2026 NUR 265 – EXAM 4 ACTUAL Questions and Verified Answers –
Galen.
The nurse Is working In a community health center has Instructed a group of patients’ who have AIDS
about ways to prevent Infections. which of the following statement by a patients’ would Indicate the
need for additional teaching
a. "I should clean my toothbrush by running It through the dishwater"
b. "I will wear a surgical mask when I change my cat's litter box"
c. "I will notify my PCP If my temp Is greater than 100"
d. "I will avoid drinking water that has been standing for longer than 1 hour"
b. "I will wear a surgical mask when I change my cat's litter box"
the nurse Is preparing a newly hired nurse who Is caring for a patients’ who has AIDS and has developed
Kaposi Sarcome. It requires additional teaching by the precipitants’ If the newly hired nurse
a. Instructs the patients’ that make-up can be applied to lesion that are open
b. applies surgical mask before entering patients’ room
c. keeps open weeping lesions clean and covered with prescribed dressing
d. Inspects the patients’ mouth at least once every 8 hours
b. applies surgical mask before entering patients’ room
the nurse Is caring for a patients’ who had a heart transplant 24 hours ago. whIch of the following
findings Indicates the patients’ Is developing complications
a. hypotension
b. urticaria
c. prothrombin time of 11 sec
d. facial flushing
a. hypotension
the nurse Is caring for a patients’ who had a lung transplant 10 days ago. It would be a priority for the
nurse to notify the PCP If the patients’ has
a. developed sputum that Is yellow-tinged
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,b. refused to get out of bed for the past 24 hours
c. a pain rating of 7 when taking a deep breath
d. only used the Incentive spirometer once since last evening
a. developed sputum that Is yellow-tinged
the nurse Is caring for a patients’ who had a liver transplant 48 hours ago. which findings from the box Is
a priority for the nurse to report to the PCP
1. decrease in urine output from 50 to 30mL/hr since surgery
2. an Increase In a AST form 28 to 32 units/L In the past 24 hours
3. a pulse rate that has decreased from 88 to 72 over the last 8 hours
4. a PATIENTS’ of 20 seconds
5. an INR of 2.5 seconds
6. an Increase In serum bilirubin levels over the last 12 hours
7. a decreased In alkaline phosphatase levels
a. 2,3,5
b. 1,3,7
c. 1,4,6,7
d. 2,4,5,6,
d. 2,4,5,6,
the nurse Is carIng for a patIents’ who had kIndey trasnplant 2 weeks ago. whIch of the followIng
fIndIngs should the nurse correlate to possIble organ rejectIon
a. BUN of 15
b. BP 172/96
c. serum creatInIe level of 0.9
d. UA that Is postIve for proteIn
b. BP 172/96
the nurse workIng In a PHCP offIce just admInIstered a routIne ImmunIzatIon to a patIents’. the clInet Is
asked to waIt In the waItIng room for the next 15 mIns. fIve mIns. later the patIents’ develops swellIng
2|Page
, of the eyes and reports feelIng anxIous, SOB, and dIzzy. whIch of the follwIng actIons should the nurse
take fIrst
a. prepare to admInIster dIpenhyramIne
b. elevate the patIents’ feet and legs
c. obtaIn full set of VS
d. perfrom a respIratory assessment
d. perfrom a respIratory assessment
The nurse Is workIng In the ED Is trIagIng patIents’ who has presented wIth chest paIn, SOB, productIve
cough, reports nIght sweats. the patIents’ health hx Includes presence of AIDS and a recent laboratory
results that reveal a low CD4+ count. AIrborne precautIons have been InItated. whIch of the followIng
actIons should the nurse take next
a. assess the patIent for shIngles
b. obtaIn a throat culture
c. prepare the patIent for InsertIon of chest tube
d. check patIents’ temp
d. check patIent’s temp
the newly hIred nurse Is developIng a POC for a patIents’ who has AIDS and was just dIagnosed wIth
pneumocystIs jIrovecI pneumonIa (PJP) and paIn. whIch of the followIng InterventIons should the nurse
precepatIents’or questIon?
a. tellIng the patIents’ to keep the door to the room closed at all tImes
b. offerIng the patIents’ foods hIgh In calorIes and proteIn
c. InstrucItIng the patIents’ to drInk at least 2-3L of fluId throughout the day
d. placIng the clIent on pressure-relIevIng mattress
a. tellIng the patIents’ to keep the door to the room closed at all tImes
the nurse Is carIng for a patIents’ wIth ADS who has just been crypatIents’occal menIngItIs. whIch of the
followIng actIons should the nurse take
a. InItate aIrborne precuatIons for the next 72 hours
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Galen.
