Complete Solutions
A child has just been diagnosed with a primary immune
deficiency. The parents state, "Oh, no. Our child has AIDS."
Which response by the nurse would be most appropriate?
A) "Your child does not have AIDS but this condition puts your
child at risk for it later in life."
B) "Although AIDS is an immune deficiency, your child's
condition is different from AIDS."
C) "Your child's condition is extremely serious. Like AIDS, it
will most likely be fatal."
D) "We need to do some more testing before we will know if
your child's condition is AIDS." Correct Answers B)
"Although AIDS is an immune deficiency, your child's
condition is different from AIDS."
A client arrives at the clinic and reports a very sore throat as
well as a fever. A rapid strep test returns a positive result and the
client is given a prescription for an antibiotic. How did the
streptococcal organism gain access to the client to cause this
infection?
A) Through the mucous membranes of the throat
B) Through the skin
C) From being outside in the cold weather and decreasing
resistance
D) Breathing in airborne dust Correct Answers A) Through the
mucous membranes of the throat
, A client comes into the emergency department reporting
difficulty walking and loss of muscle control in the arms. Once
the nurse begins the physical examination, which assessment
should be completed if an immune dysfunction in the
neurosensory system is suspected?
A) Assess for ataxia using the finger-to-nose test and heel-to-
shin test
B) Assess for hepatosplenomegaly by measuring abdominal
girth
C) Assess joint mobility using passive range of motion.
D) Review the urinalysis report for hematuria Correct Answers
A) Assess for ataxia using the finger-to-nose test and heel-to-
shin test
A client has been receiving chemotherapy to treat cancer. Which
assessment finding suggests that the client has developed
stomatitis?
A) White, cottage cheese-like patches on the tongue
B) Rust-colored sputum
C) Red, open sores on the oral mucosa
D) Yellow tooth discoloration Correct Answers C) Red, open
sores on the oral mucosa
A client is to have a hip replacement in 3 months and does not
want a blood transfusion from random donors. What option can
the nurse discuss with the client?