The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath and
a productive cough. Also reports night sweats that clients health history includes the presence of acquired
immuno deficiency syndrome, AIDS and the recent laboratory results that revealed a low CD4 plus count
Airborne precautions have been initiated which of the following action should take place next?
A. Check client’s temperature
B. Check client’s blood pressure
C. Elevate HOB 45°
D. Document urine output
A newly hired nurse is developing a plan of care for a client who has AIDS and was just diagnosed with
pneumocystis and pain. Which of the following interventions should the nurse preceptor question?
A. Placing the client on a pressure relieving mattress
B. Performing a respiratory assessment
C. Checking the client’s temperature
The nurse has provided medication instructions to a client who has HIV and has been prescribed
combination antiretroviral therapy, which of the following client statements indicates a correct
understanding of the teaching?
A. I can avoid developing drug resistance if I take 90% of my drugs on time.
B. I can skip taking my drugs if I’m feeling OK
C. I will avoid large crowds at all times
D. The therapy will cure my HIV
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 is made by the client would indicate a need for
additional teaching?
A. I will wear a surgical mask when I change my cat litter box
B. I will take all my medication’s as prescribed.
C. I will avoid sexual contact without protection
The nurse is precepting a newly hired nurse who is caring for a client who has AIDS and has developed
kaposils sarcoma. It requires additional teaching by the preceptor of the newly hired nurse
A. Applies a surgical mass before entering a client’s room.
B. Use this proper hand hygiene before and after entering an exiting the client’s room.
C. Provide the client with oral hygiene techniques to decrease the pain associated.
D. Applying topical treatments as ordered by the physician.
The nurse is caring for a client who had a heart transplant 24 hours ago which of the following findings
indicates the clients developing a complication?
A. Fatigue.
B. Hypertension.
C. Hypotension.
D. Pain at sight of incision.
The nurse is caring for a client who had a lung transplant 10 days ago. It would be a priority for the nurse to
notify the doctor if the client has.
A. Developed sputum that is yellow tinged
B. Has a nonproductive cough.
C. Requires oxygen supplementation.
, The nurse is caring for a client who had a liver transplant 48 hours ago which findings from the box below is a priority
for the nursery report to the PCP?
Increase AST
Increase PT
Decreased INR
Increased bilirubin
Decreased bilirubin
Decreased ALT
Increase INR
A. One, two, three, seven
B. Two, three, five, six
C. One, two, four, seven.
D. Five, six, seven.
The nurse came for a client who had a kidney transplant two weeks ago which of the following finding each other the
nurse correlate to possible organ rejection?
A. Blood pressure of 172/96.
B. Temperature 98.6 Fahrenheit
C. Pain at incision site.
D. Fatigue
The nurse working in a primary healthcare providers office has just administered a routine immunization to a client.
The client is asked to wait in the waiting room for 15 minutes. Five minutes later the client developed swelling of the
eyes and reports feeling anxious having SOB and dizzy which of the following action should the nurse take first ?
A. Administer epinephrine.
B. Perform a respiratory assessment.
C. Perform a neurological assessment.
D. Administer Benadryl.
The nearly hard nurse has attended a continuing education conference regarding anaphylaxis work allergen exposure,
which of the following statements by the newly hired nurse indicates a great understanding of the assessment findings
in the client?
A. Hypoxia and widespread hives
B. Headache.
C. Back pain.
D. Diarrhea.
The nurse is assisting a client who has systemic lupus, which of the following findings will the nurse identify as a
complication of the disease?
A. Pericardial friction rub.
B. Neuropathy.
C. Nosebleed.
D. Dizziness
The nurse is teaching a 25 year-old client who has SLE which of the following statement claims correct understanding
of each teaching?
A. I should take my medication on an empty stomach.
B. I should take my prescribed steroids in the morning to get the best benefit
C. I should take my prescribe steroids before going to bed.
a productive cough. Also reports night sweats that clients health history includes the presence of acquired
immuno deficiency syndrome, AIDS and the recent laboratory results that revealed a low CD4 plus count
Airborne precautions have been initiated which of the following action should take place next?
A. Check client’s temperature
B. Check client’s blood pressure
C. Elevate HOB 45°
D. Document urine output
A newly hired nurse is developing a plan of care for a client who has AIDS and was just diagnosed with
pneumocystis and pain. Which of the following interventions should the nurse preceptor question?
A. Placing the client on a pressure relieving mattress
B. Performing a respiratory assessment
C. Checking the client’s temperature
The nurse has provided medication instructions to a client who has HIV and has been prescribed
combination antiretroviral therapy, which of the following client statements indicates a correct
understanding of the teaching?
A. I can avoid developing drug resistance if I take 90% of my drugs on time.
B. I can skip taking my drugs if I’m feeling OK
C. I will avoid large crowds at all times
D. The therapy will cure my HIV
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 is made by the client would indicate a need for
additional teaching?
A. I will wear a surgical mask when I change my cat litter box
B. I will take all my medication’s as prescribed.
C. I will avoid sexual contact without protection
The nurse is precepting a newly hired nurse who is caring for a client who has AIDS and has developed
kaposils sarcoma. It requires additional teaching by the preceptor of the newly hired nurse
A. Applies a surgical mass before entering a client’s room.
B. Use this proper hand hygiene before and after entering an exiting the client’s room.
C. Provide the client with oral hygiene techniques to decrease the pain associated.
D. Applying topical treatments as ordered by the physician.
The nurse is caring for a client who had a heart transplant 24 hours ago which of the following findings
indicates the clients developing a complication?
A. Fatigue.
B. Hypertension.
C. Hypotension.
D. Pain at sight of incision.
The nurse is caring for a client who had a lung transplant 10 days ago. It would be a priority for the nurse to
notify the doctor if the client has.
A. Developed sputum that is yellow tinged
B. Has a nonproductive cough.
C. Requires oxygen supplementation.
, The nurse is caring for a client who had a liver transplant 48 hours ago which findings from the box below is a priority
for the nursery report to the PCP?
Increase AST
Increase PT
Decreased INR
Increased bilirubin
Decreased bilirubin
Decreased ALT
Increase INR
A. One, two, three, seven
B. Two, three, five, six
C. One, two, four, seven.
D. Five, six, seven.
The nurse came for a client who had a kidney transplant two weeks ago which of the following finding each other the
nurse correlate to possible organ rejection?
A. Blood pressure of 172/96.
B. Temperature 98.6 Fahrenheit
C. Pain at incision site.
D. Fatigue
The nurse working in a primary healthcare providers office has just administered a routine immunization to a client.
The client is asked to wait in the waiting room for 15 minutes. Five minutes later the client developed swelling of the
eyes and reports feeling anxious having SOB and dizzy which of the following action should the nurse take first ?
A. Administer epinephrine.
B. Perform a respiratory assessment.
C. Perform a neurological assessment.
D. Administer Benadryl.
The nearly hard nurse has attended a continuing education conference regarding anaphylaxis work allergen exposure,
which of the following statements by the newly hired nurse indicates a great understanding of the assessment findings
in the client?
A. Hypoxia and widespread hives
B. Headache.
C. Back pain.
D. Diarrhea.
The nurse is assisting a client who has systemic lupus, which of the following findings will the nurse identify as a
complication of the disease?
A. Pericardial friction rub.
B. Neuropathy.
C. Nosebleed.
D. Dizziness
The nurse is teaching a 25 year-old client who has SLE which of the following statement claims correct understanding
of each teaching?
A. I should take my medication on an empty stomach.
B. I should take my prescribed steroids in the morning to get the best benefit
C. I should take my prescribe steroids before going to bed.
