NUR 265 EXAM 4 STUDY QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS GUARANTEED SUCCESS!!!
Question: A nurse working in the emergency department has just completed the
triage of a patient presenting with acute chest discomfort, shortness of breath, a
productive cough, and a history of intense night sweats. The patient’s medical
background includes an AIDS diagnosis, and recent laboratory results indicate a
severely low CD4+ T-cell count. Which action must the nurse implement
immediately?
Initiate airborne precautions
Check the client's temp
Assess the client for shingles
Obtain a throat culture
Answer: ✔✔ Initiate airborne precautions
(Rationale: In a patient with advanced HIV/AIDS, symptoms like a productive
cough, night sweats, and chest pain are highly suspicious for active pulmonary
Tuberculosis. The nurse must place the patient in an isolation room with negative
pressure ventilation and initiate airborne precautions right away before
performing further diagnostic tests.)
Question: A newly hired nurse is creating an individualized plan of care for a
patient with advanced AIDS who has just been diagnosed with Pneumocystis
jirovecii pneumonia (PJP). Which intervention, if included in the plan, requires the
nurse preceptor to step in and question its appropriateness?
Offering the client foods high in calories and protein
Instructing the client to drink at least 2-3L of fluid throughout the day
Wearing a surgical mask when standing within 3 ft of the client
Auscultating the client's breath sounds for crackles at least once per shift
Answer: ✔✔ Wearing a surgical mask when standing within 3 ft of the client.
,(Rationale: PJP is an opportunistic fungal infection that is acquired via
environmental exposure, not transmitted from person to person. Standard
precautions are entirely sufficient; droplet precautions—such as a surgical mask—
are clinically unnecessary unless the patient has a co-infection that requires it.)
The nurse is caring for a patient who has AIDS and has just been diagnosed with
toxoplasmosis encephalitis. Which of the following actions should the nurse take?
- Thicken the pt's liquids to honey consistency
- Initiate airborne precautions for the next 72 hrs
- Ask the client if they ingested undercooked meat
- Monitor the client's level of orientation -ANSWER ✔✔Ask the client if they
ingested undercooked meat.
The nurse working in a community health center has instructed a group of clients
who have AIDS about ways to prevent infection. Which of the following
statements by a client indicated the need for additional teaching?
- I should clean my toothbrush by running it through the dishwasher once a week
- I will avoid eating undercooked fruits and veggies
- I will notify my provider if my temp is greater than 101 F
- I will avoid drinking water that has been standing for longer than an hour. -
ANSWER ✔✔I will notify my primary healthcare provider if my temp is greater
than 101 F
The nurse is admitting a client who has AIDS and has developed an infection
caused by cryptosporidium. Which of the following client statements is consistent
with the diagnosis?
- "I have lost 5 lbs this past week"
- "I have developed a persistent dry cough"
- "I have noticed that my speech has become slurred"
, -"I have noticed that my food does not taste the same" -ANSWER ✔✔"I have
noticed that my speech has become slurred"
The nurse is caring for a client who had a heart transplant 10 years ago. Which
findings from the box below require follow-up by the nurse?
1. Prolonged prothrombin time (PT)
2. Activity intolerance
3. Weight gain of 3 lbs
4. Shortness of breath
5. Hypotension
6. Irritability -ANSWER ✔✔2. Activity intolerance
3. Weight gain of 3 lbs
4. Shortness of breath
5. Hypotension
The nurse attended a conference about kidney transplantations. Which of the
following clients who had end-stage renal disease (ESRD) does the nurse
recognize as being a transplant candidate?
- a 35 yr old client who is reporting burning with urination and is receiving
abdominal radiation
- a 42 yr old client who is sobbing after receiving a new diagnosis of ovarian
cancer
- a 24 yr old client who is receiving neck radiation and is reporting xerostomia
- a 56 yr old client who is receiving chest radiation and has developed changes in
taste. -ANSWER ✔✔A 35 yr old client who is reporting burning with urination
and is receiving abdominal radiation
AND ANSWERS WITH COMPLETE
SOLUTIONS GUARANTEED SUCCESS!!!
