1. For Mikael who is diagnosed of having allergic rhinitis, which
nursing intervention is the most appropriate?
A. Encouraging the client to use nasal saline sprays
B. Discouraging nose blowing before administering nasal
medication
C. Advising use of bronchodilator regularly, even if having no
symptoms
D. Instructing the client to carry epinephrine with him at all
times
2. Which intervention should Nurse John Joe discuss with
Elena who has an allergic disorder and is requesting
information for allergy symptom control? (Select all that apply.)
A. Instructing the client to refrain from using air conditioning or
humidifiers in the house
B. Instructing the client to use curtains instead of pull shades
over windows
C. Instructing the client to cover the mattress with a
hypoallergenic cover
D. Instructing the client to wear a mask when cleaning
E. Instructing the client to avoid using sprays, powders, and
perfumes
F. Instructing the client to change detergents frequently
3. Which intervention should the nurse implement when caring
for a client diagnosed with Pneumocystis carinii pneumonia
related to acquired immunodeficiency syndrome who is crying
over the loss of friends and family members because they will
not talk to him anymore?
A. Advising the client not to worry, and telling him everything
will be alright
B. Asking the health care provider for a psychiatric consult to
assess the client’s mental functioning
C. Sitting down and listening to the client’s concerns and
frustrations
D. Telling the client that the friends probably were not true
friends anyway
4. For Aubrey Anne who has allergies, which client statement
indicates that the nurse’s teaching about her condition has be
successful?
A. “I don’t need to wear any type of mask when I’m cleaning
my house.”
B. “I should stay in the house when there’s a low pollen count
outside.”
C. “I should avoid any types of spray, powders, and perfumes.”
D. “I can wear any type of clothing that I want to as long as I
wash it first.”
5. Mr. Mc Princeton who is diagnosed with rheumatoid arthritis
(RA) complains about joints that always hurt, saying, “I just feel
like staying in bed all day.” Which discharge instruction would
be aimed at maintaining as such function as possible?
A. “Refrain from exercise because it only aggravates the
disease process.”
B. “Apply elastic bandages to all joints to increase the pain
threshold.”
C. “Maintain a supine position most of the day to prevent the
stress of weight bearing.”
D. “Promote aquatic (water) exercises to enhance joint
mobility.”
6. Nurse Vince sustained a dirty needle stick injury. Which
diagnostic test would be ordered on a client?
A. Enzyme-linked immunosorbent assay (ELISA)
B. SUDS screening test
C. Antibody titers
D. Skin biopsy for Kaposi’s sarcoma
7. After the first injection of an immunotherapy program, the
nurse notices a large, red wheal on the client’s arm, coughing,
and expiratory wheezing. Which intervention should the nurse
implement first?
A. Notifying the health care provider immediately
B. Administering I.M. epinephrine per protocol
C. Beginning oxygen by way of nasal cannula
D. Starting an I.V. line for medication administration
8. Slater is using a steroidal cream for allergic dermatoses.
Which intervention should Nurse Rachel implement for the
client?
A. Applying an occlusive dressing over the inflamed area
afterward
B. Washing hands before and after applying the cream
C. Avoiding washing the inflamed area before applying the
cream
D. Using alcohol to clean the inflamed area before applying the
cream
9. Which clinical manifestation would cause the nurse to
suspect that the client is diagnosed with systemic lupus
erythematosus?
A. Joint edema and tenderness
B. Red, burning, tearing eyes
C. Chest tightness with wheezing on expiration
D. Fever and night sweats
10. April is diagnosed with systemic lupus erythematosus.
Which instruction would be included in the teaching plan for the
client?
A. “Wear large-brimmed hats when exposed to the sun.”
B. “Use tanning beds instead of sunbathing outside.”
C. “Remove all rugs, curtains, and dust-collecting items in
home.”
D. “Carry injectable epinephrine at all times in case of
exacerbation.”
11. Which discharge instruction would be included in the care
plan for a client diagnosed with atopic dermatitis?
A. “Take weekly baths to avoid hydrating the skin.”
B. “Add humidity to the dry air caused by dry heat during the
winter.”
C. “Keep the room temperature between 78° and 80° F.”
D. “Apply hot or cold therapy to affected joints.”
12. Theon was stung by a bee now exhibits redness and
edema in the hand and forearm. The nurse’s actions would be
based on which scientific rationale?
