1|Page
HESI NUR 209 Medical Surgical Nursing II
Questions and Answers Practice Questions with
Solutions Newest 2026-2027 | Already Graded A+
A client diagnosed with human immune deficiency virus is
concerned about getting opportunistic infections and asks the
nurse how to prevent them. Which interventions does the nurse
recommend to the client?
A. Clean toothbrushes once a week.
B. Bathe daily using an antimicrobial soap.
C. Eat salad at least once a day.
D. Wash dishes in cool water. - ANSWER-B. Bathe daily using
an antimicrobial soap.
Bathing daily and using an antimicrobial soap will help decrease
the risk for opportunistic infections by reducing the number of
bacteria found on the skin. Toothbrushes should be cleaned daily
through the dishwasher or by rinsing in liquid laundry bleach.
Salads and raw fruits and vegetables could be contaminated and
should be avoided. Dishes should be washed in hot, soapy water
or in a dishwasher.
,2|Page
The nurse is conducting a health assessment interview with a
client diagnosed with human immune deficiency virus (HIV).
Which statement by the client does the nurse immediately
address?
A. "When I injected heroin, I was exposed to HIV."
B. "I don't understand how the antiretroviral drugs work."
C. "I remember to take my antiretroviral drugs almost every
day."
D. "My sex drive is weaker than it used to be since I started
taking my antiretroviral medications." - ANSWER-C. "I
remember to take my antiretroviral drugs almost every day."
Because inconsistent use of antiretroviral medications can lead
to unsuccessful therapy and the development of drug-resistant
HIV strains, it is important that clients take these drugs
consistently. The nurse should immediately assess the reasons
why the client does not take the medications daily and then
should implement a plan to improve adherence. The nurse
should assess whether the client is still injecting drugs and
should make certain the client understands the risks for infection
with another strain of HIV or other bloodborne pathogens and
the risk for spreading HIV, but this does not need to be
addressed immediately. The nurse must provide further
,3|Page
education about how the medications work and assess how the
lack of knowledge or decreased libido influences compliance,
but this does not need to be addressed immediately.
A client who is human immune deficiency virus (HIV) positive
and has a CD4+ count of 15 has just been admitted with a fever
and abdominal pain. Which health care provider request does the
nurse implement first?
A. Obtain a 12-lead electrocardiogram (ECG).
B. Call for a portable chest x-ray.
C. Obtain blood cultures from two sites.
D. Give cefazolin (Kefzol) 500 mg IV. - ANSWER-C. Obtain
blood cultures from two sites.
Antibiotics should be given as soon as possible to
immunocompromised clients, but blood cultures must be
obtained first so that culture results will not be affected by the
antibiotic. A 12-lead ECG can be obtained and calling for a
portable chest x-ray can be done after other priority requests
have been carried out.
The nurse is assigned to care for four clients. Which client does
the nurse assess first?
, 4|Page
A. Client with human immune deficiency virus (HIV) and
Kaposi's sarcoma who has increased swelling of a sarcoma
lesion on the right arm
B. Client with a history of liver transplantation who is currently
taking cyclosporine (Sandimmune) and has an elevated
temperature
C. Client who has been admitted to receive a monthly dose of
serum immune globulin to treat Bruton's agammaglobulinemia
D. Client who has been receiving radiation to the abdomen and
has a decreased total lymphocyte count - ANSWER-B. Client
with a history of liver transplantation who is currently taking
cyclosporine (Sandimmune) and has an elevated temperature
The temperature elevation of the client with a history of liver
transplantation indicates that infection may be occurring; the
client is at risk for overwhelming infection because of
cyclosporine-induced immune suppression. Immediate
assessment by the nurse is indicated. Information regarding the
HIV-positive client with Kaposi's sarcoma and the client with
Bruton's agammaglobulinemia indicates that these clients'
physiologic statuses are relatively stable. It is not unusual for a
client who is undergoing radiation to have a decreased total
lymphocyte count.
