Nur 201 Exam 1 Fortis/Nur 201 Medical-Surgical Nursing I Exam 1
NUR 201 EXAM 1 FORTIS/NUR 201 MEDICAL-SURGICAL
NURSING I EXAM 1 NEWEST 2025/2026 COMPLETE EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A patient informed of a positive rapid screening test result for human
immunodeficiency virus (HIV) is anxious and does not appear to hear what the
nurse is saying. What action by the nurse is most important at this time?
a. Inform the patient about the available treatments.
b. Teach the patient how to manage a possible drug regimen.
c. Remind the patient to return for retesting to verify the results.
d. Ask the patient to identify those persons who had intimate contact.
ANS: C
After an initial positive antibody test result, the next step is retesting to confirm
the results. A patient who is anxious is not likely to be able to take in new
information or be willing to disclose information about the HIV status of other
individuals.
A patient who is diagnosed with acquired immunodeficiency syndrome (AIDS) tells
the nurse, "I feel obsessed with morbid thoughts about dying." Which response by
the nurse is appropriate?
a. "Thinking about dying will not improve the course of AIDS."
b. "Do you think that taking an antidepressant might be helpful?"
c. "Can you tell me more about the thoughts that you are having?"
d. "It is important to focus on the good things about your life now."
ANS: C
More assessment of the patient's psychosocial status is needed before taking any
other action. The statements, "Thinking about dying will not improve the course
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, Nur 201 Exam 1 Fortis/Nur 201 Medical-Surgical Nursing I Exam 1
of AIDS" and "It is important to focus on the good things in life" or suggesting an
antidepressant discourage the patient from sharing any further information with
the nurse and decrease the nurse's ability to develop a trusting relationship with
the patient.
A pregnant woman with asymptomatic chronic human immunodeficiency virus
(HIV) infection is seen at the clinic. The patient states, "I am very nervous about
making my baby sick." Which information will the nurse include when teaching
the patient? a. The antiretroviral medications used to treat HIV infection are
teratogenic.
b. Most infants born to HIV-positive mothers are not infected with the virus.
c. Because it is an early stage of HIV infection, the infant will not contract HIV.
d. Her newborn will be born with HIV unless she uses antiretroviral therapy (ART).
ANS: B
Only 25% of infants born to HIV-positive mothers develop HIV infection, even
when the mother does not use ART during pregnancy. The percentage drops to 2%
when ART is used. Perinatal transmission can occur at any stage of HIV infection
(although it is less likely to occur when the viral load is lower). ART can safely be
used in pregnancy, although some ART drugs should be avoided.
Which exposure by the nurse is most likely to require postexposure prophylaxis
when the patient’s human immunodeficiency virus (HIV) status is unknown?
a. Bite to the arm that does not result in open skin
b. Splash into the eyes while emptying a bedpan containing stool
c. Needle stick with a needle and syringe used for a venipuncture
d. Contamination of open skin lesions with patient vaginal secretions
ANS: C
Puncture wounds are the most common means for workplace transmission of
blood-borne diseases, and a needle with a hollow bore that had been
contaminated with the patient's blood would be a high-risk situation. The other
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, Nur 201 Exam 1 Fortis/Nur 201 Medical-Surgical Nursing I Exam 1
situations described would be much less likely to result in transmission of the
virus.
A patient who is human immunodeficiency virus (HIV)-infected has a CD4+ cell
count of 400/µL. Which factor is most important for the nurse to determine
before the initiation of antiretroviral therapy (ART) for this patient?
a. CD4+ cell count
b. How the patient obtained HIV
c. Patient’s tolerance for potential medication side effects
d. Patient’s ability to follow a complex medication regimen
ANS: D
Drug resistance develops quickly unless the patient takes ART medications on a
strict, regular schedule. In addition, drug resistance endangers both the patient
and community. The other information is also important to consider, but patients
who are unable to manage and follow a complex drug treatment regimen should
not be considered for ART.