A. Baking soda is the best treatment for the edema from a bee
sting.
B. Hypersensitivity is possible; the client may need to buy an
anti-sting kit.
C. The client should not worry; people cannot develop an
allergy to bee stings.
D. The client need regular checkups to obtain immunotherapy.
13. Which condition would Nurse Jade suspect when a client
complains of a runny nose, itching and burning eyes, and
sneezing since visiting a friend who had a cat in the home?
A. Anaphylaxis
B. Bronchitis
C. Allergic rhinitis
D. Asthma
14. During the past 6 months, a client diagnosed with acquired
immunodeficiency syndrome has had chronic diarrhea and has
lost 18 pounds. Additional assessment findings include tented
skin turgor, dry mucous membranes, and listleness. Which
nursing diagnosis focuses attention on the client’s most
immediate problem?
A. Deficient fluid volume related to diarrhea and abnormal fluid
loss
B. Imbalanced nutrition: less than body requirements related to
nausea and vomiting
C. Disturbed thought processes related to central nervous
system effects of disease
D. Diarrhea related to the disease process and acute infection
15. For a male client who has acquired immunodeficiency
syndrome with chronic diarrhea, anorexia, a history of oral
candidiasis, and weight loss, which dietary instruction would be
included in the teaching plan?
A. “Follow a low-protein, high-carbohydrate diet.”
B. “Eat three large meals per day.”
C. “Include unpasteurized dairy products in the diet.”
D. “Follow a high-protein, high-calorie diet.”
16. Nurse Mary Jean is assisting in administering should administer which of the following prescribed
immunizations at a health care clinic. The nurse understands medications that is needed to manage the condition?
that an immunization will provide: - Corticosteroid
A. Protection from all disease
B. Innate immunity from disease 2. A nurse is assisting in preparing a plan of care for a
C. Natural immunity from disease client with acquired immunodeficiency syndrome
D. Acquired immunity from disease (AIDS) who has nausea. Which dietary measure
should the nurse include in the plan?
17. Nurse Ruffa is providing dietary instructions to the client a. Dairy products with each snack and meal
with systemic lupus erythematosus. Which of the following b. Red meat daily
dietary items would the nurse instruct the client to avoid? c. Adding spices to food to make the taste more
A. Cantaloupe palatable
B. Turkey d. Foods that are at room temperature
C. Broccoli
D. Steak 3. The nurse interprets that the client who is prescribed
zalcitabine (Hivid) is experiencing an adverse effect of
18. A client with acquired immunodeficiency syndrome has a this medication when which event is reported by the
respiratory infection from Pneumocystis jiroveci and a nursing client?
diagnosis of Impaired Gas Exchange written in the plan of a. Diarrhea
care. Which of the following indicates that the expected b. Tinnitus
outcome of care has not yet been achieved? c. Burning with urination
A. Client has clear breath sounds d. Numbness in the legs
B. Client now limits his fluid intake
C. Client expectorates secretions easily 4. A client is positively diagnosed with stage 1 Lyme
D. Client is free of complaints of shortness of breath disease. The client asks the nurse about the
treatment for the disease. The nurse responds to the
19. Human Papilloma Virus in AIDS patients is manifested as: client, anticipating that which of the following will be
A. Cough, evening fever, night sweats, weight loss and anemia part of the treatment plan?
B. Persistent fever, tachypnoea, hypoxia, cyanosis and a. Ultraviolet light therapy
tachycardia. b. No treatment unless symptoms develop
C. Genital warts, flat warts, skin warts, neoplasm of cervix, c. Treatment with intravenous (IV) penicillin G
vagina and penis d. A 3- to 4-week course of oral antibiotic therapy
D. Watery diarrhea, abdominal pain, nausea and vomiting
5. A nurse is collecting data on a
20. A client is diagnosed with oral candidiasis. Nurse Tina client with rheumatoid
knows that this condition in AIDS is treated with: arthritis. The nurse looks at
A. Trimethoprim + sulfamethoxazole the client's hands and notes
B. Fluconazole these characteristic
C. Acyclovir deformities. The nurse
D. Zidovudine identifies this deformity as:
Refer to figure.
