NUR257 Exam Questions with 100% Correct Answers Latest Graded
A+
Question:
A pediatric client is recovering from an anaphylactic 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
Answer:
type I
Question:
The nurse reviews laboratory results requested to 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
Answer:
Viral load
Question:
Cryptococcus meningitis is suspected in a client with HIV. Which manifestations would be
consistent with cryptococcus meningitis? Select all that apply. Hyperreflexia Psychomotor slowing
Vacant stare Stiff neck Seizures
Answer:
Stiff neck
Seizures
Question:
A client with AIDS develops pneumocystis pneumonia. 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
Answer:
TMP-SMZ
Question:
,A client is diagnosed with pneumocystis pneumonia (PCP). What medication does the nurse
anticipate educating the client about for treatment? Azithromycin TMP-SMZ Cephalexin
Garamycin
Answer:
TMP-SMZ
Question:
A client comes to the clinic to see the physician, reporting, "I think I ate something that I am
allergic to." 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
Answer:
Diarrhea and abdominal cramping
Question:
A nurse is preparing to administer an antiretroviral 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
Answer:
Lamivudine
Question:
The nurse is teaching a client with HIV how to use a male condom. The client demonstrates
understanding of the information when he makes which statements? Select all that apply. "I can
keep several condoms in my wallet in my back trouser pocket so they are readily available." "I
should avoid using baby oil or petroleum jelly with a condom." "I need to hold the condom by the
tip to squeeze out the air before putting it on." "I can reuse a condom two or three times when I'm
having sexual intercourse." "I should unroll the condom all the way over my erect penis."
Answer:
"I need to hold the condom by the tip to squeeze out the air before putting it on."
"I should unroll the condom all the way over my erect penis."
I should avoid using baby oil or petroleum jelly with a condom."
Question:
,A nurse is caring for a client with human immunodeficiency virus (HIV). What would the nurse
expect 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
Answer:
quantification of T-lymphocytes
Question:
The nurse is preparing to administer the recommended 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
Answer:
30 g
Question:
A client received 2 units of packed red blood cells while in the hospital with rectal bleeding. Three
days after discharge, the client experienced an allergic response 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
Answer:
Delayed hypersensitivity response
Question:
The nurse's plan of care for a client with stage 3 HIV addresses the diagnosis of Risk for Impaired
Skin Integrity Related to candidiasis. What nursing intervention best addresses this risk? Applying
skin emollients as needed Providing thorough oral care before and after meals Administering
prophylactic antibiotics Promoting nutrition and adequate fluid intake
Answer:
Providing thorough oral care before and after meals
Question:
A treatment option for severe combined immune deficiency (SCID) includes IV immunoglobulin.
chemotherapy. vitamin D supplements. a stem cell transplant.
Answer:
a stem cell transplant
, Question:
Which term defines the balance between the amount of HIV in the body and the immune response?
Viral clearance rate Window period Primary infection stage Viral set point
Answer:
Viral set point
Question:
A client with AIDS has been tested for cytomegalovirus (CMV) with positive titers. What severe
complication should the nurse be alert for with cytomegalovirus? fatigue blindness hearing
impairment diarrhea
Answer:
blindness
Question:
Which of the following is a lack of one or more of the five immunoglobulins?