Which patient would benefit from education about HIV preexposure prophylaxis
(PrEP)?
a. A 23-yr-old woman living with HIV infection.
b. A 52-yr-old recently single woman just diagnosed with chlamydia.
c. A 33-yr-old hospice worker who received a needle stick injury 3 hours ago.
d. A 60-yr-old male in a monogamous relationship with an HIV-uninfected partner.
ANS: B
Preexposure prophylaxis (PrEP) is used to prevent HIV infection. Persons who
would be good candidates for PrEP include individuals with a recent diagnosis of
an STI and those with more than one partner. Individuals who are not on PrEP but
who have a recent high-risk exposure (such as a needle stick) would be better
candidates for postexposure prophylaxis (PEP). A person in a monogamous
3|Page
, Nur 201 Exam 1 Fortis/Nur 201 Medical-Surgical Nursing I Exam 1
relationship with an HIV-uninfected partner is considered low-risk for HIV
infection.
The nurse palpates enlarged cervical lymph nodes on a patient diagnosed with
acute human immunodeficiency virus (HIV) infection. Which action would be
appropriate for the nurse to take?
a. Instruct the patient to apply ice to the neck.
b. Tell the patient a secondary infection is present.
c. Explain to the patient that this is an expected finding.
d. Request that an antibiotic be prescribed for the patient.
ANS: C
Persistent generalized lymphadenopathy is common in the early stages of HIV
infection. No antibiotic is needed because the enlarged nodes are probably not
caused by bacteria. Lymphadenopathy is common with acute HIV infection and is
therefore not likely to represent an additional infection. Ice will not decrease the
swelling in persistent generalized lymphadenopathy
Which information about a patient population would be most useful to help the
nurse plan for human immunodeficiency virus (HIV) testing needs?
a. Age
b. Lifestyle
c. Symptoms
d. Sexual orientation
ANS: A
The current Centers for Disease Control and Prevention policy is to offer routine
testing for HIV to all individuals age 13 to 64 years. Although lifestyle, symptoms,
and sexual orientation may suggest increased risk for HIV infection, the goal is to
test all individuals in this age range.
A patient who uses injectable illegal drugs asks the nurse how to prevent acquired
immunodeficiency syndrome (AIDS). Which response by the nurse is most
accurate?
4|Page
NUR 201 EXAM 1 FORTIS/NUR 201 MEDICAL-SURGICAL
NURSING I EXAM 1 NEWEST 2025/2026 COMPLETE EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A patient informed of a positive rapid screening test result for human
immunodeficiency virus (HIV) is anxious and does not appear to hear what the
nurse is saying. What action by the nurse is most important at this time?
a. Inform the patient about the available treatments.
b. Teach the patient how to manage a possible drug regimen.
c. Remind the patient to return for retesting to verify the results.
d. Ask the patient to identify those persons who had intimate contact.
ANS: C
After an initial positive antibody test result, the next step is retesting to confirm
the results. A patient who is anxious is not likely to be able to take in new
information or be willing to disclose information about the HIV status of other
individuals.
A patient who is diagnosed with acquired immunodeficiency syndrome (AIDS) tells
the nurse, "I feel obsessed with morbid thoughts about dying." Which response by
the nurse is appropriate?
a. "Thinking about dying will not improve the course of AIDS."
b. "Do you think that taking an antidepressant might be helpful?"
c. "Can you tell me more about the thoughts that you are having?"
d. "It is important to focus on the good things about your life now."
ANS: C
More assessment of the patient's psychosocial status is needed before taking any
other action. The statements, "Thinking about dying will not improve the course
1|Page
, Nur 201 Exam 1 Fortis/Nur 201 Medical-Surgical Nursing I Exam 1
of AIDS" and "It is important to focus on the good things in life" or suggesting an
antidepressant discourage the patient from sharing any further information with
the nurse and decrease the nurse's ability to develop a trusting relationship with
the patient.
A pregnant woman with asymptomatic chronic human immunodeficiency virus
(HIV) infection is seen at the clinic. The patient states, "I am very nervous about
making my baby sick." Which information will the nurse include when teaching
the patient? a. The antiretroviral medications used to treat HIV infection are
teratogenic.
b. Most infants born to HIV-positive mothers are not infected with the virus.
c. Because it is an early stage of HIV infection, the infant will not contract HIV.
d. Her newborn will be born with HIV unless she uses antiretroviral therapy (ART).