21. The decision to begin antiretroviral therapy is based on: a. Ulnar drift
A. The CD4 cell count b. Rheumatoid nodules
B. The plasma viral load c. Swan neck deformity
C. The intensity of the patient’s clinical symptoms d. Boutonniere deformity
D. All of the above
6. A health care provider aspirates synovial fluid from a
22. Which client problem relating to altered nutrition is a knee joint of a client with rheumatoid arthritis. The
consequence of AIDS? nurse reviews the laboratory analysis of the specimen
A. Increased appetite and would expect the results to indicate which
B. Decreased protein absorption finding?
C. Increased secretions of digestive juices a. Cloudy synovial fluid
D. Decreased gastrointestinal absorption b. Presence of organisms
c. Bloody synovial fluid
23. As a knowledgeable nurse, you know that the primary d. Presence of irate crystals
goals of antiretroviral therapy (ART) include all, EXCEPT:
A. Reduce HIV-associated morbidity and prolong the duration 7. A client arrives at the ambulatory care center
and quality of survival complaining of flulike symptoms. On data collection,
B. Restore and preserve immunologic function the client tells the nurse that he was bitten by a tick
C. Maximally and durably suppress plasma HIV viral load and is concerned that the bite is causing the sick
D. Elimination of HIV entirely from the body feelings. The client requests a blood test to determine
the presence of Lyme disease. Which of the following
24. Which is the most common HIV-related neurological questions should the nurse ask next?
complication? a. "Was the tick small or large?"
A. Tuberculosis b. "When were you bitten by the tick?"
B. Kaposi’s sarcoma c. "Did you save the tick for inspection?"
C. Toxoplasmosis d. "Did the tick bite anyone else in the family?
D. Lymphoma
8. A client with acquired immunodeficiency syndrome
25. A client with pemphigus is being seen in the clinic regularly. (AIDS) has difficulty swallowing. The nurse has given
The nurse plans care based on which of the following the client suggestions to minimize the problem. The
descriptions of this condition? nurse determines that the client has understood the
A. The presence of tiny red vesicles instructions if the client verbalized to increase intake
B. An autoimmune disease that causes blistering in the of foods such as:
epidermis a. Raw fruits and vegetables
C. The presence of skin vesicles found along the nerve caused b. Hot soup
by a virus c. Peanut butter
D. The presence of red, raised papules and large plaques d. Puddings
covered by silvery scales

1. A nurse is assisting in the care of a client diagnosed

with systemic lupus erythematosus (SLE). The nurse
9. The nurse provides home care instructions to a client
with systemic lupus erythematosus and tells the client
about methods to manage fatigue. Which statement
by the client indicates a need for further instructions?
a. "I should take hot baths because they are relaxing."
b. "I should sit whenever possible to conserve my
energy."
c. "I should avoid long periods of rest because it causes
joint stiffness."
d. "I should do some exercises, such as walking, when I
am not fatigued."
10. A client is diagnosed with stage I of Lyme disease. In
addition to the rash, the nurse would check the client
for which manifestation?
a. Arthralgias
b. Flulike symptoms
c. Neurologic deficits
d. Enlarged and inflamed joints
11. 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
12. Which of the following individuals is least likely at risk
for the development of Kaposi's sarcoma?
a. A kidney transplant client
b. A male with a history of same-sex partners
c. A client receiving antineoplastic medications
d. An individual working in an environment where
exposure to asbestos exists
13. The nurse prepares to give a bath and change the
bed linens on a client with cutaneous Kaposi's
sarcoma lesions. The lesions are open and draining a
scant amount of serous fluid. Which of the following
would the nurse incorporate in the plan during the
bathing of this client?
a. Wearing gloves
b. Wearing a gown and gloves
c. Wearing a gown, gloves, and a mask
d. Wearing a gown and gloves to change the bed linens
and gloves only for the bath
14. A client is suspected of having systemic lupus
erythematous. The nurse monitors the client, knowing
that which of the following is one of the initial
characteristic sign of systemic lupus erythematous?
a. Weight gain
b. Subnormal temperature
c. Elevated red blood cell count
d. Rash on the face across the bridge of the nose and
on the cheeks
15. A client with pemphigus is being seen in the clinic
regularly. The nurse plans care based on which of the
following descriptions of this condition?
a. The presence of tiny red vesicles
b. An autoimmune disease that causes blistering in the
epidermis
c. The presence of skin vesicles found along the nerve
caused by a virus
d. The presence of red, raised papules and large
plaques covered by silvery scales
16. The nurse is assisting in planning care for a client with
a diagnosis of immune deficiency. The nurse would
incorporate which of the following as a priority in the
plan of care?
