NUR 211 TEST 3 QUESTIONS AND ANSWERS | NUR 211 STUDY GUIDE
& PRACTICE TEST 2026/2027
a
the client with immunodeficiency has inadequate or absence of immune bodies and is at risk for
infection. the priority nursing intervention would be to protect the client from infection. - correct answer
✔✔the nurse is assisting in planning care for a client diagnosed with immunodeficiency and should
incorporate which action as a priority in the plan?
a. protecting the client for infection
b. providing emotional support to decrease fear
c. encouraging discussion about lifestyle changes
d. identifying factors that decreased the immune function
d
the client with Parkinson’s disease should be instructed regarding safety measures in the home. the
client should use her or his walker as support to get to the bathroom becaus e of bradykinesia. the client
should sit down to put on pants and shoes to prevent falling. the client should exercise everyday in the
morning when energy levels are the highest. the client should have all loose rugs in the home removed
to prevent falling. - correct answer ✔✔the nurse is instructing a client with parkinsons disease about
preventing falls. which client statement reflects a need for further teaching?
a. i can sit down to put on my pants and shoes
b. i try to exercise everyday and rest when im tired.
c. my son removed all loose rugs from my bedroom.
d. i dont need to use my walker to get to the bathroom.
c
although all of these actions fall into the scope of practice for a UAP, the UAP should help the client with
morning care as needed but the goal is to keep this client as independent and mobile as possible. the
client should be encouraged to perform as much morning care as possible. assisting the client in
ambulating, reminding them not to look at his feet to prevent falls, and encouraging the client to feed
himself are all appropriate to the goal of maintaining independence - correct answer ✔✔a client with
parkinsons disease has a problem with decreased mobility related to neuromuscular impairment. the
nurse observes the UAP performing all of these actions. for which action should the nurse intervene?
a. helping the client ambulate to the bathroom and back to bed
b. reminding the client not to look at his feet when he is walking
c. performing the clients complete bathing and oral care
d. setting up the clients tray and encouraging the client to feed himself
a
at this time based on the clients statement related to being tired after physical therapy is the reason
behind being unable to perform Adls. the other three are related to the diagnosis of MS but not related
to the topic. - correct answer ✔✔a client with MS tells the UAP after physical therapy that she is too
tired to take a bath. what is the priority nursing concern at this time?
a. fatigue
b. inability to perform ADLs
c. decreased mobility
,d. muscular weakness
a, c, e
UAP education and scope of practice include checking pulse and BP measurements. the nurse would be
sure to instruct the UAP to report HR and BP findings. in addition UAPs can reinforce previous teaching
or skills taught by the RN or by personnel in other disciplines like PT or ST. evaluating medication is
within the RN scope of practice - correct answer ✔✔all if the following nursing care activities are
included in the care plan for a 78 year old man with parkinsons disease who has been referred to home
health agency. which activities will the nurse delegate to the UAP? select all that apply
a. check for orthostatic changes in pulse and BP
b. assessing for improvement in tremor after levodopa is given
c. reminding the client to allow adequate time for meals
d. monitoring for signs of toxic reactions to anti-parkinsons medications
e. assisting the client with prescribed strengthening exercises
f. adapting the clients preferred activities to his level of function
b
CDC guidelines indicate that a post exposure prophylaxis is to be used antiretroviral drug should be
started as soon as possible preferably with an hours of exposure. It is important that staff understand
that reporting the possible exposure is a priority so that the rapid assessment and treatment can be
initiated. The other statements are Also true but will not impact the efficacy of any needed treatment -
correct answer ✔✔when the occupational health nurse is teaching UAP about bloodborne pathogen
exposure and 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
a
Supplying sterile injections supplies to patients who are at risk for HIV infection can be done by staff
members with UAP education. Assessing for high-risk behaviors education and community assessment
are RN level skills - correct answer ✔✔the nurse manager in a public health department is implementing
a plan to reduce the incidence of infections with HIV in the community. which nursing action will be
delegated to UAP working for the agency?
a. supplying IV drug users with sterile injection equipment such and 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
b
Nystatin should be in contact with the oral and esophageal tissues as long as possible for maximum
effect. The other actions are also inappropriate and should be discussed with the student but do not
require action as quickly. HIV positive patients do not require droplet or contact cautions or visitor
restrictions to prevent opportunistic infections. Hot or spicy foods are not usually well tolerated in
patients with oral or esophageal fungal infections - correct answer ✔✔the nurse is supervising a student
nurse who is caring for a client with HIV. the patient has severe espohagitis caused by candidia albicans.
which action by the student nurse requires the most rapid intervention by the nurse?
