NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is caring for a client diagnosed with HIV-I. The client's CD4+ cell count is 399/mm (0.399 × 109/L). What action by the nurse is best?(SATA)
      A)Counsel the client on safer sex practices/abstinence.
      B)Encourage the client to abstain from alcohol.
      C)Facilitate genetic testing for CD4+ CCR5/CXCR4 Co-receptors.
      D)Help the client plan high-protein/iron meals.
    2. The nurse is caring for clients on the medical-surgical unit. What action by the nurse will help prevent a client from having a type II hypersensitivity reaction?
      A)Providing a latex-free environment for the client.
      B)Correctly identifying the client prior to a blood transfusion.
      C)Administering steroids for a positive TB test.
      D)Keeping the client free of the offending agent.
    3. A nurse is planning care for a client who experienced an anaphylactic reaction. Which of the following findings should the nurse identify as the most important indication for a referral to an allergy specialist?(SATA)
      A)The client does not know what triggered the reaction.
      B)The client was administered epinephrine.
      C)The client required the administration of glucagon in addition to epinephrine.
      D)The client experienced a biphasic reaction.
    4. A nurse is preparing to administer an IV fluid bolus of 200 mL dextrose 5% in water over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 1 of 9

    Exam Review

    1. A nurse is providing care for clients in a hospital setting. Which of the following clients is at highest risk for developing an opportunistic infection?
      A)A client who has advanced osteoarthritis.
      B)A client who is experiencing a rheumatoid arthritis flare up.
      C)A client who has HIV.
      D)A client who has a risk of severe anaphylaxis.
    2. A nurse is presenting information about the prevention of sexually transmitted infections to a group of high school students. The nurse should identify that this is an example of which of the following types of prevention?
      A)Tertiary prevention.
      B)Secondary prevention.
      C)Primary prevention.
      D)Quaternary prevention.
    3. A nurse is caring for a client who has a deep vein thrombosis and is prescribed heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is assessing a client who has systemic lupus erythematosus and is taking hydroxychloroquine. The nurse should report which of the following adverse effects to the provider immediately?
      A)Diarrhea.
      B)Pruritus.
      C)Blurred vision.
      D)Fatigue.
    Page 2 of 9

    Exam Review

    1. A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?
      A)The medication should be discontinued 3 months prior to a planned pregnancy.
      B)The client can breastfeed when taking this medication.
      C)Dosage of the medication will be reduced during pregnancy.
      D)Dietary modifications occur during pregnancy when taking this medication.
    2. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
      A)Positive Western blot test.
      B)Platelets 150,000/mm.
      C)WBC 5,000/mm.
      D)CD4-T-cell count 180 cells/mm.
    3. A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms?
      A)Flu-like symptoms and night sweats.
      B)Pneumocystis lung infection.
      C)Kaposi's sarcoma.
      D)Fungal and bacterial infections.
    4. A nurse is caring for client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5
    Page 3 of 9

    Exam Review

    1. A nurse is teaching a client who has a prescription for HIV post-exposure prophylaxis (PEP) about how to take the medications. Which of the following client statements indicates understanding of the teaching?
      A)"I should not take these medications if I have high blood pressure.”.
      B)"I have up to 2 weeks after exposure to decide if I want to take these medications.”.
      C)"I need to take the antiviral medications at the prescribed dosing times for the full 28 days to be effective.”.
      D)"I don't need to take the medication if I had an exposure via a needle stick.”.
    2. A nurse is caring for a client who asks about the functions of the thymus, spleen, and lymph nodes. Which of the following responses should the nurse make?
      A)"These organs support immunity.”.
      B)"These organs assist vitamin absorption.”.
      C)"These organs are used in digestion.”.
      D)"These organs regulate electrolyte balance.”
    3. A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?
      A)Lymphatic system.
      B)Connective tissue.
      C)Peripheral vascular system.
      D)Muscle tissue.
    4. A nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?
      A)Increased hemoglobin.
      B)Increased WBC count.
      C)Night sweats.
      D)Weight gain.
    Page 4 of 9

    Exam Review

    1. A client with HIV has had a sudden decline in status with a large increase in viral load. What action would the nurse take first?
      A)Assess the client for adherence to the drug regimen.
      B)Ask the client about travel to any foreign countries.
      C)Determine if the client has any new sexual partners.
      D)Request information about new living quarters or pets.
    2. A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?
      A)It is primarily transmitted through accidental puncture wounds.
      B)It is primarily transmitted through casual contact.
      C)It is primarily transmitted through mosquitoes.
      D)It is primarily transmitted through direct contact with infected body fluids.
    3. A nurse is performing a health history with a client who reports that they think they have lupus. Which of the following statements made by the client would help validate this diagnosis?
      A)"I have a parent who has diabetes mellitus type 2.”.
      B)"I have family from Slovenia.”.
      C)"I have had occupational exposures to silica dust.”.
      D)"I have never given birth.”.
    4. A nurse is caring for a client who was sexually assaulted. An assessment of the client indicates that they might have been exposed to human immunodeficiency virus (HIV). Which of the following asks is most important to ask the client?
      A)Do you give us permission to call the police?
      B)What day and time did the assault take place?
      C)Who was the individual who assaulted you?
      D)Where did the assault occur?
    Page 5 of 9

    Exam Review

    1. A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?
      A)A personal trainer who works with a client who has HIV.
      B)A phlebotomist who collects blood from clients who have HIV.
      C)A nurse who works for an insurance company and collects urine samples from clients who have HIV.
      D)An occupational therapist who works with a client who has HIV.
    2. A nurse is preparing a presentation for an HIV taskforce regarding strategies to help decrease the number of newly diagnosed cases. Which of the following major health care organizations should the nurse utilize to find strategies to include in the presentation?
      A)National Institutes of Health (NIH).
      B)Occupational Safety and Health Administration (OSHA).
      C)Centers for Medicare and Medicaid Services (CMS).
      D)Centers for Disease Control and Prevention (CDC).
    3. A nurse is providing education to a client who has discoid lupus erythematosus. Which of the following statements made by the client indicates understanding of how to prevent exacerbation of skin rashes?
      A)"I must wash my hands before touching my skin.”.
      B)"I need to apply sunscreen.”.
      C)"I should exercise on a regular basis.”.
      D)"I need to sleep 8 hours a night.”.
    4. A nurse is administering the disease-modifying anti-rheumatic medication hydroxychloroquine to a client who has rheumatoid arthritis. Which of the following potential health conditions should the nurse inform the client may occur?
      A)Weight fluctuations.
      B)Eye problems.
      C)Development of ulcers.
      D)High cholesterol.
    Page 6 of 9