NUR 257 EXAM 1 NEWEST 2026-2027 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS | 100% SOLVED |
GRADED A+ | GUARANTEED PASS.
1. A pediatric client is recovering from an anaphylac- type I tic reaction to
an allergen. In the first assessment, the client presents with a periorbital
accumulation of blood, a common occurrence in children. What type of
allergic reaction presents "allergic shiners"?
type II
type I type
IV type III
2. The nurse reviews laboratory results requested to Viral load track HIV.
What laboratory test measures HIV RNA levels and is the best predictor of
HIV disease progression?
Enzyme immunoassay (EIA)
CD4/CD8
Western blot
Viral load
3. A client with AIDS develops pneumocystis pneumo- TMP-SMZ nia. The
nurse would most likely expect to include administration of which agent in
the client's plan of care? Azithromycin
Aerosolized pentamidine
TMP-SMZ
Clindamycin
4. A client is diagnosed with pneumocystis pneumonia TMP-SMZ (PCP).
What medication does the nurse anticipate ed-
, ucating the client about for treatment?
Azithromycin
TMP-SMZ
Cephalexin
Garamycin
5. A client comes to the clinic to see the physician, re- Diarrhea and abporting,
"I think I ate something that I am allergic to." dominal cramping What
symptoms would be appropriate for the nurse to ask questions about?
Nasal congestion and coughing
Hives and itching
Sneezing and runny nose
Diarrhea and abdominal cramping
6. A nurse is preparing to administer an antiretroviral Lamivudine medication
to a client who is positive for HIV. The nurse identifies the drug as a
nucleoside reverse transcriptase inhibitor (NRTI). What drug will the nurse
administer? Lamivudine
Etravirine
Delavirdine
Nevirapine
7. The nurse is teaching a client with HIV how to use a "I need to hold the male
condom. The client demonstrates understand- condom by the tip ing of the
information when he makes which state- to squeeze out the ments? Select
all that apply. air before putting it
"I can keep several condoms in my wallet in my back on."
trouser pocket so they are readily available." "I should unroll "I should
avoid using baby oil or petroleum jelly with the condom all the
a condom." way over my erect
"I need to hold the condom by the tip to squeeze out penis."
the air before putting it on." I should avoid us-
"I can reuse a condom two or three times when I'm ing baby oil or pe-
having sexual intercourse." troleum jelly with a
, "I should unroll the condom all the way over my erect condom." penis."
8. Cryptococcus meningitis is suspected in a client with Stiff neck HIV. Which
manifestations would be consistent with Seizures cryptococcus meningitis?
Select all that apply.
Hyperreflexia
Psychomotor slowing
Vacant stare
Stiff neck
Seizures
9. A nurse is caring for a client with human immunod- quantification of
eficiency virus (HIV). What would the nurse expect T-lymphocytes
the health care provider to order to determine the
effectiveness of treatment? ELISA with Western blot
test
enzyme-linked immunosorbent assay (ELISA) E-
rosette immunofluorescence quantification of T-
lymphocytes
10. The nurse is preparing to administer the recommend- 30 g ed dose of
intravenous gamma-globulin for a 60-kg male client. How many grams will
the nurse administer? 30 g
90 g
15 g
60 g
11. A client received 2 units of packed red blood cells Delayed hyperwhile in
the hospital with rectal bleeding. Three days sensitivity reafter discharge,
the client experienced an allergic re- sponse sponse and began to itch and
break out with hives. What type of reaction does the nurse understand
could be occurring? Anaphylactic reaction
Delayed hypersensitivity response
Sensitization
, An immediate hypersensitivity response
12. The nurse's plan of care for a client with stage 3 HIV Providing
thoraddresses the diagnosis of Risk for Impaired Skin ough oral care
Integrity Related to candidiasis. What nursing inter- before and after
vention best addresses this risk? meals
Applying skin emollients as needed
Providing thorough oral care before and after meals
Administering prophylactic antibiotics
Promoting nutrition and adequate fluid intake
13. A treatment option for severe combined immune de- a stem cell transficiency
(SCID) includes plant
IV immunoglobulin.
chemotherapy. vitamin D
supplements.
a stem cell transplant.
14. Which term defines the balance between the amount Viral set point of HIV
in the body and the immune response?
Viral clearance rate
Window period
Primary infection stage
Viral set point
15. A client with AIDS has been tested for cy- blindness
tomegalovirus (CMV) with positive titers. What severe
complication should the nurse be alert for with
cytomegalovirus?
fatigue blindness
hearing impairment
diarrhea
16. Which of the following is a lack of one or more of the Hypogammaglobufive
immunoglobulins? linemia
QUESTIONS AND CORRECT ANSWERS | 100% SOLVED |
GRADED A+ | GUARANTEED PASS.
