NUR 2421C Advanced Adult EXAM 3 Bowties Keiser
University-Ft Lauderdale Questions with 100% Verified
Answers Latest Update
Question: A 24-year-old client comes to the clinic after learning that a recent sexual partner
tested positive for HIV. The client states, “I feel fine, so I probably do not need testing.” The
nurse provides education about HIV transmission and prevention. Which statements should
the nurse include? Select all that apply.
A. HIV can be transmitted through blood, semen, vaginal secretions, amniotic fluid, and
breast milk.
B. HIV is spread by casual contact such as hugging or sharing utensils.
C. PrEP may be appropriate for people who are HIV-negative and at ongoing risk.
D. Condoms also help reduce the risk of other STIs.
E. A negative early test always rules out HIV infection
Answer:
A,C,D
3 multiple choice options
Question: A client newly diagnosed with HIV asks what the CD4+ T-cell count means. The
client’s CD4 count is 180 cells/mm³. The client has no current symptoms. Which response
by the nurse is best?
A. This value means your immune system is severely weakened, and you are at increased
risk for opportunistic infections.”
B. “This value means your HIV is cured because the count is below normal.”
C. “This value only matters if you have a fever.”
D. “This value means HIV is transmitted by casual household contact.”
Answer:
A. This value means your immune system is severely weakened, and you are at increased
risk for opportunistic infections." 3 multiple choice options
Question:
Answer:
Question: A caregiver is learning to assist with home immunoglobulin replacement therapy
for a client with a primary immune deficiency. The nurse reviews the home plan and
emergency precautions.• Which caregiver statements indicate correct understanding?
Select all that apply.
A. "I will prepare the supplies in a clean area."
B. "I will give acetaminophen and diphenhydramine if prescribed before the infusion."
C. "If wheezing or throat tightness occurs, I will call emergency services."
D. "I can reuse supplies if they look clean."
E. "I will report fever, rash, or shortness of breath."
Answer:
,A,B,C,E
2 multiple choice options
Question: A 39-year-old client with HIV presents to the emergency department with 2 weeks
of worsening shortness of breath, fever, dry cough, and chest discomfort. CD4 count is 96
cells/mm³. SpO₂ is 88% on room air and drops to 82% with ambulation. The client is not
taking ART consistently. Complete the bowtie: identify the most likely condition, two actions
to take, and two parameters to monitor.
Answer:
• Most likely condition: E- Pneumocystis pneumonia (PCP).
• Actions: - A-oxygen/respiratory assessment; B- anticipate TMP-SMX and corticosteroids if
hypoxemic/severe.
• Monitor: I- SpO₂/ABGs and J- work of breathing.
Question: A 46-year-old client with newly diagnosed AIDS started ART 4 weeks ago. Baseline
CD4 was 42 cells/mm³. Today the client reports fever, worsening cough, abdominal
discomfort, and swollen lymph nodes. The client says, "The HIV medicine is making me
worse, so I should stop it." Viral load has decreased from 320,000 copies/mL to 4,800
copies/mL. Which interpretation and action are most appropriate?
A. ART failure; tell the client to stop all medications.
B. Possible immune reconstitution inflammatory syndrome; assess severity and notify the
provider.
C. Normal expected effect; no further assessment is needed.
D. Medication allergy; restart ART next year.
Answer:
B. Possible immune reconstitution inflammatory syndrome; assess severity and notify the
provider 2 multiple choice options
Question: A client with HIV is seen for follow-up 14 weeks after starting ART. The client
reports improved energy and no missed doses. Baseline viral load was 180,000 copies/mL
and CD4 was 230 cells/mm³. Current viral load is 45 copies/mL and CD4 is 335 cells/mm³.
The client has gained 8 lb and reports mild nausea that improves with food.
Answer:
• Expected: viral load decreased; CD4 increased; mild manageable nausea.
• Unexpected/worrisome: severe shortness of breath; stopping medication because viral
load is low.
