ADULT HEALTH II EXAM 2 NEWEST 2025/2026 WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
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A patient has been prescribed Tenofovir, a NRTI to treat HIV. The nurse understand
the mechanism of action for this medication is which of the following?
A) Blocks protease
B) It prevents HIV from getting into the cell so it does not replicate
C) Prevent HIV from fusing to the cell
D) It blocks reverse transcriptase preventing RNA from turning into DNA -
ANSWER-ANS: D
Rational:
A- the medication that does this is Protease inhibitor
B- the medication that does this is CCR5 antagonist
C- the medication that does this is fusion inhibitor
A patient has been prescribed a fusion inhibitor. Which of the following should the
nurse include in the teaching for this specific medication?
A) Risk of liver effects
B) Risk of injection site reaction
C) Patient may experience a fever that last 10 days
D) Patient may experience drowsiness - ANSWER-ANS: B
Rational:
A- this is true for all ART treatments, so this one is not specific enough for the
answer
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, Adult Health II Exam 2
The nurse is caring for a patient who has been admitted for the treatment of AIDS.
In the morning, the
patient tells the nurse that he experienced night sweats and recently coughed up
some blood. What is the
nurses most appropriate action?
A) Assess the patient for additional signs and symptoms of Kaposis sarcoma.
B) Review the patients most recent viral load and CD4+ count.
C) Place the patient on respiratory isolation and inform the physician.
D) Perform oral suctioning to reduce the patients risk for aspiration. - ANSWER-
Ans: C
Feedback:
These signs and symptoms are suggestive of tuberculosis, not Kaposis sarcoma;
prompt assessment and
treatment is necessary. There is no indication of a need for oral suctioning and the
patients blood work
will not reflect the onset of this opportunistic infection.
A patient who has AIDS has been admitted for the treatment of Kaposis sarcoma.
What nursing
diagnosis should the nurse associate with this complication of AIDS?
A) Risk for Disuse Syndrome Related to Kaposis Sarcoma
B)
Impaired Skin Integrity Related to Kaposis Sarcoma
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, Adult Health II Exam 2
C) Diarrhea Related to Kaposis Sarcoma
D) Impaired Swallowing Related to Kaposis Sarcoma - ANSWER-Ans: B
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?
A) Salmonella infection
B) Mycobacterium tuberculosis
C) Clostridium dif icile
D) Pneumocystis pneumonia - ANSWER-Ans: D
Feedback:
There are a number of opportunistic infections that can infect individuals with
AIDS. The most common
life-threatening infection in those living with AIDS is Pneumocystis pneumonia
(PCP), caused by P.
jiroveci (formerly carinii). Other opportunistic infections may involve
Salmonella,Mycobacterium
tuberculosis, and Clostridium dif icile.
A nurse is performing the initial assessment of a patient who has a recent
diagnosis of systemic lupus erythematosus (SLE). What skin manifestation would
the nurse expect to observe on inspection?
A) Petechiae
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, Adult Health II Exam 2
B) Butterfly rash
C) Jaundice
D) Skin sloughing - ANSWER-ANS: B
Feedback: An acute cutaneous lesion consisting of a butterfly-shaped rash across
the bridge of the nose and cheeks occurs in SLE. Petechiae are pinpoint skin
hemorrhages, which are not a clinical manifestation of SLE. Patients with SLE do
not typically experience jaundice or skin sloughing.
A clinic nurse is caring for a patient with suspected gout. While explaining the
pathophysiology of gout to the patient, the nurse should describe which of the
following?
A) Autoimmune processes in the joints
B) Chronic metabolic acidosis
C) Increased uric acid levels
D) Unstable serum calcium levels - ANSWER-ANS: C
Feedback: Gout is caused by hyperuricemia (increased serum uric acid). Gout is
not categorized as an autoimmune disease and it does not result from metabolic
acidosis or unstable serum calcium levels.
A client is taking ibuprofen for the treatment of osteoarthritis. What education
will the nurse give the client about the medication?
A) Since the medication is able to be obtained over the counter, it has few side
effects.
B)Take the medication with food to avoid stomach upset.
C)Take the medication on an empty stomach in order to increase effectiveness.
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