MS 2 - POST TEST (Copy)

Choose the letter of the best answer.

1.Which of these complications is the most common cause of death among patients with
pandemic (H1N1) influenza?
(1 Point)
Sepsis
Respiratory failure
Dehydration
Electrolyte imbalance

2.A clinic nurse is caring for a male client diagnosed with gonorrhea who has been prescribed
ceftriaxone and doxycycline. The client asks why he is receiving two antibiotics. What is the
nurse's best response?
(1 Point)
“The combination of these two antibiotics reduces the later risk of reinfection.”
“Many people infected with gonorrhea are infected with chlamydia as well.”
“This combination of medications will eradicate the infection twice as fast than a
single antibiotic.”
“There are many drug-resistant strains of gonorrhea, so more than one antibiotic may be required
for successful treatment.”

3.The hospice nurse is caring for a client with cancer who is living at home. The nurse has
explained to the client and the family that the client is at risk for hypercalcemia and has educated
them on that signs and symptoms of this health problem. What else should the nurse teach this
client and family to do to reduce the client's risk of hypercalcemia?
(1 Point)
Consume 2 to 4 L of fluid daily
Laxatives should be taken daily
Avoid the use of stool softeners
Restrict calcium intake

4.Sources of infection in rubeola are secretions of the nose and throat of the infectious person.
Filterable virus of measles is transmitted through:
(1 Point)
Droplet
Food ingestion
Sexual contact
Water supply

5.A client with genital herpes is having an acute exacerbation. What medication would the nurse
expect to be ordered to suppress the symptoms and shorten the course of the infection?
(1 Point)
Acyclovir
Podophyllin
Metronidazole
Clotrimazole

6.A nursing intervention that is important in caring for Basilio, who have measles would include
the following, except:
(1 Point)
Wearing face mask when administering nursing care to the child
Increase fluid intake of the child by drinking water frequently
Administer as prescribed antipyretics to reduce fever
Ensuring that the room is well lighted

7.A patient asked if it is possible to be infected while swimming in flood waters. The nurse
replied that:
(1 Point)
“There is no danger during day time because leptospires die when exposed to sunlight.”
“Infection with leptospirosis is possible with swimming in flood water contaminated
with urine of animals having the infection.”
“You can protect yourself by applying 70% alcohol before swimming.”
“This is not possible as long as you have no open wounds while swimming.”

8.An oncology nurse is caring for a client who has developed erythema following radiation
therapy. What should the nurse instruct the client to do?
(1 Point)
Keep the area cleanly shaven.
Periodically apply ice to the area.
Avoid using soap on the treatment area.
Apply petroleum jelly to the affected area.

9.The nurse is caring for an adult client who has developed a mild oral yeast infection following
chemotherapy. What actions should the nurse NOT encourage the client to perform?
(1 Point)
Scrub the tongue with a firm-bristled toothbrush.
Use a lip lubricant.
Use dental floss every 24 hours.
Rinse the mouth with normal saline.

10.A nurse is planning the care of a client with herpes zoster. What medication, if given within
the first 24 hours of the initial eruption, can arrest herpes zoster?
(1 Point)
Triamcinolone
Prednisone
Azathioprine
Acyclovir

11.A client with an exacerbation of systemic lupus erythematosus (SLE) has been hospitalized
on the medical unit. The nurse observes that the client expresses anger and irritation when her
call bell isn't answered immediately. What would be the most appropriate response?
(1 Point)
“Try to remember that stress can make your symptoms worse.”
“I can see you're angry. I'll come back when you've calmed down.”
“You seem like you're feeling angry. Is that something that we could talk about?”
“Would you like to talk about the problem with the nursing supervisor?”

12.A critical-care nurse is caring for a client diagnosed with pneumonia as a surgical
complication. The nurse's assessment reveals that the client has an increased work of breathing
due to copious tracheobronchial secretions. What should the nurse encourage the client to do?
(1 Point)
Lie in a low Fowler or supine position.
Call the nurse for oral suctioning, as needed.
Increase oral fluids unless contraindicated.
Increase activity.

