HIV/AIDS NCLEX QUESTIONS AND ANSWERS WITH 100% CORRECT
1. A patient who has tested The patient is diagnosed with acquired im-
positive for the human im- munodeficiency syndrome (AIDS).
munodeficiency virus (HIV)
arrives at the clinic with a
report of fever, nonproduc-
tive cough, and fatigue. The
patient's CD4 count is 184
cells/mcL. How should the
healthcare provider interpret
these findings?
Please choose from one of
the following options.
A. The patient is diagnosed
with acquired immunodefi-
ciency syndrome (AIDS).
B.The patient is now in the
latent stages of HIV infection
C.These findings provide evi-
dence that the patient has se-
roconverted.
D. This is an expected finding
because the patient has test-
ed positive for HIV.
2. Which member of the health (A)
care team demonstrates re- A) The dietary worker hands the disposable
ducing the risk for infec- meal trays to the LPN assigned to the client.
tion for the client with Rationale: This limits the number of health
acquired immunodeficiency care personnel entering the room.
syndrome (AIDS)?
Incorrect:
A) The dietary worker hands B) The social worker encourages the client to
the disposable meal trays verbalize about stressors at home.
to the LPN assigned to the Rationale: Verbalizing stressors does not re-
client. duce the risk for infection.
B) The social worker encour- C) Housekeeping thoroughly cleans and dis-
ages the client to verbalize infects the hallways near the client's room.
about stressors at home. Rationale: Bathrooms, not hallways, that are
, HIV/AIDS NCLEX QUESTIONS AND ANSWERS WITH 100% CORRECT
C) Housekeeping thorough- cleaned at least once daily by housekeeping
ly cleans and disinfects the reduces infection. D) Health care provider or-
hallways near the client's ders vital signs including temperature every 8
room. hours.
D) Health care provider or- Rationale Vital signs, including temperature,
ders vital signs including should be taken every 4 hours to detect po-
temperature every 8 hours. tential infection.
3. The nurse is instructing an (C)
unlicensed health care work- C) ''Washing my hands and putting on a gown
er on the care of the client and gloves is what I must do before starting
with HIV who also has active care.''
genital herpes. Which state- Rationale: Standard precautions include
ment by the health care work- whatever personal protective equipment
er indicates effective teach- (PPE) is necessary for the prevention of
ing of standard precautions? transmission of HIV and genital herpes.
A) ''I need to know my HIV Incorrect:
status, so I must get test- A) ''I need to know my HIV status, so I must
ed before caring for any get tested before caring for any clients."
clients." Rationale: Knowing HIV status is important
B) ''Putting on a gown and for preventing transmission of HIV, but is not
gloves will cover up the itchy a standard precaution.
sores on my elbows.'' B) ''Putting on a gown and gloves will cover
C) ''Washing my hands and up the itchy sores on my elbows.''
putting on a gown and gloves Rationale: Health care workers with weep-
is what I must do before start- ing dermatitis should not provide direct client
ing care.'' care regardless of the use of gown and
D) ''I will wash my hands be- gloves.
fore going into the room, and D) ''I will wash my hands before going into the
then put on gown and gloves room, and then put on gown and gloves only
only for direct contact with for direct contact with the client's genitals."
the client's genitals." Rationale: Unlicensed health care workers
cannot make the determination of what is re-
quired for PPE or standard precaution
4. Which statement made to the (B)
nurse by a health care work- B) ''The other health care worker and I were
er assigned to care for the out in the hallway discussing how we were
, HIV/AIDS NCLEX QUESTIONS AND ANSWERS WITH 100% CORRECT
client with HIV indicates a concerned about getting HIV from our client,
breach of confidentiality and so no one could hear us in the client's room.''
requires further education by Rationale: Discussing this client's illness out-
the nurse? side the client's room is a breach of confiden-
tiality.
A) ''I told the family members
they needed to wash their Incorrect:
hands when they enter and A) ''I told the family members they needed to
leave the room.'' wash their hands when they enter and leave
B) ''The other health care the room.'' Rationale: Instruction on hand-
worker and I were out in the washing to family members or friends is not a
hallway discussing how we breach of confidentiality. C) ''Yes, I understand
were concerned about get- the reasons why I have to wear gloves when
ting HIV from our client, so I bathe my client.''
no one could hear us in the Rationale: This recognizes standard precau-
client's room.'' tions in direct care, and is not a breach of
C) ''Yes, I understand the rea- confidentiality.
sons why I have to wear D) ''The client's spouse told me she got HIV
gloves when I bathe my from a blood transfusion.''
client.'' Rationale: The health care worker assigned is
D) ''The client's spouse told relaying the conversation to the nurse. This is
me she got HIV from a blood not a breach of confidentiality
transfusion.
5. When preparing the newly B)
diagnosed client with HIV B) ''Always position the condom with a space
and significant other for dis- at the tip of an erect penis.''
charge, which explanation Rationale: This allows for the collection of se-
by the nurse accurately de- men at the tip of the condom.
scribes proper condom use?
Incorrect:
A) ''Condoms should be A) ''Condoms should be used when lesions
used when lesions on the pe- on the penis are present.''
nis are present.'' Rationale: Condoms must be used at all times
B) ''Always position the con- with sexual activity, with or without the pres-
dom with a space at the tip of ence of lesions.
an erect penis.'' C) ''Make sure it fits loosely to allow for penile
C) ''Make sure it fits loosely erection.''
to allow for penile erection.'' Rationale: Condoms should be applied on
1. A patient who has tested The patient is diagnosed with acquired im-
positive for the human im- munodeficiency syndrome (AIDS).
munodeficiency virus (HIV)
arrives at the clinic with a
report of fever, nonproduc-
tive cough, and fatigue. The
patient's CD4 count is 184
cells/mcL. How should the
healthcare provider interpret
these findings?
