ADN220 Test 3 HIV/AIDS NCLEX
questions Questions and Correct Answers/
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Which couple has the highest risk for sexual transmission of HIV
without the use of a condom or dental dam?
A. uninfected male performing vaginal intercourse with an infected
female
B. Infected male performing vaginal intercourse with an uninfected
female
C. uninfected male performing anal intercourse with an infected male
D. infected male performing oral sex on an uninfected male
Ans: B. Infected male performing vaginal intercourse with an
uninfected female
During a health assessment, a 22-year old college student tells the
nurse that she is sexually active and protects herself from HIV and
other sexually transmitted diseases (STDs) by using oral
contraceptives. What is the nurse's best action?
A. Remind the student that only abstinence prevents STDs.
B. Ask the health care provider to order an HIV test for this student.
C. Inform the student that oral contraceptives protect against
pregnancy but not against any STD.
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D. Reinforce the student's preferred use of oral contraceptives, and
refrain from commenting on her sexual activity.
Ans: C. Inform the student that oral contraceptives protect
against pregnancy but not against any STD.
What is the most important question the nurse asks the client
prescribed to begin highly active antiretroviral therapy?
A. Do you have any symptoms now of active infection?
B. Is there any possibility that you are pregnant?
C. Are you currently sexually active?
D. What other medications do you take?
Ans: D. What other medications do you take?
Which dietary change does the nurse suggest for the client who has
diarrhea associated with HIV disease?
A. "Avoid fatty foods."
B. "Increase your intake of fiber."
C. "Take an antacid 30 minutes before each meal."
D. "Restrict your intake of fluids to 1 liter per day."
Ans: A. "Avoid fatty foods."
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The nurse is providing counseling to a woman who is HIV positive and
has just discovered that she is pregnant. Which anti-HIV drug is given
to HIV-infected pregnant women to prevent transmission of the virus
to the infant?
A. Acyclovir (Zovirax)
B. Zidovudine (Retrovir)
C. Ribavirin (Virazole)
D. Foscarnet (Foscavir)
Ans: B. Zidovudine
Zidovudine, along with various other antiretroviral drugs, is
given to HIV-infected pregnant women and even to newborn
babies to prevent maternal transmission of the virus to the
infant. The other drugs are non-HIV antiviral drugs
A patient is in the HIV clinic for a follow-up appointment. He has been
on antiretroviral therapy for HIV for more than 3 years. The nurse will
assess for which potential adverse effects of long-term antiretroviral
therapy? (select all that apply).
A. Lipodystrophy
B. Liver damage
C. Kaposi's sarcoma
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D. Osteoporosis
E. Type 2 diabetes
Ans: A, B, D, E
Anti-HIV drugs produce strain on the liver and may result in
liver disease. A major adverse effect of protease inhibitors is
lipid abnormalities, including lipodystrophy, or redistribution of
fat stores under the skin. In addition, dyslipidemias, such as
hypertriglyceridemia can occur, and insulin resistance and type
2 diabetes symptoms can result. The increase in long -term
antiretroviral drug therapy due to prolonged disease survival
has led to the emergence of another long-term adverse effect
associated with these medications - bone demineralization and
possible osteoporosis.
Kaposi's sarcoma is an opportunistic disease associated with
HIV, not a result of long-term drug therapy.
The nurse prepares to give a bath and change the bed linens of a client
with cutaneous Kaposi's sarcoma lesions. The lesions are open and
draining a scant amount of serous fluid. Which would the nurse
incorporate into the plan during the bathing of this client?
A. Wearing gloves
B. Wearing a gown and gloves
C. Wearing a gown, gloves, and a mask
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