NURS 640 COMPREHENSIVE EXAM 2026
QUESTIONS AND ANSWERS 100% CORRECT
◉ What are some localized symptoms of a fever? Answer: ENT, sputum,
urinary/stool changes, skin, wound
◉ How do you assess for a fever? Answer: Look at systemic and
localized symptoms, fever severity, rash, rigors, muscle pain, and neck
stiffness
◉ What could a fever with muscle pain indicate? Answer: sepsis
◉ What could a fever with a stiff neck indicate? Answer: meningitis
◉ Acute HIV infection symptoms Answer: Generalized illness during
first 0-3 months (spec 2-4wks)
Rarely opportunistic infection present
◉ T/F HIV antibody testing may be negative up to 3 months? Answer:
True
,◉ T/F it is not easy to misdiagnose acute HIV Answer: False- it is easily
misdiagnosed
◉ Advanced HIV infection is when the CD4 is what? Answer: <50
◉ Chronic HIV infection is defined as: Answer: CD4 returns to >200
with treatment
◉ AIDS is defined as a CD4 count of what or the presence of what?
Answer: CD4 <200 or presence of AIDS defining opportunistic
infection/disease
◉ List of AIDS defining opportunistic infection (OI) or disease?
Answer: Cryptococcal meningitis
Cytomegalovirus retinitis
esophageal candidiasis or recurrent vaginal candidiasis
herpes simplex infection
herpes zoster
kaposi sarcoma
mycobacterium
non-hodgkins lymphoma
toxoplasmosis
, ◉ HIV therapy monitoring includes: Answer: Viral load: quantitative
plasma HIV RNA
monitors ART (antiretroviral therapy) effectiveness
◉ Initial tests for HIV Answer: ELISA and Western blot confirming HIV
◉ Indications for removal of a central line? Answer: purulence at
insertion site
S. aureus, candida, or gram neg rods
persistent bacteremia (>48hrs on abx)
Complications (thrombo-emboli)
◉ Empiric antibiotic for catheter associated infection Answer: Vanco-
for MRSA
Consider gram negative coverage for immunocompromised/critically ill
◉ Infection prophylaxis with HIV/AIDS- any CD4 level Answer: HBV,
HAV, influenza, hem influenza type b, pneumococcal, varicella-zoster,
HPV, meningococcal, TDap, MMR
◉ Infection prophylaxis with HIV/AIDS CD4<200 or CD4 percent <14
Answer: pneumocystitis jirovecil pneumonia prophylaxis
QUESTIONS AND ANSWERS 100% CORRECT
◉ What are some localized symptoms of a fever? Answer: ENT, sputum,
urinary/stool changes, skin, wound
◉ How do you assess for a fever? Answer: Look at systemic and
localized symptoms, fever severity, rash, rigors, muscle pain, and neck
stiffness
◉ What could a fever with muscle pain indicate? Answer: sepsis
◉ What could a fever with a stiff neck indicate? Answer: meningitis
◉ Acute HIV infection symptoms Answer: Generalized illness during
first 0-3 months (spec 2-4wks)
Rarely opportunistic infection present
◉ T/F HIV antibody testing may be negative up to 3 months? Answer:
True
,◉ T/F it is not easy to misdiagnose acute HIV Answer: False- it is easily
misdiagnosed
◉ Advanced HIV infection is when the CD4 is what? Answer: <50
◉ Chronic HIV infection is defined as: Answer: CD4 returns to >200
with treatment
◉ AIDS is defined as a CD4 count of what or the presence of what?
Answer: CD4 <200 or presence of AIDS defining opportunistic
infection/disease
◉ List of AIDS defining opportunistic infection (OI) or disease?
Answer: Cryptococcal meningitis
Cytomegalovirus retinitis
esophageal candidiasis or recurrent vaginal candidiasis
herpes simplex infection
herpes zoster
kaposi sarcoma
mycobacterium
non-hodgkins lymphoma
toxoplasmosis
, ◉ HIV therapy monitoring includes: Answer: Viral load: quantitative
plasma HIV RNA
monitors ART (antiretroviral therapy) effectiveness
◉ Initial tests for HIV Answer: ELISA and Western blot confirming HIV
◉ Indications for removal of a central line? Answer: purulence at
insertion site
S. aureus, candida, or gram neg rods
persistent bacteremia (>48hrs on abx)
Complications (thrombo-emboli)
◉ Empiric antibiotic for catheter associated infection Answer: Vanco-
for MRSA
Consider gram negative coverage for immunocompromised/critically ill
◉ Infection prophylaxis with HIV/AIDS- any CD4 level Answer: HBV,
HAV, influenza, hem influenza type b, pneumococcal, varicella-zoster,
HPV, meningococcal, TDap, MMR
◉ Infection prophylaxis with HIV/AIDS CD4<200 or CD4 percent <14
Answer: pneumocystitis jirovecil pneumonia prophylaxis
