443 Exam 3 Practice Exam Questions with Complete Solutions
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Course
NUR 443
Institution
NUR 443
A nurse in an outpatient clinic is assessing a client who reports night sweats and fatigue. The client reports having a cough along with nausea and diarrhea. Their temperature if 38.1 degrees C (100.6 degrees F) orally. The client is concerned about the possibility of having HIV. Which of the follo...
443 Exam 3 Practice Exam Questions
with Complete Solutions
A nurse in an outpatient clinic is assessing a client who reports night sweats and
fatigue. The client reports having a cough along with nausea and diarrhea. Their
temperature if 38.1 degrees C (100.6 degrees F) orally. The client is concerned about
the possibility of having HIV. Which of the following actions should the nurse take?
(Select all that apply.)
A. perform a physical assessment
B. determine when manifestations began
C. teach the client about HIV transmission
D. draw blood for HIV testing
E. obtain a sexual history - Answer-A. perform a physical assessment
B. determine when manifestations began
E. obtain a sexual history
A nurse is caring for a client who is suspected of having HIV. The nurse should identify
that which of the following diagnostic tests and laboratory values are used to confirm
HIV infection? (Select all that apply.)
A. western blot
B. indirect immunofluorescence assay
C. CD 4 + T-lymphocyte count
D. HIV RNA quantification test
E> cerebrospinal fluid (CSF) analysis - Answer-A. western blot
B. indirect immunofluorescence assay
A nurse is providing teaching for a client who has stage 3 HIV disease. Which of the
following statements by the client should indicate to the nurse an understanding of the
teaching?
A. "I will wear gloves while changing the pet litter box."
B. "I will rinse raw fruits with water before eating them."
C. "I will wear a mask when around family members who are ill."
D. "I will cook vegetables before eating them." - Answer-D. "I will cook vegetables
before eating them."
A nurse is assessing a client for HIV. The nurse should identify that which of the
following are risk factors associated with this virus? (Select all that apply.)
A. perinatal exposure
B. pregnancy
C. monogamous sex partner
D. older adult woman
E. occupational exposure - Answer-A. perinatal exposure, D. older adult woman , E.
occupational exposure
, A nurse is providing teaching for a client who has stage 2 HIV disease and is having
difficulty maintaining a normal weight. Which of the following statements by the client
should indicate to the nurse an understanding of the teaching?
A. "I will choose a diet high in fat to help gain weight."
B. "I will be sure to eat three large meals daily."
C. "I will drink up to 1 liter of liquid each day."
D. "I will add high-protein foods to my diet." - Answer-D. "I will add high-protein foods to
my diet."
A nurse is assisting with administration of packed RBCs to a client who has a Hgb or
8g/dL. Which of the following actions should the nurse plan to take during the first 15
minutes of the transfusion?
A.verify that the client has given informed consent for the transfusion
B.monitor for an acute hemolytic reaction
C.review the transfusion procedure with the client
D.ensure blood culture specimens are obtained and sent to the lab - Answer--B
A nurse is caring for a client who is receiving a blood transfusion. Which of the following
actions should the nurse plan to take if an allergic transfusion reaction is suspected?
(Select all that apply)
A.stop the transfusion
B.monitor for hypertension
C.maintain an iv infusion with 0.9% sodium chloride
D.position the client in an upright position with the feet lower than the heart
E.administer diphenhydramine - Answer--A
-C
-E
A nurse is monitoring a client who began receiving a unit of packed RBCs 10 minutes
ago. Which of the following findings should the nurse identify as an indication of a febrile
transfusion reaction?( Select all that apply)
A.temperature change from 98.6 to 99.0
B.current bp 178/90
C.heart rate change from 88/min pretransfusion to 120/min
D.client report of itching
E.client appears flushed - Answer--C
-E
A nurse is reinforcing preoperative teaching for a client who requests autologous
donation in preparation for a scheduled orthopedic surgical procedure. Which of the
following statements should the nurse include?
A.you should make an appointment to donate blood 8 weeks prior to the surgery
B.if you need an autologous transfusion, the blood your brother donates can be used
C.you can donate blood each week if you Hgb is stable
D.any unused blood that is donated can be used for other clients - Answer--C
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