2026\2027
When scheduling a patient for skin testing for allergies, which information is most important for the
allergy clinic nurse to include in patient teaching?
a. avoid taking antihistamine before skin testing
b. skin testing may be done with an intradermal injection
c. swelling and itching may occur at the site of the skin testing
d. patient will need to wait in the clinic for 20 minutes after the testing
- correct answer a
Which finding will be most important for the nurse to report to the health care provider about a patient
who is taking prednisone chronically after an organ transplant?
a. multiple arm bruises
b. sodium level of 146 mEq/dL
c. blood glucose of 110 mg/dL
d. black-colored stool
- correct answer d
When the occupational health nurse is teaching unlicensed assistive personnel (UAP) about blood borne
pathogen exposure and human immunodeficiency virus (HIV) risk, which information is most important
to emphasize?
a. occupational transmission of HIV from patients to health care workers is relatively rare
b. occupational exposure to HIV-containing fluids should be reported immediately to the supervisor
c. treatment for occupational exposure to HIV may include use of antiretroviral medications
,d. post exposure treatment will include HIV testing at baseline and at several intervals after the
exposure
- correct answer b
A patient in the allergy clinic who has a rash has received diphenhydramine 50mg PO. Which patient
information is most indicative of a need for action by the nurse?
a. the patient is preparing to drive home
b. the patient reports itching at the site of the rash
c. the patient has a history of constipation
d. the patient states "my mouth feels so very dry!"
- correct answer a
After change-of-shift report, which newly admitted patient should the nurse assess first?
a. patient with human immunodeficiency virus (HIV) whose CD4 count is 45 cells/mcL
b. a patient with acute kidney transplant rejection who has a scheduled dose of prednisone due
c. a patient with graft-versus-host disease who has frequent liquid stool
d. a patient with hypertension who has angioedema after receiving lisonopril
- correct answer d
A few minutes after the nurse has given an intradermal injection of an allergen to a patient who is
undergoing skin testing for allergies, the patient reports feeling anxious, SOB, and dizzy. Which action
included in the emergency protocol should the nurse take first?
a. start oxygen at 6L/min using a face mask
b. obtain IV access with a large-bore IV catheter
c. give epinephrine 0.5mg intramuscularly
d. administer albuterol per nebulizer mask
- correct answer c
,The nurse is supervising a student nurse who is caring for a patient with HIV. The patient has severe
esophagitis caused by Candida albicans. Which action by the student requires the most rapid
intervention by the nurse?
a. putting on a mask and gown before entering the patient's room
b. giving the patient a glass of water after administering the prescribed oral nystatin suspension
c. suggesting that the patient should order chile concarne or chicken soup for the next meal
d. placing a "no visitors" sign on the door of the patient room
- correct answer b
The nurse is evaluating a paitent with HIV who is receiving trimethoprimsulfamethoxazole (TMP-SMX) as
a treatment for Pneumocystis jiroveci pneumonia. Which information is most important to
communicate to the health care provider?
a. the patient reports a blistering rash
b. the patient's fluid intake is 2L/day
c. the patient's potassium is 3.4 mg/dL
d. the patient enjoys spending time outside in the sun
- correct answer a
The nurse is working with a patient who has a new diagnosis of HIV and who reports current use of
injectable heroin and methamphetamine. Which actions by the nurse are appropriate? Select all that
apply.
a. refer the patient to a substance abuse treatment program
b. plan for the patient to participate in a needle exchange program
c. coordinate the patient's schedule for directly observed antiretroviral drug treatment
d. instruct the patient that ongoing injectable drug use is a contraindication for antiretroviral therapy
e. provide patient education about the risk of transmitting HIV to others when sharing needles
- correct answer a, b, c, e
, A patient with newly diagnosed AIDS has a 6-mm induration at 48 hours after a skin test for TB. Which
action will the nurse anticipate taking next?
a. arrange for a chest x-ray to check for active TB
b. tell the patient that the TB test results are negative
c. teach the patient about multidrug treatment for TB
d. schedule TB skin testing again in 12 months
- correct answer
The nurse is working in a hospice facility for patients with AIDS. The facility is staffed with LPNs/LVNs
and unlicensed assistive personnel. Which action will the nurse assign to the LPN/LVN?
a. assessing patient's nutritional needs and individualizing diet plans to improve nutrition
b. collecting data about the patients' responses to medications used for pain and anorexia
c. developing UAP training programs about how to lower the risk of spreading infections
d. assisting patients with personal hygiene and other activities of daily living as needed
- correct answer b
The nurse manager in a public health department is implementing a plan to reduce the incidence of
infection with HIV in the community. Which nursing action will be delegated to unlicensed assistive
personnel (UAP) working for the agency
a. supplying injection drug users with sterile injection equipment such as needles and syringes
b. interviewing patients about behaviors that indicate a need for annual HIV testing
c. teaching high-risk community members about the use of condoms in preventing HIV infection
d. assessing the community to determine which population groups to target for education
- correct answer a
A patient who has received a kidney transplant has been admitted to the medical unit with acute
rejection and is receiving IV cyclosporine and methylprednisolone. Which staff member is best to assign
to care for this patient?