NUR 201 MEDICAL-SURGICAL NURSING I EXAM 4 LATEST 2025
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
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Nurse is working with pr newly diagnosed with hiv and reports
current use of fukin heroin and meth. Which actions are
appropriate by the nurse. Select all
A. Refer the pt to a substance abuse treatment program
B. Plan for the pt to participate in needle exchange program
C. Coordinate pt schedule for directly observed antiretroviral drug
tx
D. Instruct the pt that ongoing injectable drug use is a
contraindication for antiretrovital therapy
E. Provie pt education about risk of transmitting hiv to others
when sharing needles - answer-all besides d
Pt with newly diagnosed aids has 6mm induration at 48 hrs after
skin test for tb. Which action will the nurse anticipate taking next
A. Arrange for a cxr to check for active tb
B. Tell the pt that the tb test results are negative
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C. Teach the pt about multidrug tx for tb
D. Schedule tb test again in 12 months - answer-a. Arrange for a
cxr to check for active tb
Nurse is working in hospice facility for pt with aids. The facility is
staffed with lpns and uaps which action will the nurse give to the
stupid lpn
A. Assess pt nutritional needs and individual diet plans to improve
nutrition
B. Collect data about pt response to meds used for pain and
anorexia
C. Develop uap training program about how to lower risk for
spreading infection
D. Assist pt with personal hygiene and other adls as needed -
answer-b. Collect data about pt response to meds used for pain
and anorexia
Which of these pt cared for by the nurse in the clinic presents the
highest risk for infection with hiv during sexual intercourse
A. Uninfected man reports oral sex with infected woman
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B. Uninfected man gets topped by an infected man
C. Uninfected woman got railed by infected man
D. Uninfected woman got head from infected woman - answer-b.
Uninfected man gets topped by an infected man
Transmission more likely anal > vaginal > oral
Pt with hiv started antiretroviral therapy seen in clinic for follow up.
Which test will be best to monitor when determining the response
to therapy
A. Cd4 level
B. Cbc
C. Lymphocyte percent
D. Viral load - answer-d. Viral load
Hospitalized pt with aids has wasting syndrome. Which nursing
thing is best to give to the lpn
A. Administer oxandrolone 5mg/day
B. Assess pt for other nutritional risk factors
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C. Develop plan of care to improve pt appetite
D. Provide instruction about high calorie, high protein diet -
answer-a. Administer oxandrolone 5mg/day
(appetite stimulant)
Pt with hiv has these info. Which finding is most important to
report to the hcp
A. Bg 144
B. Hgb 10.9
C. Pt reports frequent nausea
D. Viral load has increased - answer-d. Viral load has increased\
Bad
Pt with hiv is taking nucleoside reverse transcriptase inhibitors
and protease inhibitor is admitted to psych unit with panic attack.
Which info about the pt is most important to discuss with hcp
A. Pt exclaims "im afraid im going to die right here"