ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 56 Questions
Question 1 of 5
When assigned to a newly admitted patient with AIDS, the nurse says, 'I'm pregnant. It is not safe for me or my baby if I am assigned to his case.' Which response is the most appropriate response by the charge nurse?
Correct Answer: A
Rationale: HIV is transmitted from human to human through infected blood, semen, rectal secretions, cervicovaginal secretions, and breast milk. The use of Standard Precautions by all staff members for all patients all the time simplifies this issue.
Question 2 of 5
The anxious male patient is fearful that he has been exposed to a person with an HIV infection. He states he does not want to go to a laboratory for the ELISA tests because he does not want to be identified. Which response would be the nurse's most helpful response?
Correct Answer: B
Rationale: The OraQuick is a home OTC test approved by the FDA. One seronegative on the ELISA is not evidence because seroconversion may not have taken place. The Western blot test follows if the ELISA is positive.
Question 3 of 5
The patient, age 21, has been treated for chlamydia and has a history of recurrent herpes. Which factors will the nurse counsel this patient about?
Correct Answer: A
Rationale: Chlamydia is considered a sexually transmitted disease (ST
D). As such it requires further testing and a sexual history to advise the sexual partners.
Question 4 of 5
A patient has just been diagnosed as HIV-positive. He asks the nurse, 'Does this mean I have AIDS?' Which response would be most informative?
Correct Answer: C
Rationale: Typical progress of HIV includes a period of relative clinical latency, occurring immediately after the primary infection, which can last for several years. Long-term nonprogressors remain symptom-free for 8 to 10 years.
Question 5 of 5
Which factor is a CDC criterion for the progression of HIV infection to AIDS?
Correct Answer: A
Rationale: AIDS is the end stage of an HIV infection. The CDC has developed criteria for the diagnosis of AIDS, which are: increase in viral load even with pharmacologic interventions, increase in the ratio of CD8 to CD4, decline in the WBCs, and a decreased reactivity to skin tests.