NUR 265 Exam 4 Prep PDF 2026 | Questions & Correct
Answers | Graded A+
1. What is the recommended time for a patient with SLE to take their prescribed
steroids for optimal benefit?
In the morning
Before meals
At night
After exercise
2. What clinical signs indicate a patient may present with an allergic reaction?
Audible wheezes and abdominal distention
New onset abdominal cramping with hyperreflexia
Swollen lips and reports of polyuria
Widespread hives and hypoxia
3. If a patient with AIDS is unsure about the safety of their home environment
regarding infection control, what should they do?
Consult with their healthcare provider for personalized advice on
infection prevention.
Only follow advice from friends or family about infection control.
Avoid discussing their concerns with healthcare professionals.
Assume all household practices are safe without further inquiry.
4. The nurse is caring for a client who has been admitted for the treatment of
AIDS. In the morning, the client tells the nurse that he experienced night
, sweats and recently "coughed up some blood." What is the nurse's most
appropriate action?
Perform oral suctioning to reduce the client's risk for aspiration.
Assess the client for additional signs and symptoms of Kaposi
sarcoma.
Review the client's most recent viral load and CD4+ count.
Place the client on respiratory isolation and inform the physician.
5. Describe the significance of the symptoms reported by the patient after
vaccination and what they may indicate.
The symptoms are normal side effects of the vaccine and do not
require action.
The symptoms may indicate an allergic reaction or anaphylaxis,
requiring immediate nursing intervention.
The symptoms indicate a need for a follow-up appointment in a week.
The symptoms suggest a mild cold and can be treated with rest.
6. What is the minimum percentage of medication adherence recommended to
avoid drug resistance in patients on cART for HIV?
85%
100%
90%
75%
7. Which of the following assessment findings is typical of a patient with
superior vena cava syndrome (SVCS)?
, a localized dialation of the artery
low back pain and parathesia
edema and venous distention of the arms, face, and neck
distorted, dialated veins usually in the legs
8. A client is hospitalized with neutropenia. Which of the following actions
should be of concern?
Orders fresh flowers for their room
Uses a moisturizer after shower
Takes a shower daily
Washes their hand frequently
9. Undescended testicles can increase the risk for developing which of the
following?
Skin cancer
Benign prostatic hypertrophy
Liver cirrhosis
Testicular cancer
10. The nurse is caring for a client who had a kidney transplant two weeks ago.
Which of the following findings should the nurse correlate to possible organ
rejection?
Serum creatine level of 0.9 mg/dL
Urinalysis is positive for ketones
BUN level of 15mg/dL
BP of 172/96 mm Hg
, 11. In a scenario where a nurse must care for a patient with open weeping
lesions, what additional safety measure should the nurse consider if the
patient is also immunocompromised?
Schedule more frequent vital sign checks.
Encourage the patient to engage in physical therapy.
Increase the patient's fluid intake.
Implement strict infection control protocols and limit visitor access.
12. Why is it important for a nurse to wear personal protective equipment (PPE)
before entering the room of a patient with open weeping lesions?
It is only necessary if the patient is in isolation.
Wearing PPE helps prevent the transmission of infections and
protects both the nurse and the patient.
It is a standard procedure that does not have any specific relevance.
PPE is only required for surgical procedures.
13. Discuss why the presence of the BRCA 1 gene mutation significantly
increases a patient's risk for breast cancer compared to other risk factors.
The BRCA 1 gene mutation is less significant than lifestyle factors like
alcohol consumption.
The BRCA 1 gene mutation has no impact on breast cancer risk.
The BRCA 1 gene mutation only affects ovarian cancer risk, not breast
cancer.
The BRCA 1 gene mutation significantly increases a patient's risk for
breast cancer because it impairs the body's ability to repair DNA
damage, leading to increased likelihood of cancerous changes.
Answers | Graded A+
1. What is the recommended time for a patient with SLE to take their prescribed
steroids for optimal benefit?
In the morning
Before meals
At night
After exercise
2. What clinical signs indicate a patient may present with an allergic reaction?
Audible wheezes and abdominal distention
New onset abdominal cramping with hyperreflexia
Swollen lips and reports of polyuria
Widespread hives and hypoxia
3. If a patient with AIDS is unsure about the safety of their home environment
regarding infection control, what should they do?
Consult with their healthcare provider for personalized advice on
infection prevention.
Only follow advice from friends or family about infection control.
Avoid discussing their concerns with healthcare professionals.
Assume all household practices are safe without further inquiry.
4. The nurse is caring for a client who has been admitted for the treatment of
AIDS. In the morning, the client tells the nurse that he experienced night
, sweats and recently "coughed up some blood." What is the nurse's most
appropriate action?
Perform oral suctioning to reduce the client's risk for aspiration.
Assess the client for additional signs and symptoms of Kaposi
sarcoma.
Review the client's most recent viral load and CD4+ count.
Place the client on respiratory isolation and inform the physician.
5. Describe the significance of the symptoms reported by the patient after
vaccination and what they may indicate.
The symptoms are normal side effects of the vaccine and do not
require action.
The symptoms may indicate an allergic reaction or anaphylaxis,
requiring immediate nursing intervention.
The symptoms indicate a need for a follow-up appointment in a week.
The symptoms suggest a mild cold and can be treated with rest.
6. What is the minimum percentage of medication adherence recommended to
avoid drug resistance in patients on cART for HIV?
85%
100%
90%
75%
7. Which of the following assessment findings is typical of a patient with
superior vena cava syndrome (SVCS)?
, a localized dialation of the artery
low back pain and parathesia
edema and venous distention of the arms, face, and neck
distorted, dialated veins usually in the legs
8. A client is hospitalized with neutropenia. Which of the following actions
should be of concern?
Orders fresh flowers for their room
Uses a moisturizer after shower
Takes a shower daily
Washes their hand frequently
9. Undescended testicles can increase the risk for developing which of the
following?
Skin cancer
Benign prostatic hypertrophy
Liver cirrhosis
Testicular cancer
10. The nurse is caring for a client who had a kidney transplant two weeks ago.
Which of the following findings should the nurse correlate to possible organ
rejection?
Serum creatine level of 0.9 mg/dL
Urinalysis is positive for ketones
BUN level of 15mg/dL
BP of 172/96 mm Hg
, 11. In a scenario where a nurse must care for a patient with open weeping
lesions, what additional safety measure should the nurse consider if the
patient is also immunocompromised?
Schedule more frequent vital sign checks.
Encourage the patient to engage in physical therapy.
Increase the patient's fluid intake.
Implement strict infection control protocols and limit visitor access.
12. Why is it important for a nurse to wear personal protective equipment (PPE)
before entering the room of a patient with open weeping lesions?
It is only necessary if the patient is in isolation.
Wearing PPE helps prevent the transmission of infections and
protects both the nurse and the patient.
It is a standard procedure that does not have any specific relevance.
PPE is only required for surgical procedures.
13. Discuss why the presence of the BRCA 1 gene mutation significantly
increases a patient's risk for breast cancer compared to other risk factors.
The BRCA 1 gene mutation is less significant than lifestyle factors like
alcohol consumption.
The BRCA 1 gene mutation has no impact on breast cancer risk.
The BRCA 1 gene mutation only affects ovarian cancer risk, not breast
cancer.
The BRCA 1 gene mutation significantly increases a patient's risk for
breast cancer because it impairs the body's ability to repair DNA
damage, leading to increased likelihood of cancerous changes.
