NCLEX HIV/AIDS Exam||Latest
Exam With Detailed Questions And
Answers||Graded A+
A patient who has tested positive for the human immunodeficiency virus (HIV) arrives at
the clinic with a report of fever, nonproductive cough, and fatigue. The patient's CD4
count is 184 cells/mcL. How should the healthcare provider interpret these findings?
Please choose from one of the following options.
A. The patient is diagnosed with acquired immunodeficiency syndrome (AIDS).
B.The patient is now in the latent stages of HIV infection
C.These findings provide evidence that the patient has seroconverted.
D. This is an expected finding because the patient has tested positive for HIV. -
Answer The patient is diagnosed with acquired immunodeficiency syndrome (AIDS).
Which member of the health care team demonstrates reducing the risk for infection for
the client with acquired immunodeficiency syndrome (AIDS)?
A) The dietary worker hands the disposable meal trays to the LPN assigned to the
client.
B) The social worker encourages the client to verbalize about stressors at home.
C) Housekeeping thoroughly cleans and disinfects the hallways near the client's room.
D) Health care provider orders vital signs including temperature every 8 hours. -
Answer (A)
A) The dietary worker hands the disposable meal trays to the LPN assigned to the
client.
Rationale: This limits the number of health care personnel entering the room.
Incorrect:
B) The social worker encourages the client to verbalize about stressors at home.
Rationale: Verbalizing stressors does not reduce the risk for infection.
C) Housekeeping thoroughly cleans and disinfects the hallways near the client's room.
Rationale: Bathrooms, not hallways, that are cleaned at least once daily by
housekeeping reduces infection. D) Health care provider orders vital signs including
temperature every 8 hours.
Rationale Vital signs, including temperature, should be taken every 4 hours to detect
potential infection.
The nurse is instructing an unlicensed health care worker on the care of the client with
HIV who also has active genital herpes. Which statement by the health care worker
indicates effective teaching of standard precautions?
A) ''I need to know my HIV status, so I must get tested before caring for any clients."
,B) ''Putting on a gown and gloves will cover up the itchy sores on my elbows.''
C) ''Washing my hands and putting on a gown and gloves is what I must do before
starting care.''
D) ''I will wash my hands before going into the room, and then put on gown and gloves
only for direct contact with the client's genitals." -Answer (C)
C) ''Washing my hands and putting on a gown and gloves is what I must do before
starting care.''
Rationale: Standard precautions include whatever personal protective equipment (PPE)
is necessary for the prevention of transmission of HIV and genital herpes.
Incorrect:
A) ''I need to know my HIV status, so I must get tested before caring for any clients."
Rationale: Knowing HIV status is important for preventing transmission of HIV, but is not
a standard precaution.
B) ''Putting on a gown and gloves will cover up the itchy sores on my elbows.''
Rationale: Health care workers with weeping dermatitis should not provide direct client
care regardless of the use of gown and gloves.
D) ''I will wash my hands before going into the room, and then put on gown and gloves
only for direct contact with the client's genitals."
Rationale: Unlicensed health care workers cannot make the determination of what is
required for PPE or standard precaution
Which statement made to the nurse by a health care worker assigned to care for the
client with HIV indicates a breach of confidentiality and requires further education by the
nurse?
A) ''I told the family members they needed to wash their hands when they enter and
leave the room.''
B) ''The other health care worker and I were out in the hallway discussing how we were
concerned about getting HIV from our client, so no one could hear us in the client's
room.''
C) ''Yes, I understand the reasons why I have to wear gloves when I bathe my client.''
D) ''The client's spouse told me she got HIV from a blood transfusion. -Answer (B)
B) ''The other health care worker and I were out in the hallway discussing how we were
concerned about getting HIV from our client, so no one could hear us in the client's
room.''
Rationale: Discussing this client's illness outside the client's room is a breach of
confidentiality.
Incorrect:
A) ''I told the family members they needed to wash their hands when they enter and
leave the room.'' Rationale: Instruction on handwashing to family members or friends is
not a breach of confidentiality. C) ''Yes, I understand the reasons why I have to wear
gloves when I bathe my client.''
Rationale: This recognizes standard precautions in direct care, and is not a breach of
confidentiality.
, D) ''The client's spouse told me she got HIV from a blood transfusion.''
Rationale: The health care worker assigned is relaying the conversation to the nurse.
