CONCEPTS OF AGING AND CHRONIC
ILLNESS EXAM 1 ACTUAL TEST SCRIPT 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ The nurse reviews laboratory results requested to track HIV. What
laboratory test measures HIV RNA levels and is the best predictor of
HIV disease progression?
Enzyme immunoassay (EIA)
CD4/CD8
Western blot
Viral load. Answer: Viral load
◉ Cryptococcus meningitis is suspected in a client with HIV. Which
manifestations would be consistent with cryptococcus meningitis?
Select all that apply.
Hyperreflexia
Psychomotor slowing
Vacant stare
Stiff neck
Seizures. Answer: Stiff neck
Seizures
,◉ A client with AIDS develops pneumocystis pneumonia. The nurse
would most likely expect to include administration of which agent in
the client's plan of care?
Azithromycin
Aerosolized pentamidine
TMP-SMZ
Clindamycin. Answer: TMP-SMZ
◉ A client is diagnosed with pneumocystis pneumonia (PCP). What
medication does the nurse anticipate educating the client about for
treatment?
Azithromycin
TMP-SMZ
Cephalexin
Garamycin. Answer: TMP-SMZ
◉ A client comes to the clinic to see the physician, reporting, "I think
I ate something that I am allergic to." What symptoms would be
appropriate for the nurse to ask questions about?
Nasal congestion and coughing
Hives and itching
Sneezing and runny nose
,Diarrhea and abdominal cramping. Answer: Diarrhea and abdominal
cramping
◉ A nurse is preparing to administer an antiretroviral medication to
a client who is positive for HIV. The nurse identifies the drug as a
nucleoside reverse transcriptase inhibitor (NRTI). What drug will
the nurse administer?
Lamivudine
Etravirine
Delavirdine
Nevirapine. Answer: Lamivudine
◉ The nurse is teaching a client with HIV how to use a male condom.
The client demonstrates understanding of the information when he
makes which statements? Select all that apply.
"I can keep several condoms in my wallet in my back trouser pocket
so they are readily available."
"I should avoid using baby oil or petroleum jelly with a condom."
"I need to hold the condom by the tip to squeeze out the air before
putting it on."
"I can reuse a condom two or three times when I'm having sexual
intercourse."
"I should unroll the condom all the way over my erect penis.".
Answer: "I need to hold the condom by the tip to squeeze out the air
before putting it on."
, "I should unroll the condom all the way over my erect penis."
I should avoid using baby oil or petroleum jelly with a condom."
◉ A nurse is caring for a client with human immunodeficiency virus
(HIV). What would the nurse expect the health care provider to
order to determine the effectiveness of treatment?
ELISA with Western blot test
enzyme-linked immunosorbent assay (ELISA)
E-rosette immunofluorescence
quantification of T-lymphocytes. Answer: quantification of T-
lymphocytes
◉ The nurse is preparing to administer the recommended dose of
intravenous gamma-globulin for a 60-kg male client. How many
grams will the nurse administer?
30 g
90 g
15 g
60 g. Answer: 30 g
◉ A client received 2 units of packed red blood cells while in the
hospital with rectal bleeding. Three days after discharge, the client
experienced an allergic response and began to itch and break out
ILLNESS EXAM 1 ACTUAL TEST SCRIPT 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ The nurse reviews laboratory results requested to track HIV. What
laboratory test measures HIV RNA levels and is the best predictor of
HIV disease progression?
Enzyme immunoassay (EIA)
CD4/CD8
Western blot
Viral load. Answer: Viral load
◉ Cryptococcus meningitis is suspected in a client with HIV. Which
manifestations would be consistent with cryptococcus meningitis?
Select all that apply.
Hyperreflexia
Psychomotor slowing
Vacant stare
Stiff neck
Seizures. Answer: Stiff neck
Seizures
,◉ A client with AIDS develops pneumocystis pneumonia. The nurse
would most likely expect to include administration of which agent in
the client's plan of care?
Azithromycin
Aerosolized pentamidine
TMP-SMZ
Clindamycin. Answer: TMP-SMZ
◉ A client is diagnosed with pneumocystis pneumonia (PCP). What
medication does the nurse anticipate educating the client about for
treatment?
Azithromycin
TMP-SMZ
Cephalexin
Garamycin. Answer: TMP-SMZ
◉ A client comes to the clinic to see the physician, reporting, "I think
I ate something that I am allergic to." What symptoms would be
appropriate for the nurse to ask questions about?
Nasal congestion and coughing
Hives and itching
Sneezing and runny nose
,Diarrhea and abdominal cramping. Answer: Diarrhea and abdominal
cramping
◉ A nurse is preparing to administer an antiretroviral medication to
a client who is positive for HIV. The nurse identifies the drug as a
nucleoside reverse transcriptase inhibitor (NRTI). What drug will
the nurse administer?
Lamivudine
Etravirine
Delavirdine
Nevirapine. Answer: Lamivudine
◉ The nurse is teaching a client with HIV how to use a male condom.
The client demonstrates understanding of the information when he
makes which statements? Select all that apply.
"I can keep several condoms in my wallet in my back trouser pocket
so they are readily available."
"I should avoid using baby oil or petroleum jelly with a condom."
"I need to hold the condom by the tip to squeeze out the air before
putting it on."
"I can reuse a condom two or three times when I'm having sexual
intercourse."
"I should unroll the condom all the way over my erect penis.".
Answer: "I need to hold the condom by the tip to squeeze out the air
before putting it on."
, "I should unroll the condom all the way over my erect penis."
I should avoid using baby oil or petroleum jelly with a condom."
◉ A nurse is caring for a client with human immunodeficiency virus
(HIV). What would the nurse expect the health care provider to
order to determine the effectiveness of treatment?
ELISA with Western blot test
enzyme-linked immunosorbent assay (ELISA)
E-rosette immunofluorescence
quantification of T-lymphocytes. Answer: quantification of T-
lymphocytes
◉ The nurse is preparing to administer the recommended dose of
intravenous gamma-globulin for a 60-kg male client. How many
grams will the nurse administer?
30 g
90 g
15 g
60 g. Answer: 30 g
◉ A client received 2 units of packed red blood cells while in the
hospital with rectal bleeding. Three days after discharge, the client
experienced an allergic response and began to itch and break out
