MED SURG EXAM 3 PRACTICE
QUESTIONS
A0nurse0in0an0outpatient0clinic0is0assessing0a0client0who0reports0night0sweats0and0fati
gue.0The0client0repots0having0a0cough0along0with0nausea0and0diarrhea.0Their0tempera
ture0is038.10C0(100.60F)0orally.0The0client0is0concerned0about0the0possibiliy0of0having0
HIV.0Which0of0the0following0actions0should0the0nurse0take?0(Select0all0that0apply)0
a.)0Perform0a0physical0assessment
b.)0Determine0when0manifestation0began0
c.)0Teach0the0client0about0HIV0transmission0
d.)0Draw0blood0for0HIV0testing0
e.)0Obtain0sexual0history0-0ans✔a,b,e
A0nurse0is0caring0for0a0client0who0us0suspected0of0having0HIV.0The0nurse0should0iden
tify0that0which0of0the0following0diagnostic0tests0and0labratory0values0are0used0to0confir
m0HIV0infection?0(Select0all0that0apply)
a.)0Western0blot0
b.)0Indirect0immunoflourescence0assay0
c.)0CD4=0T-lymphocyte0count0
d.)0HIV0RNA0quantification0test0
e.)0Cerebrospinal0fluid0(CFS)0analysis0-0ans✔a,b
A0nurse0is0providing0teaching0for0a0client0who0has0stage030HIV0disease.0Which0of0the0
following0statements0by0the0client0should0indicate0to0the0nurse0an0understanding0of0th
e0teaching?0
a.)0"I0will0wear0gloves0while0changing0the0pet0litter0box."0
,b.)0"I0will0rinse0raw0fruits0with0water0before0eating0them."0
c.)0"I0will0wear0a0mask0when0around0family0members0that0are0ill."
d.)0"I0will0cook0vegetables0before0eating0them."0-0ans✔d
A0nurse0is0assessing0a0client0for0HIV.0The0nurse0should0identify0that0which0of0the0follo
wing0are0risk0factors0associated0with0this0virus?0(Select0all0that0apply.)0
a.)0Perinatal0exposure0
b.)0Pregnancy0
c.)0Monogamous0sex0partner0
d.)0Older0adult0women0
e.)0Occupational0exposure0-0ans✔a,d,e
A0nurse0is0providing0teaching0for0a0client0who0has0stage020HIV0disease0and0is0having0
difficulty0maintaining0a0normal0weight.0Which0of0the0following0statements0by0the0client0
should0indicate0to0the0nurse0an0understanding0of0the0teaching?0
a.)0"I0will0choose0a0diet0high0in0fat0to0help0gain0weight."0
b.)0"I0will0be0sure0to0eat0three0large0meal0a0day."0
c.)0"I0will0drink0up0to010liter0of0liquid0each0day."0
d.)0"I0will0add0high-protein0foods0to0my0diet."0-0ans✔d
A0patient0who0is0infected0with0HIV0is0being0taught0by0the0nurse0about0health0promotio
n0activities0such0as0good0nutrition;0avoiding0alcohol,0tobacco,0drug0use,0and0exposure
0to0infectious0agents;0keeping0up0to0date0with0vaccines;0getting0adequate0rest;0and0str
ess0management.0What0is0the0rationale0for0these0interventions?0
a.)0Delaying0disease0progression
b.)0Preventing0disease0transmission
c.)0Helping0to0cure0the0HIC0infection0
d.)0Enabling0an0increase0in0self-care0activities0-0ans✔a
, The0nurse0is0caring0for0an0older0patient0who0has0been0receiving0antiretroviral0therapy0
for0HIV0infection0for0many0years.0The0nurse0is0aware0that0complications0of0long-
term0antiretroviral0use0can0include:0(Select0all0that0apply)
a.)0osteoporosis0
b.)0Insulin0resistance0
c.)0cognitive0problems0
d.)0urinary0incontinence0
e.)0cardiovascular0disease0-0ans✔a,b,e
The0nurse0teaches0the0staff0that0standard0precautions0should0be0used0when0providing
0care0for0which0type0of0patient?0
a.)0Pediatric0and0older0patients0
b.)0All0patients0regardless0of0diagnosis0
c.)0Patients0who0are0immonocompromised0
d.)0Patients0with0a0history0of0infectious0disease0-0ans✔b
A0nurse0was0accidently0stuck0with0a0needle0used0on0a0patient0who0is0infected0with0HI
V.0after0reporting0the0incident,0what0care0should0this0nurse0recieve0first?0
a.)0Personal0protective0equipment0
b.)0Combination0antiretroviral0therapy0
c.)0Counseling0to0report0blood0exposures0
d.)0A0negative0evaluation0by0the0manager0-0ans✔b
A0patient0was0recently0diagnosed0with0a0sinus0infection0and0prescribed0a0100day0cour
se0of0an0antibiotic.0After030days0the0patient0felt0back0to0normal0and0informed0the0nurs
e0that0he0decided0to0stop0the0antibiotics0and0save0the0rest0of0the0antibiotics0in0casee0
he0gets0another0infection.0Which0statement0by0the0nurse0would0be0correct0in0providing
0education0to0the0patient?
