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TB & HIV

Total questions: 12

Worksheet time: 13mins

Name
Class
Date
1.
The nurse is teaching a student about the HIV disease process. Which of the following information should the nurse include in her teaching?
a)
The HIV virus divides quickly inside RBCs
b)
HIV RNA is transcribed into DNA
c)
HIV begins to phagocytize host immune cells
d)
HIV RNA is inserted into the host cell mitochondria
2.
Which of the following statements about HIV is false?
a)
Infection with HIV results in a chronic disease with acute exacerbations
b)
Untreated HIV infection can remain in the early chronic stage for a decade or more
c)
Late-stage infection is often called acquired immune deficiency syndrome (AIDS)
d)
Opportunistic diseases occur more often when the CD4+ T cell count is high and viral load is low 
3.
A patient who has tested positive for the human immunodeficiency virus (HIV) arrives at the clinic with a report of fever, nonproductive cough, and fatigue. The patient’s CD4+ T cell count is 184 cells/mcL. How should the nurse interpret these findings?
a)
The patient is in the late chronic phase of HIV infection.
b)
The patient is now in the latent stages of HIV infection.
c)
These findings provide evidence that the patient has seroconverted.
d)
This is an expected finding because the patient has tested positive for HIV.
4.
Which of the following statements about opportunistic infections in HIV infection is correct?
a)
Usually occur one at a time
b)
Generally slow to develop and progress
c)
Occur in the presence of immunosuppression
d)
Opportunistic infection rates decrease in the late chronic stage of infection
5.
How does the transmission of HIV occur?
a)
Most commonly as a result of sexual contact
b)
In all infants born to HIV+ mothers
c)
Only when there is a large viral load in the blood
d)
All of the options are correct
6.
A 12 year old boy is diagnosed with early HIV infection secondary to factor transfusions for hemophilia. The family is very concerned about their ability to manage his care, risk of infection to family members, and whether the child should remain in the home. Which action by the nurse will best promote family coping at this time?
a)
Explain to the family that the infection cannot spread by casual contact
b)
Demonstrate positive acceptance of the child with each contact
c)
Explain that prophylactic drugs will prevent the virus from spreading
d)
Show the family how to wash hands properly
7.
Sheila, a single HIV+ woman of Aboriginal descent, aged 30, gave birth to a baby boy yesterday. The nurse has educated her on the topic of breastfeeding, so as to prevent transmission of the HIV infection to her son. Sheila does not have formula to feed her son, so the nurse educates her on where in the community she can get formula for a low cost to meet Sheila's socioeconomic needs. Which social determinant of health and CHNAC competency is displayed in this scenario?
a)
Income and capacity building
b)
Aboriginal descent and access & equity
c)
Income and access & equity
d)
Gender and health promotion
8.
Which type of infection control measures should the healthcare provider put in place for a patient who is being admitted with a diagnosis of active pulmonary tuberculosis (TB)?
a)
Positive pressure ventilation
b)
Droplet precautions
c)
Airborne precautions
d)
Contact precautions
9.
The healthcare provider is teaching a student how to administer a tuberculin skin test (TST). Which of the following statements describes the correct technique?
a)
"Keep the bevel of the needle up."
b)
"Be sure to massage the area after you remove the needle."
c)
"Hold the syringe at a 45 degree angle."
d)
"Pinch the skin slightly before inserting the needle."
10.
The tuberculin skin test (TST) results for a patient who has been diagnosed with HIV is negative. How should the healthcare provider interpret this test result?
a)
Poor technique was used when administering the TST.
b)
The examiner failed to palpate the patient's arm thoroughly.
c)
The patient is unable to mount an immune response to the test.
d)
The patient has not been exposed to the tuberculosis bacteria.
11.
When caring for a patient who has been diagnosed with active tuberculosis, which of the following personal protection equipment will the healthcare provider wear?
a)
Sterile gloves
b)
Eye goggles
c)
Surgical mask
d)
Personal respirator
12.
The healthcare provider is assessing a patient with a new diagnosis of pulmonary tuberculosis (TB). Which of the following findings would the healthcare provider anticipate?
a)
Palpitations
b)
Tinnitus
c)
Hemoptysis
d)
Weight Gain