NUR 265 EXAM 4 1 of 2 TEST BANK.pdf QUESTIONS WITH 100%
CORRECT ANSWERS 2026
1. The nurse working in the emergency Department is triage a client who has presented with chest pain,
shortness of breath, a productive cough, and reports night sweats. That clients health history include the
presence of acquired immunodeficiency syndrome (AIDS) and the recent laboratory results that reveals
a low CD4+ count. airborne precautions have been initiated, which of the following actions should the
nurse take next ?
A. Prepare the client for insertion of a chest tube
B. obtain a throat culture
C. assess the client for shingles
D. check the client’s temperature
2. The newly hired nurse is developing a plan of care for a client who has acquired AIDS and was just
diagnosed with pneumocystis jiroveci pneumonia (PJP) And pain. which of the following interventions
should the nurse preceptor question ?
A. Placing the client on a pressure relieving mattress.
B. Instructing the client to drink at least two to three liters of fluid throughout the day
C. Telling the client to keep the door to the room closed at all times.
D. Offering the client foods high in calories and protein.
3. The nurse is caring for a client with (AIDS) who has just been diagnosed with cryptococcal meningitis.
Which of the following actions should the nurse take?
A. Initiate airborne precautions for the next 72 hours.
B. Thicken the clients liquids to honey consistency.
C. Administer IV pentamidine isethionate
D. Initiate seizure precautions with padded siderails
4. The nurse had provided medication instructions to a client who has human immunodeficiency virus
(HIV) and has been prescribed combination antiretroviral therapy (cART). Which of the following client
statements indicates a correct understanding of the teaching?
A. “I am less likely to develop opportunistic infections once I begin taking my prescribed
medications”
B. “I can avoid developing drug resistance if I take 90% of my drugs on time.”
C. “I should discontinue my medications if I develop severe diarrhea”
D. “I understand that this combination of drugs will kill the virus”
5. The nurse working in a community health center has instructed a group of client who have acquired
immune deficiency syndrome (AIDS) about ways to prevent infection. Which of the following
statements, if made by a client, would indicate the need for additional teaching?
A. “I would avoid planting vegetables and flowers in our garden”
B. I will make sure no one uses my deodorant or toothpaste”
C. “I will wear gloves and then wash my hands immediately if I need to change my cats liter box”
D. I will eat plenty of fresh fruits and raw vegetables
E. I will wear a surgical mask when I change my cats liter box. *
, 6. The nurse is precepting a newly hired nurse who is caring for a client who has acquired immune
deficiency syndrome (AIDS) and has developed Kaposi’s sarcoma, it requires additional teaching by the
preceptor if the newly hired nurse…
A. inspects the client's mouth at least once every eight hours
B. instruct the client that that make up can be applied to lesion that are not open
C. applies a surgical mask before entering the clients room
D. keeps open weeping lesions clean and covered with prescribed dressing
7. The nurse is caring for a client who had a heart transplant 24 hours ago which of the following findings
indicates the clients is developing a complication ?
A. Facial flushing
B. abdominal distention
C. prothrombin (PT) time of 11 seconds
D. Hypotension
8. The nurse is caring for a client who had a lung transplant 10 days ago. It would be a priority for the
nurse to notify the Primary Health care provider if the client has
A. a pain rating of seven when taking a deep breath
B. reviews to get out of bed for the past 24 hours
C. developed sputum that is yellow tinged
D. only used the incentives spirometer 1 since last evening
9. The nurse is caring for a client who had a liver transplant 48 hours ago. Which findings from the box
below is a priority for the nurse to report to the Primary Health care provider (PHCP)?
1. A decrease in urine output from 50 to 30 milliliters an hour since surgery
2. An increase in aspartate aminotransferase (AST) say from 28 to 32 units/liter i n the past 24
hours
3. a pulse rate that has decreased from 88 to 72 over the last 8 hours
4. A prothrombin time of 20 seconds
5. An INR of 2.5 seconds
6. An increase in serum bilirubin levels over the last 12 hours
7. A decrease in alkaline phosphatase levels
A. 2.,3,5
B. 1,2,7
C. 1,4,6,7
D. 2,4,5,6
10. The nurse is caring for a client who had a kidney transplant 2 weeks ago. Which of the following
findings should the nurse correlate to possible organ rejection ?