13.The nurse is conducting a health education about cancer prevention to a group of adults. What
menu best demonstrates dietary choices for potentially reducing the risks of cancer?
(1 Point)
Liver, onions, and steamed peas
Smoked salmon and green beans
Pork chops and fried green tomatoes
Baked apricot chicken and steamed broccoli

14.Choose the correct statement about hepatitis B vaccine:

(1 Point)
All persons at risk should receive active immunization
Booster doses are recommended every 5 years
Evidence suggests that HIV may be harbored in the vaccine
One dose in the dorsogluteal muscle is recommended

15.Leptospirosis in human rarely occurs through:

(1 Point)
Direct contact with contaminated animal urine
Contact with contaminated human urine
Contact with contaminated soil
Indirect contact with contaminated animal urine

16.A client has come into the free clinic asking to be tested for HIV infection. The client 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?
(1 Point)
The client has been infected with HIV.
The client's immune system is intact.
The client has AIDS-related complications.
The client is immune to HIV.
17.A client's most recent diagnostic imaging has revealed that his lung cancer has metastasized
to his bones and liver. What is the most likely mechanism by which the client's cancer cells
spread?
(1 Point)
Invasion
Angiogenesis
Lymphatic circulation
Apoptosis

18.What nursing action best demonstrates primary cancer prevention?

(1 Point)
Teaching testicular self-examination
Facilitating screening mammograms
Encouraging yearly Pap tests
Teaching clients to wear sunscreen

19.A male client with gonorrhea asks the nurse how he can reduce his risk of contracting another
sexually transmitted infection. The client is not in a monogamous relationship. The nurse should
instruct the client to do what action?
(1 Point)
Consider intercourse to be risk-free if his partner has no visible discharge, lesions, or rashes.
Aim to limit the number of sexual partners to fewer than five over his lifetime.
Ask all potential sexual partners if they have a sexually transmitted disease.
Wear a condom every time he has intercourse.

20.A nurse who provides care in a busy ED is in contact with hundreds of clients each year. The
nurse has a responsibility to receive what vaccine?
(1 Point)
Clostridium difficile vaccine
Hepatitis B vaccine
Human papillomavirus (HPV) vaccine
Staphylococcus aureus vaccine

21.A nurse provides care on a bone marrow transplant unit and is preparing a female client for
hematopoietic stem cell transplantation (HSCT) the following day. What information should the
nurse emphasize to the client’s family and friends?
(1 Point)
“Make sure she doesn’t eat any food in the 24 hours before the procedure.”
“Your family should likely gather at the bedside in case there’s a negative outcome.”
“Wear a hospital gown when you go into the client’s room.”
“Do not visit if you’ve had a recent infection.”

22.When caring for a patient with malaria, the nurse should know that:
(1 Point)
Blood transfusions usually are indicated
Isolation is necessary to prevent cross-infection
Nutrition should be provided between intestinal paroxysms
Seizure precautions must be followed

23.The nurse is caring for a client who has just been told that her stage IV colon cancer has
recurred and metastasized to the liver. The oncologist offers the client the option of surgery to
treat the progression of this disease. What type of surgery does the oncologist offer?
(1 Point)
Salvage
Prophylactic
Palliative
Reconstructive

24.A 35-year-old kidney transplant client comes to the clinic exhibiting new skin lesions. The
diagnosis is Kaposi sarcoma. The nurse caring for this client recognizes that this is what type of
Kaposi sarcoma?
(1 Point)
Classic
AIDS related
Endemic
Iatrogenic

25.A client was tested for HIV as part of a screening process and has just been told that the
results were positive. What anticipatory guidance should the nurse provide to the client?
(1 Point)
A follow-up test will be promptly performed to confirm the result
The client will be retested for HIV in 6 weeks and in 3 months
The client will be monitored for signs and symptoms of HIV infection to determine if treatment
is necessary
Antiretroviral therapy will begin within 3 months

26.A client who has been newly diagnosed with systemic lupus erythematosus (SLE) has been
admitted to the medical unit. Which nursing diagnosis is most likely to apply?
(1 Point)
Fatigue Related to Anemia
Risk for Ineffective Tissue Perfusion Related to Increased Hematocrit
Acute Confusion Related to Increased Serum Ammonia Levels
Risk for Ineffective Tissue Perfusion Related to Venous Thromboembolism

