1|Page
NUR 257 EXAM 1 NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS
A patient with common variable immunodeficiency (CVID) is extremely fatigued
and not feeling well. What lab test does the nurse anticipate the patient will have to
detect a common development related to the disease?
B12 level
Glucose level
Blood urea nitrogen (BUN) and creatinine
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) - Answer:
B12 level
The nurse is preparing to infuse gamma-globulin intravenously (IV). When
administering this drug, the nurse knows the speed of the infusion should not
exceed what rate?
3 mL/min
10 mL/min
6 mL/min
1.5 mL/min - Answer: 3 mL/min
A client is suspected of having an immune system disorder. The health care
provider wants to perform a diagnostic test to confirm the diagnosis. What test
should the nurse prepare the client for?
Complete chemistry panel
T-and C-cell assays
Plasmapheresis
Enzyme-linked immunosorbent assay - Answer: Enzyme-linked immunosorbent
assay
The nurse is caring for a client with an autoimmune disease. What is a
characteristic of autoimmune disorders?
Affects only older adults and infants less than 3 months
Profound fatigue with no identifiable cause
Progressive tissue damage without any verifiable etiology
Absence of a triggering event - Answer: Progressive tissue damage without any
verifiable etiology
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The nurse is reviewing the medical record of a client who is positive for human
immunodeficiency virus (HIV). The nurse notes that the client is classified as HIV
asymptomatic based on which CD4+ T lymphocyte count?
Between 200 to 350/mm3
Less than 200/mm3
Greater than 500/mm3
Between 350 to 499/mm3 - Answer: Greater than 500/mm3
The nurse is caring for a client who has been admitted for the treatment of AIDS.
In the morning, the client tells the nurse that he experienced night sweats and
recently "coughed up some blood." What is the nurse's most appropriate action?
Place the client on respiratory isolation and inform the physician.
Perform oral suctioning to reduce the client's risk for aspiration.
Review the client's most recent viral load and CD4+ count.
Assess the client for additional signs and symptoms of Kaposi sarcoma. - Answer:
Place the client on respiratory isolation and inform the physician.
A client is diagnosed with a primary immune deficiency disease (PIDD). For which
additional conditions will the nurse assess this client? Select all that apply.
Inflammatory bowel disease
Multiple sclerosis
Rheumatoid arthritis
Thyroid disease
Myasthenia gravis - Answer: Thyroid disease
Rheumatoid arthritis
Inflammatory bowel disease
When describing the effects of treatment for phagocytic cell disorders, which of
the following would the nurse include as being the most successful?
Use of granulocyte transfusions
Gene therapy
Antibiotic therapy
Hematopoietic stem cell transplantation - Answer: Hematopoietic stem cell
transplantation
The nurse is gathering data from laboratory studies for a client who has HIV. The
client's CD4+ cell count is 200/mm³, and the client has been diagnosed with
pneumocystis pneumonia. What does this indicate to the nurse?
The client's CD4+ cell count has decreased due to the pneumocystis pneumonia.
The client has advanced HIV infection.
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The client has converted from HIV infection to AIDS.
The client has another infection present that is causing a decrease in the CD4+ cell
count. - Answer: The client has converted from HIV infection to AIDS
A client's antibody test for HIV showed no antibodies. For which reason would the
client need to have a nucleic acid test completed before being told that testing for
HIV is negative?
The client engages in high risk behavior
Two tests need to be done for every client
The antibody test for HIV is not sensitive
The client may be in stage 0 of the disease - Answer: The client may be in stage 0
of the disease
Which condition is an early manifestation of HIV encephalopathy?
Headache
Vacant stare
Hallucinations
Hyperreflexia - Answer: Headache
Which microorganism is known to cause retinitis in people with HIV/AIDS?
Cryptococcus neoformans
Cytomegalovirus
Pneumocystis carinii
Mycobacterium avium - Answer: Cytomegalovirus
A client with AIDS is having a recurrence of 10 to 12 loose stools a day. What
medication may help this client with controlling the chronic diarrhea?
Rifaximin
Octreotide
Atropine diphenoxylate
Bismuth subsalicylate - Answer: Octreotide
When do most perinatal HIV infections occur?
In utero
Through casual contact
Through breastfeeding
After exposure during delivery - Answer: After exposure during delivery
, 4|Page
A patient had unprotected sex with an HIV-infected person and arrives in the clinic
requesting HIV testing. Results determine a negative HIV antibody test and an
increased viral load. What stage does the nurse determine the patient is in?
Latent infection
Tertiary infection
Secondary infection
Primary infection - Answer: Primary infection
A home health nurse will soon begin administering IVIG to a new client on a
regular basis. What teaching should the nurse provide to the client?
Technique for managing and monitoring daily fluid intake
Expected benefits and outcomes of the treatment
The need for a sterile home environment
Complementary alternatives to IVIG - Answer: Expected benefits and outcomes of
the treatment
A client with paroxysmal hemoglobinuria, a deficiency of complement proteins,
reports headache and weakness of the right arm and leg. Based on these symptoms,
for which health complication should the nurse assess?
Edema in subcutaneous tissues of the extremities
Bacterial meningitis
Rheumatoid arthritis
Cerebral venous thrombosis - Answer: Cerebral venous thrombosis
A nurse is teaching a client with immunodeficiency about the signs and symptoms
of infection to report. The nurse determines that the teaching was successful when
the client makes which statement?
"Any change, however subtle, might mean that I have an infection."
"A dry cough is just irritation, but one with mucous means an infection."
"I might notice a swollen lymph node or two, but this is normal."
"A fever over 101 degrees is the most common sign of infection." - Answer: "Any
change, however subtle, might mean that I have an infection."
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
NUR 257 EXAM 1 NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS
A patient with common variable immunodeficiency (CVID) is extremely fatigued
and not feeling well. What lab test does the nurse anticipate the patient will have to
detect a common development related to the disease?
B12 level
Glucose level
Blood urea nitrogen (BUN) and creatinine
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) - Answer:
B12 level
The nurse is preparing to infuse gamma-globulin intravenously (IV). When
administering this drug, the nurse knows the speed of the infusion should not
exceed what rate?
3 mL/min
10 mL/min
6 mL/min
1.5 mL/min - Answer: 3 mL/min
A client is suspected of having an immune system disorder. The health care
provider wants to perform a diagnostic test to confirm the diagnosis. What test
should the nurse prepare the client for?
Complete chemistry panel
T-and C-cell assays
Plasmapheresis
Enzyme-linked immunosorbent assay - Answer: Enzyme-linked immunosorbent
assay
The nurse is caring for a client with an autoimmune disease. What is a
characteristic of autoimmune disorders?
Affects only older adults and infants less than 3 months
Profound fatigue with no identifiable cause
Progressive tissue damage without any verifiable etiology
Absence of a triggering event - Answer: Progressive tissue damage without any
verifiable etiology
,2|Page
The nurse is reviewing the medical record of a client who is positive for human
immunodeficiency virus (HIV). The nurse notes that the client is classified as HIV
asymptomatic based on which CD4+ T lymphocyte count?
Between 200 to 350/mm3
Less than 200/mm3
Greater than 500/mm3
Between 350 to 499/mm3 - Answer: Greater than 500/mm3
The nurse is caring for a client who has been admitted for the treatment of AIDS.
In the morning, the client tells the nurse that he experienced night sweats and
recently "coughed up some blood." What is the nurse's most appropriate action?
Place the client on respiratory isolation and inform the physician.
Perform oral suctioning to reduce the client's risk for aspiration.
Review the client's most recent viral load and CD4+ count.
Assess the client for additional signs and symptoms of Kaposi sarcoma. - Answer:
Place the client on respiratory isolation and inform the physician.
A client is diagnosed with a primary immune deficiency disease (PIDD). For which
additional conditions will the nurse assess this client? Select all that apply.
Inflammatory bowel disease
Multiple sclerosis
Rheumatoid arthritis
Thyroid disease
Myasthenia gravis - Answer: Thyroid disease
Rheumatoid arthritis
Inflammatory bowel disease
When describing the effects of treatment for phagocytic cell disorders, which of
the following would the nurse include as being the most successful?
Use of granulocyte transfusions
Gene therapy
Antibiotic therapy
Hematopoietic stem cell transplantation - Answer: Hematopoietic stem cell
transplantation
The nurse is gathering data from laboratory studies for a client who has HIV. The
client's CD4+ cell count is 200/mm³, and the client has been diagnosed with
pneumocystis pneumonia. What does this indicate to the nurse?
The client's CD4+ cell count has decreased due to the pneumocystis pneumonia.
The client has advanced HIV infection.
,3|Page
The client has converted from HIV infection to AIDS.
The client has another infection present that is causing a decrease in the CD4+ cell
count. - Answer: The client has converted from HIV infection to AIDS
A client's antibody test for HIV showed no antibodies. For which reason would the
client need to have a nucleic acid test completed before being told that testing for
HIV is negative?
The client engages in high risk behavior
Two tests need to be done for every client
The antibody test for HIV is not sensitive
The client may be in stage 0 of the disease - Answer: The client may be in stage 0
of the disease
Which condition is an early manifestation of HIV encephalopathy?
Headache
Vacant stare
Hallucinations
Hyperreflexia - Answer: Headache
Which microorganism is known to cause retinitis in people with HIV/AIDS?
Cryptococcus neoformans
Cytomegalovirus
Pneumocystis carinii
Mycobacterium avium - Answer: Cytomegalovirus
A client with AIDS is having a recurrence of 10 to 12 loose stools a day. What
medication may help this client with controlling the chronic diarrhea?
Rifaximin
Octreotide
Atropine diphenoxylate
Bismuth subsalicylate - Answer: Octreotide
When do most perinatal HIV infections occur?
In utero
Through casual contact
Through breastfeeding
After exposure during delivery - Answer: After exposure during delivery
, 4|Page
A patient had unprotected sex with an HIV-infected person and arrives in the clinic
requesting HIV testing. Results determine a negative HIV antibody test and an
increased viral load. What stage does the nurse determine the patient is in?
Latent infection
Tertiary infection
Secondary infection
Primary infection - Answer: Primary infection
A home health nurse will soon begin administering IVIG to a new client on a
regular basis. What teaching should the nurse provide to the client?
Technique for managing and monitoring daily fluid intake
Expected benefits and outcomes of the treatment
The need for a sterile home environment
Complementary alternatives to IVIG - Answer: Expected benefits and outcomes of
the treatment
A client with paroxysmal hemoglobinuria, a deficiency of complement proteins,
reports headache and weakness of the right arm and leg. Based on these symptoms,
for which health complication should the nurse assess?
Edema in subcutaneous tissues of the extremities
Bacterial meningitis
Rheumatoid arthritis
Cerebral venous thrombosis - Answer: Cerebral venous thrombosis
A nurse is teaching a client with immunodeficiency about the signs and symptoms
of infection to report. The nurse determines that the teaching was successful when
the client makes which statement?
"Any change, however subtle, might mean that I have an infection."
"A dry cough is just irritation, but one with mucous means an infection."
"I might notice a swollen lymph node or two, but this is normal."
"A fever over 101 degrees is the most common sign of infection." - Answer: "Any
change, however subtle, might mean that I have an infection."
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