This is not a breach of confidentiality
When preparing the newly diagnosed client with HIV and significant other for discharge,
which explanation by the nurse accurately describes proper condom use?
A) ''Condoms should be used when lesions on the penis are present.''
B) ''Always position the condom with a space at the tip of an erect penis.''
C) ''Make sure it fits loosely to allow for penile erection.''
D) ''Use adequate lubrication such as petroleum jelly.'' -Answer B)
B) ''Always position the condom with a space at the tip of an erect penis.''
Rationale: This allows for the collection of semen at the tip of the condom.
Incorrect:
A) ''Condoms should be used when lesions on the penis are present.''
Rationale: Condoms must be used at all times with sexual activity, with or without the
presence of lesions.
C) ''Make sure it fits loosely to allow for penile erection.''
Rationale: Condoms should be applied on an erect penis and should fit snugly, leaving
space without air at the tip.
D) ''Use adequate lubrication such as petroleum jelly.''
Rationale: Lubricants should be water-based only.
The nurse presents a seminar on HIV testing to a group of seniors and their caregivers
in an assisted living facility. Which responses fit the Centers for Disease Control and
Prevention's (CDC's) recommendations for HIV testing? (Select all that apply.)
A) ''I am 78 years old and I was treated and cured of syphilis many years ago.''
B) ''In 1986, I received a transfusion of platelets.''
C) ''Seven years ago, I was released from a penitentiary.''
D) ''I used to smoke marijuana 30 years ago, but I have not done any drugs since.''
E) ''I had sex with a man with a disreputable past from New York back in the late 1960s,
but I have been happily married since 1971.''
F) ''At 68, I am going to get married for the fourth time.''
G) ''Downtown was where I picked up the best hookers back in the 1950s.' -Answer -
(A, C, F)
A) ''I am 78 years old and I was treated and cured of syphilis many years ago.''
Rationale: People who have had sexually transmitted diseases should be tested for
HIV.
C) ''Seven years ago, I was released from a penitentiary.''
Rationale: HIV testing is recommended for people who are or have been in jails or
prisons.
F) ''At 68, I am going to get married for the fourth time.''
Rationale: People who are planning to get married should be tested for HIV.
Exam With Detailed Questions And
Answers||Graded A+
A patient who has tested positive for the human immunodeficiency virus (HIV) arrives at
the clinic with a report of fever, nonproductive cough, and fatigue. The patient's CD4
count is 184 cells/mcL. How should the healthcare provider interpret these findings?
Please choose from one of the following options.
A. The patient is diagnosed with acquired immunodeficiency syndrome (AIDS).
B.The patient is now in the latent stages of HIV infection
C.These findings provide evidence that the patient has seroconverted.
D. This is an expected finding because the patient has tested positive for HIV. -
Answer The patient is diagnosed with acquired immunodeficiency syndrome (AIDS).
Which member of the health care team demonstrates reducing the risk for infection for
the client with acquired immunodeficiency syndrome (AIDS)?
A) The dietary worker hands the disposable meal trays to the LPN assigned to the
client.
B) The social worker encourages the client to verbalize about stressors at home.
C) Housekeeping thoroughly cleans and disinfects the hallways near the client's room.
D) Health care provider orders vital signs including temperature every 8 hours. -
Answer (A)
A) The dietary worker hands the disposable meal trays to the LPN assigned to the
client.
Rationale: This limits the number of health care personnel entering the room.
Incorrect:
B) The social worker encourages the client to verbalize about stressors at home.
Rationale: Verbalizing stressors does not reduce the risk for infection.
C) Housekeeping thoroughly cleans and disinfects the hallways near the client's room.
Rationale: Bathrooms, not hallways, that are cleaned at least once daily by
housekeeping reduces infection. D) Health care provider orders vital signs including
temperature every 8 hours.
Rationale Vital signs, including temperature, should be taken every 4 hours to detect
potential infection.
The nurse is instructing an unlicensed health care worker on the care of the client with
HIV who also has active genital herpes. Which statement by the health care worker
indicates effective teaching of standard precautions?
A) ''I need to know my HIV status, so I must get tested before caring for any clients."
,B) ''Putting on a gown and gloves will cover up the itchy sores on my elbows.''
C) ''Washing my hands and putting on a gown and gloves is what I must do before
starting care.''
D) ''I will wash my hands before going into the room, and then put on gown and gloves
only for direct contact with the client's genitals." -Answer (C)
C) ''Washing my hands and putting on a gown and gloves is what I must do before
starting care.''
Rationale: Standard precautions include whatever personal protective equipment (PPE)
is necessary for the prevention of transmission of HIV and genital herpes.
Incorrect:
A) ''I need to know my HIV status, so I must get tested before caring for any clients."
Rationale: Knowing HIV status is important for preventing transmission of HIV, but is not
a standard precaution.
B) ''Putting on a gown and gloves will cover up the itchy sores on my elbows.''
Rationale: Health care workers with weeping dermatitis should not provide direct client
care regardless of the use of gown and gloves.
D) ''I will wash my hands before going into the room, and then put on gown and gloves
only for direct contact with the client's genitals."
Rationale: Unlicensed health care workers cannot make the determination of what is
required for PPE or standard precaution
Which statement made to the nurse by a health care worker assigned to care for the
client with HIV indicates a breach of confidentiality and requires further education by the
nurse?
A) ''I told the family members they needed to wash their hands when they enter and
leave the room.''
B) ''The other health care worker and I were out in the hallway discussing how we were
concerned about getting HIV from our client, so no one could hear us in the client's
room.''
C) ''Yes, I understand the reasons why I have to wear gloves when I bathe my client.''
D) ''The client's spouse told me she got HIV from a blood transfusion. -Answer (B)
B) ''The other health care worker and I were out in the hallway discussing how we were
concerned about getting HIV from our client, so no one could hear us in the client's
room.''
Rationale: Discussing this client's illness outside the client's room is a breach of
confidentiality.
Incorrect:
A) ''I told the family members they needed to wash their hands when they enter and
leave the room.'' Rationale: Instruction on handwashing to family members or friends is
not a breach of confidentiality. C) ''Yes, I understand the reasons why I have to wear
gloves when I bathe my client.''
Rationale: This recognizes standard precautions in direct care, and is not a breach of
confidentiality.
, D) ''The client's spouse told me she got HIV from a blood transfusion.''
Rationale: The health care worker assigned is relaying the conversation to the nurse.
This is not a breach of confidentiality
When preparing the newly diagnosed client with HIV and significant other for discharge,
which explanation by the nurse accurately describes proper condom use?
A) ''Condoms should be used when lesions on the penis are present.''
B) ''Always position the condom with a space at the tip of an erect penis.''
C) ''Make sure it fits loosely to allow for penile erection.''
D) ''Use adequate lubrication such as petroleum jelly.'' -Answer B)
B) ''Always position the condom with a space at the tip of an erect penis.''
Rationale: This allows for the collection of semen at the tip of the condom.
Incorrect:
A) ''Condoms should be used when lesions on the penis are present.''
Rationale: Condoms must be used at all times with sexual activity, with or without the
presence of lesions.
C) ''Make sure it fits loosely to allow for penile erection.''
Rationale: Condoms should be applied on an erect penis and should fit snugly, leaving
space without air at the tip.
D) ''Use adequate lubrication such as petroleum jelly.''
Rationale: Lubricants should be water-based only.
The nurse presents a seminar on HIV testing to a group of seniors and their caregivers
in an assisted living facility. Which responses fit the Centers for Disease Control and
Prevention's (CDC's) recommendations for HIV testing? (Select all that apply.)
A) ''I am 78 years old and I was treated and cured of syphilis many years ago.''
B) ''In 1986, I received a transfusion of platelets.''
C) ''Seven years ago, I was released from a penitentiary.''
D) ''I used to smoke marijuana 30 years ago, but I have not done any drugs since.''
E) ''I had sex with a man with a disreputable past from New York back in the late 1960s,
but I have been happily married since 1971.''
F) ''At 68, I am going to get married for the fourth time.''
G) ''Downtown was where I picked up the best hookers back in the 1950s.' -Answer -
(A, C, F)
A) ''I am 78 years old and I was treated and cured of syphilis many years ago.''
Rationale: People who have had sexually transmitted diseases should be tested for
HIV.
C) ''Seven years ago, I was released from a penitentiary.''
Rationale: HIV testing is recommended for people who are or have been in jails or
prisons.
F) ''At 68, I am going to get married for the fourth time.''
Rationale: People who are planning to get married should be tested for HIV.
