NUR257 Exam 1 UPDATED ACTUAL
Exam Questions and CORRECT Answers
A pediatric client is recovering from an anaphylactic reaction to an allergen. In the first
assessment, the client presents with a periorbital accumulation of blood, a common occurrence in
children. What type of allergic reaction presents "allergic shiners"?
type II
type I
type IV
type III - CORRECT ANSWER - type I
The nurse reviews laboratory results requested to track HIV. What laboratory test measures HIV
RNA levels and is the best predictor of HIV disease progression?
Enzyme immunoassay (EIA)
CD4/CD8
Western blot
Viral load - CORRECT ANSWER - Viral load
Cryptococcus meningitis is suspected in a client with HIV. Which manifestations would be
consistent with cryptococcus meningitis? Select all that apply.
Hyperreflexia
Psychomotor slowing
Vacant stare
Stiff neck
Seizures - CORRECT ANSWER - Stiff neck
Seizures
A client with AIDS develops pneumocystis pneumonia. The nurse would most likely expect to
include administration of which agent in the client's plan of care?
Azithromycin
,Aerosolized pentamidine
TMP-SMZ
Clindamycin - CORRECT ANSWER - TMP-SMZ
A client is diagnosed with pneumocystis pneumonia (PCP). What medication does the nurse
anticipate educating the client about for treatment?
Azithromycin
TMP-SMZ
Cephalexin
Garamycin - CORRECT ANSWER - TMP-SMZ
A client comes to the clinic to see the physician, reporting, "I think I ate something that I am
allergic to." What symptoms would be appropriate for the nurse to ask questions about?
Nasal congestion and coughing
Hives and itching
Sneezing and runny nose
Diarrhea and abdominal cramping - CORRECT ANSWER - Diarrhea and abdominal
cramping
A nurse is preparing to administer an antiretroviral medication to a client who is positive for
HIV. The nurse identifies the drug as a nucleoside reverse transcriptase inhibitor (NRTI). What
drug will the nurse administer?
Lamivudine
Etravirine
Delavirdine
Nevirapine - CORRECT ANSWER - Lamivudine
The nurse is teaching a client with HIV how to use a male condom. The client demonstrates
understanding of the information when he makes which statements? Select all that apply.
,"I can keep several condoms in my wallet in my back trouser pocket so they are readily
available."
"I should avoid using baby oil or petroleum jelly with a condom."
"I need to hold the condom by the tip to squeeze out the air before putting it on."
"I can reuse a condom two or three times when I'm having sexual intercourse."
"I should unroll the condom all the way over my erect penis." - CORRECT ANSWER - "I
need to hold the condom by the tip to squeeze out the air before putting it on."
"I should unroll the condom all the way over my erect penis."
I should avoid using baby oil or petroleum jelly with a condom."
A nurse is caring for a client with human immunodeficiency virus (HIV). What would the nurse
expect the health care provider to order to determine the effectiveness of treatment?
ELISA with Western blot test
enzyme-linked immunosorbent assay (ELISA)
E-rosette immunofluorescence
quantification of T-lymphocytes - CORRECT ANSWER - quantification of T-
lymphocytes
The nurse is preparing to administer the recommended dose of intravenous gamma-globulin for a
60-kg male client. How many grams will the nurse administer?
30 g
90 g
15 g
60 g - CORRECT ANSWER - 30 g
A client received 2 units of packed red blood cells while in the hospital with rectal bleeding.
Three days after discharge, the client experienced an allergic response and began to itch and
break out with hives. What type of reaction does the nurse understand could be occurring?
Anaphylactic reaction
Delayed hypersensitivity response
, Sensitization
An immediate hypersensitivity response - CORRECT ANSWER - Delayed
hypersensitivity response
The nurse's plan of care for a client with stage 3 HIV addresses the diagnosis of Risk for
Impaired Skin Integrity Related to candidiasis. What nursing intervention best addresses this
risk?
Applying skin emollients as needed
Providing thorough oral care before and after meals
Administering prophylactic antibiotics
Promoting nutrition and adequate fluid intake - CORRECT ANSWER - Providing
thorough oral care before and after meals
A treatment option for severe combined immune deficiency (SCID) includes
IV immunoglobulin.
chemotherapy.
vitamin D supplements.
a stem cell transplant. - CORRECT ANSWER - a stem cell transplant
Which term defines the balance between the amount of HIV in the body and the immune
response?