27.Antiviral drugs are being used to treat pandemic (H1N1) 2009 infection. Which of the
following statements is true?
(1 Point)
For oseltamivir (Tamiflu), the standard adult treatment course is one 75 mg capsule twice a
day for five days.
Zanamivir (Relenza) is taken PO as a tablet
It is necessary to wait for a laboratory result before starting antiviral drug treatment with either
oseltamivir or zanamivir
M2 inhibitors (amantadine and rimantadine) can be effective for treating pandemic (H1N1) 2009
infection

28.A nurse is caring for a pregnant client with active herpes. The teaching plan for this client
should include which of the following?
(1 Point)
Recommended treatment is excision of the herpes lesions.
Babies delivered vaginally may become infected with the virus.
Pregnancy may exacerbate the mother's symptoms, but poses no risk to the infant.
Pain generally does not occur with a herpes outbreak during pregnancy.

29.A nurse has created a plan of care for an immunodeficient client, specifying that care
providers take the client’s pulse and respiratory rate for a full minute. What is the rationale for
this aspect of care?
(1 Point)
Hemodynamic instability is one of the main complications of immunodeficiency.
Immunodeficient clients are prone to ventricular tachycardia and atrial fibrillation.
Respirations affect heart rate in immunodeficient clients.
These clients’ blunted inflammatory responses can cause subtle changes in status.

30.A client has been admitted to the medical unit with signs and symptoms that are suggestive of
anthrax infection. The nurse should anticipate what intervention?
(1 Point)
Hemodialysis
Administration of acyclovir
Hematopoietic stem cell transplantation (HSCT)
Administration of penicillin

31.A nurse is assessing a client with HIV who has been admitted with pneumonia. In assessing
the patient, which of the following observations takes immediate priority?
(1 Point)
Frequent loose stools
Tachypnea and restlessness
Weight loss of 0.45 kg (1 pound) since yesterday
Oral temperature of 37.2°C (99°F)

32.A nursing home resident has been diagnosed with Clostridium difficile. What type of
precautions should the nurse implement to prevent the spread of this infectious disease to other
residents?
(1 Point)
Contact
Airborne
Positive pressure isolation
Droplet
33.A client is beginning an antiretroviral drug regimen shortly after being diagnosed with HIV.
What nursing action is most likely to increase the likelihood of successful therapy?
(1 Point)
Teaching the client about the need for follow-up blood work
Educating the client about the pathophysiology of HIV
Promoting appropriate use of complementary therapies
Addressing possible barriers to adherence

34.The nurse is caring for a client who is receiving oxygen therapy for pneumonia. How should
the nurse best assess whether the client is hypoxemic? By monitoring the client's:
(1 Point)
hemoglobin, hematocrit, and red blood cell levels.
extremities for signs of cyanosis.
oxygen saturation level.
level of consciousness (LOC).

35.A nurse takes a shift report and will be caring for a client who has been exposed to anthrax by
inhalation. What precautions does the nurse know must be put in place when providing care for
this client?
(1 Point)
Standard precautions
Droplet precautions
Contact precautions
Airborne precautions

36.The nurse is caring for a client with an immunodeficiency who has experienced sudden
malaise. The nurse’s colleague states, “I’m pretty sure that it’s not an infection, because the most
recent blood work looks fine.” What principle should guide the nurse’s response to the
colleague?
(1 Point)
Immunodeficient clients do not develop symptoms of infection.
Infections in immunodeficient clients have a slower onset but a more severe course.
Laboratory blood work is often inaccurate in immunodeficient clients.
Immunodeficient clients will usually exhibit subtle and atypical signs of infection.

37.The characteristic signs of rubeola are which of the following group?

(1 Point)
Rashes which spread from the face to the trunk and limbs, conjunctivitis, high fever
and tiny white spots in the mucosa inside the cheek
Skin eruptions which are abundant on covered areas of the body than on the exposed areas
Vomiting, headache, fine petechial and morbilliform rashes and epistaxis
Severe backache and rashes which are more abundant on extremities than on the trunk

38.A client's primary infection with HIV has subsided and an equilibrium now exists between
HIV levels and the client's immune response. This physiologic state is known as what?
(1 Point)
Latent stage
Static stage
Viral set point
Window period

39.A gerontologic nurse is teaching a group of medical nurses about the high incidence and
mortality of pneumonia in older adults. What is a contributing factor to this that the nurse should
describe?
(1 Point)
Older adults have less compliant lung tissue than younger adults.
Older adults are not normally candidates for pneumococcal vaccination.
Older adults often cannot tolerate the most common antibiotics used to treat pneumonia.
Older adults often lack the classic signs and symptoms of pneumonia.

40.A nurse is caring for a client hospitalized with AIDS. A friend comes to visit the client and
privately asks the nurse about the risk of contracting HIV when visiting the patient. What is the
nurse’s best response?
(1 Point)
“Do you think that you might already have HIV?”
“Your immune system is likely very healthy.”
“You can’t normally contract AIDS in a hospital setting.”
“AIDS isn’t transmitted by casual contact.”

41.A client with AIDS has been experiencing disruptions in bowel function as a result of the
disease. What nursing action is most likely to benefit the client?
(1 Point)
Increase fiber intake as tolerated
Increase fluid intake as tolerated
Limit intake of fresh fruit and vegetables
Administer stool softeners as prescribed

42.The nurse taking care of the patient is correct in identifying which of the following statements
as true regarding Hepatitis B virus transmission?
(1 Point)
The risk of transmission after needle stick injury is increased of the source is HBeAg+
Blood, saliva, semen, and vaginal secretions contain low Hepatitis B virus
After needle stick injury, the risk of the health care worker acquiring the hepatitis B virus is
greater from HBsAg patient, compared to the pricks of acquiring HIV from an HIV+ patient
Urine, feces, and sweat contain high Hepatitis B virus titers

43.A client with systemic lupus erythematosus (SLE) is preparing for discharge. The nurse
knows that the client has understood health education when the client makes what statement?
(1 Point)
“I’ll try to be as physically active as possible between flare-ups.”
“I’ll stop taking my steroids when I get relief from my symptoms.”
“I’ll make sure I get enough exposure to sunlight to keep up my vitamin D levels.”
“I’ll make sure to monitor my body temperature on a regular basis.”

44.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?
(1 Point)
B-cell lymphoma
Wasting syndrome
HIV encephalopathy
Kaposi sarcoma

45.Baby Dengue was confirmed positive in congenital syphilis. He is started on penicillin.

Which statement is true about the baby’s ability to transmit the disease now that treatment is
started?
(1 Point)
He will not be contagious after 48 hours of penicillin therapy
After 10 days of antibiotic therapy he will not be contagious
He will always be infected and be contagious
Congenital syphilis is not contagious

46.An oncology nurse is contributing to the care of a client who has failed to respond
appreciably to conventional cancer treatments. As a result, the care team is considering the
possible use of biologic response modifiers (BRMs). The nurse should know that these achieve a
therapeutic effect by what means?
(1 Point)
Potentiating the effects of chemotherapeutic agents and radiation therapy
Focusing the client’s immune system exclusively on the tumor
Promoting the synthesis and release of leukocytes
Altering the immunologic relationship between the tumor and the client

47.The nurse is reviewing the physical examination and laboratory tests of a client with malaria.
The nurse understands that an important finding on malaria is:
(1 Point)
Erythrocytosis
Leukocytosis
Splenomegaly
Polyuria

48.A 45-year-old male, diabetic with chronic Hepatitis B, is admitted because of pneumonia.
Regular CBG monitoring was performed every 6 hours. While giving the insulin subcutaneously,
the nurse accidentally pricked her finger. The nurse previously received only one dose of
hepatitis B vaccine. Which of the following should be done initially?
(1 Point)
Check for her Hepatitis B status with HBsAg and Anti-HBs
Administer HBIg immediately
Administer both HBIg and the first dose of Hepatitis B vaccine, after collecting blood samples to
HBsAg reactivity
Administer both HBIg and the first dose of Hepatitis B vaccine

49.A client with trichomoniasis comes to the walk-in clinic. In developing a care plan for this
client the nurse would know to include what as an important aspect of treating this client?
(1 Point)
Both partners will be treated with metronidazole.
The client should perform Kegel exercises 30 to 80 times daily.
Care will involve hormone therapy to control the pain.
Constipation and menstrual difficulties may occur.