Agammaglobulinemia Panhypoglobulinemia Telangiectasia Hypogammaglobulinemia
Answer:
Hypogammaglobulinemia
Question:
A patient with common variable immunodeficiency (CVID) is extremely fatigued and not feeling
well. What lab test does the nurse anticipate the patient will have to detect a common development
related to the disease? B12 level Glucose level Blood urea nitrogen (BUN) and creatinine Aspartate
aminotransferase (AST) and alanine aminotransferase (ALT)
Answer:
B12 level
Question:
The nurse is preparing to infuse gamma-globulin intravenously (IV). When administering this drug,
the nurse knows the speed of the infusion should not exceed what rate? 3 mL/min 10 mL/min 6
mL/min 1.5 mL/min
Answer:
3 mL/min
Question:
A+
Question:
A pediatric client is recovering from an anaphylactic 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
Answer:
type I
Question:
The nurse reviews laboratory results requested to 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
Answer:
Viral load
Question:
Cryptococcus meningitis is suspected in a client with HIV. Which manifestations would be
consistent with cryptococcus meningitis? Select all that apply. Hyperreflexia Psychomotor slowing
Vacant stare Stiff neck Seizures
Answer:
Stiff neck
Seizures
Question:
A client with AIDS develops pneumocystis pneumonia. 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
Answer:
TMP-SMZ
Question:
,A client is diagnosed with pneumocystis pneumonia (PCP). What medication does the nurse
anticipate educating the client about for treatment? Azithromycin TMP-SMZ Cephalexin
Garamycin
Answer:
TMP-SMZ
Question:
A client comes to the clinic to see the physician, reporting, "I think I ate something that I am
allergic to." 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
Answer:
Diarrhea and abdominal cramping
Question:
A nurse is preparing to administer an antiretroviral 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
Answer:
Lamivudine
Question:
The nurse is teaching a client with HIV how to use a male condom. The client demonstrates
understanding of the information when he makes which statements? Select all that apply. "I can
keep several condoms in my wallet in my back trouser pocket so they are readily available." "I
should avoid using baby oil or petroleum jelly with a condom." "I need to hold the condom by the
tip to squeeze out the air before putting it on." "I can reuse a condom two or three times when I'm
having sexual intercourse." "I should unroll the condom all the way over my erect penis."
Answer:
"I need to hold the condom by the tip to squeeze out the air before putting it on."
"I should unroll the condom all the way over my erect penis."
I should avoid using baby oil or petroleum jelly with a condom."
Question:
,A nurse is caring for a client with human immunodeficiency virus (HIV). What would the nurse
expect 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
Answer:
quantification of T-lymphocytes
Question:
The nurse is preparing to administer the recommended 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
Answer:
30 g
Question:
A client received 2 units of packed red blood cells while in the hospital with rectal bleeding. Three
days after discharge, the client experienced an allergic response 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
Answer:
Delayed hypersensitivity response
Question:
The nurse's plan of care for a client with stage 3 HIV addresses the diagnosis of Risk for Impaired
Skin Integrity Related to candidiasis. What nursing intervention best addresses this risk? Applying
skin emollients as needed Providing thorough oral care before and after meals Administering
prophylactic antibiotics Promoting nutrition and adequate fluid intake
Answer:
Providing thorough oral care before and after meals
Question:
A treatment option for severe combined immune deficiency (SCID) includes IV immunoglobulin.
chemotherapy. vitamin D supplements. a stem cell transplant.
Answer:
a stem cell transplant
, Question:
Which term defines the balance between the amount of HIV in the body and the immune response?
Viral clearance rate Window period Primary infection stage Viral set point
Answer:
Viral set point
Question:
A client with AIDS has been tested for cytomegalovirus (CMV) with positive titers. What severe
complication should the nurse be alert for with cytomegalovirus? fatigue blindness hearing
impairment diarrhea
Answer:
blindness
Question:
Which of the following is a lack of one or more of the five immunoglobulins?
Agammaglobulinemia Panhypoglobulinemia Telangiectasia Hypogammaglobulinemia
Answer:
Hypogammaglobulinemia
Question:
A patient with common variable immunodeficiency (CVID) is extremely fatigued and not feeling
well. What lab test does the nurse anticipate the patient will have to detect a common development
related to the disease? B12 level Glucose level Blood urea nitrogen (BUN) and creatinine Aspartate
aminotransferase (AST) and alanine aminotransferase (ALT)
Answer:
B12 level
Question:
The nurse is preparing to infuse gamma-globulin intravenously (IV). When administering this drug,
the nurse knows the speed of the infusion should not exceed what rate? 3 mL/min 10 mL/min 6
mL/min 1.5 mL/min
Answer:
3 mL/min
Question:
