NUR 318 Pathophysiology Chapter 12: Disorders of the Immune Response – UPDATED Questi…
NUR 318 Pathophysiology Chapter 12: Disorders
of the Immune Response – UPDATED Questions
with 100% Verified Answers
Section 1: Client, Nurse, Positive (Q1–Q12)
Question & Answer
Q1 What is the priority intervention for a nurse caring for a client with wasting syndrome
from AIDS?
A Promote nutritional intake.
Q2 A client describes himself as being "devastated" after hearing that his HIV test has come
back positive. Which response by the nurse is most appropriate?
A "It's entirely normal to feel that way. We are going to try our best to help you get all the support you
need."
Q3 The nurse is caring for a client who is HIV positive and is newly diagnosed with
Mycobacterium tuberculosis (TB). Which manifestations does the nurse associate with
TB? Select all that apply.
A Fever Night sweats Cough
Q4 Which is least likely to contribute to the spread of HIV infection?
A Mosquitoes
Q5 The nurse is providing care for a client whose abrupt-onset hypersensitivity reaction
was stimulated by an antigen challenge. The nurse should understand that this reaction
is:
A IgE-mediated.
Q6 A 21-year-old client was diagnosed with HIV 4 years ago, which progressed to AIDS 1
year ago. Now, the client presents with cytomegalovirus. The nurse explains to the
client that the infection is caused by a common organism that normally does not cause
infection in someone with a healthy immune system. This type of infection is called
what?
A opportunistic infection
Q7 A client is suffering from the effects of the opportunistic infection, Cryptosporidium
parvum. An important nursing intervention would be to encourage which action?
A Hydration
Q8 A college student has been called into the student health office because she tested
positive for HIV on the enzyme-linked immunosorbent assay (ELISA). The student asks,
"What is this Western blot assay going to tell you?" The best response by the health
care provider is:
A "The Western blot is a more sensitive assay that looks for the presence of antibodies to specific viral
antigens."
Page 1 of 11
, NUR 318 Pathophysiology Chapter 12: Disorders of the Immune Response – UPDATED Questi…
Question & Answer
Q9 A nurse is assigned to care for a client who is positive for HIV. What personal protective
equipment (PPE) will the nurse wear while caring for this client?
A The nurse wears gloves if there is a chance of coming in contact with the client's blood or body
fluids.
Q10 The nurse is caring for a client who has just learned that he is HIV positive. The client
asks the nurse how long he has been able to infect others. Select the best response by
the nurse.
A "You can infect others before the HIV antibody is detectable in your blood."
Q11 A client presents to the urgent care clinic with erythematous, papular, and vesicular
lesions associated with intense pruritus and weeping. The client states he was in the
woods and thinks he may have come in contact with poison ivy. The reaction may be
classified as:
A Allergic contact dermatitis
Q12 Manifestations of Kaposi sarcoma include:
A lesions of the skin and in the oral cavity, gastrointestinal tract, and lungs.
Section 2: Nurse, Client, Infection (Q13–Q24)
Question & Answer
Q13 The nurse is reviewing the client's medical record for the results of a Western blot test
with the understanding that:
A the Western blot is used to confirm a diagnosis of HIV infection.
Q14 A client recently diagnosed with leukocyte adhesion deficiency (LAD) asks, "Why am I
always sick with an infection?" Which response by the nurse explains this rare
autosomal recessive disorder?
A Your white blood cells are not able to leave the blood vessels and move into the area of infection."
Q15 In providing education to a sexually active 22-year-old female, which topic would be
most beneficial to discuss to decrease her risk for contracting HIV?
A Consistent use of latex condoms with sexual activity
Q16 A parent brings a 6-month-old infant to the primary care physician to treat the infant's
third respiratory infection since birth. What explanation will the nurse give for the order
to administer intravenous immunoglobulin (IVIg)?
A "IVIg supplements the infant's immunity to prevent recurrent infection."
Q17 The nurse working at a community clinic is caring for a young male client. The client
asks the nurse if he could get HIV/AIDS from being sprayed in the face with breast milk.
Select the best response by the nurse.
A "Breast milk can contain HIV, which causes AIDS, but to be infected, the milk needs to be in contact
with your mucous membranes or an open sore."