ANS: B
Only 25% of infants born to HIV-positive mothers develop HIV infection, even
when the mother does not use ART during pregnancy. The percentage drops to 2%
when ART is used. Perinatal transmission can occur at any stage of HIV infection
(although it is less likely to occur when the viral load is lower). ART can safely be
used in pregnancy, although some ART drugs should be avoided.
Which exposure by the nurse is most likely to require postexposure prophylaxis
when the patient’s human immunodeficiency virus (HIV) status is unknown?
a. Bite to the arm that does not result in open skin
b. Splash into the eyes while emptying a bedpan containing stool
c. Needle stick with a needle and syringe used for a venipuncture
d. Contamination of open skin lesions with patient vaginal secretions
ANS: C
Puncture wounds are the most common means for workplace transmission of
blood-borne diseases, and a needle with a hollow bore that had been
contaminated with the patient's blood would be a high-risk situation. The other
2|Page
, Nur 201 Exam 1 Fortis/Nur 201 Medical-Surgical Nursing I Exam 1
situations described would be much less likely to result in transmission of the
virus.
A patient who is human immunodeficiency virus (HIV)-infected has a CD4+ cell
count of 400/µL. Which factor is most important for the nurse to determine
before the initiation of antiretroviral therapy (ART) for this patient?
a. CD4+ cell count
b. How the patient obtained HIV
c. Patient’s tolerance for potential medication side effects
d. Patient’s ability to follow a complex medication regimen
ANS: D
Drug resistance develops quickly unless the patient takes ART medications on a
strict, regular schedule. In addition, drug resistance endangers both the patient
and community. The other information is also important to consider, but patients
who are unable to manage and follow a complex drug treatment regimen should
not be considered for ART.
Which patient would benefit from education about HIV preexposure prophylaxis
(PrEP)?
a. A 23-yr-old woman living with HIV infection.
b. A 52-yr-old recently single woman just diagnosed with chlamydia.
c. A 33-yr-old hospice worker who received a needle stick injury 3 hours ago.
d. A 60-yr-old male in a monogamous relationship with an HIV-uninfected partner.
ANS: B
Preexposure prophylaxis (PrEP) is used to prevent HIV infection. Persons who
would be good candidates for PrEP include individuals with a recent diagnosis of
an STI and those with more than one partner. Individuals who are not on PrEP but
who have a recent high-risk exposure (such as a needle stick) would be better
candidates for postexposure prophylaxis (PEP). A person in a monogamous
3|Page
, Nur 201 Exam 1 Fortis/Nur 201 Medical-Surgical Nursing I Exam 1
relationship with an HIV-uninfected partner is considered low-risk for HIV
infection.
The nurse palpates enlarged cervical lymph nodes on a patient diagnosed with
acute human immunodeficiency virus (HIV) infection. Which action would be
appropriate for the nurse to take?
a. Instruct the patient to apply ice to the neck.
b. Tell the patient a secondary infection is present.
c. Explain to the patient that this is an expected finding.
d. Request that an antibiotic be prescribed for the patient.
ANS: C
Persistent generalized lymphadenopathy is common in the early stages of HIV
infection. No antibiotic is needed because the enlarged nodes are probably not
caused by bacteria. Lymphadenopathy is common with acute HIV infection and is
therefore not likely to represent an additional infection. Ice will not decrease the
swelling in persistent generalized lymphadenopathy
Which information about a patient population would be most useful to help the
nurse plan for human immunodeficiency virus (HIV) testing needs?
a. Age
b. Lifestyle
c. Symptoms
d. Sexual orientation
ANS: A
The current Centers for Disease Control and Prevention policy is to offer routine
testing for HIV to all individuals age 13 to 64 years. Although lifestyle, symptoms,
and sexual orientation may suggest increased risk for HIV infection, the goal is to
test all individuals in this age range.
A patient who uses injectable illegal drugs asks the nurse how to prevent acquired
immunodeficiency syndrome (AIDS). Which response by the nurse is most
accurate?
4|Page
