1|Page
NR 464 EXAM 3 (SAUNDERS) NEWEST 2025 ACTUAL
EXAM| COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!)
The nurse is caring for a client with acquired immunodeficiency
syndrome and detects early infection with Pneumocystis jiroveci by
monitoring the client for which clinical manifestation?
1. Fever
2. Cough
3. Dyspnea at rest
4. Dyspnea on exertion - Correct Answer - 2. Cough
Pneumocystis jiroveci pneumonia (PCP) is a fungal infection and is a
common opportunistic infection. The client with P. jiroveci infection
usually has a cough as the first sign. The cough begins as nonproductive
and then progresses to productive. Later signs and symptoms include
fever, dyspnea on exertion, and finally dyspnea at rest.
A test for the presence of rheumatoid factor is performed in a client with
a diagnosis of rheumatoid arthritis (RA). What result should the nurse
anticipate in the presence of this disease?
1. Neutropenia
2. Hyperglycemia
3. Antigens of immunoglobulin A (IgA)
4. Unusual antibodies of the IgG and IgM type - Correct Answer - 4.
pg. 1
,2|Page
Rheumatoid arthritis is a chronic, progressive, systemic inflammatory
autoimmune disease process that affects primarily the synovial joints.
The test for rheumatoid factor detects the presence of unusual antibodies
of the IgG and IgM type, which develop in a number of connective
tissue diseases. The other options are incorrect.
A complete blood cell count is performed on a client with systemic lupus
erythematosus (SLE). The nurse suspects that which finding will be
reported with this blood test?
1. Increased neutrophils
2. Increased red blood cell count
3. Increased white blood cell count
4. Decreased numbers of all cell types - Correct Answer - 4.
In the client with SLE, a complete blood cell count commonly shows
pancytopenia, a decrease in all cell types. This probably is caused by a
direct attack on all blood cells or bone marrow by immune complexes.
The other options are incorrect.
The nurse is reviewing the health care record of a client with a new
diagnosis of rheumatoid arthritis (RA). The nurse should recognize that
which are early clinical manifestations of this disorder? Select all that
apply.
1. Fatigue
2. Anorexia
3. High fever
4. Weight loss
5. Generalized weakness - Correct Answer - 1. 2. 5.
pg. 2
,3|Page
Early manifestations of RA include fatigue, anorexia, generalized
weakness, low-grade fever, paresthesias. Weight loss is one of the late
manifestations.
The nurse is caring for a client with acquired immunodeficiency
syndrome (AIDS) who has begun to experience multiple opportunistic
infections. Which laboratory test would be most helpful in assessing the
client's need for reassessment of treatment?
1. Western blot
2. B lymphocyte count
3. CD4+ cell or T lymphocyte count
4. Enzyme-linked immunosorbent assay (ELISA) - Correct Answer - 3.
The T lymphocyte or CD4+ cell count indicates whether the client is
responding to the medication treatment. The count should increase if the
client is responding and should decrease if the client's response is poor.
The Western blot and ELISA are tests to assist in diagnosing human
immunodeficiency virus infection. The B lymphocyte count is not a
priority marker to monitor with AIDS clients.
A client with acquired immunodeficiency syndrome has been started on
therapy with zidovudine. The nurse assesses the complete blood cell
(CBC) count, knowing that which is an adverse effect of this
medication?
1. Polycythemia
2. Leukocytosis
3. Thrombocytosis
4. Agranulocytopenia - Correct Answer - 4. Agranulocytopenia
pg. 3
, 4|Page
A client is suspected of having systemic lupus erythematosus (SLE). On
reviewing the client's record, the nurse should expect to note
documentation of which characteristic sign of SLE?
1. Fever
2. Fatigue
3. Skin lesions
4. Elevated red blood cell count - Correct Answer - 3. Skin lesions
The major skin manifestation of SLE is a dry, scaly, raised rash on the
face known as the butterfly rash. Fever and fatigue may occur before and
during exacerbation, but these signs and symptoms are vague. Anemia is
most likely to occur in SLE.
A client seen in an ambulatory clinic has a facial rash that is present on
both cheeks and across the bridge of the nose. The nurse interprets that
this finding is consistent with manifestations of which disorder?
1. Hyperthyroidism
2. Pernicious anemia
3. Cardiopulmonary disorders
4. Systemic lupus erythematosus (SLE) - Correct Answer - 4.
The nurse reviews the record of a client with acquired
immunodeficiency syndrome (AIDS) and notes that the client has a
diagnosis of Candida. When performing history-taking and assessment,
which finding should the nurse anticipate?
