Final 265
1. The nurse working in the emergency department is triage a client who has presented with
chest pain, shortness of breath, a productive cough, and reports night sweats. The client’s
health history includes the presence of acquired immunodeficiency syndrome (AIDS) and
the recent laboratory results that reveals a low CD4+ count, airborne precautions have
been initiated. Which of the following actions should the nurse take next?
A. Prepare the client for insertion of a chest tube
B. Obtain a throat culture (Pg. 347) above bottom paragraph on left
C. Assess the client for shingles
D. Check the client’s temperature ** said in tutoring
2. The newly hired nurse is developing a plan of care for a client who has acquired AIDS
and was just diagnosed with pneumocystis jiroveci pneumonia (PCP) and pain. Which of
the following interventions should the nurse preceptor question?
A. Placing the client on a pressure relieving mattress. (Pg. 353)
B. Instructing the client to drink at least two to three liters of fluid throughout the
day (Pg. 354)
C. Telling the client to keep the door to the room closed at all times.
D. Offering the client foods high in calories and protein. (Pg. 354)
3. The nurse is caring for a client with (AIDS) who has just been diagnosed with
cryptococcal meningitis. Which of the following actions should the nurse take?
A. Initiate airborne precautions for the next 72 hours. not for fungal
B. Thicken the client’s liquids to honey consistency.
C. Administer IV pentamidine isethionate—for PCP
D. Initiate seizure precautions with padded siderails (Pg. 347)
4. The nurse had provided medication instructions to a client who has human
immunodeficiency virus (HIV) and has been prescribed combination antiretroviral
therapy (cART). Which of the following client statements indicates a correct
understanding of the teaching?
A. “I am less likely to develop opportunistic infections once I begin taking my
prescribed medications”
B. “I can avoid developing drug resistance if I take 90% of my drugs on time.” (Pg.
351 Drug Alert box)
, C. “I should discontinue my medications if I develop severe diarrhea”
D. “I understand that this combination of drugs will kill the virus”
5. The nurse working in a community health center has instructed a group of clients who
have acquired immune deficiency syndrome (AIDS) about ways to prevent infection.
Which of the following statements, if made by a client, would indicate the need for
additional teaching? (Pg. 351 Chart 19-4)
A. “I would avoid planting vegetables and flowers in our garden”
B. “I will make sure no one uses my deodorant or toothpaste”
C. “I will wear gloves and then wash my hands immediately if I need to change my
cat’s litter box”
D. “I will eat plenty of fresh fruits and raw vegetables”
6. The nurse is precepting a newly hired nurse who is caring for a client who has acquired
immune deficiency syndrome (AIDS) and has developed Kaposi’s sarcoma. It requires
additional teaching by the preceptor if the newly hired nurse… (Pg. 355)
A. Inspects the client's mouth at least once every eight hours
B. Instruct the client that make up can be applied to lesion that are not open
C. Applies a surgical mask before entering the client’s room
D. Keep open weeping lesions clean and covered with prescribed dressing
7. The nurse is caring for a client who had a heart transplant 24 hours ago. Which of the
following findings indicates the clients is developing a complication?
A. Facial flushing
B. Abdominal distention
C. Prothrombin (PT) time of 11 seconds
D. Hypotension (Pg. 716 Chart 35-10)
8. The nurse is caring for a client who had a lung transplant 10 days ago. It would be a
priority for the nurse to notify the Primary Health care provider if the client has
A. A pain rating of seven when taking a deep breath
B. Refuses to get out of bed for the past 24 hours
C. Developed sputum that is yellow tinged
D. Only used the incentives spirometer 1 since last evening
1. The nurse working in the emergency department is triage a client who has presented with
chest pain, shortness of breath, a productive cough, and reports night sweats. The client’s
health history includes the presence of acquired immunodeficiency syndrome (AIDS) and
the recent laboratory results that reveals a low CD4+ count, airborne precautions have
been initiated. Which of the following actions should the nurse take next?
A. Prepare the client for insertion of a chest tube
B. Obtain a throat culture (Pg. 347) above bottom paragraph on left
C. Assess the client for shingles
D. Check the client’s temperature ** said in tutoring
2. The newly hired nurse is developing a plan of care for a client who has acquired AIDS
and was just diagnosed with pneumocystis jiroveci pneumonia (PCP) and pain. Which of
the following interventions should the nurse preceptor question?
A. Placing the client on a pressure relieving mattress. (Pg. 353)
B. Instructing the client to drink at least two to three liters of fluid throughout the
day (Pg. 354)
C. Telling the client to keep the door to the room closed at all times.
D. Offering the client foods high in calories and protein. (Pg. 354)
3. The nurse is caring for a client with (AIDS) who has just been diagnosed with
cryptococcal meningitis. Which of the following actions should the nurse take?
A. Initiate airborne precautions for the next 72 hours. not for fungal
B. Thicken the client’s liquids to honey consistency.
C. Administer IV pentamidine isethionate—for PCP
D. Initiate seizure precautions with padded siderails (Pg. 347)
4. The nurse had provided medication instructions to a client who has human
immunodeficiency virus (HIV) and has been prescribed combination antiretroviral
therapy (cART). Which of the following client statements indicates a correct
understanding of the teaching?
A. “I am less likely to develop opportunistic infections once I begin taking my
prescribed medications”
B. “I can avoid developing drug resistance if I take 90% of my drugs on time.” (Pg.
351 Drug Alert box)
, C. “I should discontinue my medications if I develop severe diarrhea”
D. “I understand that this combination of drugs will kill the virus”
5. The nurse working in a community health center has instructed a group of clients who
have acquired immune deficiency syndrome (AIDS) about ways to prevent infection.
Which of the following statements, if made by a client, would indicate the need for
additional teaching? (Pg. 351 Chart 19-4)
A. “I would avoid planting vegetables and flowers in our garden”
B. “I will make sure no one uses my deodorant or toothpaste”
C. “I will wear gloves and then wash my hands immediately if I need to change my
cat’s litter box”
D. “I will eat plenty of fresh fruits and raw vegetables”
6. The nurse is precepting a newly hired nurse who is caring for a client who has acquired
immune deficiency syndrome (AIDS) and has developed Kaposi’s sarcoma. It requires
additional teaching by the preceptor if the newly hired nurse… (Pg. 355)
A. Inspects the client's mouth at least once every eight hours
B. Instruct the client that make up can be applied to lesion that are not open
C. Applies a surgical mask before entering the client’s room
D. Keep open weeping lesions clean and covered with prescribed dressing
7. The nurse is caring for a client who had a heart transplant 24 hours ago. Which of the
following findings indicates the clients is developing a complication?
A. Facial flushing
B. Abdominal distention
C. Prothrombin (PT) time of 11 seconds
D. Hypotension (Pg. 716 Chart 35-10)
8. The nurse is caring for a client who had a lung transplant 10 days ago. It would be a
priority for the nurse to notify the Primary Health care provider if the client has
A. A pain rating of seven when taking a deep breath
B. Refuses to get out of bed for the past 24 hours
C. Developed sputum that is yellow tinged
D. Only used the incentives spirometer 1 since last evening
