Med Surg Exam 3 Practice Questions with Answers
A nurse in an outpatient clinic is assessing a client who reports night sweats and fatigue. The client
repots having a cough along with nausea and diarrhea. Their temperature is 38.1 C (100.6 F) orally. The
client is concerned about the possibiliy of having HIV. Which of the following actions should the nurse
take? (Select all that apply)
a.) Perform a physical assessment
b.) Determine when manifestation began
c.) Teach the client about HIV transmission
d.) Draw blood for HIV testing
e.) Obtain sexual history - CORRECT ANSWER-a,b,e
A nurse is caring for a client who us suspected of having HIV. The nurse should identify that which of the
following diagnostic tests and labratory values are used to confirm HIV infection? (Select all that apply)
a.) Western blot
b.) Indirect immunoflourescence assay
c.) CD4= T-lymphocyte count
d.) HIV RNA quantification test
e.) Cerebrospinal fluid (CFS) analysis - CORRECT ANSWER-a,b
,A nurse is providing teaching for a client who has stage 3 HIV disease. Which of the following statements
by the client should indicate to the nurse an understanding of the teaching?
a.) "I will wear gloves while changing the pet litter box."
b.) "I will rinse raw fruits with water before eating them."
c.) "I will wear a mask when around family members that are ill."
d.) "I will cook vegetables before eating them." - CORRECT ANSWER-d
A nurse is assessing a client for HIV. The nurse should identify that which of the following are risk factors
associated with this virus? (Select all that apply.)
a.) Perinatal exposure
b.) Pregnancy
c.) Monogamous sex partner
d.) Older adult women
e.) Occupational exposure - CORRECT ANSWER-a,d,e
A nurse is providing teaching for a client who has stage 2 HIV disease and is having difficulty maintaining
a normal weight. Which of the following statements by the client should indicate to the nurse an
understanding of the teaching?
a.) "I will choose a diet high in fat to help gain weight."
,b.) "I will be sure to eat three large meal a day."
c.) "I will drink up to 1 liter of liquid each day."
d.) "I will add high-protein foods to my diet." - CORRECT ANSWER-d
A patient who is infected with HIV is being taught by the nurse about health promotion activities such as
good nutrition; avoiding alcohol, tobacco, drug use, and exposure to infectious agents; keeping up to
date with vaccines; getting adequate rest; and stress management. What is the rationale for these
interventions?
a.) Delaying disease progression
b.) Preventing disease transmission
c.) Helping to cure the HIC infection
d.) Enabling an increase in self-care activities - CORRECT ANSWER-a
The nurse is caring for an older patient who has been receiving antiretroviral therapy for HIV infection for
many years. The nurse is aware that complications of long-term antiretroviral use can include: (Select all
that apply)
a.) osteoporosis
b.) Insulin resistance
c.) cognitive problems
d.) urinary incontinence
, e.) cardiovascular disease - CORRECT ANSWER-a,b,e
The nurse teaches the staff that standard precautions should be used when providing care for which
type of patient?
a.) Pediatric and older patients
b.) All patients regardless of diagnosis
c.) Patients who are immonocompromised
d.) Patients with a history of infectious disease - CORRECT ANSWER-b
A nurse was accidently stuck with a needle used on a patient who is infected with HIV. after reporting the
incident, what care should this nurse recieve first?
a.) Personal protective equipment
b.) Combination antiretroviral therapy
c.) Counseling to report blood exposures
d.) A negative evaluation by the manager - CORRECT ANSWER-b
A patient was recently diagnosed with a sinus infection and prescribed a 10 day course of an antibiotic.
After 3 days the patient felt back to normal and informed the nurse that he decided to stop the
antibiotics and save the rest of the antibiotics in casee he gets another infection. Which statement by the
nurse would be correct in providing education to the patient?
A nurse in an outpatient clinic is assessing a client who reports night sweats and fatigue. The client
repots having a cough along with nausea and diarrhea. Their temperature is 38.1 C (100.6 F) orally. The
client is concerned about the possibiliy of having HIV. Which of the following actions should the nurse
take? (Select all that apply)
a.) Perform a physical assessment
b.) Determine when manifestation began
c.) Teach the client about HIV transmission
d.) Draw blood for HIV testing
e.) Obtain sexual history - CORRECT ANSWER-a,b,e
A nurse is caring for a client who us suspected of having HIV. The nurse should identify that which of the
following diagnostic tests and labratory values are used to confirm HIV infection? (Select all that apply)
a.) Western blot
b.) Indirect immunoflourescence assay
c.) CD4= T-lymphocyte count
d.) HIV RNA quantification test
e.) Cerebrospinal fluid (CFS) analysis - CORRECT ANSWER-a,b
,A nurse is providing teaching for a client who has stage 3 HIV disease. Which of the following statements
by the client should indicate to the nurse an understanding of the teaching?
a.) "I will wear gloves while changing the pet litter box."
b.) "I will rinse raw fruits with water before eating them."
c.) "I will wear a mask when around family members that are ill."
d.) "I will cook vegetables before eating them." - CORRECT ANSWER-d
A nurse is assessing a client for HIV. The nurse should identify that which of the following are risk factors
associated with this virus? (Select all that apply.)
a.) Perinatal exposure
b.) Pregnancy
c.) Monogamous sex partner
d.) Older adult women
e.) Occupational exposure - CORRECT ANSWER-a,d,e
A nurse is providing teaching for a client who has stage 2 HIV disease and is having difficulty maintaining
a normal weight. Which of the following statements by the client should indicate to the nurse an
understanding of the teaching?
a.) "I will choose a diet high in fat to help gain weight."
,b.) "I will be sure to eat three large meal a day."
c.) "I will drink up to 1 liter of liquid each day."
d.) "I will add high-protein foods to my diet." - CORRECT ANSWER-d
A patient who is infected with HIV is being taught by the nurse about health promotion activities such as
good nutrition; avoiding alcohol, tobacco, drug use, and exposure to infectious agents; keeping up to
date with vaccines; getting adequate rest; and stress management. What is the rationale for these
interventions?
a.) Delaying disease progression
b.) Preventing disease transmission
c.) Helping to cure the HIC infection
d.) Enabling an increase in self-care activities - CORRECT ANSWER-a
The nurse is caring for an older patient who has been receiving antiretroviral therapy for HIV infection for
many years. The nurse is aware that complications of long-term antiretroviral use can include: (Select all
that apply)
a.) osteoporosis
b.) Insulin resistance
c.) cognitive problems
d.) urinary incontinence
, e.) cardiovascular disease - CORRECT ANSWER-a,b,e
The nurse teaches the staff that standard precautions should be used when providing care for which
type of patient?
a.) Pediatric and older patients
b.) All patients regardless of diagnosis
c.) Patients who are immonocompromised
d.) Patients with a history of infectious disease - CORRECT ANSWER-b
A nurse was accidently stuck with a needle used on a patient who is infected with HIV. after reporting the
incident, what care should this nurse recieve first?
a.) Personal protective equipment
b.) Combination antiretroviral therapy
c.) Counseling to report blood exposures
d.) A negative evaluation by the manager - CORRECT ANSWER-b
A patient was recently diagnosed with a sinus infection and prescribed a 10 day course of an antibiotic.
After 3 days the patient felt back to normal and informed the nurse that he decided to stop the
antibiotics and save the rest of the antibiotics in casee he gets another infection. Which statement by the
nurse would be correct in providing education to the patient?
