answers (detailed & elaborated) ACTUAL EXAM 2025
TESTS!!
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
B) Butterfly rash
C) Jaundice
D) Skin sloughing
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.
Quiz 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
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.
Quiz 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.
D)Inform the health care provider if there is ringing in the ears.
ANS: B) Take the medication with food to avoid stomach upset.
Quiz Which finding is consistent with the diagnosis of rheumatoid arthritis?
A) Cloudy synovial fluid
B) Decreased ESR
C) Increased C4 complement component
D) Increased red blood cell count
ANS: A
Quiz Since the emergence of HIV/AIDS, there have been significant changes in epidemiologic trends.
Members of what group currently have the greatest risk of contracting HIV?
A) Gay, bisexual, and other men who have sex with men
B) Recreational drug users
C) Blood transfusion recipients
D) Health care providers
, ANS: A
Quiz A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed that the patient is
experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes
that these symptoms are most likely related to the onset of what complication?
A) HIV encephalopathy
B) B-cell lymphoma
C) Kaposis sarcoma
D) Wasting syndrome
Ans: A
Quiz A patient that has been diagnosed with HIV ask a nurse why there is no cure for this disease. Which
of the following responses would answer this question?
A) " The HIV virus is a retrovirus that targets CD4 cells. It then goes directly into our DNA and multiplies
and infects more CD4 cells"
B) "HIV is a virus that targets our B-cells and multiplies in our RNA"
C) " HIV is a Retrovirus that multiplies in our RNA creating more HIV cells"
D) "HIV is a virus found on DNA IT attaches to our CD4 cells and then multiplies"
ANS: A
Quiz A nurse is explaining the life cycle of HIV to a patient that was recently diagnosed with the virus.
Which of the following describes the life cycle of an HIV virus?
A) The HIV virus attaches to the Helper T-cell and then releases enzymes and that will turn the HIV RNA
to DNA then multiplies its DNA
B) The HIV virus attaches to the CD4 cells then with the help of enzymes the HIV RNA into DNA then
multiplies attaching to other CD4 cells.