NURS 316 Unit 5 Exam Questions and
answers
A client is receiving tenofovir as part of a therapy regimen for HIV infection. The
nurse should provide what teaching related to what the client may experience?
a) "It's possible you might have changes in body fat distribution."
b) "There's a high likelihood of severe hypersensitivity reactions, so take your
temperature regularly."
c) "Occasional pockets of mucus in your stool are expected at the beginning of
treatment."
d) "Avoid high-carbohydrate foods, since your body might have difficulty digesting
them." - ✅✅a) "It's possible you might have changes in body fat distribution."
Tenofovir is associated with changes in body fat distribution with loss of fat from
arms, legs, and face and deposition of fat on the trunk, necks, and breasts. Mucus
in stool is not expected, and there is no particular need to avoid high-
carbohydrate foods. Hypersensitivity is always a possibility, but it would be
inaccurate to characterize the risk as "high."
A hospital client was swabbed on admission for an ARO and has just been
informed that MRSA is present in his groin. The client has a normal core temp and
WBC count. This client is experiencing:
A. Infection
B. Proliferation
C. Colonization
D. Inflammation - ✅✅C. Colonization(14)
Which most accurately describes the characteristics of saprophytes? They:
A. Derive energy from decaying organic matter
,B. Are beneficial components of human microflora
C. Have RNA or DNA, but never both
D. Are capable of spore production - ✅✅A. Derive energy from decaying
organic matter(14)
--- Saprophytes are free-living organisms obtaining their growth from dead or
decaying organic material in the environment. They are not necessarily spore
producing, and they are not typical components of human microflora. Because
most are bacterial or fungal, they contain both RNA and DNA.
Which of the following are accurate characteristics of prions? Select all that apply.
A. Disease usually progresses slowly.
B. The primary manifestation includes ataxia and dementia
C. Prions are protease sensitive
D. Prions tent to aggregate into amyloid-plaques in the brain
E. Prions lack reproductive functions so are not very harmful to humans - ✅✅A.
Disease usually progresses slowly.
B. The primary manifestation includes ataxia and dementia
D. Prions tent to aggregate into amyloid-plaques in the brain(14)
Which of the following outpatients are at great risk for developing Treponema
pallidum, the cause of syphilis? Select all that apply.
A. A homeless adolescent female performing oral sex for money
B. A male who frequents clubs catering to exotic dancers and sexual favours.
C. A homosexual male couple who have had a monogamous relationship for the
past 20 years
D. An older adult female living in a condo who regularly has sex with 3-4 men a
week. - ✅✅A. A homeless adolescent female performing oral sex for money
,B. A male who frequents clubs catering to exotic dancers and sexual favours.
D. An older adult female living in a condo who regularly has sex with 3-4 men a
week. (14)
Chlamydiaceae have characteristics of both viruses and bacteria and are a rather
common sexually transmitted infectious organism. After entry into the host, they
transform into a reticulate body. The health care provider should monitor which
of the following clients for this possible infection? Select all that apply.
A. An adult male who raises a number of exotic birds in his home
B. A drug abuser looking to share needles/syringes
C. A newborn with a noticeable eye infection
D. A teenager who swims in the lake regularly. - ✅✅A. An adult male who
raises a number of exotic birds in his home
B. A drug abuser looking to share needles/syringes
C. A newborn with a noticeable eye infection(14)
--- Chlamydiaceae are in the form of an elementary body when infectious and
outside of the host cell. Once an organism enters the cell, it transforms into a
large reticulate body. This undergoes active replication into multiple elementary
bodies, which are then shed into the extracellular environment to initiate another
infectious cycle. Chlamydial diseases of humans include sexually transmitted
genital infections (Chlamydophilia trachomatis); ocular infections and pneumonia
of newborns (C. trachomatis); upper and lower resp tract infections in peds and
young adults (C. pneumoniae); and respiratory disease acquired from infected
birds (C. psittaci)
A client has been diagnosed with Coxiella burnetii infection. She asked the nurse
how she got this disease. The nurse's response is:
A. Probably while walking outside without your shoes on
B. While swimming in an unsanitary pond
, C. Drinking contaminated milk
D. Eating undercooked fish - ✅✅C. Drinking contaminated milk(14)
--- In humans, Coxiella infection produces a disease called Q fever, characterized
by a nonspecific febrile illness often accompanied by headache, chills, arthralgias,
and mild pneumonia. The organism produces a highly resistant spore like stage
that is transmitted to humans when contaminated animal tissue is aerosolized (eg
during meat processing) or by ingestion of contaminated milk
A public health nurse notes an increase in regional throat cancer cases. Upon
epidemiological studies, many of the throat cancer clients also had oral exposure
to human papillomavirus (HPV), This exposure to HPV would be considered by:
A. Deep penetration of open lesions
B. Direct contact with infected secretions
C. Ingestion of HPV through the GI tract
D. Accidental aspiration and inhalation of pathogens. - ✅✅B. Direct contact
with infected secretions(14)
Which of the following would be considered an example of transmitting an
infection from person to person through shared inanimate objects (fomites)?
