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1.A nurse is caring for a patient who
requires measurement of specific gravity
every 4 hours. What does this test detect?
A) Nutritional deficit
B) Hyperkalemia
C) Hypercallcemia
D) Fluid volume status
2. Which of the following might the
nurse assess in a patient diagnosed with
hypermagnesemia?
A) Diminished deep tendon reflexes
B) Tachycardia
C) Cool clammy skin
D) Increased serum magnesium
3. A patient is receiving furosemide
(Lasix) 40mg/d IV. What electrolyte value
should be monitored when a patient is
receiving a loop diuretic?
A) Calcium levels
B) Phosphorous levels
C) Potassium levels
D) Magnesium levels
4. The nurse is evaluating a patients
laboratory results. Based upon the
laboratory findings, what results will
cause the release of an antidiuretic
hormone (ADH)?
A) Increased serum sodium
B) Decreased serum sodium
C) Decrease in serum osmolality
D)Decrease in thirst
5. Third spacing occurs when fluid
moves out of the intravascular space but
not into the intracellular space. Based
upon this shift, The nurse will expect the
patient to demonstrate:
A) Hypertension
B)Bradycardia
C) Hypervolemia
D)Hypovolemia
6. The nurse working in the PACU is
aware that which of the following
procedures may
contribute to extracellular losses?
A) Removal of an ingrown toenail
B) Tooth extraction
C) Abdominal surgery
D) Cataract surgery
7. The renin and angiotensin systems
help to maintain the balance of sodium
and water in the body; What other
functions do these systems serve?
A) Regulating hemoglobin levels
B) Maintaining a healthy blood volume
C) Releasing platelets when tissues are
injured
D) Lowering blood volumes
8. A patients lab result show a slight
decrease in potassium. The physician
has declined to treat with drug therapy
but has suggested increasing the
potassium through diet. Which of the
following would be a good source of
potassium?
A) Apples
B) Asparagus
C) Carrots
D) Bananas
9. Your patient has alcoholism, and you
may suspect during your assessment
that his
serum magnesium is low. What will the
nurse potentially expect to assess
related to
hypomagnesemia?
A) Tremor
B) Pruritus
C) Edema
D) Decreased blood pressure
10. The nurse is assessing the patient for
the presence of Chvosteks sign. What
electrolyte imbalance does a positive
Chvosteks sign indicate?
A)Hypermagnesemia
B)Hypomagnesemia
C)Hypocalcemia
D) Hyperkalemia
11. A patient with hypokalemia and
heart failure is admitted to the
tolemetry unit. The
nurse is aware that hypokalemia could
cause which of the following
abnormalities on an
electrocardiogram(ECG)?
A) Shortened P-R interval
B) Inverted T wave
C) Depressed U wave
D) Elevated U wave
now.
D) Would you like to hold your
son?
57. Which of the following is an
appropriate intervention for the
nurse to implement with the client
with obsessive-compulsive disorder?
A) Assist the client to practice
relaxation.
B) Encourage the client to practice
distraction.
C) Teach the client to ignore the
symptoms.
D) Teach the client to control
obsessional thinking.
58. Which of the following is
particularly important when
planning care for a client with
bulimia?
A) Daily urine output
B) Good oral hygiene
C) Meticulous skin care
D) Monitoring daily weight
59. Clients with eating disorders are at
risk for which of the following?
A) Electrolyte imbalance
B) Hyperthermia
C) Insomnia
D) Tachypnea
60. T lymphocytes are believed to
have a specific role in:
A) Transplant rejection
B) Allergic hay fever and asthma
C) Anaphylaxis
D) Bacterial infections
61.B cells, which are responsible for
humoral response, have a specific role
in which of
the following?
A) Graft-verses-host disease
B) Anaphylaxis
C) Tumor surveillance or destruction
D) Intracellular infections
62. A nurse reports for work looking unkempt and
disheveled. Her movements are uncoordinated
and her breath smells like mouthwash.
Another nurse suspects this nurse is
intoxicated. What should the nurse do first?
A) Call the supervisor to report the nurse's
behavior.
B) Confront the nurse about her behavior and
expression
D) Teaching relaxation exercises
79. A 32-year-old newly diagnosed
patient with AIDS expresses fear of
dying. How should the nurse best
respond to the patient?
A) would you like to talk to someone?
B) everyone dies eventually
C) You are afraid of death; what
concerns you most about death
D) you may live for several years
80. A family member asks the nurse
about safety when visiting a patient
with AIDS. What is the best response
for addressing the family members
fears.
A) Why do you think the family
members fears?
B) Dont worry; you will not contract
the disease from the patient.
C) AIDS is commonly transmitted by
contact with blood and body fluids
D) the patients should be isolated and
have limited visitation
81.The nurse is teaching a group of
college students about correct condom
use. Which of the following is the
correct condom application technique?
