HIV/AIDS (NCLEX) Exam Questions With Correct Answers.
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HIV/AIDS
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HIV/AIDS
HIV/AIDS (NCLEX) Exam Questions With
Correct Answers.
A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed that the patient is
experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes
that these symptoms are most likely ...
HIV/AIDS (NCLEX) Exam Questions With
Correct Answers.
A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed that the patient is
experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes
that these symptoms are most likely related to the onset of what complication?
A) HIV encephalopathy
B) B-cell lymphoma
C) Kaposi's sarcoma
D) Wasting syndrome - answer✔A
HIV encephalopathy is a clinical syndrome characterized by a progressive decline in cognitive,
behavioral, and motor functions. The other listed complications do not normally have cognitive and
behavioral manifestations
A nurse is assessing a 28-year-old man with HIV who has been admitted with pneumonia. In assessing
the patient, which of the following observations takes immediate priority?
A) Oral temperature of 100°F
B) Tachypnea and restlessness
C) Frequent loose stools
D) Weight loss of 1 pound since yesterday - answer✔B
In prioritizing care, the pneumonia would be assessed first by the nurse. Tachypnea and restlessness are
symptoms of altered respiratory status and need immediate priority. Weight loss of 1 pound is probably
fluid related; frequent loose stools would not take short-term precedence over a temperature or
tachypnea and restlessness. An oral temperature of 100°F is not considered a fever and would not be
the first issue addressed.
A patient has come into the free clinic asking to be tested for HIV infection. The patient asks the nurse
how the test works. The nurse responds that if the testing shows that antibodies to the AIDS virus are
present in the blood, this indicates what?
A) The patient is immune to HIV.
B) The patient's immune system is intact.
C) The patient has AIDS-related complications.
D) The patient has been infected with HIV. - answer✔D
Positive test results indicate that antibodies to the AIDS virus are present in the blood. The presence of
antibodies does not imply an intact immune system or specific immunity to HIV. This finding does not
indicate the presence of AIDS-related complications.
A hospital patient is immunocompromised because of stage 3 HIV infection and the physician has
ordered a chest radiograph. How should the nurse most safely facilitate the test?
A) Arrange for a portable x-ray machine to be used.
B) Have the patient wear a mask to the x-ray department.
C) Ensure that the radiology department has been disinfected prior to the test.
D) Send the patient to the x-ray department, and have the staff in the department wear masks. -
answer✔A
A patient who is immunocompromised is at an increased risk of contracting nosocomial infections due
to suppressed immunity. The safest way the test can be facilitated is to have a portable x-ray machine in
the patient's room. This confers more protection than disinfecting the radiology department or using
masks
The nurse is addressing condom use in the context of a health promotion workshop. When discussing
the correct use of condoms, what should the nurse tell the attendees?
A) Attach the condom prior to erection.
B) A condom may be reused with the same partner if ejaculation has not occurred.
C) Use skin lotion as a lubricant if alternatives are unavailable.
D) Hold the condom by the cuff upon withdrawal. - answer✔D
The condom should be unrolled over the hard penis before any kind of sex. The condom should be held
by the tip to squeeze out air. Skin lotions, baby oil, petroleum jelly, or cold cream should not be used
with condoms because they cause latex deterioration/condom breakage. The condom should be held
during withdrawal so it does not come off the penis. Condoms should never be reused.
A nurse is planning the care of a patient with AIDS who is admitted to the unit with Pneumocystis
pneumonia (PCP). Which nursing diagnosis has the highest priority for this patient?
A) Ineffective Airway Clearance
B) Impaired Oral Mucous Membranes
C) Imbalanced Nutrition: Less than Body Requirements
D) Activity Intolerance - answer✔A
Although all these nursing diagnoses are appropriate for a patient with AIDS, Ineffective Airway
Clearance is the priority nursing diagnosis for the patient with Pneumocystis pneumonia (PCP). Airway
and breathing take top priority over the other listed concerns.
A public health nurse is preparing an educational campaign to address a recent local increase in the
incidence of HIV infection. The nurse should prioritize which of the following interventions?
A) Lifestyle actions that improve immune function
B) Educational programs that focus on control and prevention
C) Appropriate use of standard precautions
D) Screening programs for youth and young adults - answer✔B
Until an effective vaccine is developed, preventing HIV by eliminating and reducing risk behaviors is
essential. Educational interventions are the primary means by which behaviors can be influenced.
Screening is appropriate, but education is paramount. Enhancing immune function does not prevent HIV
infection. Ineffective use of standard precautions apply to very few cases of HIV infection.
A nurse is working with a patient who was diagnosed with HIV several months earlier. The nurse should
recognize that a patient with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte
cell count drops below what threshold?
A) 75 cells/mm3 of blood
B) 200 cells/mm3 of blood
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