EX4: ch 19 HIVAIDS NCLEX Practice Questions

EX4: ch 19 HIV/AIDS NCLEX Practice Questions

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Med-Surg CH 35: HIV/AIDS, Study G...

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STD NC

52 terms sar which statements are true about immunodeficiency? (Select all that apply)

• it causes a decrease in the patients risk for infection
• it may be acquired or congential
• it occurs when a persons body cannot recognize antigens
• it is the same as autoimmunity
• it may cause varied reactions from mild, localized health problems to total immune system failure

b, c, e which definition of immunodeficiency is accurate?

• disease/deficiency acquired as a result of viral infection, contact with toxin, or medical therapy
• deficient immune response as a result of imapired or missing immune components
• chronic infection wih immunodeficiency virus
• disease/deficiency pesent since birth

b which statements about HIV are accurate? (Select all that apply)

• may be acquired or congenital
• it is retrovirus
• it always progresses to AIDS
• it is a virus that attacks the immune system
• it is a parasite that forces cells to make copies of itself

b, d, e

which immune function abnormalities are a result of HIV infection? (Select all that apply)

• lymphocytosis
• CD4+ depletion
• increased CD8+ activity
• long macrophage life span
• lymphocytopenia

b, e the HCP prescribes an integrase inhibitor for an HIV patient. the patient asks the nurse how this drug works. what is the nurses best response?

• it reduces how well HIV genetic material can be converted into human genetic material
• it reinforces the immune systems ability to fight off an infection
• it prevents viral DNA from integrating into hosts DNA
• prevent HIV infection from progressing to AIDS

c which groups are experiencing increased numbers of HIV infection? (Select all that apply)

• men having sex with other men
• IV drug users
• women having sex with men
• african americans
• hispanics

d, e which descriptions are characteristic of a non progressor? (Select all that apply)

• has been infected for 10 years
• is asymptomatic
• has no CD4+ or t-lymphocytes
• is immunocompetent
• are functional antibodies

a, b, d which statement about the transmission of HIV is true? (Select all that apply)

• can only be transmitted during end stage
• those with recent HIV infection and high viral load are very infectious
• those with end stage HIV and no drug therapy are very infectious
• HIV is only transmitted with sexual contact
• all people infected with HIV will quickly progress to AIDS

b, c which conditions may be the first signs of HIV in women? (Select all that apply)

• vaginal candidiasis
• bladder infections
• cervical caner

D. PID

• mononucleosis

a, c, d

which statements regarding HIV/AIDS among older adults are true?

• the risk for HIV infection after exposure is minimal for older adults
• older men are more susceptible to HIV
• it is not necessary to assess an older adult for history of drug use
• older adults who participate in high-risk behaviors are susceptible to HIV

d what is the most important means of preventing HIV spread?

• engineering
• education
• isolation
• counseling

b HIV is most commonly transmitted by which routes? (Select all that apply)

• oral
• sexual
• parenteral
• airborne
• perinatal

b, c, e HAART causes what effects?

• reversal of a patients antibody status
• decrease of the viral load
• increase of the viral load
• moe delectable HIV

b The HIV positive patient tells the nurse that his HIV negative partner will be using preexposure drugs (Truvada). which statement indicates the need for additional teaching?

• my partner will need to be tested q3m
• this drug will decrease the chances of my partner becoming positive
• once we start using Truvada I will no longer need a condom
• my partner will need to be monitored for any side effects on this drug

c an IV drug user who regularly shares needles is in the ER. what information does the nurse provide to decrease he patients risk of HIV through shared needles after each use?

• fill and flush syringe with clear water, fill with bleach and shake for 30-60 seconds and rinse with clear water
• fill and flush with water then soap and hot water, shake for 2 minutes and flush with cold water
• rinse needles with bleach and water solution and allow to air dry
• rinse needles after each use with rubbing alcohol and water, then rinse with water

a

which practices are recommended to prevent transmission of HIV? (Select all that apply)

• latex condoms for genital and anal intercourse
• natural membrane condoms for genital and anal intercourse
• topical contraceptives
• antiviral meds
• latex barrier for genital and anal intercourse

a, e an HIV positive women who is pregnant asks if her baby is at risk for HIV. which points must the nurse be sure to include when teaching? (Select all that apply)

• HIV can cross the placenta
• infant can contract HIV with exposure to blood and vaginal secretions during birth
• once your baby is born, you should be able to breastfeed
• there is a risk for perinatal transmission of HIV from you to your child. because you are on drug therapy, that risk is about 8%
• consider oral contraceptives o protect yourself from other STDs

a, b, d

which is the most common route for HCP to contract HIV:

• blood
• bodily fluids
• mucous membranes
• needle sticks

d which point are you sure to include when teaching a new RN to prevent HIV transmission from patients?

• wear gloves when in contact with patients mucous membrane or non-intact skin
• be sure to wear protective gear when providing any care to HIV positive patients
• always war a mask
• use PEP whether a patient is positive or not

a which opportunistic infections can be observed in AIDS (Select all that apply)

• toxicoplasmosis
• gastroenteritis
• TB
• candidiasis
• cytomegalovirus

a, c, d, e a patient with PJP usually presents with which symptom?

• dyspnea, tachypnea, persistent dry cough, fever
• cough with copious thick sputum, fever, and dyspnea
• chest pain and difficulty swallowing
• fever, persistant cough and vomiting

a