NU 225- Quiz #5 With Complete Questions And
Answers 100% Solved
The nurse is advising a clinic patient who was exposed a week ago to human
immunodeficiency virus (HIV) through unprotected sexual intercourse. The patient's
antigen and antibody test has just been reported as negative for HIV. What instructions
should the nurse give to this patient?
a. "You will need to be retested in 2 weeks."
b. "You do not need to fear infecting others."
c. "Since you don't have symptoms and you have had a negative test, you do not have
HIV)."
d. "We won't know for years if you will develop acquired immunodeficiency
syndrome (AIDS)." - ANSWER A
HIV screening tests detect HIV-specific antibodies or antigens, but typically it takes a
several
week delay after initial infection before HIV can be detected on a screening test.
Combination
antibody and antigen tests (also known as fourth-generation tests) decrease the window
period to
within 3 weeks after infection. It is not known based on this information whether the
patient is
,infected with HIV or can infect others.
Determination of whether an event is a stressor is based on a person's:
a. tolerance
b. perception
c. adaption
d. stubbornness - ANSWER b. perception
An adult patient arrived in the emergency department (ED) with minor facial lacerations
after a motor vehicle accident and has an initial blood pressure (BP) of 182/94. Which
action by the nurse is most appropriate?
a. Start an IV line to administer antihypertensive medications.
b. Discuss the need for hospital admission to control blood pressure.
c. Treat the abrasions and discuss the risks associated with hypertension.
d. Recheck the blood pressure after the patient is stabilized and has received
treatment. - ANSWER ANS: D
When a patient experiences an acute stressor, the blood pressure increases. The nurse
should plan to recheck the BP after the patient has stabilized and received treatment.
This will provide a more accurate indication of the patient's usual blood pressure.
Elevated blood pressure that occurs in response to acute stress does not increase the
risk for health problems such as stroke, indicate a need for hospitalization, or indicate a
need for IV antihypertensive medications.
Which statement made by an adolescent girl indicates an understanding about the
prevention of sexually transmitted diseases (STDs)?
a. "I know the only way to prevent STDs is to not be sexually active."
b. "I practice safe sex because I wash myself right after sex."
c. "I won't get any kind of STD because I take the pill."
d. "I only have sex if my boyfriend wears a condom." - ANSWER ANS: A
, Feedback
A Abstinence is the only foolproof way to prevent an STD.
B STDs are transmitted through body fluids (semen, vaginal fluids, blood). Perineal
hygiene will not prevent an STD.
C Oral contraceptives do not protect women from contracting STDs.
D A condom can reduce but not eliminate an individual's chance of acquiring an STD.
The camp nurse is telling a group of campers and their counselors how to avoid insect
and tick bites. What information should the nurse include?
Select all that apply.
A. Dark, long-sleeved shirts should be worn.
B. A hat is helpful when in wooded and grassy areas.
C. Try to stay on paths rather than walking through dense areas.
D. Apply insect repellent lightly on the hands.
E. Ticks should be scraped off the skin.
F. Shirts should be tucked into the pants. - ANSWER B, C, F
A hat is very helpful to protect the head from insects getting in the hair when in wooded
and grassy areas. Trying to stay on paths rather than walking through dense areas is
true. Shirts should be tucked into the pants to prevent insects and ticks getting to the
skin. Light, long sleeved shirts should be worn because of being able to see insects and
ticks. Insect repellent should not be applied on the hands because the hands often
touch the eyes and mouth. Ticks should be removed with tweezers. The tick should be
removed as close to the skin as possible using steady upward pressure. Ensure that all
mouthparts are removed from the skin.
A nurse in a well-child clinic is teaching parents about their child's immune system.
Which statement by the nurse is correct?
a. The immune system distinguishes and actively protects the body's own cells from
foreign substances.
, b. The immune system is fully developed by 1 year of age.
c. The immune system protects the child against communicable diseases in the first 6
years of life.
d. The immune system responds to an offending agent by producing antigens. -
ANSWER ANS: A
Feedback
A The immune system responds to foreign substances, or antigens, by producing
antibodies and storing information. Intact skin, mucous membranes, and processes
such as coughing, sneezing, and tearing help maintain internal homeostasis.
B Children up to age 6 or 7 years have limited antibodies against common bacteria. The
immunoglobulins reach adult levels at different ages.
C Immunization is the basis from which the immune system activates protection against
some communicable diseases.
D Antibodies are produced by the immune system against invading agents, or antigens.
A child with recurrent infections, facial edema, hypertension, and delayed growth in
height is seen in the pediatrician's office. Which question would be most important for
the nurse to ask the mother?
A. "What medications are being taken by your child?"
B. "When did this current infection begin?"
C. "Are your other children shorter than usual?"
D. "Is your child having headaches?" - ANSWER A. "What medications are being taken
by your child?"
Facial edema, hypertension, recurrent infections, and delayed growth in height are
some of the clinical manifestations of excess steroid administered systemically. It would
be important to know about when the infection began, but the child has a cluster of
problems. It would be important to know if shortness in height runs in the family, but the
child has a cluster of symptoms that can stem from systemic steroid use. Headaches
can occur from hypertension, but the underlying problems, not the symptoms, need to
be addressed.
Answers 100% Solved
The nurse is advising a clinic patient who was exposed a week ago to human
immunodeficiency virus (HIV) through unprotected sexual intercourse. The patient's
antigen and antibody test has just been reported as negative for HIV. What instructions
should the nurse give to this patient?
a. "You will need to be retested in 2 weeks."
b. "You do not need to fear infecting others."
c. "Since you don't have symptoms and you have had a negative test, you do not have
HIV)."
d. "We won't know for years if you will develop acquired immunodeficiency
syndrome (AIDS)." - ANSWER A
HIV screening tests detect HIV-specific antibodies or antigens, but typically it takes a
several
week delay after initial infection before HIV can be detected on a screening test.
Combination
antibody and antigen tests (also known as fourth-generation tests) decrease the window
period to
within 3 weeks after infection. It is not known based on this information whether the
patient is
,infected with HIV or can infect others.
Determination of whether an event is a stressor is based on a person's:
a. tolerance
b. perception
c. adaption
d. stubbornness - ANSWER b. perception
An adult patient arrived in the emergency department (ED) with minor facial lacerations
after a motor vehicle accident and has an initial blood pressure (BP) of 182/94. Which
action by the nurse is most appropriate?
a. Start an IV line to administer antihypertensive medications.
b. Discuss the need for hospital admission to control blood pressure.
c. Treat the abrasions and discuss the risks associated with hypertension.
d. Recheck the blood pressure after the patient is stabilized and has received
treatment. - ANSWER ANS: D
When a patient experiences an acute stressor, the blood pressure increases. The nurse
should plan to recheck the BP after the patient has stabilized and received treatment.
This will provide a more accurate indication of the patient's usual blood pressure.
Elevated blood pressure that occurs in response to acute stress does not increase the
risk for health problems such as stroke, indicate a need for hospitalization, or indicate a
need for IV antihypertensive medications.
Which statement made by an adolescent girl indicates an understanding about the
prevention of sexually transmitted diseases (STDs)?
a. "I know the only way to prevent STDs is to not be sexually active."
b. "I practice safe sex because I wash myself right after sex."
c. "I won't get any kind of STD because I take the pill."
d. "I only have sex if my boyfriend wears a condom." - ANSWER ANS: A
, Feedback
A Abstinence is the only foolproof way to prevent an STD.
B STDs are transmitted through body fluids (semen, vaginal fluids, blood). Perineal
hygiene will not prevent an STD.
C Oral contraceptives do not protect women from contracting STDs.
D A condom can reduce but not eliminate an individual's chance of acquiring an STD.
The camp nurse is telling a group of campers and their counselors how to avoid insect
and tick bites. What information should the nurse include?
Select all that apply.
A. Dark, long-sleeved shirts should be worn.
B. A hat is helpful when in wooded and grassy areas.
C. Try to stay on paths rather than walking through dense areas.
D. Apply insect repellent lightly on the hands.
E. Ticks should be scraped off the skin.
F. Shirts should be tucked into the pants. - ANSWER B, C, F
A hat is very helpful to protect the head from insects getting in the hair when in wooded
and grassy areas. Trying to stay on paths rather than walking through dense areas is
true. Shirts should be tucked into the pants to prevent insects and ticks getting to the
skin. Light, long sleeved shirts should be worn because of being able to see insects and
ticks. Insect repellent should not be applied on the hands because the hands often
touch the eyes and mouth. Ticks should be removed with tweezers. The tick should be
removed as close to the skin as possible using steady upward pressure. Ensure that all
mouthparts are removed from the skin.
A nurse in a well-child clinic is teaching parents about their child's immune system.
Which statement by the nurse is correct?
a. The immune system distinguishes and actively protects the body's own cells from
foreign substances.
, b. The immune system is fully developed by 1 year of age.
c. The immune system protects the child against communicable diseases in the first 6
years of life.
d. The immune system responds to an offending agent by producing antigens. -
ANSWER ANS: A
Feedback
A The immune system responds to foreign substances, or antigens, by producing
antibodies and storing information. Intact skin, mucous membranes, and processes
such as coughing, sneezing, and tearing help maintain internal homeostasis.
B Children up to age 6 or 7 years have limited antibodies against common bacteria. The
immunoglobulins reach adult levels at different ages.
C Immunization is the basis from which the immune system activates protection against
some communicable diseases.
D Antibodies are produced by the immune system against invading agents, or antigens.
A child with recurrent infections, facial edema, hypertension, and delayed growth in
height is seen in the pediatrician's office. Which question would be most important for
the nurse to ask the mother?
A. "What medications are being taken by your child?"
B. "When did this current infection begin?"
C. "Are your other children shorter than usual?"
D. "Is your child having headaches?" - ANSWER A. "What medications are being taken
by your child?"
Facial edema, hypertension, recurrent infections, and delayed growth in height are
some of the clinical manifestations of excess steroid administered systemically. It would
be important to know about when the infection began, but the child has a cluster of
problems. It would be important to know if shortness in height runs in the family, but the
child has a cluster of symptoms that can stem from systemic steroid use. Headaches
can occur from hypertension, but the underlying problems, not the symptoms, need to
be addressed.