A. Blood pressure of 172/96
B. Urinanalysis that is positive for protein
C. BUN level of 15
D. serum creatinine level of 0.9
CORRECT ANSWERS 2026
1. The nurse working in the emergency Department is triage a client who has presented with chest pain,
shortness of breath, a productive cough, and reports night sweats. That clients health history include the
presence of acquired immunodeficiency syndrome (AIDS) and the recent laboratory results that reveals
a low CD4+ count. airborne precautions have been initiated, which of the following actions should the
nurse take next ?
A. Prepare the client for insertion of a chest tube
B. obtain a throat culture
C. assess the client for shingles
D. check the client’s temperature
2. The newly hired nurse is developing a plan of care for a client who has acquired AIDS and was just
diagnosed with pneumocystis jiroveci pneumonia (PJP) And pain. which of the following interventions
should the nurse preceptor question ?
A. Placing the client on a pressure relieving mattress.
B. Instructing the client to drink at least two to three liters of fluid throughout the day
C. Telling the client to keep the door to the room closed at all times.
D. Offering the client foods high in calories and protein.
3. The nurse is caring for a client with (AIDS) who has just been diagnosed with cryptococcal meningitis.
Which of the following actions should the nurse take?
A. Initiate airborne precautions for the next 72 hours.
B. Thicken the clients liquids to honey consistency.
C. Administer IV pentamidine isethionate
D. Initiate seizure precautions with padded siderails
4. The nurse had provided medication instructions to a client who has human immunodeficiency virus
(HIV) and has been prescribed combination antiretroviral therapy (cART). Which of the following client
statements indicates a correct understanding of the teaching?
A. “I am less likely to develop opportunistic infections once I begin taking my prescribed
medications”
B. “I can avoid developing drug resistance if I take 90% of my drugs on time.”
C. “I should discontinue my medications if I develop severe diarrhea”
D. “I understand that this combination of drugs will kill the virus”
5. The nurse working in a community health center has instructed a group of client who have acquired
immune deficiency syndrome (AIDS) about ways to prevent infection. Which of the following
statements, if made by a client, would indicate the need for additional teaching?
A. “I would avoid planting vegetables and flowers in our garden”
B. I will make sure no one uses my deodorant or toothpaste”
C. “I will wear gloves and then wash my hands immediately if I need to change my cats liter box”
D. I will eat plenty of fresh fruits and raw vegetables
E. I will wear a surgical mask when I change my cats liter box. *
, 6. The nurse is precepting a newly hired nurse who is caring for a client who has acquired immune
deficiency syndrome (AIDS) and has developed Kaposi’s sarcoma, it requires additional teaching by the
preceptor if the newly hired nurse…
A. inspects the client's mouth at least once every eight hours
B. instruct the client that that make up can be applied to lesion that are not open
C. applies a surgical mask before entering the clients room
D. keeps open weeping lesions clean and covered with prescribed dressing
7. The nurse is caring for a client who had a heart transplant 24 hours ago which of the following findings
indicates the clients is developing a complication ?
A. Facial flushing
B. abdominal distention
C. prothrombin (PT) time of 11 seconds
D. Hypotension
8. The nurse is caring for a client who had a lung transplant 10 days ago. It would be a priority for the
nurse to notify the Primary Health care provider if the client has
A. a pain rating of seven when taking a deep breath
B. reviews to get out of bed for the past 24 hours
C. developed sputum that is yellow tinged
D. only used the incentives spirometer 1 since last evening
9. The nurse is caring for a client who had a liver transplant 48 hours ago. Which findings from the box
below is a priority for the nurse to report to the Primary Health care provider (PHCP)?
1. A decrease in urine output from 50 to 30 milliliters an hour since surgery
2. An increase in aspartate aminotransferase (AST) say from 28 to 32 units/liter i n the past 24
hours
3. a pulse rate that has decreased from 88 to 72 over the last 8 hours
4. A prothrombin time of 20 seconds
5. An INR of 2.5 seconds
6. An increase in serum bilirubin levels over the last 12 hours
7. A decrease in alkaline phosphatase levels
A. 2.,3,5
B. 1,2,7
C. 1,4,6,7
D. 2,4,5,6
10. The nurse is caring for a client who had a kidney transplant 2 weeks ago. Which of the following
findings should the nurse correlate to possible organ rejection ?
A. Blood pressure of 172/96
B. Urinanalysis that is positive for protein
C. BUN level of 15
D. serum creatinine level of 0.9
