HESI NUR 209 Medical Surgical Nursing II Questions
and Answers Practice Questions with Solutions Newest
| Already Graded A+
Question 1
A client diagnosed with human immune deficiency virus (HIV) is concerned about
getting opportunistic infections and asks the nurse how to prevent them. Which
intervention does the nurse recommend?
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.
Question 2
The nurse is conducting a health assessment interview with a client diagnosed with
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."
Question 3
A client who is 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.
Question 4
The nurse is assigned to care for four clients. Which client does the nurse assess
first?
A) Client with 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
Question 5
A client with HIV is prescribed trimethoprim-sulfamethoxazole (TMP-SMX)
daily. The nurse understands that this medication is primarily used to prevent
which opportunistic infection?
A) Tuberculosis
B) Pneumocystis jiroveci pneumonia (PCP)
C) Cytomegalovirus (CMV) retinitis
D) Toxoplasmosis
- ANSWER- B. Pneumocystis jiroveci pneumonia (PCP)
Question 6
,A client with acquired immunodeficiency syndrome (AIDS) has a CD4+ count of
50 cells/mm³. The client reports a new onset of headache, confusion, and fever.
Which complication does the nurse suspect most?
A) Cryptococcal meningitis
B) Toxoplasma gondii encephalitis
C) Primary central nervous system lymphoma
D) HIV-associated dementia
- ANSWER- B. Toxoplasma gondii encephalitis
Question 7
The nurse is caring for a client receiving highly active antiretroviral therapy
(HAART). The client asks why the medications must be taken exactly on time
every day. Which response by the nurse is most accurate?
A) "Taking them on time prevents stomach upset."
B) "Skipping doses can lead to drug resistance and treatment failure."
C) "Your liver needs a consistent level of medication to function properly."
D) "The medications work only if taken at the same time each day."
- ANSWER- B. "Skipping doses can lead to drug resistance and treatment
failure."
Question 8
A client with HIV infection develops a nonproductive cough, fever, and dyspnea
on exertion. The nurse notes hypoxemia on pulse oximetry. Which diagnostic test
should the nurse anticipate preparing the client for first?
A) Sputum culture for acid-fast bacilli
B) Bronchoscopy with bronchoalveolar lavage
C) Chest computed tomography (CT) scan
D) Pulmonary function tests
- ANSWER- B. Bronchoscopy with bronchoalveolar lavage
, Question 9
A client who is HIV positive reports difficulty adhering to the antiretroviral
regimen because of nausea. Which intervention should the nurse implement first?
A) Request a prescription for an antiemetic.
B) Assess the client's medication schedule and food intake pattern.
C) Suggest taking the medications with a full meal.
D) Notify the health care provider to change the regimen.
- ANSWER- B. Assess the client's medication schedule and food intake
pattern.
Question 10
A client with AIDS has a CD4+ count of 25 and develops a dry cough, fever, and
dyspnea. The nurse notes bilateral interstitial infiltrates on the chest x-ray. Which
medication does the nurse expect to be prescribed?
A) Rifampin
B) Trimethoprim-sulfamethoxazole (TMP-SMX)
C) Ganciclovir
D) Fluconazole
- ANSWER- B. Trimethoprim-sulfamethoxazole (TMP-SMX)
Question 11
A client with HIV is started on zidovudine (AZT). Which laboratory value should
the nurse monitor most closely?
A) Serum creatinine
B) Complete blood count (CBC) with differential
C) Liver function tests
D) CD4+ count
- ANSWER- B. Complete blood count (CBC) with differential
Question 12
and Answers Practice Questions with Solutions Newest
| Already Graded A+
Question 1
A client diagnosed with human immune deficiency virus (HIV) is concerned about
getting opportunistic infections and asks the nurse how to prevent them. Which
intervention does the nurse recommend?
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.
Question 2
The nurse is conducting a health assessment interview with a client diagnosed with
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."
Question 3
A client who is 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.
Question 4
The nurse is assigned to care for four clients. Which client does the nurse assess
first?
A) Client with 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
Question 5
A client with HIV is prescribed trimethoprim-sulfamethoxazole (TMP-SMX)
daily. The nurse understands that this medication is primarily used to prevent
which opportunistic infection?
A) Tuberculosis
B) Pneumocystis jiroveci pneumonia (PCP)
C) Cytomegalovirus (CMV) retinitis
D) Toxoplasmosis
- ANSWER- B. Pneumocystis jiroveci pneumonia (PCP)
Question 6
,A client with acquired immunodeficiency syndrome (AIDS) has a CD4+ count of
50 cells/mm³. The client reports a new onset of headache, confusion, and fever.
Which complication does the nurse suspect most?
A) Cryptococcal meningitis
B) Toxoplasma gondii encephalitis
C) Primary central nervous system lymphoma
D) HIV-associated dementia
- ANSWER- B. Toxoplasma gondii encephalitis
Question 7
The nurse is caring for a client receiving highly active antiretroviral therapy
(HAART). The client asks why the medications must be taken exactly on time
every day. Which response by the nurse is most accurate?
A) "Taking them on time prevents stomach upset."
B) "Skipping doses can lead to drug resistance and treatment failure."
C) "Your liver needs a consistent level of medication to function properly."
D) "The medications work only if taken at the same time each day."
- ANSWER- B. "Skipping doses can lead to drug resistance and treatment
failure."
Question 8
A client with HIV infection develops a nonproductive cough, fever, and dyspnea
on exertion. The nurse notes hypoxemia on pulse oximetry. Which diagnostic test
should the nurse anticipate preparing the client for first?
A) Sputum culture for acid-fast bacilli
B) Bronchoscopy with bronchoalveolar lavage
C) Chest computed tomography (CT) scan
D) Pulmonary function tests
- ANSWER- B. Bronchoscopy with bronchoalveolar lavage
, Question 9
A client who is HIV positive reports difficulty adhering to the antiretroviral
regimen because of nausea. Which intervention should the nurse implement first?
A) Request a prescription for an antiemetic.
B) Assess the client's medication schedule and food intake pattern.
C) Suggest taking the medications with a full meal.
D) Notify the health care provider to change the regimen.
- ANSWER- B. Assess the client's medication schedule and food intake
pattern.
Question 10
A client with AIDS has a CD4+ count of 25 and develops a dry cough, fever, and
dyspnea. The nurse notes bilateral interstitial infiltrates on the chest x-ray. Which
medication does the nurse expect to be prescribed?
A) Rifampin
B) Trimethoprim-sulfamethoxazole (TMP-SMX)
C) Ganciclovir
D) Fluconazole
- ANSWER- B. Trimethoprim-sulfamethoxazole (TMP-SMX)
Question 11
A client with HIV is started on zidovudine (AZT). Which laboratory value should
the nurse monitor most closely?
A) Serum creatinine
B) Complete blood count (CBC) with differential
C) Liver function tests
D) CD4+ count
- ANSWER- B. Complete blood count (CBC) with differential
Question 12