,Question: A 52-year-old client with AIDS arrives with headache, fever, malaise, stiff neck,
nausea, and new confusion. CD4 count is 54 cells/mm³. The partner states the client has
missed several clinic visits and has not been taking ART. Complete the bowtie: identify the
likely complication, two priority actions, and two findings to monitor.
Answer:
• Likely complication: A- Cryptococcal meningitis.
• Actions: A- safety/neuro assessment; B- anticipate CSF testing and antifungal therapy.
• Monitor: A- LOC and B- seizure activity
Question: An outpatient nurse is planning care for a 61-year-old client with HIV, diabetes,
chronic kidney disease, depression, and unstable housing. The client has missed two
appointments and says, "I cannot keep track of all these pills." Viral load is now detectable
after being suppressed for 1 year. Which interventions should the nurse include? Select all
that apply.
A. Assess medication access, cost, housing, depression, and substance use barriers.
B. Use a nonjudgmental approach and ask how the client actually takes medications.
C. Tell the client they will be discharged from care if they miss one more dose.
D. Refer to social work/case management and consider adherence tools.
E. Review drug interactions and kidney-related medication concerns.
Answer:
A,B,D,E
3 multiple choice options
Question: A nurse sustains a needlestick while starting an IV on a client with known HIV
infection. The puncture site bleeds slightly. The nurse is anxious and asks what to do first.
What is the priority action?
A. Wait until the end of the shift and complete an incident report.
B. Immediately initiate the facility exposure protocol and report the exposure.
C. Start antibiotics for 10 days.
D. Avoid all patient care for 6 months.
Answer:
B. Immediately initiate the facility exposure protocol and report the exposure
2 multiple choice options
Question: A client with AIDS-related Kaposi sarcoma is enrolled in a double-blind clinical
trial. During the infusion visit, the client states, "I am glad I am getting the new
experimental drug today so I can beat this." The nurse knows the infusion may contain the
experimental drug or placebo. • Which response is best?
A. "Yes, this drug will probably cure you."
B. "You signed the consent, so we cannot discuss it again."
, C. "Let's pause and review what the study means. You may receive the study drug or
placebo, and the research coordinator can answer questions before we continue."
D. "The placebo is harmless, so it does not matter."
Answer:
C. "Let's pause and review what the study means. You may receive the study drug or
placebo, and the research coordinator can answer questions before we continue."
3 multiple choice options
Question: A 38-year-old client newly diagnosed with rheumatoid arthritis is started on
methotrexate and naproxen. The client says, “I will take the pain medicine when my hands
hurt, but I do not understand why I need the other medication if it takes weeks to work.”
Morning stiffness lasts 90 minutes, and both wrists and several MCP joints are swollen and
warm. Which nursing teaching points are appropriate? Select all that apply.
A. Methotrexate is used to slow disease progression and reduce joint destruction.
B. NSAIDs relieve pain and inflammation but do not prevent erosions.
C. Report fever, mouth sores, unusual bruising, or signs of infection.
D. Stop methotrexate once pain improves for 48 hours.
E. Keep scheduled laboratory monitoring for CBC, liver enzymes, and kidney function.
Answer:
A,B,C,E
3 multiple choice options
Question: A 29-year-old client with SLE arrives with fatigue, periorbital swelling, foamy
urine, BP 166/98, and new bilateral ankle edema. The client reports skipping
hydroxychloroquine and taking ibuprofen several times daily for joint pain. Labs: creatinine
1.9 mg/dL, urine protein 3+, platelets 110,000/mm3, anti-dsDNA elevated. Complete the
bowtie: identify the most likely condition, two actions, and two parameters to monitor.
• A. Condition: lupus nephritis
• B. Condition: fibromyalgia flare
• C. Action: notify provider and anticipate renal workup/immunosuppressive therapy
• D. Action: encourage unrestricted NSAID use for pain
• E. Action: monitor BP, urine output, creatinine, and urinalysis
• F. Monitor: daily visual acuity only
• G. Monitor: edema and weight trends
Answer:
• Condition: lupus nephritis. Actions: notify provider/anticipate renal evaluation and
therapy; monitor BP, urine output, creatinine/UA. Also monitor edema and weight trends
Question:
Answer:
Question:
University-Ft Lauderdale Questions with 100% Verified
Answers Latest Update
Question: A 24-year-old client comes to the clinic after learning that a recent sexual partner
tested positive for HIV. The client states, “I feel fine, so I probably do not need testing.” The
nurse provides education about HIV transmission and prevention. Which statements should
the nurse include? Select all that apply.