a. Protecting the client from infection
b. Providing emotional support to decrease fear
c. Encouraging discussion about lifestyle changes
d. Identifying factors that decreased the immune function
17. A client calls the office of his primary care health care
provider and tells the nurse that he was just stung by
a bumblebee while gardening. The client is afraid of a
severe reaction, because the client's neighbor
experienced such a reaction just 1 week ago. The
appropriate nursing action is to:
a. Advise the client to soak the site in hydrogen
peroxide.
b. Ask the client if he ever sustained a bee sting in the
past.
c. Tell the client to call an ambulance for transport to the
emergency room.
d. Tell the client not to worry about the sting unless
difficulty with breathing occurs.
18. The nurse is assigned to care for a client with
systemic lupus erythematosus (SLE). The nurse plans
care knowing that this disorder is:
a. A local rash that occurs as a result of allergy
b. A disease caused by overexposure to sunlight
c. An inflammatory disease of collagen contained in
connective tissue
d. A disease caused by the continuous release of
histamine in the body
19. The camp nurse prepares to instruct a group of
children about Lyme disease. Which of the following
information would the nurse include in the
instructions?
a. Lyme disease is caused by a tick carried by deer.
b. Lyme disease is caused by contamination from cat
feces.
c. Lyme disease can be contagious by skin contact with
an infected individual.
d. Lyme disease can be caused by the inhalation of
spores from bird droppings
20. A female client arrives at the health care clinic and
tells the nurse that she was just bitten by a tick and
would like to be tested for Lyme disease. The client
tells the nurse that she removed the tick and flushed it
down the toilet. Which of the following nursing actions
is appropriate?
a. Refer the client for a blood test immediately.
b. Inform the client that there is not a test available for
Lyme disease.
c. Tell the client that testing is not necessary unless
arthralgia develops.
d. Instruct the client to return in 4 to 6 weeks to be
tested, because testing before this time is not reliable.
21. A Cub Scout leader who is a nurse is preparing a
group of Cub Scouts for an overnight camping trip and
instructs the scouts about the methods to prevent
Lyme disease. Which statement by one of the Cub
Scouts indicates a need for further instructions?
a. "I need to bring a hat to wear during the trip."
b. "I should wear long-sleeved tops and long pants."
c. "I should not use insect repellent because it will attract
the ticks."
d. "I need to wear closed shoes and socks that can be
pulled up over my pants."
22. The client with acquired immunodeficiency syndrome
is diagnosed with cutaneous Kaposi's sarcoma.
Based on this diagnosis, the nurse understands that
this has been confirmed by which of the following?
a. Swelling in the genital area
b. Swelling in the lower extremities
c. Punch biopsy of the cutaneous lesions
d. Appearance of reddish-blue lesions on the skin
23. Which interventions would apply in the care of a client
at high risk for an allergic response to a latex allergy?
Select all that apply.
a. Use non-latex gloves.
b. Use medications from glass ampules.
c. Place the client in a private room only.
d. Do not puncture rubber stoppers with needles.
e. Keep a latex-safe supply cart available in the client's
area.
f. Use a blood pressure cuff from an electronic device
only to measure the blood pressure
24. A nurse is identifying clients in the community at risk
for latex allergy. Which client population is most at risk
for developing this type of allergy?
a. Children in day care centers
b. Individuals with spina bifida
c. Individuals with cardiac disease
d. Individuals living in a group home
25. The community health nurse is conducting a research
study and is identifying clients in the community who
are at risk for latex allergy. Which client population is
at most risk for developing this type of allergy?
a. Hairdressers
b. The homeless
c. Children in day care centers
d. Individuals living in a group home
26. The home care nurse is collecting data from a client
who has been diagnosed with an allergy to latex. In
determining the client's risk factors associated with
the allergy, the nurse questions the client about an
allergy to which food item?
a. Eggs
b. Milk
c. Yogurt
d. Bananas
27. A nurse is assigned to care for a client who returned
home from the emergency department following
treatment for a sprained ankle. The nurse notes that
the client was sent home with crutches that have
rubber axillary pads and needs instructions regarding
crutch walking. On data collection, the nurse
discovers that the client has an allergy to latex. Before
providing instructions regarding crutch walking, the
nurse should:
a. Contact the health care provider (HCP).
b. Cover the crutch pads with cloth.
c. Call the local medical supply store, and ask for a cane
to be delivered.
d. Tell the client that the crutches must be removed
immediately from the house.
