ATI HIV AIDS Targeted MEd Surg Practice Test
Questions & Answers
A group of nurses are discussing risk factors for transmission of human
immunodeficiency virus (HIV) from clients. Which of the following individuals should
the nurse identify as being at the greatest risk for contracting HIV?
A) An occupational therapist who works with a client who has HIV
B) A personal trainer who works with a client who has HIV
C) A phlebotomist who collects blood from clients who have HIV
D) A nurse who works for an insurance company and collects urine samples from clients
who have HIV - ANS: C
The greatest risk for exposure to HIV is from a needle stick; therefore, the phlebotomist
who collects blood is at greatest risk.
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-
T-cell count. The nurse should recognize that the client is at risk for developing which of
the following infectious oral conditions?
A) Halitosis
B) Gingivitis
C) Xerostomia
D) Candidiasis - ANS: D
Although oral candidiasis can affect anyone, it occurs most often in infants, toddlers,
older adults, and clients whose immune systems have been compromised by illness, such
as AIDS, or medications.
A nurse is a provider's office is assessing a client who has AIDS. Then nurse notes that
the client has multiple and widespread raised, purplish-blown skin lesions. The nurse
should recognize that these findings indicate which of the following conditions?
A) Actinic keratosis
B) Kaposi's sarcoma
C) Toxic epidermal necrosis
D) Basal cell carcinoma - ANS: B
Kaposi's sarcoma are AIDS-related malignant skin and mucous membrane lesions that
are usually purplish-brown, raised and edematous.
A nurse is assessing a client who has a history of HIV with phagocytic dysfunction. The
nurse should monitor this client for which of the following conditions?
, A) Dehydration
B) Fungal infection
C) Compartment syndrome
D) Pleural effusion - ANS: B
The nurse should monitor the client for fungal infections due to the impairment of the
phagocytic cells. Fungal and bacterial infections are the primary results of the
dysfunction
A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus
(HIV). He states, " I don't care what the doctors say, there is no way I can have HIV, and
I don't need treatment for something I don't have." The nurse identifies that the client is
experiencing which of the following types of crisis?
A) Adventitious
B) Internal
C) Maturational
D) Situational - ANS: D
A diagnosis of HIV is a situational crisis which is one that is unexpected but is part of
regular life such as a serious illness or financial loss.
A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as
part of antiretroviral therapy. The nurse should monitor the client for which of the
following adverse effects of this medication?
A) Cardiac dysrhythmia
B) Metabolic alkalosis
C) Renal failure
D) Anaplastic anemia - ANS: D
Severe myelosuppression that results in anemia (decreased red blood cells),
agranulocytosis (decreased white blood cells), and thrombocytopenia (decreased
platelets), is a life-threatening adverse reaction to zidovudine therapy. Consequently,
zidovudine must be used cautiously in clients already experiencing myelosuppression,
and the client must be monitored with a CBC performed every few weeks for early
detection of marrow failure, which may lead to aplastic anemia.
A nurse is caring for a client who has HIV. Which of the following laboratory tests
should the nurse monitor to assess the effectiveness of therapy?
A) Quantitative RNA assay
B) Platelet count
Questions & Answers
A group of nurses are discussing risk factors for transmission of human
immunodeficiency virus (HIV) from clients. Which of the following individuals should
the nurse identify as being at the greatest risk for contracting HIV?
A) An occupational therapist who works with a client who has HIV
B) A personal trainer who works with a client who has HIV
C) A phlebotomist who collects blood from clients who have HIV
D) A nurse who works for an insurance company and collects urine samples from clients
who have HIV - ANS: C
The greatest risk for exposure to HIV is from a needle stick; therefore, the phlebotomist
who collects blood is at greatest risk.
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-
T-cell count. The nurse should recognize that the client is at risk for developing which of
the following infectious oral conditions?
A) Halitosis
B) Gingivitis
C) Xerostomia
D) Candidiasis - ANS: D
Although oral candidiasis can affect anyone, it occurs most often in infants, toddlers,
older adults, and clients whose immune systems have been compromised by illness, such
as AIDS, or medications.
A nurse is a provider's office is assessing a client who has AIDS. Then nurse notes that
the client has multiple and widespread raised, purplish-blown skin lesions. The nurse
should recognize that these findings indicate which of the following conditions?
A) Actinic keratosis
B) Kaposi's sarcoma
C) Toxic epidermal necrosis
D) Basal cell carcinoma - ANS: B
Kaposi's sarcoma are AIDS-related malignant skin and mucous membrane lesions that
are usually purplish-brown, raised and edematous.
A nurse is assessing a client who has a history of HIV with phagocytic dysfunction. The
nurse should monitor this client for which of the following conditions?
, A) Dehydration
B) Fungal infection
C) Compartment syndrome
D) Pleural effusion - ANS: B
The nurse should monitor the client for fungal infections due to the impairment of the
phagocytic cells. Fungal and bacterial infections are the primary results of the
dysfunction
A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus
(HIV). He states, " I don't care what the doctors say, there is no way I can have HIV, and
I don't need treatment for something I don't have." The nurse identifies that the client is
experiencing which of the following types of crisis?
A) Adventitious
B) Internal
C) Maturational
D) Situational - ANS: D
A diagnosis of HIV is a situational crisis which is one that is unexpected but is part of
regular life such as a serious illness or financial loss.
A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as
part of antiretroviral therapy. The nurse should monitor the client for which of the
following adverse effects of this medication?
A) Cardiac dysrhythmia
B) Metabolic alkalosis
C) Renal failure
D) Anaplastic anemia - ANS: D
Severe myelosuppression that results in anemia (decreased red blood cells),
agranulocytosis (decreased white blood cells), and thrombocytopenia (decreased
platelets), is a life-threatening adverse reaction to zidovudine therapy. Consequently,
zidovudine must be used cautiously in clients already experiencing myelosuppression,
and the client must be monitored with a CBC performed every few weeks for early
detection of marrow failure, which may lead to aplastic anemia.
A nurse is caring for a client who has HIV. Which of the following laboratory tests
should the nurse monitor to assess the effectiveness of therapy?
A) Quantitative RNA assay
B) Platelet count
