human immunodeficiency virus (HIV). What
would the nurse expect 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 -ANSWER ✔✔quantification of T-lymphocytes
The nurse is preparing to administer the recommended 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 -ANSWER ✔✔30 g
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?
Anaphylactic reaction
Delayed hypersensitivity response
, Sensitization
An immediate hypersensitivity response -ANSWER ✔✔Delayed hypersensitivity
response
The nurse's plan of care for a client with stage 3 HIV addresses the diagnosis of
Risk for Impaired Skin Integrity Related to candidiasis. What nursing intervention
best addresses this risk?
Applying skin emollients as needed
Providing thorough oral care before and after meals
Administering prophylactic antibiotics
Promoting nutrition and adequate fluid intake -ANSWER ✔✔Providing thorough
oral care before and after meals
A treatment option for severe combined immune deficiency (SCID) includes
IV immunoglobulin.
chemotherapy.
vitamin D supplements.
a stem cell transplant. -ANSWER ✔✔a stem cell transplant
Which term defines the balance between the amount of HIV in the body and the
immune response?
Viral clearance rate
Window period
Primary infection stage
Viral set point -ANSWER ✔✔Viral set point
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
NEWLY UPDATED 2026
A pediatric client is recovering from an anaphylactic reaction to an allergen. In the
initial assessment, the client exhibits periorbital discoloration ("allergic shiners"),
which is common in pediatric allergic conditions. Which classification of
hypersensitivity reaction accounts for this presentation? A. Type I B. Type II C.
Type III D. Type IV ✔✔ Option A: Type I
A nurse is evaluating laboratory parameters used to monitor a patient diagnosed
with HIV. Which specific laboratory assay quantifies HIV RNA levels and serves
as the primary predictor of disease progression? A. Enzyme immunoassay (EIA) B.
CD4/CD8 ratio C. Western blot D. Viral load ✔✔ Option D: Viral load
A healthcare provider suspects Cryptococcus meningitis in a patient living with
HIV. Which clinical manifestations align with this opportunistic central nervous
system infection? (Select all that apply) A. Hyperreflexia B. Psychomotor slowing
C. Vacant stare D. Stiff neck E. Seizures ✔✔ Options D and E: Stiff neck &
Seizures
A client with AIDS develops pneumocystis pneumonia. 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 -ANSWER ✔✔TMP-SMZ
A client is diagnosed with pneumocystis pneumonia (PCP). What medication does
the nurse anticipate educating the client about for treatment?
Azithromycin
,TMP-SMZ
Cephalexin
Garamycin -ANSWER ✔✔TMP-SMZ
A client comes to the clinic to see the physician, reporting, "I think I ate something
that I am allergic to." 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 -ANSWER ✔✔Diarrhea and abdominal
cramping
A nurse is preparing to administer an antiretroviral 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 -ANSWER ✔✔Lamivudine
The nurse is teaching a client with HIV how to use a male condom. The client
demonstrates understanding of the information when he makes which statements?
Select all that apply.
"I can keep several condoms in my wallet in my back trouser pocket so they are
readily available."
"I should avoid using baby oil or petroleum jelly with a condom."
"I need to hold the condom by the tip to squeeze out the air before putting it on."
,"I can reuse a condom two or three times when I'm having sexual intercourse."
"I should unroll the condom all the way over my erect penis." -ANSWER ✔✔"I
need to hold the condom by the tip to squeeze out the air before putting it on."
"I should unroll the condom all the way over my erect penis."
I should avoid using baby oil or petroleum jelly with a condom."
A nurse is caring for a client with human immunodeficiency virus (HIV). What
would the nurse expect 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 -ANSWER ✔✔quantification of T-lymphocytes
The nurse is preparing to administer the recommended 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 -ANSWER ✔✔30 g
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?
Anaphylactic reaction
Delayed hypersensitivity response
, Sensitization
An immediate hypersensitivity response -ANSWER ✔✔Delayed hypersensitivity
response
The nurse's plan of care for a client with stage 3 HIV addresses the diagnosis of
Risk for Impaired Skin Integrity Related to candidiasis. What nursing intervention
best addresses this risk?
Applying skin emollients as needed
Providing thorough oral care before and after meals
Administering prophylactic antibiotics
Promoting nutrition and adequate fluid intake -ANSWER ✔✔Providing thorough
oral care before and after meals
A treatment option for severe combined immune deficiency (SCID) includes
IV immunoglobulin.
chemotherapy.
vitamin D supplements.
a stem cell transplant. -ANSWER ✔✔a stem cell transplant
Which term defines the balance between the amount of HIV in the body and the
immune response?
Viral clearance rate
Window period
Primary infection stage
Viral set point -ANSWER ✔✔Viral set point