The nurse Is working In a community health center has Instructed a group of patients’ who have AIDS
about ways to prevent Infections. which of the following statement by a patients’ would Indicate the
need for additional teaching
a. "I should clean my toothbrush by running It through the dishwater"
b. "I will wear a surgical mask when I change my cat's litter box"
c. "I will notify my PCP If my temp Is greater than 100"
d. "I will avoid drinking water that has been standing for longer than 1 hour"
b. "I will wear a surgical mask when I change my cat's litter box"
the nurse Is preparing a newly hired nurse who Is caring for a patients’ who has AIDS and has developed
Kaposi Sarcome. It requires additional teaching by the precipitants’ If the newly hired nurse
a. Instructs the patients’ that make-up can be applied to lesion that are open
b. applies surgical mask before entering patients’ room
c. keeps open weeping lesions clean and covered with prescribed dressing
d. Inspects the patients’ mouth at least once every 8 hours
b. applies surgical mask before entering patients’ room
the nurse Is caring for a patients’ who had a heart transplant 24 hours ago. whIch of the following
findings Indicates the patients’ Is developing complications
a. hypotension
b. urticaria
c. prothrombin time of 11 sec
d. facial flushing
a. hypotension
the nurse Is caring for a patients’ who had a lung transplant 10 days ago. It would be a priority for the
nurse to notify the PCP If the patients’ has
a. developed sputum that Is yellow-tinged
1|Page
,b. refused to get out of bed for the past 24 hours
c. a pain rating of 7 when taking a deep breath
d. only used the Incentive spirometer once since last evening
a. developed sputum that Is yellow-tinged
the nurse Is caring for a patients’ who had a liver transplant 48 hours ago. which findings from the box Is
a priority for the nurse to report to the PCP
1. decrease in urine output from 50 to 30mL/hr since surgery
2. an Increase In a AST form 28 to 32 units/L In the past 24 hours
3. a pulse rate that has decreased from 88 to 72 over the last 8 hours
4. a PATIENTS’ of 20 seconds
5. an INR of 2.5 seconds
6. an Increase In serum bilirubin levels over the last 12 hours
7. a decreased In alkaline phosphatase levels
a. 2,3,5
b. 1,3,7
c. 1,4,6,7
d. 2,4,5,6,
d. 2,4,5,6,
the nurse Is carIng for a patIents’ who had kIndey trasnplant 2 weeks ago. whIch of the followIng
fIndIngs should the nurse correlate to possIble organ rejectIon
a. BUN of 15
b. BP 172/96
c. serum creatInIe level of 0.9
d. UA that Is postIve for proteIn
b. BP 172/96
the nurse workIng In a PHCP offIce just admInIstered a routIne ImmunIzatIon to a patIents’. the clInet Is
asked to waIt In the waItIng room for the next 15 mIns. fIve mIns. later the patIents’ develops swellIng
2|Page
, of the eyes and reports feelIng anxIous, SOB, and dIzzy. whIch of the follwIng actIons should the nurse
take fIrst
a. prepare to admInIster dIpenhyramIne
b. elevate the patIents’ feet and legs
c. obtaIn full set of VS
d. perfrom a respIratory assessment
d. perfrom a respIratory assessment
The nurse Is workIng In the ED Is trIagIng patIents’ who has presented wIth chest paIn, SOB, productIve
cough, reports nIght sweats. the patIents’ health hx Includes presence of AIDS and a recent laboratory
results that reveal a low CD4+ count. AIrborne precautIons have been InItated. whIch of the followIng
actIons should the nurse take next
a. assess the patIent for shIngles
b. obtaIn a throat culture
c. prepare the patIent for InsertIon of chest tube
d. check patIents’ temp
d. check patIent’s temp
the newly hIred nurse Is developIng a POC for a patIents’ who has AIDS and was just dIagnosed wIth
pneumocystIs jIrovecI pneumonIa (PJP) and paIn. whIch of the followIng InterventIons should the nurse
precepatIents’or questIon?
a. tellIng the patIents’ to keep the door to the room closed at all tImes
b. offerIng the patIents’ foods hIgh In calorIes and proteIn
c. InstrucItIng the patIents’ to drInk at least 2-3L of fluId throughout the day
d. placIng the clIent on pressure-relIevIng mattress
a. tellIng the patIents’ to keep the door to the room closed at all tImes
the nurse Is carIng for a patIents’ wIth ADS who has just been crypatIents’occal menIngItIs. whIch of the
followIng actIons should the nurse take
a. InItate aIrborne precuatIons for the next 72 hours
3|Page
