NUR 204 WEEK 1 ACTUAL EXAM STUDY GUIDE (ACCURATE
2025 EXAM STUDY GUIDE A+ GUARANTEED).
1. Which findings are AIDS-defining characteristics? (Select all that apply.)
a. CD4+ cell count less than 200/mm3 (0.2 109/L) or less than 14%
b. Infection with P. jiroveci
c. Positive enzyme-linked immunosorbent assay (ELISA) test for human
immune deficiency virus (HIV)
d. Presence of HIV wasting syndrome
e. Taking antiretroviral medications
f. Confusion, dementia, or memory loss
2. A nurse is learning about human immune deficiency virus (HIV) infection. Which statements
about HIV infection are correct? (Select all that apply.)
a. CD4+ cells begin to create new HIV virus particles.
b. Antibodies produced are incomplete and do not function well.
c. Macrophages stop functioning properly.
d. Opportunistic infections and cancer are leading causes of death.
e. People with HIV-I disease are not infectious to others.
f. The CD4+ T-cell is only affected when the disease has progressed to HIV-III
3. The nurse is teaching a client about medications for HIV-II treatment. What drugs are paired
with the correct information? (Select all that apply.)
a. Abacavir: avoid fatty and fried foods.
b. Efavirenz: take 1 hour before or 2 hours after antacids.
c. Atazanavir: check pulse daily and report pulse greater than 100 beats/min.
d. Dolutegravir: do not take this medication if you become pregnant.
e. Enfuvirtide: teach client how to operate syringe infusion pump for administration.
,f. All drugs: you must adhere to the drug schedule at least 90% of the time for
effectiveness.
4. A client is hospitalized with Pneumocystis jiroveci pneumonia. The client reports shortness of
breath with activity and extreme fatigue. What intervention is best to promote comfort?
a. Administer sleeping medication.
b. Perform most activities for the client.
c. Increase the client’s oxygen during activity.
d. Pace activities, allowing for adequate rest.
ANS: D
This client has two major reasons for fatigue: decreased oxygenation and systemic illness. The
nurse would not do everything for the client but rather let the client do as much as possible within
limits and allow for adequate rest in between. Sleeping medications may be needed but not as the
first step, and only with caution. Increasing oxygen during activities may or may
not be warranted, but first the nurse must try pacing the client’s activity
5. A client with HIV-III is hospitalized with P. jiroveci pneumonia and is started on the drug of
choice for this infection. What laboratory values would be most important for the nurse report to
the primary health care provider? (Select all that apply.)
a. Aspartate transaminase, alanine transaminase: elevated
b. CD4+ cell count: 180/mm3
c. Creatinine: 1.0 mg/dL (88 mcmol/L)
d. Platelet count: 80,000/mm3
(80 × 109
/L)
e. Serum sodium: 120 mEq/L (120 mmol/L)
f. Serum potassium: 3.4 mEq/L (3.4 mmol/L)
6. A client with HIV-III has oral thrush and difficulty eating. What actions does the nurse
, delegate to the assistive personnel (AP)? (Select all that apply.)
a. Apply oral anesthetic gels before meals.
b. Assist the client with oral care every 2 hours.
c. Offer the client frequent sips of cool drinks.
d. Provide the client with alcohol-based mouthwash.
e. Remind the client to use only a sof t toothbrush.
f. Offer the client sof t foods like gelatin or pudding.
7. A client with known HIV-II is admitted to the hospital with fever, night sweats, and severe
cough. Laboratory results include a CD4+ cell count of 180/mm3
and a negative tuberculosis
(TB) skin test 4 days ago. What action would the nurse take first?
a. Initiate Droplet Precautions for the client.
b. Notify the primary health care provider about the CD4+ results.
c. Place the client under Airborne Precautions.
d. Use Standard Precautions to provide care.