50.A student nurse completing a preceptorship is reviewing the use of standard precautions.
Which of the following practices is most consistent with standard precautions?
(1 Point)
Double-gloving when working with a client who has a blood-borne illness
Wearing a mask and gown when starting an IV line
Recapping all needles promptly after use to prevent needlestick injuries
Washing hands immediately after removing gloves

51.A client with a diagnosis of primary immunodeficiency disease informs the nurse that he has
been experiencing a new onset of a dry cough and occasional shortness of breath. After
determining that the client’s vital signs are within reference ranges, what action should the nurse
take?
(1 Point)
Administer a nebulized bronchodilator.
Perform oral suctioning.
Teach the client deep breathing and coughing exercises.
Assess the client for signs and symptoms of infection.

52.When teaching a patient about drug therapy against Plasmodium falciparum, the nurse should
include the fact that:
(1 Point)
The infection can generally be eliminated
Immunity will prevent reinfestation
The infection is controlled
Transmission by the Anopheles mosquito can occur

53.A nurse is performing the initial assessment of a client who has a recent diagnosis of systemic
lupus erythematosus (SLE). What skin manifestation should the nurse expect to observe on
inspection?
(1 Point)
Jaundice
Petechiae
Butterfly rash
Skin sloughing
54.A hospital nurse has experienced percutaneous exposure to an HIV-positive patient's blood as
a result of a needlestick injury. The nurse has informed the supervisor and identified the client.
What action should the nurse take next?
(1 Point)
Report to the emergency department or employee health department.
Follow up with the nurse's primary provider.
Flush the wound site with chlorhexidine.
Apply a hydrocolloid dressing to the wound site.

55.An 87-year-old client has been hospitalized with pneumonia. Which nursing action would be
a priority in this client’s plan of care?
(1 Point)
Nasogastric intubation
Administration of probiotic supplements
Bedrest
Cautious hydration

56.Family members are caring for a client with HIV in the client's home. What should the nurse
encourage family members to do to reduce the risk of infection transmission?
(1 Point)
Use separate dishes for the client and family members.
Disinfect the client's bedclothes regularly.
Use caution when shaving the client.
Use separate bed linens for the client.

57.The nurse is caring for a 39-year-old woman with a family history of breast cancer. She
requested a breast tumor marking test and the results have come back positive. As a result, the
client is requesting a bilateral mastectomy. This surgery is an example of what type of oncologic
surgery?
(1 Point)
Salvage surgery
Palliative surgery
Reconstructive surgery
Prophylactic surgery

58.How many days after infection with leptospires do the urine cultures become positive?
(1 Point)
Third week of illness
Fourth week of illness
Second week of illness
First week of illness

59.A client is admitted from the ED diagnosed with Neisseria meningitides. What type of
isolation precautions should the nurse institute?
(1 Point)
Observation precautions
Contact precautions
Airborne precautions
Droplet precautions

60.A client’s current antiretroviral regimen includes enfuvirtide (T-20). What dietary counseling
will the nurse provide based on the client’s medication regimen?
(1 Point)
Limit fluid intake to 2 L/day.
Limit sodium intake to 2 g/day.
Avoid high-fat meals while taking this medication.
Take this medication without regard to meals.