a. putting on a mask and gown before entering the room
,b. giving the patient a glass of water after administering the prescribed oral nystatin suspension
c. suggesting that the patient should order chile con carne of chicken soup for the next meal
d. placing a 'no visitors' sign on the door of the clients room
a
Because TMPSMX can cause Steven Johnson syndrome a blistering rash indicates a need to discontinue
the medication immediately. 2 L per day of fluid is adequate supervision Crystal urea and renal damage
associated with TMPSMX. TMPSMX can cause hyperkalemia the nurse report the potassium level to the
provider but the leg potassium level is not caused by the medication. Patient teaching about
photosensitivity is needed but the nurse does not need guidance from the provider to implement this
action - correct answer ✔✔the nurse is evaluating a patient with HIV who is receiving
trimethoprimsulfamethoxazole as a treatment for pneumocytis jiroveci pneumonia. which information is
most important to communicate to the HCP?
a. the patient reports a blistering rash
b. the patients fluid intake is 2L/day
c. the patients potassium is 3.4
d. the patient enjoys spending time outside in the sun
a, b, c, e
Current guidelines indicate that anti-retroviral therapy for HIV should be initiated as soon as possible
after HIV diagnosis. Although ongoing substance abuse is a risk factor for poor adherence anti-retroviral
therapy can be initiated on strategies to improve adherence are used. Strategies include directly
observing patients taking medications needle exchange programs in referring patients for substance
abuse treatment - correct answer ✔✔the nurse is working with a patient woh 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 patients schedule for directly observed antiretroviral medications
d. instruct the patient that ingoing injectable drug use is a contraindication for antiretroviral therapy
e. provide patient education about the risk of transmitting HIV to others when haring needles
a
Cording to the NIH guidelines and induration of 5 mm or greater indicates TB infection in patients with
HIV and a chest radiograph will be needed to determine whether the patient has active or Latent TB
infection. Teaching about multi drug therapy is needed if the patient has active TB but latent TB is
treated with a single drug only. Positive skin test results generally persist throughout the patient's
lifetime and will not be repeated although other tests such as follow up chest radiograph and
sputumTesting maybe you to valuate for effective TB treatment - correct answer ✔✔a patient with newly
diagnosed AIDS has a 6mm induration at 48 hours ofter a skin test for TB. which action will the nurse
anticipate taking next?
a. arrange for a chest xray to check for active TB
b. tell the patient the TB test results are negative
c. teach the patient about multidrug treatment for TB
d. schedule TB testing again in 12 months
b
, The collection of data used to evaluate the therapeutic and adverse effects of medication is included in
the LPN/LVN education and scope of practice. Assistance in planning and developing teaching programs
are more complex skills that require RN education. Assistance with hygiene and activities of daily living
should be delegated to the UAP - correct answer ✔✔the nurse is working in a hospice facility for
patients with AIDS. the facility is staffed with LPN/LVNs and UAP. which action will the nurse assign to the
LPN?
a. assessing patients 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 for spreading infections
d. assisting patients with personal hygiene and other ADLs as needed
d
Naproxen can cause G.I. bleeding in the stool appearance in the case that blood may be present in the
stool. The healthcare provider should be notified so that action such as testing a stool specimen for
occult blood and administering proton pump inhibitor's can be prescribed. The other symptoms are
common in patients with RA and require further assessment and intervention but they do not indicate
that the patient is experiencing adverse effects from the medication - correct answer ✔✔the nurse is
caring for a client with rheumatoid arthritis who is taking naproxen twice a day to reduce inflammation
and joint pain. which symptom is most important to communicate to the HCP?
a. joint pain worse in the morning
b. dry eyes bilaterally
c. round and moveable nodules under the skin
d. dark colored stools
b
Because anal intercourse allows contact of the infected semen with mucous membranes and causes
tearing of mucous membrane there's a higher risk of transmission of HIV. HIV can be transmitted through
oral or vaginal intercourse as well but not as easily - correct answer ✔✔which of these patients cared for
by the nurse in the clinic presents the highest risk for infection with HIV during sexual intercourse?
a. uninfected man who reports performing oral intercourse with an HIV infected woman
b. uninfected man who is the received during anal intercourse with an HIV infected man
c. uninfected woman who has had vaginal intercourse with an HIV infected man
d. uninfected woman who has performed oral intercourse with an HIV infected woman
d
Viral load testing measures the amount of HIV genetic material in the blood so decrease in viral load in
the case of the anti-retroviral therapy is effective. The CD4 level, total lymphocytes and CBC will also be
used to assess the impact of HIV and immune function but not directly measure the effectiveness of anti-
retroviral therapy - correct answer ✔✔a patient with HIV who has been started on antiretroviral therapy
is seen in the clinic for a follow up. which test will be best to monitor when determining the response to
therapy?
