2025 NEWEST HCAL III Final (Test Bank)
2025 NEWEST HCAL III Final (Test Bank) COMPLETE QUESTIONS
AND ANSWERS 100% VERIFIED,100% RATED CORRECT, 100%
SURE PASS!!
During the admission assessment of an HIV-positive patient whose CD4+ count has recently
fallen, the nurse carefully assesses for signs and symptoms related to opportunistic infections.
What is the most common life-threatening infection?
- salmonella infection
- mycobacterium tuberculosis
- clostridium difficile
- pneumocystis pneumonia - ANSWER-- pneumocystis pneumonia
A patient's current antiretroviral regimen includes nucleoside reverse transcriptase inhibitors
(NRTOs). What dietary counseling will the nurse provide based on the patient's medication
regimen?
- avoid high-fat meals while taking this medication
- limit fluid intake to 2 liters a day
- limit sodium intake to 2 grams per day
- take this medication without regards to meals - ANSWER-- take this medication without
regards to meals
A nurse is performing an admission assessment on a patient with stage 3 HIV. After assessing
the patient's GI system and analyzing the data, what is most likely to be the priority nursing
diagnosis?
- acute abdominal pain
- diarrhea
- bowel incontinence
- constipation - ANSWER-- diarrhea
1|Page
, 2025 NEWEST HCAL III Final (Test Bank)
A patient with a recent diagnosis of HIV infection expresses an interest in exploring alternative
and complementary therapies. How should the nurse best respond?
- complementary therapies generally have not been approved, so patients are usually
discouraged from using them
- researchers have not looked at the benefits of alternative therapy for patients with HIV, so we
suggest that you stay away from these therapies until there is solid research data available
- many patients with HIV use some type of alternative therapy and, as with most health
treatments, there are benefits and risks
- you'll need to meet with your doctor to choose between an alternative approach to treatment
and a medical approach - ANSWER-- many patients with HIV use some type of alternative
therapy and, as with most health treatments, there are benefits and risks
A patient was tested for HIV using enzyme immunoassay (EIA) and results were positive. The
nurse should expect the PCP to order what test to confirm the EIA test results?
- another EIA test
- viral load test
- Western blot test
- CD4/CD8 ratio - ANSWER-- Western blot test
The nurse's plan of care for a patient with stage 3 HIV addresses the diagnosis of risk for
impaired skin integrity related to candidiasis. what nursing intervention best addresses this risk?
- providing thorough oral care before and after meals
- administering prophylactic antibiotics
- promoting nutrition and adequate fluid intake
- applying skin emollients as needed - ANSWER-- providing thorough oral care before and after
meals
2|Page
, 2025 NEWEST HCAL III Final (Test Bank)
A patient with HIV infection has begun experiencing severe diarrhea. What is the most
appropriate nursing intervention to help alleviate the diarrhea?
- administer antidiarrheal medications on a scheduled basis, as ordered
- encourage the patient to eat 3 balanced meals and a snack at bedtime
- increase the patient's oral fluid intake
- encourage the patient to increase his or her activity level - ANSWER-- administer antidiarrheal
medications on a scheduled basis, as ordered
A nurse is caring for a patient hospitalized with AIDS. A friend comes to visit the patient and
privately asks the nurse about the risk of contracting HIV when visiting the patient. What is the
nurse's best response?
- do you think that you might already have HIV?
- don't worry. your immune system is likely very healthy.
- AIDS isn't transmitted by casual contact.
- you can't contract AIDS in a hospital setting. - ANSWER-- AIDS isn't transmitted by casual
contact.
A patient with HIV has a nursing diagnosis of risk for impaired skin integrity. What nursing
intervention best addresses this risk?
- utilize a pressure-reducing mattress
- limit the patient's physical activity
- apply antibiotic ointment to dependent skin surfaces
- avoid contract with synthetic fabrics - ANSWER-- utilize a pressure-reducing mattress
A nurse would identify that a colleague needs additional instruction on standard precautions
when the colleague exhibits which of the following behaviors?
- the nurse wears face protection, gloves, and a gown when irrigating a wound
3|Page
, 2025 NEWEST HCAL III Final (Test Bank)
- the nurse washes the hands with a waterless antiseptic agent after removing a pair of soiled
gloves
- the nurse puts on a second pair of gloves over soiled gloves while performing a bloody
procedure
- the nurse places a used needle and syringe in the puncture-resistant catheter without capping
the needle - ANSWER-- the nurse puts on a second pair of gloves over soiled gloves while
performing a bloody procedure
An 18-year-old pregnant female has tested positive for HIV and asks the nurse if her baby is
going to be born with HIV. What is the nurse's best response?
- there is no way to know that for certain, but we do know that your baby has a 1 in 4 chance of
being born with HIV
- your physician is likely the best one to ask that question
- if the baby is HIV positive there is nothing that can be done until it is born, so try your best not
to worry about it now
- it's possible that your baby could contract HIV, either before, during, or after delivery -
ANSWER-- it's possible that your baby could contract HIV, either before, during, or after delivery
A nurse is admitting the incidence and prevalence of HIV infection among older adults. What
principle should guide the nurse's choice of educational interventions?
- many older adults do not see themselves as being at risk for HIV infection
- many older adults are not aware of the difference between HIV and AIDS
- older adults tend to have more sex partners than younger adults
- older adults have the highest incidence of IV drug use - ANSWER-- many older adults do not
see themselves as being at risk for HIV infection
A 16-year-old has come to the clinic and asks to talk to a nurse. The nurse asks the teen what
she needs and the teens responses that she has become sexually active and is concerned about
getting HIV. The teen asks the nurse what she can do to keep from getting HIV. What would be
the nurse's best response?
