Multiple Choice
Identify the
choice that best completes the statement or answers the question.
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1.
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A client reports to the health care clinic to
obtain testing regarding human immunodeficiency virus (HIV) status after being exposed to an
individual who is HIV positive. The test results are reported as negative, and the client tells the
nurse that he feels so much better knowing that he had not contracted HIV. The nurse explains the
test results to the client, telling the client that:
a. | There is no further need for
testing. | b. | A negative HIV test is considered
accurate. | c. | A negative HIV test is not considered accurate during
the first 6 months after exposure. | d. | The test should be
repeated in 1 week. |
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2.
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A complete blood cell count is performed on a
client with systemic lupus erythematosus (SLE). The nurse would suspect that which of the following
findings will be reported from this blood test?
a. | Increased red blood cell
count | b. | Decrease of all cell types | c. | Increased white blood cell count | d. | Increased neutrophils |
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3.
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A clinic nurse periodically cares for a client
diagnosed with acquired immunodeficiency syndrome. The nurse assesses for an early manifestation of
Pneumocystis jiroveci infection by monitoring for which of the following at each client
visit?
a. | Fever | b. | Cough | c. | Dyspnea on
exertion | d. | Dyspnea at rest |
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4.
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A nurse is providing instructions to a client with
acquired immunodeficiency syndrome (AIDS) who is experiencing night fever and night sweats. The nurse
advises the client to do which of the following to increase comfort while minimizing
symptoms?
a. | Remove the plastic cover on the
pillow. | b. | Keep liquids on the nightstand at
home. | c. | Reduce fluid intake before
bedtime. | d. | Take an antipyretic after the fever
spikes. |
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5.
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A nurse is providing general information to a group
of high school students about preventing human immunodeficiency virus (HIV) transmission. The nurse
would inform the students that which of the following is an unsafe behavior?
a. | Abstinence | b. | Mutual monogamy | c. | Use of latex
condoms | d. | Use of natural skin
condoms |
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6.
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A nurse is providing information to a client with
systemic lupus erythematosus (SLE) about dietary alterations. The nurse should remind the client to
avoid which of the following foods?
a. | Chicken | b. | Beef | c. | Melons | d. | Cauliflower |
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7.
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A client in the clinical unit who is allergic to
shellfish unknowingly ate a dish brought by a friend that had shellfish as an ingredient. The client
quickly develops anaphylaxis. The nurse would focus on which of the following first until additional
help arrives?
a. | Preparing a dose of epinephrine
(Adrenalin) | b. | Preparing a dose
of a corticosteroid | c. | Maintaining a
patent airway | d. | Telling the client
to obtain a Medic-Alert bracelet |
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8.
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A client is diagnosed with an immune deficiency.
The nurse focuses on which of the following as the highest priority when providing care to this
client?
a. | Encouraging discussion about emotional impact of the
disorder | b. | Identifying historical factors that placed the client at
risk | c. | Providing emotional support to decrease
fear | d. | Protecting the client from
infection |
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9.
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A nurse is assisting in the care of a client
diagnosed with systemic lupus erythematosus (SLE). The nurse administers which of the following
ordered medications that is needed to manage the condition?
a. | Antidiarrheal | b. | Corticosteroid | c. | Antibiotic | d. | Opioid
analgesic |
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10.
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A nurse is assisting in the care of a client
diagnosed with acquired immunodeficiency syndrome who requires an injection. The nurse should do
which of the following to dispose of the needle after the medication is given?
a. | Ask the client to recap the needle on the
syringe. | b. | Recap the needle before placing it and the syringe in a
puncture-resistant container. | c. | Place the needle
and syringe in a puncture-resistant container. | d. | Lay the needle and
syringe on the bedside table and carefully recap the needle. |
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11.
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Cyclosporine (Sandimmune) is prescribed for a
client following an allogenic kidney transplant. The nurse provides instructions to the client
regarding the medication and tells the client that:
a. | The medication will need to be taken for a period of 6
months. | b. | The medication is administered by the intravenous route
on a monthly basis. | c. | Blood levels of
the medication will need to measured periodically. | d. | There are no known adverse effects of the
medication. |
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12.
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Dapsone (DDS) is prescribed for a client with
acquired immunodeficiency syndrome for the treatment of toxoplasmosis. The nurse provides medication
instructions and determines that the client understands the instructions if the client states she
will:
a. | Discontinue the medication if nausea
develops. | b. | Plan to take the medication every 4 hours around the
clock. | c. | Report a sore throat to the
physician. | d. | Expect that
abdominal pain and jaundice will occur as a normal side
effect. |
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13.
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Saquinavir (Invirase) is prescribed for the client
who is human immunodeficiency virus (HIV) seropositive. The nurse provides medication instructions
and determines that the client needs further instructions if the client states he will:
a. | Avoid sun exposure. | b. | Eat high-calorie foods. | c. | Eat foods that are
high in fat. | d. | Take the
medication on an empty stomach. |
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14.
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A client who is human immunodeficiency virus (HIV)
seropositive has been taking stavudine (d4T, Zerit XR). The nurse assesses which of the following
most closely while the client is taking this medication?
a. | Appetite | b. | Level of consciousness | c. | Gastrointestinal
function | d. | Presence of
paresthesias |
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15.
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A client who is human immunodeficiency virus (HIV)
seropositive has been taking zalcitabine (ddC, Hivid) as a component of treatment. The nurse tells
the client that which laboratory test will need to be monitored while taking this
medication?
a. | Glucose level | b. | Platelet count | c. | Red blood cell
count | d. | Liver function
studies |
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16.
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A client with acquired immunodeficiency syndrome
and Pneumocystis jiroveci infection has been receiving pentamidine isethionate (Pentam 300).
The nurse assisting in caring for the client monitors the client most closely for signs
of:
a. | Nausea | b. | Anemia | c. | Restlessness | d. | Gastrointestinal
discomfort |
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17.
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A client with acquired immunodeficiency syndrome
has been started on therapy with zidovudine (AZT, Retrovir). The nurse reviews the physician’s
orders, expecting to note that which laboratory test has been prescribed?
a. | Blood glucose level | b. | Blood urea nitrogen | c. | Blood
culture | d. | Complete blood count
(CBC) |
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18.
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A nurse is assigned to care for a client with a
diagnosis of toxoplasmosis. The physician has prescribed sulfasalazine (Azulfidine). The nurse
preparing to administer this medication understands that this medication is a(n):
a. | Antibiotic | b. | Sulfonamide | c. | Opioid
analgesic | d. | Nonsteroidal
anti-inflammatory |
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19.
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A nurse is preparing to administer pentamidine
isethionate (Pentam 300) to an assigned client by the intramuscular route. The nurse plans to monitor
which of the following most closely after administering this medication?
a. | Blood pressure (BP) | b. | Level of consciousness | c. | Peripheral
pulses | d. | Capillary refill |
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20.
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Ketoconazole (Nizoral) is prescribed for an
assigned client. The nurse prepares to administer the medication:
a. | With food | b. | With 8 oz of water | c. | On an empty
stomach | d. | With an antacid |
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