IMMUNITY AND MALIGNANCY NCOI EXAM 4 ACTUAL
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE ALREADY GRADED A+
A patient was exposed to human immunodeficiency virus (HIV) 2 weeks ago
through sharing needles with other substance users. What symptoms will the
nurse teach the patient to report that would indicate the patient has developed an
acute HIV infection?
Flu-like symptoms such as fever, sore throat, swollen lymph glands, nausea, or diarrhea
2 - 4 weeks after exposure
A heterosexual patient is concerned that they may contract human
immunodeficiency virus (HIV) from a bisexual partner. What should the nurse
include when teaching about preexposure prophylaxis?
Use condoms for risk-reducing sexual relations.
Take emtricitabine and tenofovir (Truvada) regularly.
Have regular HIV testing for herself and her husband.
A patient is admitted to the emergency department (ED) with fever, swollen lymph
glands, sore throat, headache, malaise, joint pain, and diarrhea. What nursing
actions will help identify the need for further assessment of the cause of this
patient’s manifestations if the nurse suspects the patient is at risk for HIV
infection?
,Assessment of sexual behavior
Assessment of drug and syringe use
The nurse is monitoring the effectiveness of antiretroviral therapy (ART) for a
patient with human immunodeficiency virus (HIV). What laboratory study result
indicates the medications are effective?
Increased CD4+ T-cell count
A patient was recently diagnosed with a sinus infection and prescribed a 10 day
course of an antibiotic. After 3 days the patient felt back to normal and informed
the nurse that he decided to stop the antibiotics and save the rest of the
antibiotics in case he gets another infection. Which statement by the nurse would
be correct in providing education to the patient?
"If you are prescribed antibiotics, you should complete the entire course of treatment
because you may create drug resistance by stopping early."
A patient has human immunodeficiency virus (HIV) infection and the viral load is
reported as undetectable. What patient teaching should be provided by the nurse
related to this laboratory study result?
The patient has the virus but the infection is well controlled
The nurse is providing care for a patient who has been living with human
immunodeficiency virus (HIV) for several years. Which assessment finding most
clearly indicates an acute exacerbation of the disease?
A sharp decrease in the patient's CD4+ count
, When teaching a patient infected with HIV about transmission of the virus to
others, which statement made by the patient would indicate a need for further
teaching?
"I will need to isolate any tissues I use so as not to infect my family."
The nurse manager has noted a recent increase in the incidence of hospital care-
associated infections (HAIs) on the unit. Which nursing action should be
prioritized in the response to this trend?
Frequent and thorough hand washing
What should the nurse teach the patients in the assisted living facility to decrease
their risk for antibiotic-resistant infection?
Wash hands frequently.
Take antibiotics as prescribed.
Take the antibiotic until it is gone.
A patient who is infected with human immunodeficiency virus (HIV) is being
taught by the nurse about health promotion activities such as good nutrition;
avoiding alcohol, tobacco, drug use, and exposure to infectious agents; keeping
up to date with vaccines; getting adequate rest; and stress management. What is
the rationale for these interventions?
Delaying disease progression
The nurse is providing postoperative care for a patient with human
immunodeficiency virus (HIV) infection after an appendectomy. What type of
precautions should the nurse observe to prevent the transmission of this
disease?
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE ALREADY GRADED A+
A patient was exposed to human immunodeficiency virus (HIV) 2 weeks ago
through sharing needles with other substance users. What symptoms will the
nurse teach the patient to report that would indicate the patient has developed an
acute HIV infection?
Flu-like symptoms such as fever, sore throat, swollen lymph glands, nausea, or diarrhea
2 - 4 weeks after exposure
A heterosexual patient is concerned that they may contract human
immunodeficiency virus (HIV) from a bisexual partner. What should the nurse
include when teaching about preexposure prophylaxis?
Use condoms for risk-reducing sexual relations.
Take emtricitabine and tenofovir (Truvada) regularly.
Have regular HIV testing for herself and her husband.
A patient is admitted to the emergency department (ED) with fever, swollen lymph
glands, sore throat, headache, malaise, joint pain, and diarrhea. What nursing
actions will help identify the need for further assessment of the cause of this
patient’s manifestations if the nurse suspects the patient is at risk for HIV
infection?
,Assessment of sexual behavior
Assessment of drug and syringe use
The nurse is monitoring the effectiveness of antiretroviral therapy (ART) for a
patient with human immunodeficiency virus (HIV). What laboratory study result
indicates the medications are effective?
Increased CD4+ T-cell count
A patient was recently diagnosed with a sinus infection and prescribed a 10 day
course of an antibiotic. After 3 days the patient felt back to normal and informed
the nurse that he decided to stop the antibiotics and save the rest of the
antibiotics in case he gets another infection. Which statement by the nurse would
be correct in providing education to the patient?
"If you are prescribed antibiotics, you should complete the entire course of treatment
because you may create drug resistance by stopping early."
A patient has human immunodeficiency virus (HIV) infection and the viral load is
reported as undetectable. What patient teaching should be provided by the nurse
related to this laboratory study result?
The patient has the virus but the infection is well controlled
The nurse is providing care for a patient who has been living with human
immunodeficiency virus (HIV) for several years. Which assessment finding most
clearly indicates an acute exacerbation of the disease?
A sharp decrease in the patient's CD4+ count
, When teaching a patient infected with HIV about transmission of the virus to
others, which statement made by the patient would indicate a need for further
teaching?
"I will need to isolate any tissues I use so as not to infect my family."
The nurse manager has noted a recent increase in the incidence of hospital care-
associated infections (HAIs) on the unit. Which nursing action should be
prioritized in the response to this trend?
Frequent and thorough hand washing
What should the nurse teach the patients in the assisted living facility to decrease
their risk for antibiotic-resistant infection?
Wash hands frequently.
Take antibiotics as prescribed.
Take the antibiotic until it is gone.
A patient who is infected with human immunodeficiency virus (HIV) is being
taught by the nurse about health promotion activities such as good nutrition;
avoiding alcohol, tobacco, drug use, and exposure to infectious agents; keeping
up to date with vaccines; getting adequate rest; and stress management. What is
the rationale for these interventions?
Delaying disease progression
The nurse is providing postoperative care for a patient with human
immunodeficiency virus (HIV) infection after an appendectomy. What type of
precautions should the nurse observe to prevent the transmission of this
disease?
