NUR 265
NUR 265 – EXAM 4 | Questions and Answers | 2026 Update |
100% Correct – Galen.
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,NUR 265 – EXAM 4 | Questions and Answers | 2026 Update |
100% Correct – Galen.
Question 1
The nurse working in the emergency department (ED) has triaged a client who presented
with chest pain, shortness of breath, a productive cough, and reports of night sweats.
The client's health history includes the presence of acquired immune deficiency
syndrome (AIDS) and a recent laboratory result that reveals a low CD4+ count. Which of
the following actions should the nurse take next?
A. Initiate airborne precautions.
B. Check the client's temperature.
C. Assess the client for shingles.
D. Obtain a throat culture.
Correct Answer: A. Initiate airborne precautions.
Rationale: The client has AIDS with a low CD4+ count (severe immunosuppression) and
symptoms of productive cough, night sweats, and chest pain—highly suspicious for
active tuberculosis (TB). Suspected or confirmed TB requires airborne precautions
(negative pressure room, N95 respirator) to prevent transmission. Checking temperature,
assessing for shingles, or obtaining a throat culture are not the priority action.
Question 2
The newly hired nurse is developing a plan of care for a client who has acquired immune
deficiency syndrome (AIDS) and was just diagnosed with Pneumocystis jiroveci
pneumonia (PJP). Which of the following interventions should the nurse preceptor
question?
A. Offering the client foods high in calories and protein.
B. Instructing the client to drink at least 2 to 3 liters of fluid throughout the day.
C. Auscultating the client's breath sounds for crackles at least once per shift.
D. Wearing a surgical mask when standing within 3 feet of the client.
, Correct Answer: D. Wearing a surgical mask when standing within 3 feet of the client.
Rationale: PJP is a fungal pneumonia, not transmitted via droplets. Standard precautions
are sufficient. A surgical mask is not indicated. The other interventions—high-
calorie/protein diet, hydration, and respiratory assessment—are appropriate for a client
with AIDS and PJP.
Question 3
The nurse is caring for a client who has acquired immune deficiency syndrome (AIDS)
and has just been diagnosed with toxoplasmosis encephalitis. Which of the following
actions should the nurse take?
A. Monitor the client's level of orientation.
B. Initiate airborne precautions for the next 72 hours.
C. Ask the client if they ingested undercooked meat.
D. Thicken the client's liquids to honey consistency.
Correct Answer: A. Monitor the client's level of orientation.
Rationale: Toxoplasmosis encephalitis is an opportunistic brain infection in
immunocompromised clients. Manifestations include headache, confusion,
disorientation, focal neurologic deficits, and seizures. Monitoring level of orientation is a
priority. Airborne precautions are not needed. Asking about undercooked meat is part of
history but not the priority action. Thickening liquids is for dysphagia, which is not a
primary feature.
Question 4
The nurse working in a community health center has instructed a group of clients who
have acquired immune deficiency syndrome (AIDS) about ways to prevent infection.
Which of the following statements by a client indicates the need for additional teaching?
A. "I will avoid eating uncooked fruits and vegetables."
NUR 265 – EXAM 4 | Questions and Answers | 2026 Update |
100% Correct – Galen.
Gradegurus
➢
➢
➢
➢
➢
,NUR 265 – EXAM 4 | Questions and Answers | 2026 Update |
100% Correct – Galen.
Question 1
The nurse working in the emergency department (ED) has triaged a client who presented
with chest pain, shortness of breath, a productive cough, and reports of night sweats.
The client's health history includes the presence of acquired immune deficiency
syndrome (AIDS) and a recent laboratory result that reveals a low CD4+ count. Which of
the following actions should the nurse take next?
A. Initiate airborne precautions.
B. Check the client's temperature.
C. Assess the client for shingles.
D. Obtain a throat culture.
Correct Answer: A. Initiate airborne precautions.
Rationale: The client has AIDS with a low CD4+ count (severe immunosuppression) and
symptoms of productive cough, night sweats, and chest pain—highly suspicious for
active tuberculosis (TB). Suspected or confirmed TB requires airborne precautions
(negative pressure room, N95 respirator) to prevent transmission. Checking temperature,
assessing for shingles, or obtaining a throat culture are not the priority action.
Question 2
The newly hired nurse is developing a plan of care for a client who has acquired immune
deficiency syndrome (AIDS) and was just diagnosed with Pneumocystis jiroveci
pneumonia (PJP). Which of the following interventions should the nurse preceptor
question?
A. Offering the client foods high in calories and protein.
B. Instructing the client to drink at least 2 to 3 liters of fluid throughout the day.
C. Auscultating the client's breath sounds for crackles at least once per shift.
D. Wearing a surgical mask when standing within 3 feet of the client.
, Correct Answer: D. Wearing a surgical mask when standing within 3 feet of the client.
Rationale: PJP is a fungal pneumonia, not transmitted via droplets. Standard precautions
are sufficient. A surgical mask is not indicated. The other interventions—high-
calorie/protein diet, hydration, and respiratory assessment—are appropriate for a client
with AIDS and PJP.
Question 3
The nurse is caring for a client who has acquired immune deficiency syndrome (AIDS)
and has just been diagnosed with toxoplasmosis encephalitis. Which of the following
actions should the nurse take?
A. Monitor the client's level of orientation.
B. Initiate airborne precautions for the next 72 hours.
C. Ask the client if they ingested undercooked meat.
D. Thicken the client's liquids to honey consistency.
Correct Answer: A. Monitor the client's level of orientation.
Rationale: Toxoplasmosis encephalitis is an opportunistic brain infection in
immunocompromised clients. Manifestations include headache, confusion,
disorientation, focal neurologic deficits, and seizures. Monitoring level of orientation is a
priority. Airborne precautions are not needed. Asking about undercooked meat is part of
history but not the priority action. Thickening liquids is for dysphagia, which is not a
primary feature.
Question 4
The nurse working in a community health center has instructed a group of clients who
have acquired immune deficiency syndrome (AIDS) about ways to prevent infection.
Which of the following statements by a client indicates the need for additional teaching?
A. "I will avoid eating uncooked fruits and vegetables."