61.The following are true statements regarding pandemic (H1N1) 2009 infection, except:
(1 Point)
The virus is contagious and is believed to spread from human to human in much the same way as
seasonal flu. However, pandemic (H1N1) 2009 infection is more contagious than seasonal flu
Existing vaccines against seasonal flu provide no protection
It is a swine origin Influenza A virus subtype H1N1 virus strain
Pandemic (H1N1) 2009 virus can be transmitted from pigs to humans

62.The nurse is caring for a client with an advanced stage of breast cancer and the client has
recently learned that her cancer has metastasized. The nurse enters the room and finds the client
struggling to breath and the nurse's rapid assessment reveals that the client's jugular veins are
distended. The nurse should suspect the development of what oncologic emergency?
(1 Point)
Superior vena cava syndrome (SVCS)
Metastatic tumor of the neck
Spinal cord compression
Increased intracranial pressure

63.A client with a diagnosis of prostate cancer is scheduled to have an interstitial implant for
high-dose radiation (HDR). What safety measure should the nurse include in this client’s plan of
care?
(1 Point)
Situate the client in a shared room with other clients receiving brachytherapy.
Assign male nurses to the client’s care whenever possible.
Teach the client to perform all aspects of basic care independently.
Limit the time that visitors spend at the client’s bedside.

64.Incubation period of leptospirosis ranges form:

(1 Point)
A few hours to 7 days most cases occur within 48 hours of exposure
7-19 days, with average of 10 days
Fifteen to fifty days, depending on dose
Usually 2-10 days, possibly 3 days or more
65.A nurse practitioner is examining a client who presented at the free clinic with vulvar
pruritus. For which assessment finding would the practitioner look, that may indicate the client
has an infection caused by Candida albicans?
(1 Point)
Cottage cheese-like discharge
Gray-white discharge
Watery discharge with a fishy odor
Yellow-green discharge

66.An HIV-infected client presents at the clinic for a scheduled CD4+ count. The results of the
test are 45 cells/ L, and the nurse recognizes the client’s increased risk for Mycobacterium avium
complex (MAC disease). The nurse should anticipate the administration of what drug?
(1 Point)
Fluconazole
Vancomycin
Levofloxacin
Azithromycin

67.A female client tells the nurse that she thinks she has a vaginal infection because she has
noted inflammation of her vulva and the presence of a frothy, yellow-green discharge. The nurse
recognizes that the clinical manifestations described are typical of what vaginal infection?
(1 Point)
Gonorrhea
Trichomonas vaginalis
Gardnerella
Candidiasis

68.A client on airborne precautions asks the nurse to leave his door open. What is the nurse's best
reply?
(1 Point)
"I can open your door, but I'll have to come back and close it in a few minutes."
"I'll keep the door open for you, but please try to avoid moving around the room too much."
"I have to keep your door shut at all times. I'll open the curtains so that you don't feel
so closed in."
"I can open your door if you wear this mask."

69.The nurse is orienting a new nurse to the oncology unit. When reviewing the safe
administration of antineoplastic agents, what action should the nurse emphasize?
(1 Point)
Use gloves and a lab coat when preparing the medication.
Dispose of the antineoplastic wastes in the hazardous waste receptacle.
Adjust the dose to the client's present symptoms.
Wash hands with an alcohol-based cleanser following administration.

70.Leptospirosis is also known by which of the following names?

(1 Point)
Spiroketal jaundice and Japanese Seven Days Fever
Shigellosis and Lyssa
Catarrhal jaundice and Ragpicker disease
Drip and Weeping Itch

71.A long-term care facility is the site of an outbreak of infectious diarrhea. The nurse educator
has emphasized the importance of hand hygiene to staff members. The use of alcohol-based
cleansers may be ineffective if the causative microorganism is identified as what?
(1 Point)
Escherichia coli
Clostridium difficile
Shigella
Norovirus

72.Blackwater fever occurs in some patients with malaria. Therefore, the nurse should observe a
patient with malaria for:
(1 Point)
Diarrhea
Coffee-ground emesis
Dark red urine
Low-grade fever

73.An adult client has tested positive for tuberculosis (TB). While providing client teaching,
what information should the nurse prioritize?
(1 Point)
The need to work closely with the occupational and physical therapists
The fact that TB is self-limiting, but can take up to 2 years to resolve
The fact that the disease is a lifelong, chronic condition that will affect ADLs
The importance of adhering closely to the prescribed medication regimen

74.While a client is receiving IV doxorubicin hydrochloride for the treatment of cancer, the nurse
observes swelling and pain at the IV site. The nurse should prioritize what action?
(1 Point)
Notifying the client's physician
Stopping the administration of the drug immediately
Applying a warm compress to the infusion site
Continuing the infusion but decreasing the rate

75.A client with a diagnosis of gastric cancer has been unable to tolerate oral food and fluid
intake and her tumor location rules out the use of enteral feeding. What intervention will best
meet this client’s nutritional needs?
(1 Point)
Administration of parenteral feeds via a peripheral IV
Insertion of an NG tube for administration of feeds
Maintaining NPO status and IV hydration until treatment completion
Parenteral nutrition given via a peripherally inserted central catheter

76.Basilio's immunity from his mother lasted only 6 months. With measles like rashes, he was
brought by his mother because of spots in his buccal mucosa. What do you call these spots?
(1 Point)
Forscheimer's spots
Koplik spots
Pseudomembrane
Rose spots

77.Individuals that have been identified as “at greatest risk” or highly susceptible to infection by
pandemic (H1N1) influenza virus include the following, except:
(1 Point)
Infants and children less than 2 years of age
Pregnant women during the third trimester of pregnancy
Patients with chronic health conditions, such as cardiovascular, respiratory or liver disease, or
diabetes
Elderly (more than 65 years of age) and obese patients

78.A nurse is working with a client who was diagnosed with HIV several months earlier. This
client will be considered to have AIDS when the CD4+ T-lymphocyte cell count drops below
what threshold?
(1 Point)
200 cells/mm3 of blood
450 cells/mm3 of blood
75 cells/mm3 of blood
325 cells/mm3 of blood

79.A client is in the primary infection stage of HIV. What is true of this client's current health
status?
(1 Point)
The client's risk for opportunistic infections is at its peak.
The client may or may not develop long-standing HIV infection.
The client's HIV antibodies are successfully, but temporarily, killing the virus.
The client is infected with HIV but lacks HIV-specific antibodies.
80.The type of viral hepatitis that is linked to chronic hepatitis B is:
(1 Point)
A
D
E
C

81.The nurse is caring for a client who is to begin receiving external radiation for a malignant
tumor of the neck. While providing client education, what potential adverse effects should the
nurse discuss with the client?
(1 Point)
Impaired nutritional status
Diarrhea
Cognitive changes
Alopecia

82.Ms. Vibac is a chronic carrier of infection. To prevent the spread of the infection to other
patients or health care providers, the nurse emphasizes interventions that do which of the
following?
(1 Point)
Block the portal of exit from the reservoir
Eliminate the reservoir
Block the portal of entry into the host
Decrease the susceptibility of the host

83.A client comes to the clinic reporting a red rash of small, fluid-filled blisters and is suspected
of having herpes zoster. What presentation is most consistent with this diagnosis?
(1 Point)
Grouped vesicles in linear patches along a dermatome
Grouped vesicles occurring on the genitalia
Rough, fresh, or gray skin protrusions
Grouped vesicles occurring on lips and oral mucous membranes

84.An immunosuppressed client is receiving chemotherapy treatment at home. What infection-

control measure should the nurse recommend to the family?
(1 Point)
Wipe down hard surfaces with a dilute bleach solution once per day.
Family members should avoid receiving vaccinations until the client has recovered from their
illness.
Maintain cleanliness in the home, but recognize that the home does not need to be sterile.
Avoid physical contact with the client unless absolutely necessary.

85.The nurse places a client in isolation. Isolation techniques have the potential to break the
chain of infection by interfering with what component of the chain of infection?
(1 Point)
Agent
Portal of entry
Susceptible host
Mode of transmission

86.Nurse Damaso knows that the incubation period of rubeola is:

(1 Point)
12 to 26 days, usually 18 days
Varies from 3 days to 1 month or more, falling between 7-14days in high proportion of cases
2-3 weeks, commonly 13 to 17 days
10 days from exposure to appearance of fever and about 14 days until rash appears
87.A client with rheumatic disease has developed a gastrointestinal bleed. The nurse caring for
the client should further assess the client for the adverse effects of what medications?
(1 Point)
Corticosteroids
Salicylate therapy
Immunomodulators
Antimalarials

88.A patient positive for HBeAg signifies that the patient:

(1 Point)
Is not infectious
Has chronic hepatitis B virus infection
Is highly infectious
Has evidence of immunity to hepatitis B virus