A Malaria from mosquito bites
B. HIV from a contaminated IV drug user needle
C. Tuberculosis from inhalation of air after a cough
D. Typhoid from traveling to a third-world country. - ✅✅B. HIV from a
contaminated IV drug user needle(14)
Although bacterial toxins vary in their activity and effects on host cells, a small
amount of gram-negative bacteria endotoxin:
answers
A client is receiving tenofovir as part of a therapy regimen for HIV infection. The
nurse should provide what teaching related to what the client may experience?
a) "It's possible you might have changes in body fat distribution."
b) "There's a high likelihood of severe hypersensitivity reactions, so take your
temperature regularly."
c) "Occasional pockets of mucus in your stool are expected at the beginning of
treatment."
d) "Avoid high-carbohydrate foods, since your body might have difficulty digesting
them." - ✅✅a) "It's possible you might have changes in body fat distribution."
Tenofovir is associated with changes in body fat distribution with loss of fat from
arms, legs, and face and deposition of fat on the trunk, necks, and breasts. Mucus
in stool is not expected, and there is no particular need to avoid high-
carbohydrate foods. Hypersensitivity is always a possibility, but it would be
inaccurate to characterize the risk as "high."
A hospital client was swabbed on admission for an ARO and has just been
informed that MRSA is present in his groin. The client has a normal core temp and
WBC count. This client is experiencing:
A. Infection
B. Proliferation
C. Colonization
D. Inflammation - ✅✅C. Colonization(14)
Which most accurately describes the characteristics of saprophytes? They:
A. Derive energy from decaying organic matter
,B. Are beneficial components of human microflora
C. Have RNA or DNA, but never both
D. Are capable of spore production - ✅✅A. Derive energy from decaying
organic matter(14)
--- Saprophytes are free-living organisms obtaining their growth from dead or
decaying organic material in the environment. They are not necessarily spore
producing, and they are not typical components of human microflora. Because
most are bacterial or fungal, they contain both RNA and DNA.
Which of the following are accurate characteristics of prions? Select all that apply.
A. Disease usually progresses slowly.
B. The primary manifestation includes ataxia and dementia
C. Prions are protease sensitive
D. Prions tent to aggregate into amyloid-plaques in the brain
E. Prions lack reproductive functions so are not very harmful to humans - ✅✅A.
Disease usually progresses slowly.
B. The primary manifestation includes ataxia and dementia
D. Prions tent to aggregate into amyloid-plaques in the brain(14)
Which of the following outpatients are at great risk for developing Treponema
pallidum, the cause of syphilis? Select all that apply.
A. A homeless adolescent female performing oral sex for money
B. A male who frequents clubs catering to exotic dancers and sexual favours.
C. A homosexual male couple who have had a monogamous relationship for the
past 20 years
D. An older adult female living in a condo who regularly has sex with 3-4 men a
week. - ✅✅A. A homeless adolescent female performing oral sex for money
,B. A male who frequents clubs catering to exotic dancers and sexual favours.
D. An older adult female living in a condo who regularly has sex with 3-4 men a
week. (14)
Chlamydiaceae have characteristics of both viruses and bacteria and are a rather
common sexually transmitted infectious organism. After entry into the host, they
transform into a reticulate body. The health care provider should monitor which
of the following clients for this possible infection? Select all that apply.
A. An adult male who raises a number of exotic birds in his home
B. A drug abuser looking to share needles/syringes
C. A newborn with a noticeable eye infection
D. A teenager who swims in the lake regularly. - ✅✅A. An adult male who
raises a number of exotic birds in his home
B. A drug abuser looking to share needles/syringes
C. A newborn with a noticeable eye infection(14)
--- Chlamydiaceae are in the form of an elementary body when infectious and
outside of the host cell. Once an organism enters the cell, it transforms into a
large reticulate body. This undergoes active replication into multiple elementary
bodies, which are then shed into the extracellular environment to initiate another
infectious cycle. Chlamydial diseases of humans include sexually transmitted
genital infections (Chlamydophilia trachomatis); ocular infections and pneumonia
of newborns (C. trachomatis); upper and lower resp tract infections in peds and
young adults (C. pneumoniae); and respiratory disease acquired from infected
birds (C. psittaci)
A client has been diagnosed with Coxiella burnetii infection. She asked the nurse
how she got this disease. The nurse's response is:
A. Probably while walking outside without your shoes on
B. While swimming in an unsanitary pond
, C. Drinking contaminated milk
D. Eating undercooked fish - ✅✅C. Drinking contaminated milk(14)
--- In humans, Coxiella infection produces a disease called Q fever, characterized
by a nonspecific febrile illness often accompanied by headache, chills, arthralgias,
and mild pneumonia. The organism produces a highly resistant spore like stage
that is transmitted to humans when contaminated animal tissue is aerosolized (eg
during meat processing) or by ingestion of contaminated milk
A public health nurse notes an increase in regional throat cancer cases. Upon
epidemiological studies, many of the throat cancer clients also had oral exposure
to human papillomavirus (HPV), This exposure to HPV would be considered by:
A. Deep penetration of open lesions
B. Direct contact with infected secretions
C. Ingestion of HPV through the GI tract
D. Accidental aspiration and inhalation of pathogens. - ✅✅B. Direct contact
with infected secretions(14)
Which of the following would be considered an example of transmitting an
infection from person to person through shared inanimate objects (fomites)?
A Malaria from mosquito bites
B. HIV from a contaminated IV drug user needle
C. Tuberculosis from inhalation of air after a cough
D. Typhoid from traveling to a third-world country. - ✅✅B. HIV from a
contaminated IV drug user needle(14)
Although bacterial toxins vary in their activity and effects on host cells, a small
amount of gram-negative bacteria endotoxin:
