NR 464 EXAM 3 SAUNDERS 2026/2027 | COMPREHENSIVE NURSING QUESTIONS & A…
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 464 Exam 3 Saunders
2026/2027 | Comprehensive
Nursing Questions &
Answers | Latest Exam-
Focused Review
Verified Answers Exam Ready 92 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive review document contains 92 nursing exam questions with provided
correct answers and brief explanations, covering critical care and neurological nursing
topics. It is suitable for students preparing for certification exams, reviewing course
material, and reinforcing knowledge in these specialized areas.
TOPICS
HIV/AIDS Management Q1–Q16
Autoimmune Disorders Q17–Q28
Transplantation & Immunodeficiency Q29–Q37
Neurological Trauma & Injury Q38–Q61
Neurological Assessment & Care Q62–Q73
Increased Intracranial Pressure (ICP) Q74–Q89
Post-Craniotomy Care Q90–Q92
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 92
The nurse provides home care instructions to a client with systemic lupus erythematosus
and tells the client about methods to manage fatigue. Which statement by the client
indicates a need for further instruction?
1. "I should take hot baths because they are relaxing."
2. "I should sit whenever possible to conserve my energy."
3. "I should avoid long periods of rest because it causes joint stiffness."
4. "I should do some exercises, such as walking, when I am not fatigued."
RESPONSE
1. "I should take hot baths because they are relaxing."
To help reduce fatigue in the client with systemic lupus erythematosus, the nurse should
instruct the client to sit whenever possible, avoid hot baths (because they exacerbate fatigue),
schedule moderate low-impact exercises when not fatigued, and maintain a balanced diet. The
client is instructed to avoid long periods of rest because it promotes joint stiffness.
Q2 QUESTION 2 OF 92
The nurse is assisting in planning care for a client with a diagnosis of immunodeficiency and
should incorporate which action as a priority in the plan?
1. Protecting the client from infection
2. Providing emotional support to decrease fear
3. Encouraging discussion about lifestyle changes
4. Identifying factors that decreased the immune function
RESPONSE
1. Protecting the client from infection
Page 2
, Q3 QUESTION 3 OF 92
The client with acquired immunodeficiency syndrome is diagnosed with cutaneous Kaposi's
sarcoma. Based on this diagnosis, the nurse understands that this has been confirmed by
which finding?
1. Swelling in the genital area
2. Swelling in the lower extremities
3. Positive punch biopsy of the cutaneous lesions
4. Appearance of reddish-blue lesions noted on the skin
RESPONSE
3. Positive punch biopsy of the cutaneous lesions
Kaposi's sarcoma lesions begin as red, dark blue, or purple macules on the lower legs that
change into plaques. These large plaques ulcerate or open and drain. The lesions spread by
metastasis through the upper body and then to the face and oral mucosa. They can move to the
lymphatic system, lungs, and gastrointestinal tract. Late disease results in swelling and pain in
the lower extremities, penis, scrotum, or face. Diagnosis is made by punch biopsy of cutaneous
lesions and biopsy of pulmonary and gastrointestinal lesions.
Q4 QUESTION 4 OF 92
A client with acquired immunodeficiency syndrome (AIDS) has been started on therapy with
zidovudine. The nurse should monitor the results of which laboratory blood study for
adverse effects of therapy?
1. Creatinine level
2. Potassium concentration
3. Complete blood cell (CBC) count
4. Blood urea nitrogen (BUN) level
RESPONSE
3. Complete blood cell (CBC) count
Acquired immunodeficiency syndrome is a viral disease caused by the human
immunodeficiency virus (HIV), which destroys T cells, thereby increasing susceptibility to
infection and malignancy. Common adverse effects of zidovudine are agranulocytopenia and
anemia. The nurse should monitor the CBC count for these changes. Creatinine, potassium, and
BUN are unrelated to this medication.
Page 3
, Q5 QUESTION 5 OF 92
A client has requested and undergone testing for human immunodeficiency virus (HIV)
infection. The client asks what will be done next because the result of the enzyme-linked
immunosorbent assay (ELISA) has been positive. Which diagnostic study should the nurse
be aware of before responding to the client?
1. No further diagnostic studies are needed.
2. A Western blot will be done to confirm these findings.
3. The client probably will have a bone marrow biopsy done.
4. A CD4+ cell count will be done to measure T helper lymphocytes.
RESPONSE
2. A Western blot will be done to confirm these findings.
Q6 QUESTION 6 OF 92
The nurse is caring for a client with acquired immunodeficiency syndrome and detects early
infection with Pneumocystis jiroveci by monitoring the client for which clinical
manifestation?
