NSG233/ NSG 233 Exam 4 (Latest 2026/ 2027)
Medical-Surgical Nursing III | Questions &
Answers | Grade A| (Verified Solutions)
Subject: Medical-Surgical Nursing III (HIV/AIDS, Oncology, Burns)
Source: Herzing University
Format: Exam Practice Questions and Verified Answers
1. What would be a therapeutic effect after receiving ART?
Answer: Increase in CD4 count
Rationale: A primary goal of Antiretroviral Therapy (ART) is
immune reconstitution, which is clinically measured by an increase in
CD4+ T-lymphocyte count, indicating improved immune function.
2. What would be good to include in a HS presentation on STI?
Answer: Pre-exposure prophylaxis is available
Rationale: Including information about Pre-Exposure Prophylaxis
(PrEP) is crucial for comprehensive STI/HIV education, as it is a
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highly effective biomedical prevention strategy for individuals at high
risk.
3. Patient with AIDS has the wasting syndrome. Which intervention
will assist with their assessment?
Answer: Do admission assessment and include dietary history
Rationale: A thorough admission assessment, including a detailed
dietary history, is essential to establish a baseline, identify nutritional
deficiencies, and plan interventions for HIV-associated wasting
syndrome.
4. The first step to take after a needlestick from an HIV patient?
Answer: Report to the supervisor
Rationale: The immediate first step after any needlestick injury is to
report it to a supervisor or follow the facility's exposure control plan
to ensure proper documentation, assessment, and initiation of post-
exposure prophylaxis (PEP) if indicated.
5. The client could be in stage 0 HIV due to flu-like symptoms and
high-risk behaviors. Last week's test was negative. Which
information is appropriate?-
Answer: You could have the virus and not produced antibodies yet
Rationale: This describes the "window period"—the time between
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HIV infection and when an antibody test becomes positive. A negative
test shortly after exposure does not rule out infection.
6. HIV encephalopathy is in which HIV stage?
Answer: 3
Rationale: HIV encephalopathy (AIDS dementia complex) is an HIV-
associated condition that typically occurs in Stage 3 HIV infection
(AIDS), when the immune system is severely compromised (CD4
count <200).
7. What kind of nursing diagnosis for HIV encephalopathy?
Answer: Risk for injury
Rationale: Patients with HIV encephalopathy experience cognitive
impairment, motor dysfunction, and behavioral changes, which
significantly increase their risk for falls, accidents, and other injuries.
8. Primary stage HIV symptom?
Answer: Skin rash
Rationale: During acute HIV infection (Stage 0), a non-pruritic
maculopapular rash, often on the trunk, is a common symptom
alongside other flu-like manifestations such as fever, sore throat, and
lymphadenopathy.
9. Which CD4 lab results indicate HIV infection stage 2?
Answer: 200 to 499