1|P age
NUR 257 FINAL EXAM TESTBANK
QUESTIONS AND ANSWERS LATEST
UPDATE
A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed
that the patient is experiencing a progressive decline in cognitive, behavioral, and
motor functions. The nurse recognizes that these symptoms are most likely related
to the onset of what complication?
A) HIV encephalopathy
B) B-cell lymphoma
C) Kaposis sarcoma
D) Wasting syndrome - ANSWER: A) HIV encephalopathy
HIV encephalopathy is a clinical syndrome characterized by a progressive decline
in cognitive, behavioral, and motor functions. The other listed complications do
not normally have cognitive and behavioral manifestations.
A patients injury has initiated an immune response that involves inflammation.
What are the first cells to arrive at a site of inflammation?
A) Eosinophils
B) Red blood cells
C) Lymphocytes
,D) Neutrophils - ANSWER: D) Neutrophils
Neutrophils are the first cells to arrive at the site where inflammation occurs.
Eosinophils increase in number during allergic reactions and stress responses, but
are not always present during inflammation. RBCs do not migrate during an
immune response.
Lymphocytes become active but do not migrate to the site of inflammation.
A nurse is admitting a patient who exhibits signs and symptoms of a nutritional
deficit. Inadequate intake of what nutrient increases a patients susceptibility to
infection?
A) Vitamin B12
B) Unsaturated fats
C) Proteins
D) Complex carbohydrates - ANSWER: C) Proteins
Depletion of protein reserves results in atrophy of lymphoid tissues, depression of
antibody response, reduction in the number of circulating T cells, and impaired
phagocytic function. As a result, the patient has an increased susceptibility to
infection. Low intake of fat and vitamin B12affects health, but is not noted to
directly create a risk for infection. Low intake of complex carbohydrates is not
noted to constitute a direct risk factor for infection.
,3|P age
The mother of two young children has been diagnosed with HIV and expresses fear
of dying. How should the nurse best respond to the patient?
A) Would you like me to have the chaplain come speak with you?
B) Youll learn much about the promise of a cure for HIV.
C) Can you tell me what concerns you most about dying?
D) You need to maintain hope because you may live for several years. -
ANSWER: C) Can you tell me what concerns you most about dying?
The nurse can help the patient verbalize feelings and identify resources for support.
The nurse should respond with an open-ended question to help the patient to
identify fears about being diagnosed with a life-threatening chronic illness.
Immediate deferral to spiritual care is not a substitute for engaging with the patient.
The nurse should attempt to foster hope, but not in a way that downplays the
patients expressed fears.
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 - 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
, 4|P age
A patient with a family history of allergies has suffered an allergic response based
on a genetic predisposition. This atopic response is usually mediated by what
immunoglobulin?
A) Immunoglobulin A
B) Immunoglobulin M
C) Immunoglobulin G
D) Immunoglobulin E - ANSWER: D) Immunoglobulin E
Atopy refers to allergic reactions characterized by the action of IgE antibodies and
a genetic predisposition to allergic reactions.
A patient has developed severe contact dermatitis with burning, itching, cracking,
and peeling of the skin on her hands. What should the nurse teach the patient to
do?
A) Wear powdered latex gloves when in public.
B) Wash her hands with antibacterial soap every few hours.
C) Maintain room temperature at 75F to 80F whenever possible.
D) Keep her hands well-moisturized at all times. - ANSWER: D) Keep her
hands well- moisturized at all times.
NUR 257 FINAL EXAM TESTBANK
QUESTIONS AND ANSWERS LATEST
UPDATE
A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed
that the patient is experiencing a progressive decline in cognitive, behavioral, and
motor functions. The nurse recognizes that these symptoms are most likely related
to the onset of what complication?
A) HIV encephalopathy
B) B-cell lymphoma
C) Kaposis sarcoma
D) Wasting syndrome - ANSWER: A) HIV encephalopathy
HIV encephalopathy is a clinical syndrome characterized by a progressive decline
in cognitive, behavioral, and motor functions. The other listed complications do
not normally have cognitive and behavioral manifestations.
A patients injury has initiated an immune response that involves inflammation.
What are the first cells to arrive at a site of inflammation?
A) Eosinophils
B) Red blood cells
C) Lymphocytes
,D) Neutrophils - ANSWER: D) Neutrophils
Neutrophils are the first cells to arrive at the site where inflammation occurs.
Eosinophils increase in number during allergic reactions and stress responses, but
are not always present during inflammation. RBCs do not migrate during an
immune response.
Lymphocytes become active but do not migrate to the site of inflammation.
A nurse is admitting a patient who exhibits signs and symptoms of a nutritional
deficit. Inadequate intake of what nutrient increases a patients susceptibility to
infection?
A) Vitamin B12
B) Unsaturated fats
C) Proteins
D) Complex carbohydrates - ANSWER: C) Proteins
Depletion of protein reserves results in atrophy of lymphoid tissues, depression of
antibody response, reduction in the number of circulating T cells, and impaired
phagocytic function. As a result, the patient has an increased susceptibility to
infection. Low intake of fat and vitamin B12affects health, but is not noted to
directly create a risk for infection. Low intake of complex carbohydrates is not
noted to constitute a direct risk factor for infection.
,3|P age
The mother of two young children has been diagnosed with HIV and expresses fear
of dying. How should the nurse best respond to the patient?
A) Would you like me to have the chaplain come speak with you?
B) Youll learn much about the promise of a cure for HIV.
C) Can you tell me what concerns you most about dying?
D) You need to maintain hope because you may live for several years. -
ANSWER: C) Can you tell me what concerns you most about dying?
The nurse can help the patient verbalize feelings and identify resources for support.
The nurse should respond with an open-ended question to help the patient to
identify fears about being diagnosed with a life-threatening chronic illness.
Immediate deferral to spiritual care is not a substitute for engaging with the patient.
The nurse should attempt to foster hope, but not in a way that downplays the
patients expressed fears.
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 - 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
, 4|P age
A patient with a family history of allergies has suffered an allergic response based
on a genetic predisposition. This atopic response is usually mediated by what
immunoglobulin?
A) Immunoglobulin A
B) Immunoglobulin M
C) Immunoglobulin G
D) Immunoglobulin E - ANSWER: D) Immunoglobulin E
Atopy refers to allergic reactions characterized by the action of IgE antibodies and
a genetic predisposition to allergic reactions.
A patient has developed severe contact dermatitis with burning, itching, cracking,
and peeling of the skin on her hands. What should the nurse teach the patient to
do?
A) Wear powdered latex gloves when in public.
B) Wash her hands with antibacterial soap every few hours.
C) Maintain room temperature at 75F to 80F whenever possible.
D) Keep her hands well-moisturized at all times. - ANSWER: D) Keep her
hands well- moisturized at all times.
