HIV/AIDS NCLEX Questions
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1. A patient who has tested positive for the human immunodeficiency virus
(HIV) arrives at the clinic with a report of fever, nonproductive cough, and
fatigue. The patient's CD4 count is 184 cells/mcL. How should the healthcare
provider interpret these findings?
Please choose from one of the following options.
A. The patient is diagnosed with acquired immunodeficiency syndrome
(AIDS).
B.The patient is now in the latent stages of HIV infection
C.These findings provide evidence that the patient has seroconverted.
D. This is an expected finding because the patient has tested positive for
HIV.: The patient is diagnosed with acquired immunodeficiency syndrome (AIDS).
2. Which member of the health care team demonstrates reducing the risk for
infection for the client with acquired immunodeficiency syndrome (AIDS)?
A) The dietary worker hands the disposable meal trays to the LPN assigned to
the client.
B) The social worker encourages the client to verbalize about stressors at
home.
C) Housekeeping thoroughly cleans and disinfects the hallways near the
client's room.
D) Health care provider orders vital signs including temperature every 8
hours.: (A)
A) The dietary worker hands the disposable meal trays to the LPN assigned to the
client.
Rationale: This limits the number of health care personnel entering the room.
Incorrect:
B) The social worker encourages the client to verbalize about stressors at home.
Rationale: Verbalizing stressors does not reduce the risk for infection.
C) Housekeeping thoroughly cleans and disinfects the hallways near the client's
room.
Rationale: Bathrooms, not hallways, that are cleaned at least once daily by house-
keeping reduces infection. D) Health care provider orders vital signs including
temperature every 8 hours.
Rationale Vital signs, including temperature, should be taken every 4 hours to detect
potential infection.
3. The nurse is instructing an unlicensed health care worker on the care of the
client with HIV who also has active genital herpes. Which statement by the
, HIV/AIDS NCLEX Questions
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health care worker indicates effective teaching of standard precautions?
A) ''I need to know my HIV status, so I must get tested before caring for any
clients."
B) ''Putting on a gown and gloves will cover up the itchy sores on my elbows.''
C) ''Washing my hands and putting on a gown and gloves is what I must do
before starting care.''
D) ''I will wash my hands before going into the room, and then put on gown
and gloves only for direct contact with the client's genitals.": (C)
C) ''Washing my hands and putting on a gown and gloves is what I must do before
starting care.''
Rationale: Standard precautions include whatever personal protective equipment
(PPE) is necessary for the prevention of transmission of HIV and genital herpes.
Incorrect:
A) ''I need to know my HIV status, so I must get tested before caring for any clients."
Rationale: Knowing HIV status is important for preventing transmission of HIV, but
is not a standard precaution.
B) ''Putting on a gown and gloves will cover up the itchy sores on my elbows.''
Rationale: Health care workers with weeping dermatitis should not provide direct
client care regardless of the use of gown and gloves.
D) ''I will wash my hands before going into the room, and then put on gown and
gloves only for direct contact with the client's genitals."
Rationale: Unlicensed health care workers cannot make the determination of what
is required for PPE or standard precaution
4. Which statement made to the nurse by a health care worker assigned to care
for the client with HIV indicates a breach of confidentiality and requires further
education by the nurse?
A) ''I told the family members they needed to wash their hands when they enter
and leave the room.''
B) ''The other health care worker and I were out in the hallway discussing how
we were concerned about getting HIV from our client, so no one could hear
us in the client's room.''
C) ''Yes, I understand the reasons why I have to wear gloves when I bathe my
client.''
D) ''The client's spouse told me she got HIV from a blood transfusion.: (B)
B) ''The other health care worker and I were out in the hallway discussing how we
were concerned about getting HIV from our client, so no one could hear us in the
, HIV/AIDS NCLEX Questions
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client's room.''
Rationale: Discussing this client's illness outside the client's room is a breach of
confidentiality.
Incorrect:
A) ''I told the family members they needed to wash their hands when they enter and
leave the room.'' Rationale: Instruction on handwashing to family members or friends
is not a breach of confidentiality. C) ''Yes, I understand the reasons why I have to
wear gloves when I bathe my client.''
Rationale: This recognizes standard precautions in direct care, and is not a breach
of confidentiality.
D) ''The client's spouse told me she got HIV from a blood transfusion.''
Rationale: The health care worker assigned is relaying the conversation to the nurse.
This is not a breach of confidentiality
5. When preparing the newly diagnosed client with HIV and significant other
for discharge, which explanation by the nurse accurately describes proper
condom use?
A) ''Condoms should be used when lesions on the penis are present.''
B) ''Always position the condom with a space at the tip of an erect penis.''
C) ''Make sure it fits loosely to allow for penile erection.''
D) ''Use adequate lubrication such as petroleum jelly.'': B)
B) ''Always position the condom with a space at the tip of an erect penis.''
Rationale: This allows for the collection of semen at the tip of the condom.
Incorrect:
A) ''Condoms should be used when lesions on the penis are present.''
Rationale: Condoms must be used at all times with sexual activity, with or without
the presence of lesions.
C) ''Make sure it fits loosely to allow for penile erection.''
Rationale: Condoms should be applied on an erect penis and should fit snugly,
leaving space without air at the tip.
D) ''Use adequate lubrication such as petroleum jelly.''
Rationale: Lubricants should be water-based only.
6. The nurse presents a seminar on HIV testing to a group of seniors and their
caregivers in an assisted living facility. Which responses fit the Centers for
Disease Control and Prevention's (CDC's) recommendations for HIV testing?
(Select all that apply.)