28. The home care nurse is ordering dressing supplies for
a client who has an allergy to latex. The nurse asks
the medical supply personnel to deliver which of the
following?
a. Elastic bandages
b. Adhesive bandages
c. Brown Ace bandages
d. Cotton pads and silk tap
29. A nurse is assisting in developing a plan of care for a
client with immunodeficiency. The nurse understands
that which problem is a priority for the client?
a. Infection
b. Inability to cope
c. Lack of information about the disease
d. Feeling uncomfortable about body changes
30. A client calls the emergency department and tells the
nurse that he received a bee sting to the arm while
weeding a garden. The client states that he has
received bee stings in the past and is not allergic to
bees. The client states that the site is painful and asks
the nurse for advice to alleviate the pain. The nurse
tells the client to first:
a. Take two acetaminophen (Tylenol).
b. Place a heating pad to the site.
c. Apply ice and elevate the site.
d. Lie down and elevate the arm.
31. A client with human immunodeficiency virus (HIV)
who has contracted tuberculosis (TB) asks the nurse
how long the medication therapy lasts. The nurse
responds that the duration of therapy would likely be
for at least:
a. 6 total months and at least 1 month after cultures
convert to negative
b. 6 total months and at least 3 months after cultures
convert to negative
c. 9 total months and at least 3 months after cultures
convert to negative
d. 9 total months and at least 6 months after cultures
convert to negative
32. A client who is human immunodeficiency virus (HIV)
positive has had a Mantoux skin test. The results
show a 7-mm area of induration. The nurse evaluates
that this result is:
a. Negative
b. Borderline
c. Uncertain
d. Positive
33. A client with acquired immunodeficiency syndrome
(AIDS) is taking zidovudine (Retrovir) 200 mg orally
three times daily. The client reports to the health care
clinic for follow-up blood studies, and the results of the
blood studies indicate severe neutropenia. Which of
the following would the nurse anticipate to be
prescribed for the client?
a. Reduction in the medication dosage
b. Discontinuation of the medication
c. The administration of prednisone concurrent with the
therapy
d. Administration of epoetin alfa (Epogen)
34. A client with acquired immunodeficiency syndrome
(AIDS) is taking didanosine (Videx). The client calls
the nurse at the health care provider's office and
reports nausea, vomiting, and abdominal pain. Which
of the following instructions would the nurse provide to
the client?
a. This is an expected side effect of the medication.
b. Come to the office to be seen by the health care
provider.
c. Take crackers and milk with the administration of the
medication.
d. Decrease the dose of the medication until the next
health care provider's visit.
35. Indinavir (Crixivan) is prescribed for a client with
human immunodeficiency virus (HIV). The nurse has
provided instructions to the client regarding ways to
maximize absorption of the medication. Which of the
following, if stated by the client, indicates an adequate
understanding of the use of this medication?
a. "I need to take the medication with my large meal of
the day."
b. "I need to store the medication in the refrigerator."
c. "I need to take the medication with water but on an
empty stomach."
d. "I need to take the medication with a high-fat snack."
36. A nurse is assisting in developing a plan of care for a
client with acquired immunodeficiency syndrome
(AIDS) who is experiencing night fever and night
sweats. Which nursing intervention should the nurse
suggest including in the plan of care to manage this
symptom?
a. Keep the call bell within reach for the client.
b. Administer a sedative at bedtime.
c. Administer an antipyretic at bedtime.
d. Provide a back rub and comfort measures before
bedtime.
37. A nurse is assisting in developing a plan of care for a
pregnant client with acquired immunodeficiency
syndrome (AIDS). The nurse determines that which of
the following is the priority concern for this client?
a. Inability to care for self at home
b. Development of an infection
c. Lack of available support services
d. Solation
38. The nurse is assessing a client who has small groups
of vesicles over his chest and upper abdominal area.
They are located only on the right side of his body.
The client states his pain level is 8/10, and describes
the pain as burning in nature. Which question is most
appropriate to include in the data collection?
a. "Did you have chicken pox as a child?"
b. "How many sexual partners have you had?"
c. "Did you use an electric blanket on your side?"
d. "Why don't you try docosanol cream (Abreva) on your
lesions?"