a. CD4 level
b. CBC
c. total lymphocyte response
d. viral load
a
& PRACTICE TEST 2026/2027
a
the client with immunodeficiency has inadequate or absence of immune bodies and is at risk for
infection. the priority nursing intervention would be to protect the client from infection. - correct answer
✔✔the nurse is assisting in planning care for a client diagnosed with immunodeficiency and should
incorporate which action as a priority in the plan?
a. protecting the client for infection
b. providing emotional support to decrease fear
c. encouraging discussion about lifestyle changes
d. identifying factors that decreased the immune function
d
the client with Parkinson’s disease should be instructed regarding safety measures in the home. the
client should use her or his walker as support to get to the bathroom becaus e of bradykinesia. the client
should sit down to put on pants and shoes to prevent falling. the client should exercise everyday in the
morning when energy levels are the highest. the client should have all loose rugs in the home removed
to prevent falling. - correct answer ✔✔the nurse is instructing a client with parkinsons disease about
preventing falls. which client statement reflects a need for further teaching?
a. i can sit down to put on my pants and shoes
b. i try to exercise everyday and rest when im tired.
c. my son removed all loose rugs from my bedroom.
d. i dont need to use my walker to get to the bathroom.
c
although all of these actions fall into the scope of practice for a UAP, the UAP should help the client with
morning care as needed but the goal is to keep this client as independent and mobile as possible. the
client should be encouraged to perform as much morning care as possible. assisting the client in
ambulating, reminding them not to look at his feet to prevent falls, and encouraging the client to feed
himself are all appropriate to the goal of maintaining independence - correct answer ✔✔a client with
parkinsons disease has a problem with decreased mobility related to neuromuscular impairment. the
nurse observes the UAP performing all of these actions. for which action should the nurse intervene?
a. helping the client ambulate to the bathroom and back to bed
b. reminding the client not to look at his feet when he is walking
c. performing the clients complete bathing and oral care
d. setting up the clients tray and encouraging the client to feed himself
a
at this time based on the clients statement related to being tired after physical therapy is the reason
behind being unable to perform Adls. the other three are related to the diagnosis of MS but not related
to the topic. - correct answer ✔✔a client with MS tells the UAP after physical therapy that she is too
tired to take a bath. what is the priority nursing concern at this time?
a. fatigue
b. inability to perform ADLs
c. decreased mobility
,d. muscular weakness
a, c, e
UAP education and scope of practice include checking pulse and BP measurements. the nurse would be
sure to instruct the UAP to report HR and BP findings. in addition UAPs can reinforce previous teaching
or skills taught by the RN or by personnel in other disciplines like PT or ST. evaluating medication is
within the RN scope of practice - correct answer ✔✔all if the following nursing care activities are
included in the care plan for a 78 year old man with parkinsons disease who has been referred to home
health agency. which activities will the nurse delegate to the UAP? select all that apply
a. check for orthostatic changes in pulse and BP
b. assessing for improvement in tremor after levodopa is given
c. reminding the client to allow adequate time for meals
d. monitoring for signs of toxic reactions to anti-parkinsons medications
e. assisting the client with prescribed strengthening exercises
f. adapting the clients preferred activities to his level of function
b
CDC guidelines indicate that a post exposure prophylaxis is to be used antiretroviral drug should be
started as soon as possible preferably with an hours of exposure. It is important that staff understand
that reporting the possible exposure is a priority so that the rapid assessment and treatment can be
initiated. The other statements are Also true but will not impact the efficacy of any needed treatment -
correct answer ✔✔when the occupational health nurse is teaching UAP about bloodborne pathogen
exposure and 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
a
Supplying sterile injections supplies to patients who are at risk for HIV infection can be done by staff
members with UAP education. Assessing for high-risk behaviors education and community assessment
are RN level skills - correct answer ✔✔the nurse manager in a public health department is implementing
a plan to reduce the incidence of infections with HIV in the community. which nursing action will be
delegated to UAP working for the agency?
a. supplying IV drug users with sterile injection equipment such and 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
b
Nystatin should be in contact with the oral and esophageal tissues as long as possible for maximum
effect. The other actions are also inappropriate and should be discussed with the student but do not
require action as quickly. HIV positive patients do not require droplet or contact cautions or visitor
restrictions to prevent opportunistic infections. Hot or spicy foods are not usually well tolerated in
patients with oral or esophageal fungal infections - correct answer ✔✔the nurse is supervising a student
nurse who is caring for a client with HIV. the patient has severe espohagitis caused by candidia albicans.
which action by the student nurse requires the most rapid intervention by the nurse?