89.Baby Dengue, 3 months old, was born to Melason who was diagnosed with syphilis. Which
information would be most useful in determining if baby Dengue has congenital syphilis?
(1 Point)
Positive serology
Rhinitis
Red rash around anus
Irritability

90.An oncology client will begin a course of chemotherapy and radiation therapy for the
treatment of bone metastases. What is one means by which malignant disease processes transfer
cells from one place to another?
(1 Point)
Invading healthy host tissues
Adhering to primary tumor cells
Phagocytizing healthy cells
Inducing mutation of cells of another organ

91.A middle-aged female client has been offered testing for HIV/AIDS upon admission to the
hospital for an unrelated health problem. The nurse observes that the client is visibly surprised
and embarrassed by this offer. How should the nurse best respond?
(1 Point)
“The rationale for this testing is so that you can begin treatment as soon as testing comes back, if
it's positive.”
“Most women with HIV don't know they have the disease. If you have it, it's important we catch
it early.”
“You're being offered this testing because you are actually in the prime demographic for HIV
infection.”
“This testing is offered to every adolescent and adult regardless of their
lifestyle, appearance, or history.”
92.The nurse's plan of care for a client with stage 3 HIV addresses the diagnosis of Risk for
Impaired Skin Integrity Related to candidiasis. What nursing intervention best addresses this
risk?
(1 Point)
Providing thorough oral care before and after meals
Applying skin emollients as needed
Administering prophylactic antibiotics
Promoting nutrition and adequate fluid intake

93.A male client comes to the clinic and is diagnosed with gonorrhea. Which symptom most
likely prompted him to seek medical attention?
(1 Point)
Discharge from the penis and burning during urination
Rashes on the palms of the hands and soles of the feet
Painful, red papules on the shaft of the penis
Cauliflower-like warts on the penis

94.A client has presented at the ED with copious diarrhea and accompanying signs of
dehydration. During the client's health history, the nurse learns that the client recently ate oysters
from the Gulf of Mexico. The nurse should recognize the need to have the client's stool cultured
for microorganisms associated with what disease?
(1 Point)
Cholera
West Nile virus
Ebola
Legionnaire disease

95.A client with SLE has come to the clinic for a routine check-up. When auscultating the
client's apical heart rate, the nurse notes the presence of a distinct “scratching” sound. What is
the nurse's most appropriate action?
(1 Point)
Inform the primary provider that a friction rub may be present
Inform the primary provider that the client may have pneumonia
Document the presence of S3 and monitor the client closely
Reposition the client and auscultate posteriorly

96.The nurse on a bone marrow transplant unit is caring for a client with cancer who has just
begun hematopoietic stem cell transplantation (HSCT). What is the priority nursing diagnosis for
this client?
(1 Point)
Fatigue related to altered metabolic processes
Body image disturbance related to weight loss and anorexia
Altered nutrition: less than body requirements related to anorexia
Risk for infection related to altered immunologic response
97.A nurse is working with a client with rheumatic disease who is being treated with salicylate
therapy. What statement would indicate that the client is experiencing adverse effects of this
drug?
(1 Point)
“When I eat a meal that’s high in fat, I get really nauseous.”
“I seem to have lost my appetite, which is unusual for me.”
“I feel so foggy in the mornings and it takes me so long to wake up.”
“I have this ringing in my ears that just won’t go away.”

98.The nurse is caring for a 63-year-old client with ovarian cancer. The client is to receive
chemotherapy consisting of paclitaxel and carboplatin. For what adverse effect of this treatment
should the nurse monitor the client?
(1 Point)
Metabolic acidosis
Leukopenia
Hyperphosphatemia
Respiratory alkalosis

99.The nurse explains to the patient that the best way to prevent malaria is to avoid:
(1 Point)
Mosquito bites
Untreated water
Undercooked food
Overpopulated areas

100.A 16-year-old male client comes to the free clinic and is subsequently diagnosed with
primary syphilis. What health problem most likely prompted the client to seek care?
(1 Point)
Unilateral testicular swelling
Painful urination
Signs of a systemic infection
The emergence of a chancre on his penis