4|Page
2025 NEWEST HCAL III Final (Test Bank) COMPLETE QUESTIONS
AND ANSWERS 100% VERIFIED,100% RATED CORRECT, 100%
SURE PASS!!
During the admission assessment of an HIV-positive patient whose CD4+ count has recently
fallen, the nurse carefully assesses for signs and symptoms related to opportunistic infections.
What is the most common life-threatening infection?
- salmonella infection
- mycobacterium tuberculosis
- clostridium difficile
- pneumocystis pneumonia - ANSWER-- pneumocystis pneumonia
A patient's current antiretroviral regimen includes nucleoside reverse transcriptase inhibitors
(NRTOs). What dietary counseling will the nurse provide based on the patient's medication
regimen?
- avoid high-fat meals while taking this medication
- limit fluid intake to 2 liters a day
- limit sodium intake to 2 grams per day
- take this medication without regards to meals - ANSWER-- take this medication without
regards to meals
A nurse is performing an admission assessment on a patient with stage 3 HIV. After assessing
the patient's GI system and analyzing the data, what is most likely to be the priority nursing
diagnosis?
- acute abdominal pain
- diarrhea
- bowel incontinence
- constipation - ANSWER-- diarrhea
1|Page
, 2025 NEWEST HCAL III Final (Test Bank)
A patient with a recent diagnosis of HIV infection expresses an interest in exploring alternative
and complementary therapies. How should the nurse best respond?
- complementary therapies generally have not been approved, so patients are usually
discouraged from using them
- researchers have not looked at the benefits of alternative therapy for patients with HIV, so we
suggest that you stay away from these therapies until there is solid research data available
- many patients with HIV use some type of alternative therapy and, as with most health
treatments, there are benefits and risks
- you'll need to meet with your doctor to choose between an alternative approach to treatment
and a medical approach - ANSWER-- many patients with HIV use some type of alternative
therapy and, as with most health treatments, there are benefits and risks
A patient was tested for HIV using enzyme immunoassay (EIA) and results were positive. The
nurse should expect the PCP to order what test to confirm the EIA test results?
- another EIA test
- viral load test
- Western blot test
- CD4/CD8 ratio - ANSWER-- Western blot test
The nurse's plan of care for a patient with stage 3 HIV addresses the diagnosis of risk for
impaired skin integrity related to candidiasis. what nursing intervention best addresses this risk?
- providing thorough oral care before and after meals
- administering prophylactic antibiotics
- promoting nutrition and adequate fluid intake
- applying skin emollients as needed - ANSWER-- providing thorough oral care before and after
meals
2|Page
, 2025 NEWEST HCAL III Final (Test Bank)
A patient with HIV infection has begun experiencing severe diarrhea. What is the most
appropriate nursing intervention to help alleviate the diarrhea?
- administer antidiarrheal medications on a scheduled basis, as ordered
- encourage the patient to eat 3 balanced meals and a snack at bedtime
- increase the patient's oral fluid intake
- encourage the patient to increase his or her activity level - ANSWER-- administer antidiarrheal
medications on a scheduled basis, as ordered
A nurse is caring for a patient hospitalized with AIDS. A friend comes to visit the patient and
privately asks the nurse about the risk of contracting HIV when visiting the patient. What is the
nurse's best response?
- do you think that you might already have HIV?
- don't worry. your immune system is likely very healthy.
- AIDS isn't transmitted by casual contact.
- you can't contract AIDS in a hospital setting. - ANSWER-- AIDS isn't transmitted by casual
contact.
A patient with HIV has a nursing diagnosis of risk for impaired skin integrity. What nursing
intervention best addresses this risk?
- utilize a pressure-reducing mattress
- limit the patient's physical activity
- apply antibiotic ointment to dependent skin surfaces
- avoid contract with synthetic fabrics - ANSWER-- utilize a pressure-reducing mattress
A nurse would identify that a colleague needs additional instruction on standard precautions
when the colleague exhibits which of the following behaviors?
- the nurse wears face protection, gloves, and a gown when irrigating a wound
3|Page
, 2025 NEWEST HCAL III Final (Test Bank)
- the nurse washes the hands with a waterless antiseptic agent after removing a pair of soiled
gloves
- the nurse puts on a second pair of gloves over soiled gloves while performing a bloody
procedure
- the nurse places a used needle and syringe in the puncture-resistant catheter without capping
the needle - ANSWER-- the nurse puts on a second pair of gloves over soiled gloves while
performing a bloody procedure
An 18-year-old pregnant female has tested positive for HIV and asks the nurse if her baby is
going to be born with HIV. What is the nurse's best response?
- there is no way to know that for certain, but we do know that your baby has a 1 in 4 chance of
being born with HIV
- your physician is likely the best one to ask that question
- if the baby is HIV positive there is nothing that can be done until it is born, so try your best not
to worry about it now
- it's possible that your baby could contract HIV, either before, during, or after delivery -
ANSWER-- it's possible that your baby could contract HIV, either before, during, or after delivery
A nurse is admitting the incidence and prevalence of HIV infection among older adults. What
principle should guide the nurse's choice of educational interventions?
- many older adults do not see themselves as being at risk for HIV infection
- many older adults are not aware of the difference between HIV and AIDS
- older adults tend to have more sex partners than younger adults
- older adults have the highest incidence of IV drug use - ANSWER-- many older adults do not
see themselves as being at risk for HIV infection
A 16-year-old has come to the clinic and asks to talk to a nurse. The nurse asks the teen what
she needs and the teens responses that she has become sexually active and is concerned about
getting HIV. The teen asks the nurse what she can do to keep from getting HIV. What would be
the nurse's best response?
4|Page