1. Hyperactive bowel sounds
2. Complaints of watery diarrhea
pg. 4
NR 464 EXAM 3 (SAUNDERS) NEWEST 2025 ACTUAL
EXAM| COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!)
The nurse is caring for a client with acquired immunodeficiency
syndrome and detects early infection with Pneumocystis jiroveci by
monitoring the client for which clinical manifestation?
1. Fever
2. Cough
3. Dyspnea at rest
4. Dyspnea on exertion - Correct Answer - 2. Cough
Pneumocystis jiroveci pneumonia (PCP) is a fungal infection and is a
common opportunistic infection. The client with P. jiroveci infection
usually has a cough as the first sign. The cough begins as nonproductive
and then progresses to productive. Later signs and symptoms include
fever, dyspnea on exertion, and finally dyspnea at rest.
A test for the presence of rheumatoid factor is performed in a client with
a diagnosis of rheumatoid arthritis (RA). What result should the nurse
anticipate in the presence of this disease?
1. Neutropenia
2. Hyperglycemia
3. Antigens of immunoglobulin A (IgA)
4. Unusual antibodies of the IgG and IgM type - Correct Answer - 4.
pg. 1
,2|Page
Rheumatoid arthritis is a chronic, progressive, systemic inflammatory
autoimmune disease process that affects primarily the synovial joints.
The test for rheumatoid factor detects the presence of unusual antibodies
of the IgG and IgM type, which develop in a number of connective
tissue diseases. The other options are incorrect.
A complete blood cell count is performed on a client with systemic lupus
erythematosus (SLE). The nurse suspects that which finding will be
reported with this blood test?
1. Increased neutrophils
2. Increased red blood cell count
3. Increased white blood cell count
4. Decreased numbers of all cell types - Correct Answer - 4.
In the client with SLE, a complete blood cell count commonly shows
pancytopenia, a decrease in all cell types. This probably is caused by a
direct attack on all blood cells or bone marrow by immune complexes.
The other options are incorrect.
The nurse is reviewing the health care record of a client with a new
diagnosis of rheumatoid arthritis (RA). The nurse should recognize that
which are early clinical manifestations of this disorder? Select all that
apply.
1. Fatigue
2. Anorexia
3. High fever
4. Weight loss
5. Generalized weakness - Correct Answer - 1. 2. 5.
pg. 2
,3|Page
Early manifestations of RA include fatigue, anorexia, generalized
weakness, low-grade fever, paresthesias. Weight loss is one of the late
manifestations.
The nurse is caring for a client with acquired immunodeficiency
syndrome (AIDS) who has begun to experience multiple opportunistic
infections. Which laboratory test would be most helpful in assessing the
client's need for reassessment of treatment?
1. Western blot
2. B lymphocyte count
3. CD4+ cell or T lymphocyte count
4. Enzyme-linked immunosorbent assay (ELISA) - Correct Answer - 3.
The T lymphocyte or CD4+ cell count indicates whether the client is
responding to the medication treatment. The count should increase if the
client is responding and should decrease if the client's response is poor.
The Western blot and ELISA are tests to assist in diagnosing human
immunodeficiency virus infection. The B lymphocyte count is not a
priority marker to monitor with AIDS clients.
A client with acquired immunodeficiency syndrome has been started on
therapy with zidovudine. The nurse assesses the complete blood cell
(CBC) count, knowing that which is an adverse effect of this
medication?
1. Polycythemia
2. Leukocytosis
3. Thrombocytosis
4. Agranulocytopenia - Correct Answer - 4. Agranulocytopenia
pg. 3
, 4|Page
A client is suspected of having systemic lupus erythematosus (SLE). On
reviewing the client's record, the nurse should expect to note
documentation of which characteristic sign of SLE?
1. Fever
2. Fatigue
3. Skin lesions
4. Elevated red blood cell count - Correct Answer - 3. Skin lesions
The major skin manifestation of SLE is a dry, scaly, raised rash on the
face known as the butterfly rash. Fever and fatigue may occur before and
during exacerbation, but these signs and symptoms are vague. Anemia is
most likely to occur in SLE.
A client seen in an ambulatory clinic has a facial rash that is present on
both cheeks and across the bridge of the nose. The nurse interprets that
this finding is consistent with manifestations of which disorder?
1. Hyperthyroidism
2. Pernicious anemia
3. Cardiopulmonary disorders
4. Systemic lupus erythematosus (SLE) - Correct Answer - 4.
The nurse reviews the record of a client with acquired
immunodeficiency syndrome (AIDS) and notes that the client has a
diagnosis of Candida. When performing history-taking and assessment,
which finding should the nurse anticipate?
1. Hyperactive bowel sounds
2. Complaints of watery diarrhea
pg. 4
