and CORRECT Answers
A nurse is working with a patient who was diagnosed with HIV several months earlier. The
nurse should recognize that a patient with HIV is considered to have AIDS at the point when the
CD4+ T-lymphocyte cell count drops below what threshold?
A) 75 cells/mm3 of blood
B) 200 cells/mm3 of blood
C) 325 cells/mm3 of blood
D) 450 cells/mm3 of blood - CORRECT ANSWER - B) 200 cells/mm3 of blood
When CD4+ T-cell levels drop below 200 cells/mm3 of blood, the person is said to have AIDS.
A nurse is planning the assessment of a patient who is exhibiting signs and symptoms of an
autoimmune disorder. The nurse should be aware that the incidence and prevalence of
autoimmune diseases is known to be higher among what group?
A) Young adults
B) Native Americans
C) Women
D) Hispanics - CORRECT ANSWER - C) Women
Many autoimmune diseases have a higher incidence in females than in males, a phenomenon
believed to be correlated with sex hormones.
A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly controlled type
1 diabetes has led to numerous health problems. Over the past several years Mrs. Griffin has had
several admissions to the hospital medical unit, and the nurse has often carried out health
promotion interventions. Who is ultimately responsible for maintaining and promoting Mrs.
Griffins health?
,A) The medical nurse
B) The community health nurse who has also worked with Mrs. Griffin
C) Mrs. Griffins primary care provider
D) Mrs. Griffin - CORRECT ANSWER - D) Mrs. Griffin
American society places a great importance on health and the responsibility that each of us has to
maintain and promote our own health. Therefore, the other options are incorrect.
A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen.
What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic
regimen involving wound care?
A) Demonstrate a dressing change and allow the patient to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the patient how to change a dressing and check for comprehension.
D) Delegate the dressing change to a trusted family member. - CORRECT ANSWER - A)
Demonstrate a dressing change and allow the patient to practice.
The nurse must consider that older adults may have deficits in the ability to draw inferences,
apply information, or understand major teaching points. Demonstration and practice are essential
in meeting their learning needs.
A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to self-administer
insulin. When planning the appropriate educational interventions and considering variables that
will affect his learning, the nurse should prioritize which of the following factors?
, A) Patients expected lifespan
B) Patients gender
C) Patients occupation
D) Patients culture - CORRECT ANSWER - D) Patients culture
One of the major variables that influences a patients readiness to learn is the patients culture,
because it affects how a person learns and what information is learned.
A nurse is planning care for an older adult who lives with a number of chronic health problems.
For which of the following nursing diagnoses would education of the patient be the nurses
highest priority?
A) Risk for impaired physical mobility related to joint pain
B) Functional urinary incontinence related decreased mobility
C) Activity intolerance related to contractures
D) Risk for ineffective health maintenance related to nonadherence to therapeutic regimen -
CORRECT ANSWER - D) Risk for ineffective health maintenance related to non-
adherence to therapeutic regimen
For some nursing diagnoses, education is a primary nursing intervention. These diagnoses
include risk for ineffective management of therapeutic regimen, risk for impaired home
management, health-seeking behaviors, and decisional conflict.