a.)0"You0should0keep0left0over0antibiotics0in0a0cool,0dry0place0so0they0do0not0expire."0
b.)0"It0is0okay0to0save0the0antibiotics0for0next0time,0but0you0should0check0the0expiratio
n0date."0
QUESTIONS
A0nurse0in0an0outpatient0clinic0is0assessing0a0client0who0reports0night0sweats0and0fati
gue.0The0client0repots0having0a0cough0along0with0nausea0and0diarrhea.0Their0tempera
ture0is038.10C0(100.60F)0orally.0The0client0is0concerned0about0the0possibiliy0of0having0
HIV.0Which0of0the0following0actions0should0the0nurse0take?0(Select0all0that0apply)0
a.)0Perform0a0physical0assessment
b.)0Determine0when0manifestation0began0
c.)0Teach0the0client0about0HIV0transmission0
d.)0Draw0blood0for0HIV0testing0
e.)0Obtain0sexual0history0-0ans✔a,b,e
A0nurse0is0caring0for0a0client0who0us0suspected0of0having0HIV.0The0nurse0should0iden
tify0that0which0of0the0following0diagnostic0tests0and0labratory0values0are0used0to0confir
m0HIV0infection?0(Select0all0that0apply)
a.)0Western0blot0
b.)0Indirect0immunoflourescence0assay0
c.)0CD4=0T-lymphocyte0count0
d.)0HIV0RNA0quantification0test0
e.)0Cerebrospinal0fluid0(CFS)0analysis0-0ans✔a,b
A0nurse0is0providing0teaching0for0a0client0who0has0stage030HIV0disease.0Which0of0the0
following0statements0by0the0client0should0indicate0to0the0nurse0an0understanding0of0th
e0teaching?0
a.)0"I0will0wear0gloves0while0changing0the0pet0litter0box."0
,b.)0"I0will0rinse0raw0fruits0with0water0before0eating0them."0
c.)0"I0will0wear0a0mask0when0around0family0members0that0are0ill."
d.)0"I0will0cook0vegetables0before0eating0them."0-0ans✔d
A0nurse0is0assessing0a0client0for0HIV.0The0nurse0should0identify0that0which0of0the0follo
wing0are0risk0factors0associated0with0this0virus?0(Select0all0that0apply.)0
a.)0Perinatal0exposure0
b.)0Pregnancy0
c.)0Monogamous0sex0partner0
d.)0Older0adult0women0
e.)0Occupational0exposure0-0ans✔a,d,e
A0nurse0is0providing0teaching0for0a0client0who0has0stage020HIV0disease0and0is0having0
difficulty0maintaining0a0normal0weight.0Which0of0the0following0statements0by0the0client0
should0indicate0to0the0nurse0an0understanding0of0the0teaching?0
a.)0"I0will0choose0a0diet0high0in0fat0to0help0gain0weight."0
b.)0"I0will0be0sure0to0eat0three0large0meal0a0day."0
c.)0"I0will0drink0up0to010liter0of0liquid0each0day."0
d.)0"I0will0add0high-protein0foods0to0my0diet."0-0ans✔d
A0patient0who0is0infected0with0HIV0is0being0taught0by0the0nurse0about0health0promotio
n0activities0such0as0good0nutrition;0avoiding0alcohol,0tobacco,0drug0use,0and0exposure
0to0infectious0agents;0keeping0up0to0date0with0vaccines;0getting0adequate0rest;0and0str
ess0management.0What0is0the0rationale0for0these0interventions?0
a.)0Delaying0disease0progression
b.)0Preventing0disease0transmission
c.)0Helping0to0cure0the0HIC0infection0
d.)0Enabling0an0increase0in0self-care0activities0-0ans✔a
, The0nurse0is0caring0for0an0older0patient0who0has0been0receiving0antiretroviral0therapy0
for0HIV0infection0for0many0years.0The0nurse0is0aware0that0complications0of0long-
term0antiretroviral0use0can0include:0(Select0all0that0apply)
a.)0osteoporosis0
b.)0Insulin0resistance0
c.)0cognitive0problems0
d.)0urinary0incontinence0
e.)0cardiovascular0disease0-0ans✔a,b,e
The0nurse0teaches0the0staff0that0standard0precautions0should0be0used0when0providing
0care0for0which0type0of0patient?0
a.)0Pediatric0and0older0patients0
b.)0All0patients0regardless0of0diagnosis0
c.)0Patients0who0are0immonocompromised0
d.)0Patients0with0a0history0of0infectious0disease0-0ans✔b
A0nurse0was0accidently0stuck0with0a0needle0used0on0a0patient0who0is0infected0with0HI
V.0after0reporting0the0incident,0what0care0should0this0nurse0recieve0first?0
a.)0Personal0protective0equipment0
b.)0Combination0antiretroviral0therapy0
c.)0Counseling0to0report0blood0exposures0
d.)0A0negative0evaluation0by0the0manager0-0ans✔b
A0patient0was0recently0diagnosed0with0a0sinus0infection0and0prescribed0a0100day0cour
se0of0an0antibiotic.0After030days0the0patient0felt0back0to0normal0and0informed0the0nurs
e0that0he0decided0to0stop0the0antibiotics0and0save0the0rest0of0the0antibiotics0in0casee0
he0gets0another0infection.0Which0statement0by0the0nurse0would0be0correct0in0providing
0education0to0the0patient?
a.)0"You0should0keep0left0over0antibiotics0in0a0cool,0dry0place0so0they0do0not0expire."0
b.)0"It0is0okay0to0save0the0antibiotics0for0next0time,0but0you0should0check0the0expiratio
n0date."0