Page 2 of 11
NUR 318 Pathophysiology Chapter 12: Disorders
of the Immune Response – UPDATED Questions
with 100% Verified Answers
Section 1: Client, Nurse, Positive (Q1–Q12)
Question & Answer
Q1 What is the priority intervention for a nurse caring for a client with wasting syndrome
from AIDS?
A Promote nutritional intake.
Q2 A client describes himself as being "devastated" after hearing that his HIV test has come
back positive. Which response by the nurse is most appropriate?
A "It's entirely normal to feel that way. We are going to try our best to help you get all the support you
need."
Q3 The nurse is caring for a client who is HIV positive and is newly diagnosed with
Mycobacterium tuberculosis (TB). Which manifestations does the nurse associate with
TB? Select all that apply.
A Fever Night sweats Cough
Q4 Which is least likely to contribute to the spread of HIV infection?
A Mosquitoes
Q5 The nurse is providing care for a client whose abrupt-onset hypersensitivity reaction
was stimulated by an antigen challenge. The nurse should understand that this reaction
is:
A IgE-mediated.
Q6 A 21-year-old client was diagnosed with HIV 4 years ago, which progressed to AIDS 1
year ago. Now, the client presents with cytomegalovirus. The nurse explains to the
client that the infection is caused by a common organism that normally does not cause
infection in someone with a healthy immune system. This type of infection is called
what?
A opportunistic infection
Q7 A client is suffering from the effects of the opportunistic infection, Cryptosporidium
parvum. An important nursing intervention would be to encourage which action?
A Hydration
Q8 A college student has been called into the student health office because she tested
positive for HIV on the enzyme-linked immunosorbent assay (ELISA). The student asks,
"What is this Western blot assay going to tell you?" The best response by the health
care provider is:
A "The Western blot is a more sensitive assay that looks for the presence of antibodies to specific viral
antigens."
Page 1 of 11
, NUR 318 Pathophysiology Chapter 12: Disorders of the Immune Response – UPDATED Questi…
Question & Answer
Q9 A nurse is assigned to care for a client who is positive for HIV. What personal protective
equipment (PPE) will the nurse wear while caring for this client?
A The nurse wears gloves if there is a chance of coming in contact with the client's blood or body
fluids.
Q10 The nurse is caring for a client who has just learned that he is HIV positive. The client
asks the nurse how long he has been able to infect others. Select the best response by
the nurse.
A "You can infect others before the HIV antibody is detectable in your blood."
Q11 A client presents to the urgent care clinic with erythematous, papular, and vesicular
lesions associated with intense pruritus and weeping. The client states he was in the
woods and thinks he may have come in contact with poison ivy. The reaction may be
classified as:
A Allergic contact dermatitis
Q12 Manifestations of Kaposi sarcoma include:
A lesions of the skin and in the oral cavity, gastrointestinal tract, and lungs.
Section 2: Nurse, Client, Infection (Q13–Q24)
Question & Answer
Q13 The nurse is reviewing the client's medical record for the results of a Western blot test
with the understanding that:
A the Western blot is used to confirm a diagnosis of HIV infection.
Q14 A client recently diagnosed with leukocyte adhesion deficiency (LAD) asks, "Why am I
always sick with an infection?" Which response by the nurse explains this rare
autosomal recessive disorder?
A Your white blood cells are not able to leave the blood vessels and move into the area of infection."
Q15 In providing education to a sexually active 22-year-old female, which topic would be
most beneficial to discuss to decrease her risk for contracting HIV?
A Consistent use of latex condoms with sexual activity
Q16 A parent brings a 6-month-old infant to the primary care physician to treat the infant's
third respiratory infection since birth. What explanation will the nurse give for the order
to administer intravenous immunoglobulin (IVIg)?
A "IVIg supplements the infant's immunity to prevent recurrent infection."
Q17 The nurse working at a community clinic is caring for a young male client. The client
asks the nurse if he could get HIV/AIDS from being sprayed in the face with breast milk.
Select the best response by the nurse.
A "Breast milk can contain HIV, which causes AIDS, but to be infected, the milk needs to be in contact
with your mucous membranes or an open sore."
Page 2 of 11
