Which of these pulmonary conditions is most likely to be seen with a CD4 count between 200 and 500 ?

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NCLEX RN Infection Control Questions Questions

Question 1 of 5

Which of these pulmonary conditions is most likely to be seen with a CD4 count between 200 and 500 ?

Correct Answer: A

Rationale: Pulmonary TB can occur at higher CD4 counts (200-500) as it doesn't require profound immunosuppression. PCP and CMV typically occur at CD4 <200, and Kaposi sarcoma and cryptococcosis are more advanced-stage conditions.

Question 2 of 5

The suture material which poses the highest risk of infection is

Correct Answer: C

Rationale: Silk, a braided natural material, has the highest infection risk due to its wicking properties and bacterial adherence.

Question 3 of 5

A 20 year old male from New Zealand travels to PNG after taking a prophylactic course of doxycycline. He presents to ED 4 weeks after returning with intermittent fever and night sweats. Which of the following statements is true?

Correct Answer: A

Rationale: Primaquine treats the liver stage of P. vivax, which doxycycline misses; PNG has resistant strains.

Question 4 of 5

What is required before you perform hand hygiene? Select all that apply

Correct Answer: D

Rationale: Assessing for soil ensures proper technique, removing bracelets and ensuring short, plain nails/rings prevents microbial harboring.

Question 5 of 5

For pneumonia in a HCF:

Correct Answer: B

Rationale: In HCFs, pneumonia is often ventilator-associated with resistant organisms (not just S. pneumoniae), and diagnosis/treatment can be complex. Comatose patients are at high risk due to aspiration, making B the most accurate.

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