NURS 216-Adv MedSurg Midterm with
correct detailed questions and answers
already graded A+
Which of these patients being seen at the HIV clinic should the nurse assess first?
Correct answer Patient who has had 10 liquid stools in the last 24 hours.
The evaluate the effectiveness of antiretroviral therapy, which lab test result will
the nurse review? Correct answer Viral load testing
Which patient exposure by the nurse is most likely to require postexposure
prophylaxis when the patient's HIV status is unknown? Correct answer Needle
stick with a needle and syringe use to draw blood.
A patient who has a positive test for HIV antibodies is admitted to the hospital with
PCP pneumonia and a CD4 t-cell count of less than 200 cells per uL. Based on
diagnostic criteria established by the CDC, which statement by the nurse is
correct? Correct answer "The patient has developed AIDS."
,The nurse will most likely prepare a medication teaching plan about ART,
antiretroviral therapy, for which patient? Correct answer Patient who tested
positive for HIV two years ago and now has cytomegalovirus retinitis, CMV.
A patient who is diagnosed with AIDS tells the nurse, "I feel obsessed with
thoughts about dying. Do you think I am just being morbid?" Which response by
the nurse is best? Correct answer" Can you tell me more about the kind of thoughts
that you are having?"
Eight years after seroconversion, an HIV infected patient has a CD4 cell count of
800 per uL, and an undetectable virual load. What is the priority nursing
interventions at this time? Correct answer Encourage adequate nutrition, exercise,
and sleep.
A client enters the hospital emergency department with a nosebleed. On
assessment the client tells the nurse that the nosebleed just suddenly began. The
nurse notes no obvious facial injury. Which is the initial nursing action? Correct
answer Sit the client down, ask the client to lean forward slightly, and apply
pressure to the nose for 5 to 10 minutes.
,The nurse is performing an assessment on a client with a diagnosis of pernicious
anemia. Which finding would the nurse expect to note in this client? Correct
answer Red tongue that is smooth and sore
The nurse has provided instructions to a client with sickle cell disease regarding
measures that will prevent a sickle cell crisis. Which statement, if made by the
client, indicates an understanding of these measures? Correct answer"I need to
avoid situations that may lead to an infection."
The nurse is preparing to perform an assessment on a client being admitted to the
hospital with a diagnosis of sickle cell crisis, vaso-occlusive crisis. Which findings
should the nurse expect to note on assessment of the client? Select all that apply.
Correct answero 1. Pallor
o 2. Fever
o 3. Joint swelling
o 5. Abdominal pain
The nurse is preparing a plan of care for a client with sickle cell crisis who will be
admitted to the nursing unit. The nurse should include which intervention as a
, priority in the plan of care for the client? Correct answer Initiate an IV line for the
administration of fluids.
The nurse is performing an assessment on a client with a diagnosis of anemia that
developed as a result of blood loss after a traumatic injury. The nurse should
expect to note which sign or symptom in the client as a result of the anemia?
Correct answer Shortness of breath with activity
The nurse has provided medication instructions to a client with an iron deficiency
anemia who will be taking iron supplements. Which statement, if made by the
client, indicates an understanding of this medication? Correct answer"I need to
increase my fluid intake."
A client who was diagnosed with toxic shock syndrome now exhibits petechiae,
oozing from puncture sites, and coolness of the digits of the hands and feet.
Clotting times determined for this client are prolonged. The nurse interprets these
clinical signs as being most compatible with which condition? Correct
answerDisseminated intravascular coagulopathy, DIC
correct detailed questions and answers
already graded A+
Which of these patients being seen at the HIV clinic should the nurse assess first?
Correct answer Patient who has had 10 liquid stools in the last 24 hours.
The evaluate the effectiveness of antiretroviral therapy, which lab test result will
the nurse review? Correct answer Viral load testing
Which patient exposure by the nurse is most likely to require postexposure
prophylaxis when the patient's HIV status is unknown? Correct answer Needle
stick with a needle and syringe use to draw blood.
A patient who has a positive test for HIV antibodies is admitted to the hospital with
PCP pneumonia and a CD4 t-cell count of less than 200 cells per uL. Based on
diagnostic criteria established by the CDC, which statement by the nurse is
correct? Correct answer "The patient has developed AIDS."
,The nurse will most likely prepare a medication teaching plan about ART,
antiretroviral therapy, for which patient? Correct answer Patient who tested
positive for HIV two years ago and now has cytomegalovirus retinitis, CMV.
A patient who is diagnosed with AIDS tells the nurse, "I feel obsessed with
thoughts about dying. Do you think I am just being morbid?" Which response by
the nurse is best? Correct answer" Can you tell me more about the kind of thoughts
that you are having?"
Eight years after seroconversion, an HIV infected patient has a CD4 cell count of
800 per uL, and an undetectable virual load. What is the priority nursing
interventions at this time? Correct answer Encourage adequate nutrition, exercise,
and sleep.
A client enters the hospital emergency department with a nosebleed. On
assessment the client tells the nurse that the nosebleed just suddenly began. The
nurse notes no obvious facial injury. Which is the initial nursing action? Correct
answer Sit the client down, ask the client to lean forward slightly, and apply
pressure to the nose for 5 to 10 minutes.
,The nurse is performing an assessment on a client with a diagnosis of pernicious
anemia. Which finding would the nurse expect to note in this client? Correct
answer Red tongue that is smooth and sore
The nurse has provided instructions to a client with sickle cell disease regarding
measures that will prevent a sickle cell crisis. Which statement, if made by the
client, indicates an understanding of these measures? Correct answer"I need to
avoid situations that may lead to an infection."
The nurse is preparing to perform an assessment on a client being admitted to the
hospital with a diagnosis of sickle cell crisis, vaso-occlusive crisis. Which findings
should the nurse expect to note on assessment of the client? Select all that apply.
Correct answero 1. Pallor
o 2. Fever
o 3. Joint swelling
o 5. Abdominal pain
The nurse is preparing a plan of care for a client with sickle cell crisis who will be
admitted to the nursing unit. The nurse should include which intervention as a
, priority in the plan of care for the client? Correct answer Initiate an IV line for the
administration of fluids.
The nurse is performing an assessment on a client with a diagnosis of anemia that
developed as a result of blood loss after a traumatic injury. The nurse should
expect to note which sign or symptom in the client as a result of the anemia?
Correct answer Shortness of breath with activity
The nurse has provided medication instructions to a client with an iron deficiency
anemia who will be taking iron supplements. Which statement, if made by the
client, indicates an understanding of this medication? Correct answer"I need to
increase my fluid intake."
A client who was diagnosed with toxic shock syndrome now exhibits petechiae,
oozing from puncture sites, and coolness of the digits of the hands and feet.
Clotting times determined for this client are prolonged. The nurse interprets these
clinical signs as being most compatible with which condition? Correct
answerDisseminated intravascular coagulopathy, DIC