a. putting on a mask and gown before entering the room
,b. giving the patient a glass of water after administering the prescribed oral nystatin suspension
c. suggesting that the patient should order chile con carne of chicken soup for the next meal
d. placing a 'no visitors' sign on the door of the clients room
a
Because TMPSMX can cause Steven Johnson syndrome a blistering rash indicates a need to discontinue
the medication immediately. 2 L per day of fluid is adequate supervision Crystal urea and renal damage
associated with TMPSMX. TMPSMX can cause hyperkalemia the nurse report the potassium level to the
provider but the leg potassium level is not caused by the medication. Patient teaching about
photosensitivity is needed but the nurse does not need guidance from the provider to implement this
action - correct answer ✔✔the nurse is evaluating a patient with HIV who is receiving
trimethoprimsulfamethoxazole as a treatment for pneumocytis jiroveci pneumonia. which information is
most important to communicate to the HCP?
a. the patient reports a blistering rash
b. the patients fluid intake is 2L/day
c. the patients potassium is 3.4
d. the patient enjoys spending time outside in the sun
a, b, c, e
Current guidelines indicate that anti-retroviral therapy for HIV should be initiated as soon as possible
after HIV diagnosis. Although ongoing substance abuse is a risk factor for poor adherence anti-retroviral
therapy can be initiated on strategies to improve adherence are used. Strategies include directly
observing patients taking medications needle exchange programs in referring patients for substance
abuse treatment - correct answer ✔✔the nurse is working with a patient woh 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 patients schedule for directly observed antiretroviral medications
d. instruct the patient that ingoing injectable drug use is a contraindication for antiretroviral therapy
e. provide patient education about the risk of transmitting HIV to others when haring needles
a
Cording to the NIH guidelines and induration of 5 mm or greater indicates TB infection in patients with
HIV and a chest radiograph will be needed to determine whether the patient has active or Latent TB
infection. Teaching about multi drug therapy is needed if the patient has active TB but latent TB is
treated with a single drug only. Positive skin test results generally persist throughout the patient's
lifetime and will not be repeated although other tests such as follow up chest radiograph and
sputumTesting maybe you to valuate for effective TB treatment - correct answer ✔✔a patient with newly
diagnosed AIDS has a 6mm induration at 48 hours ofter a skin test for TB. which action will the nurse
anticipate taking next?
a. arrange for a chest xray to check for active TB
b. tell the patient the TB test results are negative
c. teach the patient about multidrug treatment for TB
d. schedule TB testing again in 12 months
b
, The collection of data used to evaluate the therapeutic and adverse effects of medication is included in
the LPN/LVN education and scope of practice. Assistance in planning and developing teaching programs
are more complex skills that require RN education. Assistance with hygiene and activities of daily living
should be delegated to the UAP - correct answer ✔✔the nurse is working in a hospice facility for
patients with AIDS. the facility is staffed with LPN/LVNs and UAP. which action will the nurse assign to the
LPN?
a. assessing patients 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 for spreading infections
d. assisting patients with personal hygiene and other ADLs as needed
d
Naproxen can cause G.I. bleeding in the stool appearance in the case that blood may be present in the
stool. The healthcare provider should be notified so that action such as testing a stool specimen for
occult blood and administering proton pump inhibitor's can be prescribed. The other symptoms are
common in patients with RA and require further assessment and intervention but they do not indicate
that the patient is experiencing adverse effects from the medication - correct answer ✔✔the nurse is
caring for a client with rheumatoid arthritis who is taking naproxen twice a day to reduce inflammation
and joint pain. which symptom is most important to communicate to the HCP?
a. joint pain worse in the morning
b. dry eyes bilaterally
c. round and moveable nodules under the skin
d. dark colored stools
b
Because anal intercourse allows contact of the infected semen with mucous membranes and causes
tearing of mucous membrane there's a higher risk of transmission of HIV. HIV can be transmitted through
oral or vaginal intercourse as well but not as easily - correct answer ✔✔which of these patients cared for
by the nurse in the clinic presents the highest risk for infection with HIV during sexual intercourse?
a. uninfected man who reports performing oral intercourse with an HIV infected woman
b. uninfected man who is the received during anal intercourse with an HIV infected man
c. uninfected woman who has had vaginal intercourse with an HIV infected man
d. uninfected woman who has performed oral intercourse with an HIV infected woman
d
Viral load testing measures the amount of HIV genetic material in the blood so decrease in viral load in
the case of the anti-retroviral therapy is effective. The CD4 level, total lymphocytes and CBC will also be
used to assess the impact of HIV and immune function but not directly measure the effectiveness of anti-
retroviral therapy - correct answer ✔✔a patient with HIV who has been started on antiretroviral therapy
is seen in the clinic for a follow up. which test will be best to monitor when determining the response to
therapy?
a. CD4 level
b. CBC
c. total lymphocyte response
d. viral load
a
