UTA. Care of the Adults Exam2 Summer26

Question 2

UTA. Care of the Adults Exam2 Summer26. The RN is working with a client recently diagnosed with HIV what are strategies to promote adherence to antiretroviral therapy?

• Instruct the client to stop taking the medication if side effects occur.
• Do not mention adherence on upcoming clinic visits.
• [Highlighted Answer] Assess the patient readiness to start treatment.
• Create a schedule for the patient based on the RN’s schedule.

Question 3

A health care provider is taking post-exposure prophylaxis (PEP) medications for exposure to a client with human immunodeficiency virus (HIV). Which topics will the health care provider need to understand about PEP administration before starting this regimen?

• Needed dietary changes
• Required fluid restriction
• Sleep pattern disturbances
• [Highlighted Answer] Potential drug interactions

Question 4

A client has been prescribed PreP (pre-exposure therapy). Which of the following is a true statement?

• [Highlighted Answer] Client should be tested for HIV every three months.
• Females of childbearing age do not need a pregnancy test before starting treatment.
• I can miss doses of PreP.
• Client and their sexual partners do not need to use condoms.

Question 5

An 18-year-old pregnant client has tested positive for HIV and asks the nurse if the baby is going to be born with HIV. What is the nurse’s best response?

• “If the baby is HIV positive, there is nothing that can be done until it is born, so try your best not to worry about it now.”
• [Highlighted Answer] “It’s possible that your baby could contract HIV, either before, during, or after delivery.”
• “Your baby has a one in four chance of being born with HIV.”
• “Your health care provider is likely the best one to answer that question.”

Question 6

The nurse is providing discharge teaching to a client with HIV who has a CD4 count of 180 cells/mm³. Which statement by the client indicates an understanding of infection prevention strategies?

• “I can receive all live vaccines as long as I feel well.”
• [Highlighted Answer] “I should avoid eating raw or undercooked meat and eggs.”
• “It is safe for me to clean my cat’s litter box as long as I wear gloves.”
• “I do not need to worry about handwashing if I am at home.”

Question 7

A nurse in a community health clinic is caring for a client who has a history of HIV. Which of the following assessment findings for the client would support that the client was in HIV stage 3 (AIDS)?

• The client reports that their skin is dry.
• The client reports flu-like symptoms.
• [Highlighted Answer] CD4 cell count of 250 (ref. range 600-1500), and the client was diagnosed with pneumocystis pneumonia.
• CD4 cell count 210 cells/mm3 ( ref range 600-1500)

Question 8

The nurse is educating a client just diagnosed with human immunodeficiency virus (HIV) about the use of condoms to prevent sexual transmission. Which statement made by the client indicates that the education provided is understood?

• “A condom needs to be used for intercourse but is not necessary for oral contact.”
• “Lambskin condoms are the most effective in preventing transmission.”
• “Condoms are not effective during anal intercourse.”
• [Highlighted Answer] “If I use condoms consistently, they are very effective in preventing transmission.”

Question 9

A nurse in a community health clinic is caring for a client who has a history of HIV. Which of the following would indicate the client has AIDS?

• A weight gain of 10 pounds.
• Swollen lymph nodes
• Skin is dry
• [Highlighted Answer] CD4 cell count 90

Question 10

A nurse is caring for an antepartum client who has iron-deficiency anemia. When teaching the client about nutrition, the nurse should emphasize the need to increase intake of which of the following foods?

• Fresh fruits
• Milk and cheese
• Whole-grain breads
• [Highlighted Answer] Red meat and organ meat

Question 11

A nurse is creating a care plan for a client with sickle cell anemia. Which of the following interventions should the nurse include in the plan?

• Discourage a high level of fluid intake
• Apply cold compresses to painful, swollen joints
• Encourage vigorous exercise.
• [Highlighted Answer] Obtain a Flu Vaccination every Fall

Question 29

The nurse is performing a physical assessment and obtaining a health history of a client admitted with acute heart failure. Which is an expected assessment finding associated with the client’s diagnosis?

• [Highlighted Answer] Orthopnea with crackles and rhonchi throughout the lungs
• Anorexia with weight loss of 3 pounds in one week
• Increased urinary output, especially during waking hours
• Periorbital and facial edema

Question 30

The RN is administering lisinopril an ACE inhibitor, the RN recognizes the therapeutic effect of this medication is

• Decreases blood pressure and increases afterload.
• [Highlighted Answer] Prevents the progression of heart failure
• Increases blood pressure and afterload
• Exacerbates symptoms of heart failure.

Question 31

A nurse is evaluating the effectiveness of diuretic therapy in a client with chronic heart failure. Which assessment finding is the best indicator that the client’s fluid volume excess is improving?

• Oxygen saturation increased from 92% to 95%.
• [Highlighted Answer] The client’s weight decreased by 2 lb (0.9 kg) in 24 hours.
• Bilateral ankle edema decreased from +3 to +2.
• Respiratory rate decreased from 24/min to 20/min.

Question 32

A nurse is developing a teaching plan for a client with neutropenia following radiation therapy for lung cancer. Which statement by the client indicates an understanding of the teaching?

• “Soft-boiled eggs are a safe source of protein for me.”
• “All-you-can-eat buffets are a good way to increase my calorie intake.”
• [Highlighted Answer] “I should drink bottled water instead of tap water.”
• “Eating from the salad bar is a healthy way to add vegetables to my diet.”

Question 33

A nurse is teaching a client with neutropenia about infection prevention strategies at home. Which instruction should the nurse include?

• “I will check my temperature weekly.”
• “Eat plenty of fresh fruits and vegetables.”
• [Highlighted Answer] “Avoid crowded places.”
• “Light exercise such as gardening will help build strength.”UTA. Care of the Adults Exam2 Summer26

Question 34

A nurse is reviewing the laboratory results of a client with leukemia who is receiving chemotherapy. The client’s platelet count is 20,000/mm³ (range 150,000-450,000). Which action should the nurse implement?

• Require family members to wear masks when visiting.
• [Highlighted Answer] Remove the rectal thermometer from the client’s room.
• Remove fresh flowers from the client’s room.
• Place the client on a low-bacteria diet.

Question 35

A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer and who has neutropenia. Which restriction should the nurse include in the client’s care plan?

• Restrict activities that could result in bleeding
• Ban all visitors from entering the client’s room
• Oral fluid intake should be taken between meals only
• [Highlighted Answer] Do not allow Fresh flowers and potted plants in the room

Question 36

A nurse is caring for a client receiving IV chemotherapy for bladder cancer. After several treatment sessions, the client reports increased fatigue. Which action should the nurse take first?

• Assess the client for signs of a hypersensitivity reaction.
• Evaluate the client for manifestations of hypercalcemia.
• [Highlighted Answer] Review the client’s most recent complete blood count (CBC).
• Examine the client for an elevated neutrophil count.

Question 37

A nurse is creating a teaching plan for a client with thrombocytopenia. Which of the following instructions should the nurse include?

• Limit fruit consumption
• [Highlighted Answer] Brush teeth with a soft toothbrush
• Use a straight-edge razor to shave
• Only take rectal temperatures

Question 38

A nurse is teaching a client with breast cancer about managing the adverse effects of chemotherapy. Which client statement demonstrates a correct understanding of the teaching?

• “I will avoid crowded places so I don’t spread infection to others.”
• [Highlighted Answer] “I will notify my provider if I experience unusual or excessive menstrual bleeding.”
• “I’ll disinfect my toothbrush in the dishwasher once a month.”
• “I should take my antiemetic medication after the chemotherapy infusion is finished.”