A. HIV can be transmitted through blood, semen, vaginal secretions, amniotic fluid, and
breast milk.
B. HIV is spread by casual contact such as hugging or sharing utensils.
C. PrEP may be appropriate for people who are HIV-negative and at ongoing risk.
D. Condoms also help reduce the risk of other STIs.
E. A negative early test always rules out HIV infection
Answer:
A,C,D
3 multiple choice options
Question: A client newly diagnosed with HIV asks what the CD4+ T-cell count means. The
client’s CD4 count is 180 cells/mm³. The client has no current symptoms. Which response
by the nurse is best?
A. This value means your immune system is severely weakened, and you are at increased
risk for opportunistic infections.”
B. “This value means your HIV is cured because the count is below normal.”
C. “This value only matters if you have a fever.”
D. “This value means HIV is transmitted by casual household contact.”
Answer:
A. This value means your immune system is severely weakened, and you are at increased
risk for opportunistic infections." 3 multiple choice options
Question:
Answer:
Question: A caregiver is learning to assist with home immunoglobulin replacement therapy
for a client with a primary immune deficiency. The nurse reviews the home plan and
emergency precautions.• Which caregiver statements indicate correct understanding?
Select all that apply.
A. "I will prepare the supplies in a clean area."
B. "I will give acetaminophen and diphenhydramine if prescribed before the infusion."
C. "If wheezing or throat tightness occurs, I will call emergency services."
D. "I can reuse supplies if they look clean."
E. "I will report fever, rash, or shortness of breath."
Answer:
,A,B,C,E
2 multiple choice options
Question: A 39-year-old client with HIV presents to the emergency department with 2 weeks
of worsening shortness of breath, fever, dry cough, and chest discomfort. CD4 count is 96
cells/mm³. SpO₂ is 88% on room air and drops to 82% with ambulation. The client is not
taking ART consistently. Complete the bowtie: identify the most likely condition, two actions
to take, and two parameters to monitor.
Answer:
• Most likely condition: E- Pneumocystis pneumonia (PCP).
• Actions: - A-oxygen/respiratory assessment; B- anticipate TMP-SMX and corticosteroids if
hypoxemic/severe.
• Monitor: I- SpO₂/ABGs and J- work of breathing.
Question: A 46-year-old client with newly diagnosed AIDS started ART 4 weeks ago. Baseline
CD4 was 42 cells/mm³. Today the client reports fever, worsening cough, abdominal
discomfort, and swollen lymph nodes. The client says, "The HIV medicine is making me
worse, so I should stop it." Viral load has decreased from 320,000 copies/mL to 4,800
copies/mL. Which interpretation and action are most appropriate?
A. ART failure; tell the client to stop all medications.
B. Possible immune reconstitution inflammatory syndrome; assess severity and notify the
provider.
C. Normal expected effect; no further assessment is needed.
D. Medication allergy; restart ART next year.
Answer:
B. Possible immune reconstitution inflammatory syndrome; assess severity and notify the
provider 2 multiple choice options
Question: A client with HIV is seen for follow-up 14 weeks after starting ART. The client
reports improved energy and no missed doses. Baseline viral load was 180,000 copies/mL
and CD4 was 230 cells/mm³. Current viral load is 45 copies/mL and CD4 is 335 cells/mm³.
The client has gained 8 lb and reports mild nausea that improves with food.
Answer:
• Expected: viral load decreased; CD4 increased; mild manageable nausea.
• Unexpected/worrisome: severe shortness of breath; stopping medication because viral
load is low.
,Question: A 52-year-old client with AIDS arrives with headache, fever, malaise, stiff neck,
nausea, and new confusion. CD4 count is 54 cells/mm³. The partner states the client has
missed several clinic visits and has not been taking ART. Complete the bowtie: identify the
likely complication, two priority actions, and two findings to monitor.