A) Attach the condom prior to erection
B) A condom may be reused with the
same partner if ejaculation has not
occurred
C) Hand lotion is an acceptable from of
lubricant
D) Hold the condom by the cuff upon
withdrawal
82. The nurse is working in a support
group for patients with acquired
immunodeficiency syndrome (AIDS).
Which point is most important for the
nurse to discuss with this group?
A) Avoiding the use of recreational
drugs and alcohol
B) Refraining from telling anyone about
the diagnosis
C) Following safer-sex practices
D) Telling potential sex partners about
the diagnosis, as required by law.
83. A patient with acquired
immunodeficiency syndrome (AIDS)
develops Pneumocystis carinii
pneumonia. Which nursing diagnosis
has the highest priority for this patient?
A) Impaired gas exchange
B) Impaired oral mucous membranes
C) Unbalanced nutrition, less than body
requirements
D) Activity intolerance
84. The nurse is providing care for a
patient with acquired
immunodeficiency syndrome and
Pneumocystis carinii pneumonia. The
patient is receiving aerosolized
pentamidine isethionate. What is the
best evidence that the therapy is
working?
A) A sudden gain in lost body weight
B) Whitening of lung fields on the chest
x-ray
C) Improved patient vitality and activity
tolerance
85. The nurse is aware that teaching
related to the prevention of HIV should
focus on:
A) Vaccinating all individuals to
decrease their risk of contracting HIV
B) Providing educational programs that
focus on control and preventions
C)Instructing sexually active individuals
on the proper usage of nonlatex
condoms
D) Instructing sexually active
individuals on the microbicide,
nonoxynol-9(N-9)
86. The nurse working in a homeless
shelter recognizes the recent research
indicates that the best approach for
decreasing the risk of HIV transmission
in the intravenous drug user population
in the shelter focuses on:
A) Teaching abstinence from addicting
drugs
B) Teachings the individuals on
methods to clean their syringes
C) Referring the individuals to a needle
exchange program
D) Referring the individuals to a local
87. The nurse is aware that the
postpartum female patient with HIV
requires additional teaching when she
states:
A) : I will use an intrauterine
contraceptive device (IUD) as my
primary source of contraception
B) I will not breastfeed my child
C) I know that my period may be more
irregular due to my HIV
D) My infant is at risk for HIV and I will
sure we do not miss any appointments
with the pediatrician
88. Upon interpretation of a patient's
laboratory results, The nurse recognizes
that a patient with HIV is considered to
have AIDS when the CD4 T lymphocyte
cell drops below:
A) 200 cells/mm3 of blood
B)300 cells/mm3 of blood
C) 400cells/mm3 of blood
D) 500 cells/mm3 of blood
89. During the assessment of a patient
newly admitted with AIDS, The nurse
carefully assesses for symptoms related
to the most common infection in
patients with AIDS. This most common
infection is:
A) Salmonella
B) Mycobacterium tuberculosis
C) Clostridium difficile
D) Pneumocystis carinii pneumonia
90. The nurse caring for a patient with
AIDS who receives agenerase is
preparing the patient for discharge.
What dietary counseling will the nurse
provide based upon the patients
medication regimen?
A) Avoid high-fat meals while taking
this medication
B) Limit fluid intake to 2L per day
C) Limit sodium intake to 2g per day
D) Avoid meals high in protein while
taking this medication
91. The nurse is performing an
assessment on gastrointestinal
system of a patient with AIDS.
Which of the following is most
likely to be the priority nursing
diagnosis?