1. Fever
2. Cough
3. Dyspnea at rest
4. Dyspnea on exertion
RESPONSE
2. Cough
Pneumocystis jiroveci pneumonia (PCP) is a fungal infection and is a common opportunistic
infection. The client with P. jiroveci infection usually has a cough as the first sign. The cough
begins as nonproductive and then progresses to productive. Later signs and symptoms include
fever, dyspnea on exertion, and finally dyspnea at rest.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 464 Exam 3 Saunders
2026/2027 | Comprehensive
Nursing Questions &
Answers | Latest Exam-
Focused Review
Verified Answers Exam Ready 92 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive review document contains 92 nursing exam questions with provided
correct answers and brief explanations, covering critical care and neurological nursing
topics. It is suitable for students preparing for certification exams, reviewing course
material, and reinforcing knowledge in these specialized areas.
TOPICS
HIV/AIDS Management Q1–Q16
Autoimmune Disorders Q17–Q28
Transplantation & Immunodeficiency Q29–Q37
Neurological Trauma & Injury Q38–Q61
Neurological Assessment & Care Q62–Q73
Increased Intracranial Pressure (ICP) Q74–Q89
Post-Craniotomy Care Q90–Q92
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 92
The nurse provides home care instructions to a client with systemic lupus erythematosus
and tells the client about methods to manage fatigue. Which statement by the client
indicates a need for further instruction?
1. "I should take hot baths because they are relaxing."
2. "I should sit whenever possible to conserve my energy."
3. "I should avoid long periods of rest because it causes joint stiffness."
4. "I should do some exercises, such as walking, when I am not fatigued."
RESPONSE
1. "I should take hot baths because they are relaxing."
To help reduce fatigue in the client with systemic lupus erythematosus, the nurse should
instruct the client to sit whenever possible, avoid hot baths (because they exacerbate fatigue),
schedule moderate low-impact exercises when not fatigued, and maintain a balanced diet. The
client is instructed to avoid long periods of rest because it promotes joint stiffness.
Q2 QUESTION 2 OF 92
The nurse is assisting in planning care for a client with a diagnosis of immunodeficiency and
should incorporate which action as a priority in the plan?
1. Protecting the client from infection
2. Providing emotional support to decrease fear
3. Encouraging discussion about lifestyle changes
4. Identifying factors that decreased the immune function
RESPONSE
1. Protecting the client from infection
Page 2
, Q3 QUESTION 3 OF 92
The client with acquired immunodeficiency syndrome is diagnosed with cutaneous Kaposi's
sarcoma. Based on this diagnosis, the nurse understands that this has been confirmed by
which finding?
1. Swelling in the genital area
2. Swelling in the lower extremities
3. Positive punch biopsy of the cutaneous lesions
4. Appearance of reddish-blue lesions noted on the skin
RESPONSE
3. Positive punch biopsy of the cutaneous lesions
Kaposi's sarcoma lesions begin as red, dark blue, or purple macules on the lower legs that
change into plaques. These large plaques ulcerate or open and drain. The lesions spread by
metastasis through the upper body and then to the face and oral mucosa. They can move to the
lymphatic system, lungs, and gastrointestinal tract. Late disease results in swelling and pain in
the lower extremities, penis, scrotum, or face. Diagnosis is made by punch biopsy of cutaneous
lesions and biopsy of pulmonary and gastrointestinal lesions.
Q4 QUESTION 4 OF 92
A client with acquired immunodeficiency syndrome (AIDS) has been started on therapy with
zidovudine. The nurse should monitor the results of which laboratory blood study for
adverse effects of therapy?
1. Creatinine level
2. Potassium concentration
3. Complete blood cell (CBC) count
4. Blood urea nitrogen (BUN) level
RESPONSE
3. Complete blood cell (CBC) count
Acquired immunodeficiency syndrome is a viral disease caused by the human
immunodeficiency virus (HIV), which destroys T cells, thereby increasing susceptibility to
infection and malignancy. Common adverse effects of zidovudine are agranulocytopenia and
anemia. The nurse should monitor the CBC count for these changes. Creatinine, potassium, and
BUN are unrelated to this medication.
Page 3
, Q5 QUESTION 5 OF 92
A client has requested and undergone testing for human immunodeficiency virus (HIV)
infection. The client asks what will be done next because the result of the enzyme-linked
immunosorbent assay (ELISA) has been positive. Which diagnostic study should the nurse
be aware of before responding to the client?
1. No further diagnostic studies are needed.
2. A Western blot will be done to confirm these findings.
3. The client probably will have a bone marrow biopsy done.
4. A CD4+ cell count will be done to measure T helper lymphocytes.
RESPONSE
2. A Western blot will be done to confirm these findings.
Q6 QUESTION 6 OF 92
The nurse is caring for a client with acquired immunodeficiency syndrome and detects early
infection with Pneumocystis jiroveci by monitoring the client for which clinical
manifestation?
1. Fever
2. Cough
3. Dyspnea at rest
4. Dyspnea on exertion
RESPONSE
2. Cough
Pneumocystis jiroveci pneumonia (PCP) is a fungal infection and is a common opportunistic
infection. The client with P. jiroveci infection usually has a cough as the first sign. The cough
begins as nonproductive and then progresses to productive. Later signs and symptoms include
fever, dyspnea on exertion, and finally dyspnea at rest.
Page 4
