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NUR 257 Exam 1 Practice | Fully Updated 2025–2026 | Verified Questions & 100% Correct Answers | Pediatric & HIV Immunology | Guaranteed A+ Study Guide

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This NUR 257 Exam 1 Practice Study Guide (2025–2026 Updated Edition) provides verified, 100% accurate exam questions and answers covering pediatric immunology, allergic responses, and HIV-related clinical manifestations. All content is professionally structured and aligned with current nursing curriculum standards. This updated exam review includes: Pediatric Allergy & Anaphylaxis • Type I hypersensitivity reactions • Recognition of "allergic shiners" in children • Immune mechanisms and clinical manifestations • Assessment priorities after anaphylaxis HIV Diagnostics & Disease Progression • Key labs including viral load, CD4/CD8, ELISA, Western Blot • Viral load as the best predictor of HIV progression • Interpretation of lab trends • Clinical reasoning for HIV patient management Opportunistic Infections: Cryptococcal Meningitis • Expected neurological manifestations • Assessment findings relevant for HIV/AIDS • High-risk symptoms and emergency cues This exam pack is excellent for students preparing for: NUR 257 Exam 1 Pediatric Nursing modules Immunology & allergy content HIV pathology and assessment Nursing program exams, finals, and NCLEX prep Every question is verified, accurate, and formatted for fast recall and exam success. Achieve the grade you need with this complete, professional, A+-level study guide.

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NUR 257 EXAM 1 PRACTICE COMPLETELY
UPDATED 2025–2026 EDITION | VERIFIED
QUESTIONS & 100% ACCURATE ANSWERS |
GUARANTEED A+ PERFORMANCE
A pediatric client is recovering from an anaphylactic reaction to an allergen. In the
first assessment, the client presents with a periorbital accumulation of blood, a
common occurrence in children. What type of allergic reaction presents "allergic
shiners"?

type II

type I

type IV

type III - ANSWER: type I



The nurse reviews laboratory results requested to track HIV. What laboratory test
measures HIV RNA levels and is the best predictor of HIV disease progression?

Enzyme immunoassay (EIA)

CD4/CD8

Western blot

Viral load - ANSWER: Viral load



Cryptococcus meningitis is suspected in a client with HIV. Which manifestations
would be consistent with cryptococcus meningitis? Select all that apply.

Hyperreflexia

,2|Page


Psychomotor slowing

Vacant stare

Stiff neck

Seizures - ANSWER: Stiff neck

Seizures



A client with AIDS develops pneumocystis pneumonia. The nurse would most
likely expect to include administration of which agent in the client's plan of care?

Azithromycin

Aerosolized pentamidine

TMP-SMZ

Clindamycin - ANSWER: TMP-SMZ



A client is diagnosed with pneumocystis pneumonia (PCP). What medication does
the nurse anticipate educating the client about for treatment?

Azithromycin

TMP-SMZ

Cephalexin

Garamycin - ANSWER: TMP-SMZ

,3|Page


A client comes to the clinic to see the physician, reporting, "I think I ate something
that I am allergic to." What symptoms would be appropriate for the nurse to ask
questions about?

Nasal congestion and coughing

Hives and itching

Sneezing and runny nose

Diarrhea and abdominal cramping - ANSWER: Diarrhea and abdominal cramping



A nurse is preparing to administer an antiretroviral medication to a client who is
positive for HIV. The nurse identifies the drug as a nucleoside reverse transcriptase
inhibitor (NRTI). What drug will the nurse administer?

Lamivudine

Etravirine

Delavirdine

Nevirapine - ANSWER: Lamivudine



The nurse is teaching a client with HIV how to use a male condom. The client
demonstrates understanding of the information when he makes which statements?
Select all that apply.

"I can keep several condoms in my wallet in my back trouser pocket so they are
readily available."

"I should avoid using baby oil or petroleum jelly with a condom."

"I need to hold the condom by the tip to squeeze out the air before putting it on."

, 4|Page


"I can reuse a condom two or three times when I'm having sexual intercourse."

"I should unroll the condom all the way over my erect penis." - ANSWER: "I need
to hold the condom by the tip to squeeze out the air before putting it on."

"I should unroll the condom all the way over my erect penis."

I should avoid using baby oil or petroleum jelly with a condom."



A nurse is caring for a client with human immunodeficiency virus (HIV). What
would the nurse expect the health care provider to order to determine the
effectiveness of treatment?

ELISA with Western blot test

enzyme-linked immunosorbent assay (ELISA)

E-rosette immunofluorescence

quantification of T-lymphocytes - ANSWER: quantification of T-lymphocytes



The nurse is preparing to administer the recommended dose of intravenous
gamma-globulin for a 60-kg male client. How many grams will the nurse
administer?

30 g

90 g

15 g

60 g - ANSWER: 30 g

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