Answer:
• Likely complication: A- Cryptococcal meningitis.
• Actions: A- safety/neuro assessment; B- anticipate CSF testing and antifungal therapy.
• Monitor: A- LOC and B- seizure activity
Question: An outpatient nurse is planning care for a 61-year-old client with HIV, diabetes,
chronic kidney disease, depression, and unstable housing. The client has missed two
appointments and says, "I cannot keep track of all these pills." Viral load is now detectable
after being suppressed for 1 year. Which interventions should the nurse include? Select all
that apply.
A. Assess medication access, cost, housing, depression, and substance use barriers.
B. Use a nonjudgmental approach and ask how the client actually takes medications.
C. Tell the client they will be discharged from care if they miss one more dose.
D. Refer to social work/case management and consider adherence tools.
E. Review drug interactions and kidney-related medication concerns.
Answer:
A,B,D,E
3 multiple choice options
Question: A nurse sustains a needlestick while starting an IV on a client with known HIV
infection. The puncture site bleeds slightly. The nurse is anxious and asks what to do first.
What is the priority action?
A. Wait until the end of the shift and complete an incident report.
B. Immediately initiate the facility exposure protocol and report the exposure.
C. Start antibiotics for 10 days.
D. Avoid all patient care for 6 months.
Answer:
B. Immediately initiate the facility exposure protocol and report the exposure
2 multiple choice options
Question: A client with AIDS-related Kaposi sarcoma is enrolled in a double-blind clinical
trial. During the infusion visit, the client states, "I am glad I am getting the new
experimental drug today so I can beat this." The nurse knows the infusion may contain the
experimental drug or placebo. • Which response is best?
A. "Yes, this drug will probably cure you."
B. "You signed the consent, so we cannot discuss it again."
, C. "Let's pause and review what the study means. You may receive the study drug or
placebo, and the research coordinator can answer questions before we continue."
D. "The placebo is harmless, so it does not matter."
Answer:
C. "Let's pause and review what the study means. You may receive the study drug or
placebo, and the research coordinator can answer questions before we continue."
3 multiple choice options
Question: A 38-year-old client newly diagnosed with rheumatoid arthritis is started on
methotrexate and naproxen. The client says, “I will take the pain medicine when my hands
hurt, but I do not understand why I need the other medication if it takes weeks to work.”
Morning stiffness lasts 90 minutes, and both wrists and several MCP joints are swollen and
warm. Which nursing teaching points are appropriate? Select all that apply.
A. Methotrexate is used to slow disease progression and reduce joint destruction.
B. NSAIDs relieve pain and inflammation but do not prevent erosions.
C. Report fever, mouth sores, unusual bruising, or signs of infection.
D. Stop methotrexate once pain improves for 48 hours.
E. Keep scheduled laboratory monitoring for CBC, liver enzymes, and kidney function.
Answer:
A,B,C,E
3 multiple choice options
Question: A 29-year-old client with SLE arrives with fatigue, periorbital swelling, foamy
urine, BP 166/98, and new bilateral ankle edema. The client reports skipping
hydroxychloroquine and taking ibuprofen several times daily for joint pain. Labs: creatinine
1.9 mg/dL, urine protein 3+, platelets 110,000/mm3, anti-dsDNA elevated. Complete the
bowtie: identify the most likely condition, two actions, and two parameters to monitor.
• A. Condition: lupus nephritis
• B. Condition: fibromyalgia flare
• C. Action: notify provider and anticipate renal workup/immunosuppressive therapy
• D. Action: encourage unrestricted NSAID use for pain
• E. Action: monitor BP, urine output, creatinine, and urinalysis
• F. Monitor: daily visual acuity only
• G. Monitor: edema and weight trends
Answer:
• Condition: lupus nephritis. Actions: notify provider/anticipate renal evaluation and
therapy; monitor BP, urine output, creatinine/UA. Also monitor edema and weight trends
Question:
Answer:
Question:
