NUR 265 EXAM 4 QUESTIONS WITH
CORRECT SOLUTIONS||UPDATED
2026/2027 SYLLABUS||100%
GUARANTEED PASS||<<NEWEST
VERSION>>
Acute graft rejection: Liver - ANSWER ✓ -elevated liver enzymes
-monitor temp frequently
-RUQ pain
-report increased abdominal pain
-distention, and rigidity
Acute graft rejection: Heart - ANSWER ✓ -SOA, irregular heart rate,
-fluid gain
-hypotension; new bradycardia
Drowning: assess - ANSWER ✓ immediately ABCDE
s/sx of infection
s/sx of ARDS
Drowing: interventions - ANSWER ✓ -protect airway
-promote oxygenation (may need to vent with high PEEP if surfactant is gone)
-monitor for complications
mass casualty triage: RED - ANSWER ✓ emergent threats to life only but can be
saved
mass casualty triage: yellow - ANSWER ✓ urgent, major injuries will require
treatment but are not life threatening
mass casualty triage: Green - ANSWER ✓ non-urgent, no treatment required for
minor injuries
mass casualty triage: BLACK - ANSWER ✓ expectant; expected to die
,Cutaneous anthrax: hallmark sign - ANSWER ✓ raised vesicle on skin that
opens, bleeds, and sinks inward to necrose dermal tissue
For Mikael who is diagnosed of having allergic rhinitis, which nursing intervention
is the most appropriate? - ANSWER ✓ Encouraging the client to use nasal saline
sprays
Which intervention should Nurse John Joe discuss with Elena who has an allergic
disorder and is requesting information for allergy symptom control? (Select all that
apply.) - ANSWER ✓ Instructing the client to cover the mattress with a
hypoallergenic cover
Instructing the client to wear a mask when cleaning
Instructing the client to avoid using sprays, powders, and perfumes
Which intervention should the nurse implement when caring for a client diagnosed
with Pneumocystis carinii pneumonia related to acquired immunodeficiency
syndrome who is crying over the loss of friends and family members because they
will not talk to him anymore? - ANSWER ✓ Sitting down and listening to the
client's concerns and frustration
For Aubrey Anne who has allergies, which client statement indicates that the
nurse's teaching about her condition has be successful? - ANSWER ✓ "I should
avoid any types of spray, powders, and perfumes.
Mr. Mc Princeton who is diagnosed with rheumatoid arthritis (RA) complains
about joints that always hurt, saying, "I just feel like staying in bed all day." Which
discharge instruction would be aimed at maintaining as such function as possible? -
ANSWER ✓ Promote aquatic (water) exercises to enhance joint mobility."
Nurse Vince sustained a dirty needle stick injury. Which diagnostic test would be
ordered on a client? - ANSWER ✓ SUDS screening test
After the first injection of an immunotherapy program, the nurse notices a large,
red wheal on the client's arm, coughing, and expiratory wheezing. Which
intervention should the nurse implement first? - ANSWER ✓ Administering I.M.
epinephrine per protocol
,C
Slater is using a steroidal cream for allergic dermatoses. Which intervention
should Nurse Rachel implement for the client? - ANSWER ✓ Washing hands
before and after applying the crea
Which clinical manifestation would cause the nurse to suspect that the client is
diagnosed with systemic lupus erythematosus? - ANSWER ✓ Joint edema and
tendernesS
April is diagnosed with systemic lupus erythematosus. Which instruction would
be included in the teaching plan for the client? - ANSWER ✓ "Wear large-
brimmed hats when exposed to the sun."
Which discharge instruction would be included in the care plan for a client
diagnosed with atopic dermatitis? - ANSWER ✓ Add humidity to the dry air
caused by dry heat during the winter."
Theon was stung by a bee now exhibits redness and edema in the hand and
forearm. The nurse's actions would be based on which scientific rationale? -
ANSWER ✓ Hypersensitivity is possible; the client may need to buy an anti-sting
kit.
Which condition would Nurse Jade suspect when a client complains of a runny
nose, itching and burning eyes, and sneezing since visiting a friend who had a cat
in the home? - ANSWER ✓ Allergic rhinitis
During the past 6 months, a client diagnosed with acquired immunodeficiency
syndrome has had chronic diarrhea and has lost 18 pounds. Additional assessment
findings include tented skin turgor, dry mucous membranes, and listleness. Which
nursing diagnosis focuses attention on the client's most immediate problem? -
ANSWER ✓ Deficient fluid volume related to diarrhea and abnormal fluid loss
For a male client who has acquired immunodeficiency syndrome with chronic
diarrhea, anorexia, a history of oral candidiasis, and weight loss, which dietary
instruction would be included in the teaching plan? - ANSWER ✓ Follow a high-
protein, high-calorie diet."
, Nurse Mary Jean is assisting in administering immunizations at a health care
clinic. The nurse understands that an immunization will provide: - ANSWER ✓
Acquired immunity from disease
Nurse Ruffa is providing dietary instructions to the client with systemic lupus
erythematosus. Which of the following dietary items would the nurse instruct the
client to avoid? - ANSWER ✓ steak
The client with systemic lupus erythematosus (SLE) is at risk for cardiovascular
disorders such as coronary artery disease and hypertension. The client is advised of
lifestyle changes to reduce these risks, which include smoking cessation and
prevention of obesity and hyperlipidemia. The client is advised to reduce salt, fat,
and cholesterol intake.
A client with acquired immunodeficiency syndrome has a respiratory infection
from Pneumocystis jiroveci and a nursing diagnosis of Impaired Gas Exchange
written in the plan of care. Which of the following indicates that the expected
outcome of care has not yet been achieved? - ANSWER ✓ The client now limits
his fluid intake
Human Papilloma Virus in AIDS patients is manifested as: - ANSWER ✓ Genital
warts, flat warts, skin warts, neoplasm of cervix, vagina and penis
A client is diagnosed with oral candidiasis. Nurse Tina knows that this condition
in AIDS is treated with: - ANSWER ✓ Fluconozol
The decision to begin antiretroviral therapy is based on: - ANSWER ✓ The CD4
cell count
The plasma viral load
The intensity of the patient's clinical symptoms
Which client problem relating to altered nutrition is a consequence of AIDS? -
ANSWER ✓ Decreased protein absorption
As a knowledgeable nurse, you know that the primary goals of antiretroviral
therapy (ART) include all, EXCEPT: - ANSWER ✓ Elimination of HIV entirely
from the body
CORRECT SOLUTIONS||UPDATED
2026/2027 SYLLABUS||100%
GUARANTEED PASS||<<NEWEST
VERSION>>
Acute graft rejection: Liver - ANSWER ✓ -elevated liver enzymes
-monitor temp frequently
-RUQ pain
-report increased abdominal pain
-distention, and rigidity
Acute graft rejection: Heart - ANSWER ✓ -SOA, irregular heart rate,
-fluid gain
-hypotension; new bradycardia
Drowning: assess - ANSWER ✓ immediately ABCDE
s/sx of infection
s/sx of ARDS
Drowing: interventions - ANSWER ✓ -protect airway
-promote oxygenation (may need to vent with high PEEP if surfactant is gone)
-monitor for complications
mass casualty triage: RED - ANSWER ✓ emergent threats to life only but can be
saved
mass casualty triage: yellow - ANSWER ✓ urgent, major injuries will require
treatment but are not life threatening
mass casualty triage: Green - ANSWER ✓ non-urgent, no treatment required for
minor injuries
mass casualty triage: BLACK - ANSWER ✓ expectant; expected to die
,Cutaneous anthrax: hallmark sign - ANSWER ✓ raised vesicle on skin that
opens, bleeds, and sinks inward to necrose dermal tissue
For Mikael who is diagnosed of having allergic rhinitis, which nursing intervention
is the most appropriate? - ANSWER ✓ Encouraging the client to use nasal saline
sprays
Which intervention should Nurse John Joe discuss with Elena who has an allergic
disorder and is requesting information for allergy symptom control? (Select all that
apply.) - ANSWER ✓ Instructing the client to cover the mattress with a
hypoallergenic cover
Instructing the client to wear a mask when cleaning
Instructing the client to avoid using sprays, powders, and perfumes
Which intervention should the nurse implement when caring for a client diagnosed
with Pneumocystis carinii pneumonia related to acquired immunodeficiency
syndrome who is crying over the loss of friends and family members because they
will not talk to him anymore? - ANSWER ✓ Sitting down and listening to the
client's concerns and frustration
For Aubrey Anne who has allergies, which client statement indicates that the
nurse's teaching about her condition has be successful? - ANSWER ✓ "I should
avoid any types of spray, powders, and perfumes.
Mr. Mc Princeton who is diagnosed with rheumatoid arthritis (RA) complains
about joints that always hurt, saying, "I just feel like staying in bed all day." Which
discharge instruction would be aimed at maintaining as such function as possible? -
ANSWER ✓ Promote aquatic (water) exercises to enhance joint mobility."
Nurse Vince sustained a dirty needle stick injury. Which diagnostic test would be
ordered on a client? - ANSWER ✓ SUDS screening test
After the first injection of an immunotherapy program, the nurse notices a large,
red wheal on the client's arm, coughing, and expiratory wheezing. Which
intervention should the nurse implement first? - ANSWER ✓ Administering I.M.
epinephrine per protocol
,C
Slater is using a steroidal cream for allergic dermatoses. Which intervention
should Nurse Rachel implement for the client? - ANSWER ✓ Washing hands
before and after applying the crea
Which clinical manifestation would cause the nurse to suspect that the client is
diagnosed with systemic lupus erythematosus? - ANSWER ✓ Joint edema and
tendernesS
April is diagnosed with systemic lupus erythematosus. Which instruction would
be included in the teaching plan for the client? - ANSWER ✓ "Wear large-
brimmed hats when exposed to the sun."
Which discharge instruction would be included in the care plan for a client
diagnosed with atopic dermatitis? - ANSWER ✓ Add humidity to the dry air
caused by dry heat during the winter."
Theon was stung by a bee now exhibits redness and edema in the hand and
forearm. The nurse's actions would be based on which scientific rationale? -
ANSWER ✓ Hypersensitivity is possible; the client may need to buy an anti-sting
kit.
Which condition would Nurse Jade suspect when a client complains of a runny
nose, itching and burning eyes, and sneezing since visiting a friend who had a cat
in the home? - ANSWER ✓ Allergic rhinitis
During the past 6 months, a client diagnosed with acquired immunodeficiency
syndrome has had chronic diarrhea and has lost 18 pounds. Additional assessment
findings include tented skin turgor, dry mucous membranes, and listleness. Which
nursing diagnosis focuses attention on the client's most immediate problem? -
ANSWER ✓ Deficient fluid volume related to diarrhea and abnormal fluid loss
For a male client who has acquired immunodeficiency syndrome with chronic
diarrhea, anorexia, a history of oral candidiasis, and weight loss, which dietary
instruction would be included in the teaching plan? - ANSWER ✓ Follow a high-
protein, high-calorie diet."
, Nurse Mary Jean is assisting in administering immunizations at a health care
clinic. The nurse understands that an immunization will provide: - ANSWER ✓
Acquired immunity from disease
Nurse Ruffa is providing dietary instructions to the client with systemic lupus
erythematosus. Which of the following dietary items would the nurse instruct the
client to avoid? - ANSWER ✓ steak
The client with systemic lupus erythematosus (SLE) is at risk for cardiovascular
disorders such as coronary artery disease and hypertension. The client is advised of
lifestyle changes to reduce these risks, which include smoking cessation and
prevention of obesity and hyperlipidemia. The client is advised to reduce salt, fat,
and cholesterol intake.
A client with acquired immunodeficiency syndrome has a respiratory infection
from Pneumocystis jiroveci and a nursing diagnosis of Impaired Gas Exchange
written in the plan of care. Which of the following indicates that the expected
outcome of care has not yet been achieved? - ANSWER ✓ The client now limits
his fluid intake
Human Papilloma Virus in AIDS patients is manifested as: - ANSWER ✓ Genital
warts, flat warts, skin warts, neoplasm of cervix, vagina and penis
A client is diagnosed with oral candidiasis. Nurse Tina knows that this condition
in AIDS is treated with: - ANSWER ✓ Fluconozol
The decision to begin antiretroviral therapy is based on: - ANSWER ✓ The CD4
cell count
The plasma viral load
The intensity of the patient's clinical symptoms
Which client problem relating to altered nutrition is a consequence of AIDS? -
ANSWER ✓ Decreased protein absorption
As a knowledgeable nurse, you know that the primary goals of antiretroviral
therapy (ART) include all, EXCEPT: - ANSWER ✓ Elimination of HIV entirely
from the body
