NUR 265 EXAM 4 TEST PAPER QUESTIONS
AND SOLUTIONS 100% CORRECT FOR THE
2026 FINAL.
◍ HIV: Nutrition. Answer: high calorie
high protein
low fat
small frequent meals
thrush--treat with anitfungal
◍ HIV tx: HAART/cART. Answer: DOES NOT CURE
Does not prevent secondary/opportunistic infections
MUST TAKE 90% of the time --otherwise resistance will occur
◍ HIV: complications --- AIDS. Answer: CD4 count less than
200mmhg
most likely to experience opportunistic infections
--I.e Pneumocystic jiroveci pneumonia (ASSESS AIRWAY!!)
consult pallative care/hospice
◍ candida albicans. Answer: -Hallmark sign-- white patches in the
mouth
-"food doesnt taste right"
,-If patient wants a coke they can have it! They just have to rinse
mouth out with water (fungus loves sugar)
◍ tuberculosis. Answer: hallmark sign-- night sweats, high fever,
cough
-airborne isolation
-do not trust TB skin test in client with HIV
◍ Fungal pneumonia. Answer: ABC's
monitor ABG--if hypoxemia present
antifungal drugs IV
◍ External Radiation. Answer: -teach client to leave markings in
place
-use sunscreen
-wash skin with mild soap and use lotion frequently
◍ Breast Cancer: Risks. Answer: -BRCA 1&2 genes (preventative
mastectomy)
-women age 65-80
-elevated estrogen levels
-alcohol consumption
-history of child after 30 years of age
-early menstruation or late menopause
, ◍ Breast cancer: Assess. Answer: screening history: mammography
every year starting at 45***
-self exam frequency (same time of the month)***
-breast appearance (dimpling, orange peel appearance)
-breast ultrasound if have dense breast tissue; if cant get good
mammography image***
◍ Breast Cancer: interventions. Answer: pre and post
lumpectomy/mastectomy
**prophylactic mastectomy is patient with BRCA 1 and 2 gene
-then external radiation
-chemo
-symptom management
◍ Lung Cancer: Risks. Answer: -environmental exposure
-radon, environmental tobacco smoke, asbestos
-genetic
-inhalant exposure
◍ Lung Cancer: Warning signs. Answer: -hoarse voice**
-persistant cough**
-blood-tinged sputum**
-chest pain
AND SOLUTIONS 100% CORRECT FOR THE
2026 FINAL.
◍ HIV: Nutrition. Answer: high calorie
high protein
low fat
small frequent meals
thrush--treat with anitfungal
◍ HIV tx: HAART/cART. Answer: DOES NOT CURE
Does not prevent secondary/opportunistic infections
MUST TAKE 90% of the time --otherwise resistance will occur
◍ HIV: complications --- AIDS. Answer: CD4 count less than
200mmhg
most likely to experience opportunistic infections
--I.e Pneumocystic jiroveci pneumonia (ASSESS AIRWAY!!)
consult pallative care/hospice
◍ candida albicans. Answer: -Hallmark sign-- white patches in the
mouth
-"food doesnt taste right"
,-If patient wants a coke they can have it! They just have to rinse
mouth out with water (fungus loves sugar)
◍ tuberculosis. Answer: hallmark sign-- night sweats, high fever,
cough
-airborne isolation
-do not trust TB skin test in client with HIV
◍ Fungal pneumonia. Answer: ABC's
monitor ABG--if hypoxemia present
antifungal drugs IV
◍ External Radiation. Answer: -teach client to leave markings in
place
-use sunscreen
-wash skin with mild soap and use lotion frequently
◍ Breast Cancer: Risks. Answer: -BRCA 1&2 genes (preventative
mastectomy)
-women age 65-80
-elevated estrogen levels
-alcohol consumption
-history of child after 30 years of age
-early menstruation or late menopause
, ◍ Breast cancer: Assess. Answer: screening history: mammography
every year starting at 45***
-self exam frequency (same time of the month)***
-breast appearance (dimpling, orange peel appearance)
-breast ultrasound if have dense breast tissue; if cant get good
mammography image***
◍ Breast Cancer: interventions. Answer: pre and post
lumpectomy/mastectomy
**prophylactic mastectomy is patient with BRCA 1 and 2 gene
-then external radiation
-chemo
-symptom management
◍ Lung Cancer: Risks. Answer: -environmental exposure
-radon, environmental tobacco smoke, asbestos
-genetic
-inhalant exposure
◍ Lung Cancer: Warning signs. Answer: -hoarse voice**
-persistant cough**
-blood-tinged sputum**
-chest pain