A) Unbalanced nutrition, more
than body requirements
B) Diarrhea
C) Bowel incontinence
D) Constipation
92. A patient with AIDS who is
suspected to have Kaposis
sarcoma asks the nurse how she
will know if she definitely has this
form of cancer. The nurse responds
that the condition is diagnosed by:
A) A biopsy of the skin lesions
B) An ultrasound of the skin lesions
C) A series of blood studies
D) Analysis of cerebral spinal fluid
trough a lumbar puncture
93.In an outpatient facility, the nurse obtaining
information on a patient newly diagnosed with HIV is
aware that many patients with HIV utilize various
alternative or complementary therapies. The nurse
addresses complementary or alternative therapy by
stating:
A) Complementary therapies such as acupuncture
or herbal therapy are dangerous to patients with HIV
and we discourage you from exploring them
B) Researchers have not looked at the benefits of
alternative therapy for patients with HIV, so we
suggest that you stay away from these therapies
until there s solid research data available
C) We see many patients with HIV who are using
some type of alternative therapy and there are
benefits and risks. Are there any types of alternative
or complementary therapies that you
D)
94.A psychiatric clinical nurse specialist
presenting a class to nursing students
on treating depression in patients with
HIV discusses treatment options for
depression in this patient population
and informs the students that the
initials treatment approach integrates:
A) Psychotherapy and pharmacology
B) Psychotherapy and electroconvulsive
therapy
C) Pharmacology and vocational
counseling
D) Electroconvulsive therapy and
95. Upon assessment of the patient, the
nurse notes the following data:
decrease in urine output. Decrease in
blood pressure, weak pulse that
increases when the patient stands, and
a urine specific gravity of 1.030. the
priority nursing diagnosis formulated by
the nurse based upon this data is
A) Deficient fluid volume
B) Hyperthermia
C) Unbalance nutrition, less than body
requirements
D) Ineffective protection
96. While counseling a health care
worker who experienced an
occupational exposure to HIV after
being stuck by a scalpel used for
surgery on a patient with HIV, the
occupational health nurse discusses the
window period. During this period of
time, the body has not yet produced
antibodies. The window period may
have a duration of
A) 1 to 2 weeks after exposure
B) 2 to 4 months after exposure
C) 3 weeks to 6 months after exposure
97.Based upon the classification
system for HIV infection and Expanded
AIDS surveillance Case Definition for
Adolescents and Adults criteria, Identify
the clinical category of the patient with
a CD4+T lymphocyte count of 450
cells/mm3 of blood with no symptoms
of an HIV infection.
A) A1
B) A2
C) B1
D) B2
now.
D) Would you like to hold your
son?
57. Which of the following is an
appropriate intervention for the
nurse to implement with the client
with obsessive-compulsive disorder?
A) Assist the client to practice
relaxation.
B) Encourage the client to practice
distraction.
C) Teach the client to ignore the
symptoms.
D) Teach the client to control
obsessional thinking.
58. Which of the following is
particularly important when
planning care for a client with
bulimia?
A) Daily urine output
B) Good oral hygiene
C) Meticulous skin care
D) Monitoring daily weight
59. Clients with eating disorders are at
risk for which of the following?
A) Electrolyte imbalance
B) Hyperthermia
C) Insomnia
D) Tachypnea
60. T lymphocytes are believed to
have a specific role in:
A) Transplant rejection
B) Allergic hay fever and asthma
C) Anaphylaxis
D) Bacterial infections
61.B cells, which are responsible for
humoral response, have a specific role
in which of
the following?
A) Graft-verses-host disease
B) Anaphylaxis
C) Tumor surveillance or destruction
D) Intracellular infections
62. A nurse reports for work looking unkempt and
disheveled. Her movements are uncoordinated
and her breath smells like mouthwash.
Another nurse suspects this nurse is
intoxicated. What should the nurse do first?
A) Call the supervisor to report the nurse's
behavior.
B) Confront the nurse about her behavior and
expression
D) Teaching relaxation exercises
79. A 32-year-old newly diagnosed
patient with AIDS expresses fear of
dying. How should the nurse best
respond to the patient?
A) would you like to talk to someone?
B) everyone dies eventually
C) You are afraid of death; what
concerns you most about death
D) you may live for several years
80. A family member asks the nurse
about safety when visiting a patient
with AIDS. What is the best response
for addressing the family members
fears.
A) Why do you think the family
members fears?
B) Dont worry; you will not contract
the disease from the patient.
C) AIDS is commonly transmitted
by contact with blood and body
fluids
D) the patients should be isolated and
81.The nurse is teaching a group of
college students about correct condom
use. Which of the following is the
correct condom application technique?
A) Attach the condom prior to erection
B) A condom may be reused with the
same partner if ejaculation has not
occurred
C) Hand lotion is an acceptable from of
lubricant
D) Hold the condom by the cuff
upon withdrawal
82. The nurse is working in a support
group for patients with acquired
immunodeficiency syndrome (AIDS).
Which point is most important for the
nurse to discuss with this group?
A) Avoiding the use of recreational
drugs and alcohol
B) Refraining from telling anyone about
the diagnosis
C) Following safer-sex practices
D) Telling potential sex partners about
the diagnosis, as required by law.
83. A patient with acquired
immunodeficiency syndrome (AIDS)
develops Pneumocystis carinii
pneumonia. Which nursing diagnosis
has the highest priority for this patient?
A) Impaired gas exchange
B) Impaired oral mucous membranes
C) Unbalanced nutrition, less than body
requirements
D) Activity intolerance
84. The nurse is providing care for a
patient with acquired
immunodeficiency syndrome and
Pneumocystis carinii pneumonia. The
patient is receiving aerosolized
pentamidine isethionate. What is the
best evidence that the therapy is
working?