8. A client with HIV-III and wasting syndrome has inadequate nutrition. What assessment finding by the
nurse best indicates that goals have been met for this client problem?
a. Chooses high-protein food.
b. Has decreased oral discomfort.
c. Eats 90% of meals and snacks.
d. Has a weight gain of 2 lb (1 kg)/1 mo
9. A client with HIV-III has been hospitalized with suspected cryptosporidiosis. What
physical assessment would be most important with this condition?
a. Auscultating the lungs
2025 EXAM STUDY GUIDE A+ GUARANTEED).
1. Which findings are AIDS-defining characteristics? (Select all that apply.)
a. CD4+ cell count less than 200/mm3 (0.2 109/L) or less than 14%
b. Infection with P. jiroveci
c. Positive enzyme-linked immunosorbent assay (ELISA) test for human
immune deficiency virus (HIV)
d. Presence of HIV wasting syndrome
e. Taking antiretroviral medications
f. Confusion, dementia, or memory loss
2. A nurse is learning about human immune deficiency virus (HIV) infection. Which statements
about HIV infection are correct? (Select all that apply.)
a. CD4+ cells begin to create new HIV virus particles.
b. Antibodies produced are incomplete and do not function well.
c. Macrophages stop functioning properly.
d. Opportunistic infections and cancer are leading causes of death.
e. People with HIV-I disease are not infectious to others.
f. The CD4+ T-cell is only affected when the disease has progressed to HIV-III
3. The nurse is teaching a client about medications for HIV-II treatment. What drugs are paired
with the correct information? (Select all that apply.)
a. Abacavir: avoid fatty and fried foods.
b. Efavirenz: take 1 hour before or 2 hours after antacids.
c. Atazanavir: check pulse daily and report pulse greater than 100 beats/min.
d. Dolutegravir: do not take this medication if you become pregnant.
e. Enfuvirtide: teach client how to operate syringe infusion pump for administration.
,f. All drugs: you must adhere to the drug schedule at least 90% of the time for
effectiveness.
4. A client is hospitalized with Pneumocystis jiroveci pneumonia. The client reports shortness of
breath with activity and extreme fatigue. What intervention is best to promote comfort?
a. Administer sleeping medication.
b. Perform most activities for the client.
c. Increase the client’s oxygen during activity.
d. Pace activities, allowing for adequate rest.
ANS: D
This client has two major reasons for fatigue: decreased oxygenation and systemic illness. The
nurse would not do everything for the client but rather let the client do as much as possible within
limits and allow for adequate rest in between. Sleeping medications may be needed but not as the
first step, and only with caution. Increasing oxygen during activities may or may
not be warranted, but first the nurse must try pacing the client’s activity
5. A client with HIV-III is hospitalized with P. jiroveci pneumonia and is started on the drug of
choice for this infection. What laboratory values would be most important for the nurse report to
the primary health care provider? (Select all that apply.)
a. Aspartate transaminase, alanine transaminase: elevated
b. CD4+ cell count: 180/mm3
c. Creatinine: 1.0 mg/dL (88 mcmol/L)
d. Platelet count: 80,000/mm3
(80 × 109
/L)
e. Serum sodium: 120 mEq/L (120 mmol/L)
f. Serum potassium: 3.4 mEq/L (3.4 mmol/L)
6. A client with HIV-III has oral thrush and difficulty eating. What actions does the nurse
, delegate to the assistive personnel (AP)? (Select all that apply.)
a. Apply oral anesthetic gels before meals.
b. Assist the client with oral care every 2 hours.
c. Offer the client frequent sips of cool drinks.
d. Provide the client with alcohol-based mouthwash.
e. Remind the client to use only a sof t toothbrush.
f. Offer the client sof t foods like gelatin or pudding.
7. A client with known HIV-II is admitted to the hospital with fever, night sweats, and severe
cough. Laboratory results include a CD4+ cell count of 180/mm3
and a negative tuberculosis
(TB) skin test 4 days ago. What action would the nurse take first?
a. Initiate Droplet Precautions for the client.
b. Notify the primary health care provider about the CD4+ results.
c. Place the client under Airborne Precautions.
d. Use Standard Precautions to provide care.
8. A client with HIV-III and wasting syndrome has inadequate nutrition. What assessment finding by the
nurse best indicates that goals have been met for this client problem?
a. Chooses high-protein food.
b. Has decreased oral discomfort.
c. Eats 90% of meals and snacks.
d. Has a weight gain of 2 lb (1 kg)/1 mo
9. A client with HIV-III has been hospitalized with suspected cryptosporidiosis. What
physical assessment would be most important with this condition?
a. Auscultating the lungs
