Assignments & Exam Q&A Graded A+ Latest Version
1. A nurse is creating home instructions for a client who has immunodeficiency. Which of the
following statements by the client indicates an understanding of the teaching?
A) "I will limit the use of emollient skin cream to once a week."
B) "I will expect to have a mild, occasional fever."
C) " I will avoid people who have just received an immunization."
D) "I might experience harmless white patches in my mouth."
ANS: C
The client should avoid people who received a vaccination, especially a live vaccine, to
prevent contracting the disease.
2. A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell
count. The nurse should recognize that the client is at risk for developing which of the
following infectious oral conditions?
A) Halitosis
B) Gingivitis
C) Xerostomia
D) Candidiasis
ANS: D
Although oral candidiasis can affect anyone, it occurs most often in infants, toddlers,
older adults, and clients whose immune systems have been compromised by illness,
such as AIDS, or medications.
3. A nurse is caring for a client who has HIV. Which of the following laboratory tests should
the nurse monitor to assess the effectiveness of therapy?
A) Quantitative RNA assay
B) Platelet count
C) Enzyme immunoassay (EIA) test
D) Western blot
ANS: A
A quantitative RNA assay measures the viral load and is useful in monitoring HIV disease
progression and treatment effectiveness
4. A nurse is assessing a client who has a history of HIV with phagocytic dysfunction. The
nurse should monitor this client for which of the following conditions?
, A) Dehydration
B) Fungal infection
C) Compartment syndrome
D) Pleural effusion
ANS: B
The nurse should monitor the client for fungal infections due to the impairment of the
phagocytic cells. Fungal and bacterial infections are the primary results of the
dysfunction
5. A nurse is talking with a client who has to come to the clinic for HIB testing. The nurse
should explain that, after the laboratory has the enzyme-linked immunosorbent assay
(ELISA) results, it will use which of the following tests to confirm the diagnosis?
A) CD4+ T-Cells count
B) Western blot analysis
C) Quantitative RNA assay
D) Viral load test
ANS: B
The western blot analysis is used to confirm seropositivity when the ELISA test has a
positive result. ELISA is inexpensive and accurate with few false-positives. Western blot is
expensive, so is done only for confirmation
6. A group of nurses are discussing risk factors for transmission of human immunodeficiency
virus (HIV) from clients. Which of the following individuals should the nurse identify as
being at the greatest risk for contracting HIV?
A) An occupational therapist who works with a client who has HIV
B) A personal trainer who works with a client who has HIV
C) A phlebotomist who collects blood from clients who have HIV
D) A nurse who works for an insurance company and collects urine samples from clients
who have HIV
ANS: C
The greatest risk for exposure to HIV is from a needle stick; therefore, the phlebotomist
who collects blood is at greatest risk.
7. A nurse is a provider's office is assessing a client who has AIDS. Then nurse notes that the
client has multiple and widespread raised, purplish-blown skin lesions. The nurse should
recognize that these findings indicate which of the following conditions?
A) Actinic keratosis
B) Kaposi's sarcoma
C) Toxic epidermal necrosis
D) Basal cell carcinoma