A) A sudden gain in lost body weight
B) Whitening of lung fields on the chest
x-ray
C) Improved patient vitality and
activity tolerance
85. The nurse is aware that teaching
related to the prevention of HIV should
focus on:
A) Vaccinating all individuals to
decrease their risk of contracting HIV
B) Providing educational programs
that focus on control and
preventions
C)Instructing sexually active individuals
on the proper usage of nonlatex
condoms
D) Instructing sexually active
individuals on the microbicide,
86. The nurse working in a homeless
shelter recognizes the recent research
indicates that the best approach for
decreasing the risk of HIV transmission
in the intravenous drug user population
in the shelter focuses on:
A) Teaching abstinence from addicting
drugs
B) Teachings the individuals on
methods to clean their syringes
C) Referring the individuals to a
needle exchange program
D) Referring the individuals to a local
87. The nurse is aware that the
postpartum female patient with HIV
requires additional teaching when she
states:
A) : I will use an intrauterine
contraceptive device (IUD) as my
primary source of contraception
B) I will not breastfeed my child
C) I know that my period may be more
irregular due to my HIV
D) My infant is at risk for HIV and I will
sure we do not miss any appointments
with the pediatrician
88. Upon interpretation of a patient's
laboratory results, The nurse recognizes
that a patient with HIV is considered to
have AIDS when the CD4 T lymphocyte
cell drops below:
A) 200 cells/mm3 of blood
B)300 cells/mm3 of blood
C) 400cells/mm3 of blood
D) 500 cells/mm3 of blood
89. During the assessment of a patient
newly admitted with AIDS, The nurse
carefully assesses for symptoms related
to the most common infection in
patients with AIDS. This most common
infection is:
A) Salmonella
B) Mycobacterium tuberculosis
C) Clostridium difficile
D) Pneumocystis carinii pneumonia
90. The nurse caring for a patient with
AIDS who receives agenerase is
preparing the patient for discharge.
What dietary counseling will the nurse
provide based upon the patients
medication regimen?
A) Avoid high-fat meals while
taking this medication
B) Limit fluid intake to 2L per day
C) Limit sodium intake to 2g per day
D) Avoid meals high in protein while
taking this medication
91. The nurse is performing an
assessment on gastrointestinal
system of a patient with AIDS.
Which of the following is most
likely to be the priority nursing
diagnosis?
A) Unbalanced nutrition, more
than body requirements
B) Diarrhea
C) Bowel incontinence
D) Constipation
92. A patient with AIDS who is
suspected to have Kaposis
sarcoma asks the nurse how she
will know if she definitely has this
form of cancer. The nurse responds
that the condition is diagnosed by:
A) A biopsy of the skin lesions
B) An ultrasound of the skin lesions
C) A series of blood studies
D) Analysis of cerebral spinal fluid
trough a lumbar puncture
93.In an outpatient facility, the nurse obtaining
information on a patient newly diagnosed with HIV is
aware that many patients with HIV utilize various
alternative or complementary therapies. The nurse
addresses complementary or alternative therapy by
stating:
A) Complementary therapies such as acupuncture
or herbal therapy are dangerous to patients with HIV
and we discourage you from exploring them
B) Researchers have not looked at the benefits of
alternative therapy for patients with HIV, so we
suggest that you stay away from these therapies
until there s solid research data available
C) We see many patients with HIV who are
using some type of alternative therapy and
there are benefits and risks. Are there any
types of alternative or complementary
therapies that you
94.A psychiatric clinical nurse specialist
presenting a class to nursing students
on treating depression in patients with
HIV discusses treatment options for
depression in this patient population
and informs the students that the
initials treatment approach integrates:
A) Psychotherapy and
pharmacology
B) Psychotherapy and electroconvulsive
therapy
C) Pharmacology and vocational
counseling
95. Upon assessment of the patient, the
nurse notes the following data:
decrease in urine output. Decrease in
blood pressure, weak pulse that
increases when the patient stands, and
a urine specific gravity of 1.030. the
priority nursing diagnosis formulated by
the nurse based upon this data is
A) Deficient fluid volume
B) Hyperthermia
C) Unbalance nutrition, less than body
requirements
D) Ineffective protection
96. While counseling a health care
worker who experienced an
occupational exposure to HIV after
being stuck by a scalpel used for
surgery on a patient with HIV, the
occupational health nurse discusses the
window period. During this period of
time, the body has not yet produced
antibodies. The window period may
have a duration of
A) 1 to 2 weeks after exposure
B) 2 to 4 months after exposure
C) 3 weeks to 6 months after
97.Based upon the classification
system for HIV infection and Expanded
AIDS surveillance Case Definition for
Adolescents and Adults criteria, Identify
the clinical category of the patient with
a CD4+T lymphocyte count of 450
cells/mm3 of blood with no symptoms
of an HIV infection.
A) A1
B) A2
C) B1
D) B2