Study online at https://quizlet.com/_3w6pno
1. A patient who has tested positive for the human immunodeficiency virus
(HIV) arrives at the clinic with a report of fever, nonproductive cough, and
fatigue. The patient's CD4 count is 184 cells/mcL. How should the healthcare
provider interpret these findings?
Please choose from one of the following options.
A. The patient is diagnosed with acquired immunodeficiency syndrome
(AIDS).
B.The patient is now in the latent stages of HIV infection
C.These findings provide evidence that the patient has seroconverted.
D. This is an expected finding because the patient has tested positive for
HIV.: The patient is diagnosed with acquired immunodeficiency syndrome (AIDS).
2. Which member of the health care team demonstrates reducing the risk for
infection for the client with acquired immunodeficiency syndrome (AIDS)?
A) The dietary worker hands the disposable meal trays to the LPN assigned to
the client.
B) The social worker encourages the client to verbalize about stressors at
home.
C) Housekeeping thoroughly cleans and disinfects the hallways near the
client's room.
D) Health care provider orders vital signs including temperature every 8
hours.: (A)
A) The dietary worker hands the disposable meal trays to the LPN assigned to the
client.
Rationale: This limits the number of health care personnel entering the room.
Incorrect:
B) The social worker encourages the client to verbalize about stressors at home.
Rationale: Verbalizing stressors does not reduce the risk for infection.
C) Housekeeping thoroughly cleans and disinfects the hallways near the client's
room.
Rationale: Bathrooms, not hallways, that are cleaned at least once daily by house-
keeping reduces infection. D) Health care provider orders vital signs including
temperature every 8 hours.
Rationale Vital signs, including temperature, should be taken every 4 hours to detect
potential infection.
3. The nurse is instructing an unlicensed health care worker on the care of the
client with HIV who also has active genital herpes. Which statement by the
, HIV/AIDS NCLEX Questions
Study online at https://quizlet.com/_3w6pno
health care worker indicates effective teaching of standard precautions?
A) ''I need to know my HIV status, so I must get tested before caring for any
clients."
B) ''Putting on a gown and gloves will cover up the itchy sores on my elbows.''
C) ''Washing my hands and putting on a gown and gloves is what I must do
before starting care.''
D) ''I will wash my hands before going into the room, and then put on gown
and gloves only for direct contact with the client's genitals.": (C)
C) ''Washing my hands and putting on a gown and gloves is what I must do before
starting care.''
Rationale: Standard precautions include whatever personal protective equipment
(PPE) is necessary for the prevention of transmission of HIV and genital herpes.
Incorrect:
A) ''I need to know my HIV status, so I must get tested before caring for any clients."
Rationale: Knowing HIV status is important for preventing transmission of HIV, but
is not a standard precaution.
B) ''Putting on a gown and gloves will cover up the itchy sores on my elbows.''
Rationale: Health care workers with weeping dermatitis should not provide direct
client care regardless of the use of gown and gloves.
D) ''I will wash my hands before going into the room, and then put on gown and
gloves only for direct contact with the client's genitals."
Rationale: Unlicensed health care workers cannot make the determination of what
is required for PPE or standard precaution
4. Which statement made to the nurse by a health care worker assigned to care
for the client with HIV indicates a breach of confidentiality and requires further
education by the nurse?
A) ''I told the family members they needed to wash their hands when they enter
and leave the room.''
B) ''The other health care worker and I were out in the hallway discussing how
we were concerned about getting HIV from our client, so no one could hear
us in the client's room.''
C) ''Yes, I understand the reasons why I have to wear gloves when I bathe my
client.''
D) ''The client's spouse told me she got HIV from a blood transfusion.: (B)
B) ''The other health care worker and I were out in the hallway discussing how we
were concerned about getting HIV from our client, so no one could hear us in the
, HIV/AIDS NCLEX Questions
Study online at https://quizlet.com/_3w6pno
client's room.''
Rationale: Discussing this client's illness outside the client's room is a breach of
confidentiality.
Incorrect:
A) ''I told the family members they needed to wash their hands when they enter and
leave the room.'' Rationale: Instruction on handwashing to family members or friends
is not a breach of confidentiality. C) ''Yes, I understand the reasons why I have to
wear gloves when I bathe my client.''
Rationale: This recognizes standard precautions in direct care, and is not a breach
of confidentiality.
D) ''The client's spouse told me she got HIV from a blood transfusion.''
Rationale: The health care worker assigned is relaying the conversation to the nurse.
This is not a breach of confidentiality
5. When preparing the newly diagnosed client with HIV and significant other
for discharge, which explanation by the nurse accurately describes proper
condom use?
A) ''Condoms should be used when lesions on the penis are present.''
B) ''Always position the condom with a space at the tip of an erect penis.''
C) ''Make sure it fits loosely to allow for penile erection.''
D) ''Use adequate lubrication such as petroleum jelly.'': B)
B) ''Always position the condom with a space at the tip of an erect penis.''
Rationale: This allows for the collection of semen at the tip of the condom.
Incorrect:
A) ''Condoms should be used when lesions on the penis are present.''
Rationale: Condoms must be used at all times with sexual activity, with or without
the presence of lesions.
C) ''Make sure it fits loosely to allow for penile erection.''
Rationale: Condoms should be applied on an erect penis and should fit snugly,
leaving space without air at the tip.
D) ''Use adequate lubrication such as petroleum jelly.''
Rationale: Lubricants should be water-based only.
6. The nurse presents a seminar on HIV testing to a group of seniors and their
caregivers in an assisted living facility. Which responses fit the Centers for
Disease Control and Prevention's (CDC's) recommendations for HIV testing?
(Select all that apply.)
