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MED SURG EXAM 3 PRACTICE QUESTIONS
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MED SURG EXAM 3 PRACTICE QUESTIONS
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MED SURG EXAM3 PRACTICE
QUESTIONS
A nurse in an outpatient clinic is assessing a client who reports night sweats and
fatigue. The client repots having a cough along with nausea and diarrhea. Their
temperature is 38.1 C (100.6 F) orally. The client is concerned about the possibiliy of
having HIV. Which of the following actions should the nurse take? (Select all that apply)
a.) Perform a physical assessment
b.) Determine when manifestation began
c.) Teach the client about HIV transmission
d.) Draw blood for HIV testing
e.) Obtain sexual history - Answers -a,b,e
A patient who is infected with HIV is being taught by the nurse about health promotion
activities such as good nutrition; avoiding alcohol, tobacco, drug use, and exposure to
infectious agents; keeping up to date with vaccines; getting adequate rest; and stress
management. What is the rationale for these interventions?
a.) Delaying disease progression
b.) Preventing disease transmission
c.) Helping to cure the HIC infection
d.) Enabling an increase in self-care activities - Answers -a
,The nurse is caring for an older patient who has been receiving antiretroviral therapy for
HIV infection for many years. The nurse is aware that complications of long-term
antiretroviral use can include: (Select all that apply)
a.) osteoporosis
b.) Insulin resistance
c.) cognitive problems
d.) urinary incontinence
e.) cardiovascular disease - Answers -a,b,e
The nurse teaches the staff that standard precautions should be used when providing
care for which type of patient?
a.) Pediatric and older patients
b.) All patients regardless of diagnosis
c.) Patients who are immonocompromised
d.) Patients with a history of infectious disease - Answers -b
A nurse was accidently stuck with a needle used on a patient who is infected with HIV.
after reporting the incident, what care should this nurse recieve first?
a.) Personal protective equipment
b.) Combination antiretroviral therapy
c.) Counseling to report blood exposures
d.) A negative evaluation by the manager - Answers -b
A patient was recently diagnosed with a sinus infection and prescribed a 10 day course
of an antibiotic. After 3 days the patient felt back to normal and informed the nurse that
he decided to stop the antibiotics and save the rest of the antibiotics in casee he gets
another infection. Which statement by the nurse would be correct in providing education
to the patient?
a.) "You should keep left over antibiotics in a cool, dry place so they do not expire."
, b.) "It is okay to save the antibiotics for next time, but you should check the expiration
date."
c.) "If you have left over antibiotics, please return them back to the clinic so we can give
them to patients who cannot afford their medication."
d.) "If you are prescribed antibiotics. you should complete the entire course of treatment
becasue you may create drug resistance by stopping early." - Answers -d
A nurse is monitoring the effectiveness of antiretroviral therapy (ART) for a patient with
HIV. What labratory study results indicates the medications are effective?
a.) Increased viral load
b.) Decreased neutrophil count
c.) Increased CD4+ T=cell count
d.) Decreased white blood cell count - Answers -c
A patient has been diagnosed with HIV infection. What rationale for taking more than
one antiretroviral medication should the nurse give to the patient to improve
compliance?
a.) viral replication will be inhibited
b.) They will decrease CD4+ T-cell counts
c.) It will prevent interactions with other drugs
d.) More than one drug has a better chance of curing HIV - Answers -a
A nurse is teaching a group of young adults who live in a dormitory about prevention of
antibiotic-resistant infections. What should be included in the teaching plan?
a.) Save leftover antibiotics for further use
b.) Hand washing can prevent many infections
c.) antibiotics are indicated for preventing most colds
d.) Stop taking precribed antibiotics when symptoms have improved - Answers -b
The nurse is providing care for a patient who has been living with HIV for several years.
Which assessment finding most clearly indicates an acute exacerbation of this disease?
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