Please choose from one of
the following options.
A. The patient is diagnosed
with acquired immunodefi-
ciency syndrome (AIDS).
B.The patient is now in the
latent stages of HIV infection
C.These findings provide evi-
dence that the patient has se-
roconverted.
D. This is an expected finding
because the patient has test-
ed positive for HIV.
2. Which member of the health (A)
care team demonstrates re- A) The dietary worker hands the disposable
ducing the risk for infec- meal trays to the LPN assigned to the client.
tion for the client with Rationale: This limits the number of health
acquired immunodeficiency care personnel entering the room.
syndrome (AIDS)?
Incorrect:
A) The dietary worker hands B) The social worker encourages the client to
the disposable meal trays verbalize about stressors at home.
to the LPN assigned to the Rationale: Verbalizing stressors does not re-
client. duce the risk for infection.
B) The social worker encour- C) Housekeeping thoroughly cleans and dis-
ages the client to verbalize infects the hallways near the client's room.
about stressors at home. Rationale: Bathrooms, not hallways, that are
, HIV/AIDS NCLEX QUESTIONS AND ANSWERS WITH 100% CORRECT
C) Housekeeping thorough- cleaned at least once daily by housekeeping
ly cleans and disinfects the reduces infection. D) Health care provider or-
hallways near the client's ders vital signs including temperature every 8
room. hours.
D) Health care provider or- Rationale Vital signs, including temperature,
ders vital signs including should be taken every 4 hours to detect po-
temperature every 8 hours. tential infection.
3. The nurse is instructing an (C)
unlicensed health care work- C) ''Washing my hands and putting on a gown
er on the care of the client and gloves is what I must do before starting
with HIV who also has active care.''
genital herpes. Which state- Rationale: Standard precautions include
ment by the health care work- whatever personal protective equipment
er indicates effective teach- (PPE) is necessary for the prevention of
ing of standard precautions? transmission of HIV and genital herpes.
A) ''I need to know my HIV Incorrect:
status, so I must get test- A) ''I need to know my HIV status, so I must
ed before caring for any get tested before caring for any clients."
clients." Rationale: Knowing HIV status is important
B) ''Putting on a gown and for preventing transmission of HIV, but is not
gloves will cover up the itchy a standard precaution.
sores on my elbows.'' B) ''Putting on a gown and gloves will cover
C) ''Washing my hands and up the itchy sores on my elbows.''
putting on a gown and gloves Rationale: Health care workers with weep-
is what I must do before start- ing dermatitis should not provide direct client
ing care.'' care regardless of the use of gown and
D) ''I will wash my hands be- gloves.
fore going into the room, and D) ''I will wash my hands before going into the
then put on gown and gloves room, and then put on gown and gloves only
only for direct contact with for direct contact with the client's genitals."
the client's genitals." Rationale: Unlicensed health care workers
cannot make the determination of what is re-
quired for PPE or standard precaution
4. Which statement made to the (B)
nurse by a health care work- B) ''The other health care worker and I were
er assigned to care for the out in the hallway discussing how we were
, HIV/AIDS NCLEX QUESTIONS AND ANSWERS WITH 100% CORRECT
client with HIV indicates a concerned about getting HIV from our client,
breach of confidentiality and so no one could hear us in the client's room.''
requires further education by Rationale: Discussing this client's illness out-
the nurse? side the client's room is a breach of confiden-
tiality.
A) ''I told the family members
they needed to wash their Incorrect:
hands when they enter and A) ''I told the family members they needed to
leave the room.'' wash their hands when they enter and leave
B) ''The other health care the room.'' Rationale: Instruction on hand-
worker and I were out in the washing to family members or friends is not a
hallway discussing how we breach of confidentiality. C) ''Yes, I understand
were concerned about get- the reasons why I have to wear gloves when
ting HIV from our client, so I bathe my client.''
no one could hear us in the Rationale: This recognizes standard precau-
client's room.'' tions in direct care, and is not a breach of
C) ''Yes, I understand the rea- confidentiality.
sons why I have to wear D) ''The client's spouse told me she got HIV
gloves when I bathe my from a blood transfusion.''
client.'' Rationale: The health care worker assigned is
D) ''The client's spouse told relaying the conversation to the nurse. This is
me she got HIV from a blood not a breach of confidentiality
transfusion.
5. When preparing the newly B)
diagnosed client with HIV B) ''Always position the condom with a space
and significant other for dis- at the tip of an erect penis.''
charge, which explanation Rationale: This allows for the collection of se-
by the nurse accurately de- men at the tip of the condom.
scribes proper condom use?
Incorrect:
A) ''Condoms should be A) ''Condoms should be used when lesions
used when lesions on the pe- on the penis are present.''
nis are present.'' Rationale: Condoms must be used at all times
B) ''Always position the con- with sexual activity, with or without the pres-
dom with a space at the tip of ence of lesions.
an erect penis.'' C) ''Make sure it fits loosely to allow for penile
C) ''Make sure it fits loosely erection.''
to allow for penile erection.'' Rationale: Condoms should be applied on
