NUR 265 EXAM 4 QUESTION AND ANSWERS
WITH RATIONALES LATEST UPDATED
2026/2027 GUARANTEED SUCCESS!!!
Literally Exam 4 NUR265
, lO M oARcPSD| 68366729
The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath, a
productive cough, and reports nights sweats. That clients health history includes the presence of acquired
immunodeficiency syndrome (AIDS) and the recent laboratory results that reveal a low CD4+ count.
Airborne precautions have been initiated. W hich of the following actions should the nurse take next?
ANSWER: Check the client’s temperature
RATIONALE: A fever is a symptom of AIDS exacerbation.
The newly hired nurse is developing a plan of care for a client who has acquired AIDS and was just
diagnosed with pneumocystis jiroveci pneumonia and pain. Which of the following interventions should
the nurse preceptor question?
ANSWER: Placing the client on a pressure-relieving mattress
RATIONALE: That is not an appropriate intervention.
The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal meningitis.
Which of the following actions should the nurse take?
ANSWER: Initiate seizure precautions with padded side rails
RATIONALE: Pg.965. Patients may have seizures.
The nurse had provided medication instructions to a client who has human immunodeficiency virus (HIV)
and has been prescribed combination antiretroviral therapy (cART). Which of the following client
statements indicates a correct understanding of the teaching?
ANSWER:“I can avoid developing drug resistance if I take 90% of my drugs on time.”
RATIONALE: Pg. 976. It is important to teach patients to take at least 90% of their meds on time to
prevent drug resistance.
The nurse working in a community health center has instructed a group of clients who have acquired
immune deficiency syndrome (AIDS) about ways to prevent infection. Which of the following
statements, if made by a client, would indicate the need for additional teaching? ANSWER: “I
will wear a surgical mask when I change my cat’s litter box.”
RATIONALE: Pg. 974. Do not change cat’s litter box. Wear gloves and immediately wash hands.
The nurse is precepting a newly hired nurse who is caring for a client who has AIDS and has developed
Kaposil’s sarcoma. It requires additional teaching by the preceptor if the newly hired nurse ANSWER:
Applies a surgical mask before entering the client’s room.
RATIONALE: Pg.983. This is not an appropriate intervention.
The nurse is caring for a client who had a heart transplant 24 hours ago. Which of the following findings
indicates the clients developing a complication?
ANSWER: Hypotension
RATIONALE: Pg.1842. Hypotension is a symptom of heart transplant rejection.
WITH RATIONALES LATEST UPDATED
2026/2027 GUARANTEED SUCCESS!!!
Literally Exam 4 NUR265
, lO M oARcPSD| 68366729
The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath, a
productive cough, and reports nights sweats. That clients health history includes the presence of acquired
immunodeficiency syndrome (AIDS) and the recent laboratory results that reveal a low CD4+ count.
Airborne precautions have been initiated. W hich of the following actions should the nurse take next?
ANSWER: Check the client’s temperature
RATIONALE: A fever is a symptom of AIDS exacerbation.
The newly hired nurse is developing a plan of care for a client who has acquired AIDS and was just
diagnosed with pneumocystis jiroveci pneumonia and pain. Which of the following interventions should
the nurse preceptor question?
ANSWER: Placing the client on a pressure-relieving mattress
RATIONALE: That is not an appropriate intervention.
The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal meningitis.
Which of the following actions should the nurse take?
ANSWER: Initiate seizure precautions with padded side rails
RATIONALE: Pg.965. Patients may have seizures.
The nurse had provided medication instructions to a client who has human immunodeficiency virus (HIV)
and has been prescribed combination antiretroviral therapy (cART). Which of the following client
statements indicates a correct understanding of the teaching?
ANSWER:“I can avoid developing drug resistance if I take 90% of my drugs on time.”
RATIONALE: Pg. 976. It is important to teach patients to take at least 90% of their meds on time to
prevent drug resistance.
The nurse working in a community health center has instructed a group of clients who have acquired
immune deficiency syndrome (AIDS) about ways to prevent infection. Which of the following
statements, if made by a client, would indicate the need for additional teaching? ANSWER: “I
will wear a surgical mask when I change my cat’s litter box.”
RATIONALE: Pg. 974. Do not change cat’s litter box. Wear gloves and immediately wash hands.
The nurse is precepting a newly hired nurse who is caring for a client who has AIDS and has developed
Kaposil’s sarcoma. It requires additional teaching by the preceptor if the newly hired nurse ANSWER:
Applies a surgical mask before entering the client’s room.
RATIONALE: Pg.983. This is not an appropriate intervention.
The nurse is caring for a client who had a heart transplant 24 hours ago. Which of the following findings
indicates the clients developing a complication?
ANSWER: Hypotension
RATIONALE: Pg.1842. Hypotension is a symptom of heart transplant rejection.