Question: A nurse working in the emergency department has just completed the
triage of a patient presenting with acute chest discomfort, shortness of breath, a
productive cough, and a history of intense night sweats. The patient’s medical
background includes an AIDS diagnosis, and recent laboratory results indicate a
severely low CD4+ T-cell count. Which action must the nurse implement
immediately?
Initiate airborne precautions
Check the client's temp
Assess the client for shingles
Obtain a throat culture
Answer: ✔✔ Initiate airborne precautions
(Rationale: In a patient with advanced HIV/AIDS, symptoms like a productive
cough, night sweats, and chest pain are highly suspicious for active pulmonary
Tuberculosis. The nurse must place the patient in an isolation room with negative
pressure ventilation and initiate airborne precautions right away before
performing further diagnostic tests.)
Question: A newly hired nurse is creating an individualized plan of care for a
patient with advanced AIDS who has just been diagnosed with Pneumocystis
jirovecii pneumonia (PJP). Which intervention, if included in the plan, requires the
nurse preceptor to step in and question its appropriateness?
Offering the client foods high in calories and protein
Instructing the client to drink at least 2-3L of fluid throughout the day
Wearing a surgical mask when standing within 3 ft of the client
Auscultating the client's breath sounds for crackles at least once per shift
Answer: ✔✔ Wearing a surgical mask when standing within 3 ft of the client.
,(Rationale: PJP is an opportunistic fungal infection that is acquired via
environmental exposure, not transmitted from person to person. Standard
precautions are entirely sufficient; droplet precautions—such as a surgical mask—
are clinically unnecessary unless the patient has a co-infection that requires it.)
The nurse is caring for a patient who has AIDS and has just been diagnosed with
toxoplasmosis encephalitis. Which of the following actions should the nurse take?
- Thicken the pt's liquids to honey consistency
- Initiate airborne precautions for the next 72 hrs
- Ask the client if they ingested undercooked meat
- Monitor the client's level of orientation -ANSWER ✔✔Ask the client if they
ingested undercooked meat.
The nurse working in a community health center has instructed a group of clients
who have AIDS about ways to prevent infection. Which of the following
statements by a client indicated the need for additional teaching?
- I should clean my toothbrush by running it through the dishwasher once a week
- I will avoid eating undercooked fruits and veggies
- I will notify my provider if my temp is greater than 101 F
- I will avoid drinking water that has been standing for longer than an hour. -
ANSWER ✔✔I will notify my primary healthcare provider if my temp is greater
than 101 F
The nurse is admitting a client who has AIDS and has developed an infection
caused by cryptosporidium. Which of the following client statements is consistent
with the diagnosis?
- "I have lost 5 lbs this past week"
- "I have developed a persistent dry cough"
- "I have noticed that my speech has become slurred"
, -"I have noticed that my food does not taste the same" -ANSWER ✔✔"I have
noticed that my speech has become slurred"
The nurse is caring for a client who had a heart transplant 10 years ago. Which
findings from the box below require follow-up by the nurse?
1. Prolonged prothrombin time (PT)
2. Activity intolerance
3. Weight gain of 3 lbs
4. Shortness of breath
5. Hypotension
6. Irritability -ANSWER ✔✔2. Activity intolerance
3. Weight gain of 3 lbs
4. Shortness of breath
5. Hypotension
The nurse attended a conference about kidney transplantations. Which of the
following clients who had end-stage renal disease (ESRD) does the nurse
recognize as being a transplant candidate?
- a 35 yr old client who is reporting burning with urination and is receiving
abdominal radiation
- a 42 yr old client who is sobbing after receiving a new diagnosis of ovarian
cancer
- a 24 yr old client who is receiving neck radiation and is reporting xerostomia
- a 56 yr old client who is receiving chest radiation and has developed changes in
taste. -ANSWER ✔✔A 35 yr old client who is reporting burning with urination
and is receiving abdominal radiation