HESI NUR 209 Medical Surgical Nursing II
Questions and Answers Practice Questions with
Solutions Newest 2026-2027 | Already Graded A+
A client diagnosed with human immune deficiency virus is
concerned about getting opportunistic infections and asks the
nurse how to prevent them. Which interventions does the nurse
recommend to the client?
A. Clean toothbrushes once a week.
B. Bathe daily using an antimicrobial soap.
C. Eat salad at least once a day.
D. Wash dishes in cool water. - ANSWER-B. Bathe daily using
an antimicrobial soap.
Bathing daily and using an antimicrobial soap will help decrease
the risk for opportunistic infections by reducing the number of
bacteria found on the skin. Toothbrushes should be cleaned daily
through the dishwasher or by rinsing in liquid laundry bleach.
Salads and raw fruits and vegetables could be contaminated and
should be avoided. Dishes should be washed in hot, soapy water
or in a dishwasher.
,2|Page
The nurse is conducting a health assessment interview with a
client diagnosed with human immune deficiency virus (HIV).
Which statement by the client does the nurse immediately
address?
A. "When I injected heroin, I was exposed to HIV."
B. "I don't understand how the antiretroviral drugs work."
C. "I remember to take my antiretroviral drugs almost every
day."
D. "My sex drive is weaker than it used to be since I started
taking my antiretroviral medications." - ANSWER-C. "I
remember to take my antiretroviral drugs almost every day."
Because inconsistent use of antiretroviral medications can lead
to unsuccessful therapy and the development of drug-resistant
HIV strains, it is important that clients take these drugs
consistently. The nurse should immediately assess the reasons
why the client does not take the medications daily and then
should implement a plan to improve adherence. The nurse
should assess whether the client is still injecting drugs and
should make certain the client understands the risks for infection
with another strain of HIV or other bloodborne pathogens and
the risk for spreading HIV, but this does not need to be
addressed immediately. The nurse must provide further
,3|Page
education about how the medications work and assess how the
lack of knowledge or decreased libido influences compliance,
but this does not need to be addressed immediately.
A client who is human immune deficiency virus (HIV) positive
and has a CD4+ count of 15 has just been admitted with a fever
and abdominal pain. Which health care provider request does the
nurse implement first?
A. Obtain a 12-lead electrocardiogram (ECG).
B. Call for a portable chest x-ray.
C. Obtain blood cultures from two sites.
D. Give cefazolin (Kefzol) 500 mg IV. - ANSWER-C. Obtain
blood cultures from two sites.
Antibiotics should be given as soon as possible to
immunocompromised clients, but blood cultures must be
obtained first so that culture results will not be affected by the
antibiotic. A 12-lead ECG can be obtained and calling for a
portable chest x-ray can be done after other priority requests
have been carried out.
The nurse is assigned to care for four clients. Which client does
the nurse assess first?
, 4|Page
A. Client with human immune deficiency virus (HIV) and
Kaposi's sarcoma who has increased swelling of a sarcoma
lesion on the right arm
B. Client with a history of liver transplantation who is currently
taking cyclosporine (Sandimmune) and has an elevated
temperature
C. Client who has been admitted to receive a monthly dose of
serum immune globulin to treat Bruton's agammaglobulinemia
D. Client who has been receiving radiation to the abdomen and
has a decreased total lymphocyte count - ANSWER-B. Client
with a history of liver transplantation who is currently taking
cyclosporine (Sandimmune) and has an elevated temperature
The temperature elevation of the client with a history of liver
transplantation indicates that infection may be occurring; the
client is at risk for overwhelming infection because of
cyclosporine-induced immune suppression. Immediate
assessment by the nurse is indicated. Information regarding the
HIV-positive client with Kaposi's sarcoma and the client with
Bruton's agammaglobulinemia indicates that these clients'
physiologic statuses are relatively stable. It is not unusual for a
client who is undergoing radiation to have a decreased total
lymphocyte count.
