NUR 257 EXAM 1 QUESTIONS AND ANSWERS
1. A pediatric client is recovering from an anaphylactic reaction to an allergen.
In the first assessment, the client presents with a periorbital accumulation
of blood, a common occurrence in children. What type of allergic reaction
presents "allergic shiners"?
type II
type I
type IV
type III
Answer> type I
2. The nurse reviews laboratory results requested to track HIV. What labora-
tory 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
3. Cryptococcus meningitis is suspected in a client with HIV. Which manifesta-
tions would be consistent with cryptococcus meningitis? Select all that apply.
Hyperreflexia
Psychomotor slowing
Vacant stare
Stiff neck
Seizures
Answer> Stiff neck
Seizures
4. 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
5. A client is diagnosed with pneumocystis pneumonia (PCP). What medica-
tion does the nurse anticipate educating the client about for treatment?
Azithromycin
TMP-SMZ
Cephalexin
Garamycin
Answer> TMP-SMZ
6. 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
7. 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
8. 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."
9. 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
10. The nurse is preparing to administer the recommended dose of intra-
venous 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
1. A pediatric client is recovering from an anaphylactic reaction to an allergen.
In the first assessment, the client presents with a periorbital accumulation
of blood, a common occurrence in children. What type of allergic reaction
presents "allergic shiners"?
type II
type I
type IV
type III
Answer> type I
2. The nurse reviews laboratory results requested to track HIV. What labora-
tory 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
3. Cryptococcus meningitis is suspected in a client with HIV. Which manifesta-
tions would be consistent with cryptococcus meningitis? Select all that apply.
Hyperreflexia
Psychomotor slowing
Vacant stare
Stiff neck
Seizures
Answer> Stiff neck
Seizures
4. 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
5. A client is diagnosed with pneumocystis pneumonia (PCP). What medica-
tion does the nurse anticipate educating the client about for treatment?
Azithromycin
TMP-SMZ
Cephalexin
Garamycin
Answer> TMP-SMZ
6. 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
7. 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
8. 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."
9. 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
10. The nurse is preparing to administer the recommended dose of intra-
venous 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