Viral clearance rate
Window period
Primary infection stage
Viral set point - CORRECT ANSWER - Viral set point
A client with AIDS has been tested for cytomegalovirus (CMV) with positive titers. What severe
complication should the nurse be alert for with cytomegalovirus?
fatigue
blindness
Exam Questions and CORRECT Answers
A pediatric client is recovering from an anaphylactic reaction to an allergen. In the first
assessment, the client presents with a periorbital accumulation of blood, a common occurrence in
children. What type of allergic reaction presents "allergic shiners"?
type II
type I
type IV
type III - CORRECT ANSWER - type I
The nurse reviews laboratory results requested to track HIV. What laboratory test measures HIV
RNA levels and is the best predictor of HIV disease progression?
Enzyme immunoassay (EIA)
CD4/CD8
Western blot
Viral load - CORRECT ANSWER - Viral load
Cryptococcus meningitis is suspected in a client with HIV. Which manifestations would be
consistent with cryptococcus meningitis? Select all that apply.
Hyperreflexia
Psychomotor slowing
Vacant stare
Stiff neck
Seizures - CORRECT ANSWER - Stiff neck
Seizures
A client with AIDS develops pneumocystis pneumonia. The nurse would most likely expect to
include administration of which agent in the client's plan of care?
Azithromycin
,Aerosolized pentamidine
TMP-SMZ
Clindamycin - CORRECT ANSWER - TMP-SMZ
A client is diagnosed with pneumocystis pneumonia (PCP). What medication does the nurse
anticipate educating the client about for treatment?
Azithromycin
TMP-SMZ
Cephalexin
Garamycin - CORRECT ANSWER - TMP-SMZ
A client comes to the clinic to see the physician, reporting, "I think I ate something that I am
allergic to." What symptoms would be appropriate for the nurse to ask questions about?
Nasal congestion and coughing
Hives and itching
Sneezing and runny nose
Diarrhea and abdominal cramping - CORRECT ANSWER - Diarrhea and abdominal
cramping
A nurse is preparing to administer an antiretroviral medication to a client who is positive for
HIV. The nurse identifies the drug as a nucleoside reverse transcriptase inhibitor (NRTI). What
drug will the nurse administer?
Lamivudine
Etravirine
Delavirdine
Nevirapine - CORRECT ANSWER - Lamivudine
The nurse is teaching a client with HIV how to use a male condom. The client demonstrates
understanding of the information when he makes which statements? Select all that apply.
,"I can keep several condoms in my wallet in my back trouser pocket so they are readily
available."
"I should avoid using baby oil or petroleum jelly with a condom."
"I need to hold the condom by the tip to squeeze out the air before putting it on."
"I can reuse a condom two or three times when I'm having sexual intercourse."
"I should unroll the condom all the way over my erect penis." - CORRECT ANSWER - "I
need to hold the condom by the tip to squeeze out the air before putting it on."
"I should unroll the condom all the way over my erect penis."
I should avoid using baby oil or petroleum jelly with a condom."
A nurse is caring for a client with human immunodeficiency virus (HIV). What would the nurse
expect the health care provider to order to determine the effectiveness of treatment?
ELISA with Western blot test
enzyme-linked immunosorbent assay (ELISA)
E-rosette immunofluorescence
quantification of T-lymphocytes - CORRECT ANSWER - quantification of T-
lymphocytes
The nurse is preparing to administer the recommended dose of intravenous gamma-globulin for a
60-kg male client. How many grams will the nurse administer?
30 g
90 g
15 g
60 g - CORRECT ANSWER - 30 g
A client received 2 units of packed red blood cells while in the hospital with rectal bleeding.
Three days after discharge, the client experienced an allergic response and began to itch and
break out with hives. What type of reaction does the nurse understand could be occurring?
Anaphylactic reaction
Delayed hypersensitivity response
, Sensitization
An immediate hypersensitivity response - CORRECT ANSWER - Delayed
hypersensitivity response
The nurse's plan of care for a client with stage 3 HIV addresses the diagnosis of Risk for
Impaired Skin Integrity Related to candidiasis. What nursing intervention best addresses this
risk?
Applying skin emollients as needed
Providing thorough oral care before and after meals
Administering prophylactic antibiotics
Promoting nutrition and adequate fluid intake - CORRECT ANSWER - Providing
thorough oral care before and after meals
A treatment option for severe combined immune deficiency (SCID) includes
IV immunoglobulin.
chemotherapy.
vitamin D supplements.
a stem cell transplant. - CORRECT ANSWER - a stem cell transplant
Which term defines the balance between the amount of HIV in the body and the immune
response?
Viral clearance rate
Window period
Primary infection stage
Viral set point - CORRECT ANSWER - Viral set point
A client with AIDS has been tested for cytomegalovirus (CMV) with positive titers. What severe
complication should the nurse be alert for with cytomegalovirus?
fatigue
blindness