39. A client who is prescribed zidovudine (Retrovir) has
been diagnosed with severe neutropenia. The nurse
anticipates which intervention will be implemented?
a. The medication dose will be reduced.
b. The medication will be temporarily discontinued.
c. Prednisone will be added to the medication regimen.
d. Epoetin alfa (Epogen) will be added to the medication
regimen.
40. A client with acquired immunodeficiency syndrome
(AIDS) reports nausea, vomiting, and abdominal pain
after beginning didanosine (Videx) therapy. The clinic
nurse emphasizes what instruction to this client?
a. Take crackers and milk with each dose of the
medication.
b. Come to the health care clinic to be seen by the
health care provider.
c. Decrease the dose of the medication until the next
clinic visit.
d. This is an uncomfortable but expected side effect of
the medication.
41. A client is diagnosed with stage 1 Lyme disease. The
nurse checks the client for which hallmark
characteristic of this stage?
a. Signs of neurological disorders
b. Enlarged and inflamed joints
c. Headache
d. Skin rash
42. A client diagnosed with Lyme disease says to the
nurse, "I heard this disease can affect the heart. Is
this true?" The nurse should make which response to
the client?
a. "Where did you get your information?"
b. "Yes, that's true but it rarely ever occurs."
c. "It can, but you will be monitored closely for cardiac
complications."
d. "It primarily affects the joints with the occasional facial
paralysis
43. A nurse reads the chart of a client who has been
diagnosed with stage 3 Lyme disease. Which clinical
manifestation supports this diagnosis?
a. A generalized skin rash
b. A cardiac dysrhythmia
c. Complaints of joint pain
d. Paralysis of a facial muscle
44. A client arrives at the health care clinic requesting to
be tested for Lyme disease. The client tells the nurse
that he removed the tick and flushed it down the toilet.
Which nursing action is appropriate?
a. Refer the client for a blood test immediately.
b. Inform the client that the tick is needed to perform a
test.
c. Arrange for the client to return in 4 to 6 weeks to be
tested.
d. Ask the client to describe the size, shape, and color of
the tick.
45. A nurse is collecting data on a client who complains of
fatigue, weakness, malaise, muscle pain, joint pain at
multiple sites, anorexia, and photosensitivity.
Systematic lupus erythematosus (SLE) is suspected.
The nurse further checks for which of the following
that is also indicative of the presence of SLE?
a. Emboli
b. Ascites
c. Two hemoglobin S genes
d. Butterfly rash on cheeks and bridge of nose
46. Which client is at the highest risk for systemic lupus
erythematous (SLE)?
a. An Asian male
b. A white female
c. An African-American male
d. An African-American female
47. A client calls the health care clinic and tells the nurse
that he was bitten by a tick. The client is concerned
and asks the nurse about the first signs of Lyme
disease. The nurse informs the client that stage 1 of
Lyme disease is characterized by:
a. Skin rash
b. Painful joints
c. Tremors and weakness
d. Headaches and blurred vision
48. A nurse is doing discharge teaching with a client who
has sickle cell disease. The nurse instructs the client
to avoid which factor that could precipitate a sickle cell
crisis?
a. Infection
b. Mild exercise
c. Fluid overload
d. Warm weather
49. A client with acquired immunodeficiency syndrome
(AIDS) is experiencing shortness of breath related to
Pneumocystis jiroveci pneumonia. Which measure
should the nurse suggest to assist the client in
performing activities of daily living?
a. Provide supportive care with hygiene needs.
b. Provide meals and snacks with high protein, high
calorie, and high nutritional value.
c. Provide small, frequent meals.
d. Offer low microbial food
50. A nurse determines that the neutropenic client needs
further discharge teaching if which of the following
statements is made by the client?
a. "I will include plenty of fresh fruits in my diet."
b. "If I develop a fever over 100° F, I will call my doctor."
c. "Petting my dog is fine as long as I wash my hands
after doing so."
d. "My husband will just have to take over cleaning the
cat's litter box."
51. The client with acquired immunodeficiency syndrome
has raised, dark purplish lesions on the trunk of the
body. The nurse anticipates that which of the following
procedures will be done to confirm whether these
lesions are due to Kaposi's sarcoma?
a. Skin biopsy
b. Lung biopsy
c. Western blot
d. Enzyme-linked immunosorbent assay
52. 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.

53. 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

54. 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

55. 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.

56. 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

57. 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