1. A pediatric client is recovering from an anaphylac- type I tic reaction to
an allergen. In the first assessment, the client presents with a periorbital
accumulation of blood, a common occurrence in children. What type of
allergic reaction presents "allergic shiners"?
type II
type I type
IV type III
2. The nurse reviews laboratory results requested to Viral load track HIV.
What laboratory test measures HIV RNA levels and is the best predictor of
HIV disease progression?
Enzyme immunoassay (EIA)
CD4/CD8
Western blot
Viral load
3. A client with AIDS develops pneumocystis pneumo- TMP-SMZ nia. The
nurse would most likely expect to include administration of which agent in
the client's plan of care? Azithromycin
Aerosolized pentamidine
TMP-SMZ
Clindamycin
4. A client is diagnosed with pneumocystis pneumonia TMP-SMZ (PCP).
What medication does the nurse anticipate ed-
, ucating the client about for treatment?
Azithromycin
TMP-SMZ
Cephalexin
Garamycin
5. A client comes to the clinic to see the physician, re- Diarrhea and abporting,
"I think I ate something that I am allergic to." dominal cramping What
symptoms would be appropriate for the nurse to ask questions about?
Nasal congestion and coughing
Hives and itching
Sneezing and runny nose
Diarrhea and abdominal cramping
6. A nurse is preparing to administer an antiretroviral Lamivudine medication
to a client who is positive for HIV. The nurse identifies the drug as a
nucleoside reverse transcriptase inhibitor (NRTI). What drug will the nurse
administer? Lamivudine
Etravirine
Delavirdine
Nevirapine
7. The nurse is teaching a client with HIV how to use a "I need to hold the male
condom. The client demonstrates understand- condom by the tip ing of the
information when he makes which state- to squeeze out the ments? Select
all that apply. air before putting it
"I can keep several condoms in my wallet in my back on."
trouser pocket so they are readily available." "I should unroll "I should
avoid using baby oil or petroleum jelly with the condom all the
a condom." way over my erect
"I need to hold the condom by the tip to squeeze out penis."
the air before putting it on." I should avoid us-
"I can reuse a condom two or three times when I'm ing baby oil or pe-
having sexual intercourse." troleum jelly with a
, "I should unroll the condom all the way over my erect condom." penis."
8. Cryptococcus meningitis is suspected in a client with Stiff neck HIV. Which
manifestations would be consistent with Seizures cryptococcus meningitis?
Select all that apply.
Hyperreflexia
Psychomotor slowing
Vacant stare
Stiff neck
Seizures
9. A nurse is caring for a client with human immunod- quantification of
eficiency virus (HIV). What would the nurse expect T-lymphocytes
the health care provider to order to determine the
effectiveness of treatment? ELISA with Western blot
test
enzyme-linked immunosorbent assay (ELISA) E-
rosette immunofluorescence quantification of T-
lymphocytes
10. The nurse is preparing to administer the recommend- 30 g ed dose of
intravenous gamma-globulin for a 60-kg male client. How many grams will
the nurse administer? 30 g
90 g
15 g
60 g
11. A client received 2 units of packed red blood cells Delayed hyperwhile in
the hospital with rectal bleeding. Three days sensitivity reafter discharge,
the client experienced an allergic re- sponse sponse and began to itch and
break out with hives. What type of reaction does the nurse understand
could be occurring? Anaphylactic reaction
Delayed hypersensitivity response
Sensitization
, An immediate hypersensitivity response
12. The nurse's plan of care for a client with stage 3 HIV Providing
thoraddresses the diagnosis of Risk for Impaired Skin ough oral care
Integrity Related to candidiasis. What nursing inter- before and after
vention best addresses this risk? meals
Applying skin emollients as needed
Providing thorough oral care before and after meals
Administering prophylactic antibiotics
Promoting nutrition and adequate fluid intake
13. A treatment option for severe combined immune de- a stem cell transficiency
(SCID) includes plant
IV immunoglobulin.
chemotherapy. vitamin D
supplements.
a stem cell transplant.
14. Which term defines the balance between the amount Viral set point of HIV
in the body and the immune response?
Viral clearance rate
Window period
Primary infection stage
Viral set point
15. A client with AIDS has been tested for cy- blindness
tomegalovirus (CMV) with positive titers. What severe
complication should the nurse be alert for with
cytomegalovirus?
fatigue blindness
hearing impairment
diarrhea
16. Which of the following is a lack of one or more of the Hypogammaglobufive
immunoglobulins? linemia
