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WorksheetsImmune System / HIV / Review Quiz (36 Questions)
Total questions: 63
Worksheet time: 32mins
A nurse is providing care for a client with advanced AIDS who has frequent infections. What PPE should be used?
Gloves only
Gown only
Full PPE based on exposure risk (gloves, gown, mask, eye protection)
None unless blood is visible
Which group is the fastest-growing population diagnosed with AIDS?
Older men
Women and children
Health care workers
College students
Which laboratory tests confirm an HIV diagnosis?
ELISA and Western blot
CBC and viral load
What is the most important nursing priority for cancer patients receiving therapy?
Pain control
Preventing infection
Encouraging fluid intake
Preventing constipation
Why should cancer patients avoid contact with young children?
Children often carry infections
Children increase stress
Children interfere with rest
Children increase fatigue
A client with HIV is prescribed antiretroviral therapy. Which statement requires further teaching?
I must take my medication exactly as prescribed.
This medication cures HIV.
What is the priority treatment for a bee sting that causes anaphylaxis?
Antihistamine
Epinephrine
Corticosteroid
Oxygen
Which teaching should the nurse include when educating about condom use?
Condoms are 100% effective.
Condoms reduce risk but are not 100% effective.
Condoms are unnecessary if on HIV medication.
Condoms prevent all sexually transmitted diseases.
A patient experiencing an allergic reaction has difficulty breathing. What is the nurse’s first action?
Administer steroids
Administer antihistamines
Place the patient on oxygen
Give fluids
Which statement about immunity and aging is correct?
Immunity improves with age.
Older adults have decreased immune function.
Immunity remains the same across the lifespan.
Older adults have stronger responses to vaccines.
Which lymphocytes produce antibodies?
T helper cells
B lymphocytes
NK cells
T cytotoxic cells
An elevated C-reactive protein (CRP) indicates what?
Kidney disease
Inflammation
Autoimmune destruction
High cholesterol
What does lysis mean?
Blood clotting
Cell destruction
Tissue repair
Antibody production
Which statement about acquired immunity is correct?
Passive natural immunity is through mother to baby.
Active acquired immunity is only from vaccines.
Passive artificial immunity occurs after infection.
Innate immunity develops after birth.
Which term describes a healthy immune system mounting an appropriate response?
Immunodeficiency
Immunosuppression
Immunocompetence
Hypersensitivity
A client with HIV has recurrent infections. This indicates:
Disease is progressing
Immune system is stronger
Patient is cured
HIV is dormant
What causes shingles?
Fungal infection
Reactivated varicella-zoster virus
Bacterial infection
Autoimmune disease
Which is the only 100% effective way to prevent HIV/STIs?
Oral contraceptives
Condoms
Abstinence
Spermicides
What type of precautions are used for all patients?
Droplet
Standard
What drug is given to HIV patients with tuberculosis?
Rifampin
Zidovudine
Acyclovir
Metronidazole
What may impair B lymphocytes from producing antibodies?
Genetic defects (primary immunodeficiency)
HIV medication
Chemotherapy
Vaccines
How often is the Tdap booster recommended?
Every 5 years
Every 10 years
Every 15 years
Lifetime once
Which vaccine is recommended annually for older adults?
Hepatitis B
Influenza
MMR
Varicella
What symptom suggests immune system activation?
Hair loss
Weight gain
Swollen lymph nodes
Fatigue
What is rheumatoid arthritis?
Viral infection of joints
Autoimmune inflammation of joints
Fungal infection of bones
Normal aging process
Which allergy test is most reliable?
Skin scratch test
RAST
Patch test
Blood count
Which clients are considered immunosuppressed?
HIV, cancer, corticosteroid users
Children
Athletes
Pregnant women
Which pet should HIV patients avoid?
Cat (toxoplasmosis risk)
Dog
Rabbit
Fish
How soon must HIV testing occur after a needlestick injury?
Within 24 hours
Within 3 days
What is anasarca?
Mild swelling
Severe generalized edema
Lung collapse
Fluid in joints
Which HIV type is most common in the U.S.?
HIV-2
HIV-1
Both equally
Neither
Stage 2 Hodgkin disease often presents with:
Rash and fever
Lymphadenopathy, night sweats, weight loss
Bone pain only
Bleeding gums
What should NOT be done on an arm with lymphedema?
Apply warm compress
Check BP or draw blood
Elevate the arm
Monitor for infection
Fibromyalgia is suspected when the patient:
Has bacterial infection signs
Reports pain in response to non-painful stimuli
Has positive CRP
Develops swollen joints
What is the normal CD4 count?
50–150
200–400
500–1500
2000–2500
What cancer is common in HIV-positive individuals?
Leukemia
Kaposi’s sarcoma
Bone cancer
Colon cancer
Which PPE should the nurse use for a hospitalized client with advanced AIDS and open lesions?
Gloves only
Mask and gloves
Use all appropriate PPE based on exposure risk
None unless there’s visible blood
Which group is the fastest growing population with AIDS?
Elderly men
Women and children
Young college men
Health care workers
Which tests confirm HIV infection?
ELISA and Western blot
CBC and culture
CT and MRI
Rapid strep and throat culture
A client on HIV medications says, “I can’t pass the virus anymore.” The nurse responds:
You’re right; medications prevent all transmission.
Even on medication you can still transmit HIV.
Only blood transmission is prevented.
You’re cured of HIV.
Priority nursing action for a cancer client receiving chemotherapy:
Prevent infection
Monitor weight
Provide emotional support
Encourage ambulation
A client with a bee sting develops swelling and dyspnea. The nurse should give first:
Epinephrine
Corticosteroids
Antihistamines
Oxygen
When teaching condom use, the nurse should include which statement?
Condoms are 100% effective.
Abstinence is the only 100% effective method.
Oral sex is completely safe.
Condoms are unnecessary with one partner.
First action for a patient experiencing an allergic reaction with shortness of breath:
Administer antihistamines
Administer corticosteroids
Place on oxygen
Provide reassurance
Why are older adults at increased risk for infections?
Increased antibody production
Decreased immune function
Higher lymphocyte counts
Stronger immune memory
Which lymphocytes produce antibodies?
T helper cells
B lymphocytes
NK cells
Macrophages
Elevated CRP indicates:
Liver failure
Inflammation
Kidney stones
Dehydration
Definition of lysis:
Cell destruction
Cell creation
Tissue swelling
Fluid retention
Passive natural immunity occurs when:
A person receives a vaccine
Antibodies pass from mother to baby
A person recovers from an illness
Immune globulin is injected
Passive artificial immunity example:
Hepatitis B vaccine
Breast milk antibodies
Term describing proper immune system function:
Immunocompetence
Immunodeficiency
Immunosuppression
Hypersensitivity
HIV patient develops more infections. This indicates:
Disease progression and immune system failing
Antibody levels rising
Viral load decreasing
Immunity improving
Shingles (herpes zoster) is:
Bacterial
Viral, causes painful rash
Fungal
Noninfectious
Standard precautions are used with:
Only infectious patients
All patients
Immunocompromised patients only
Patients with HIV only
Drug used for HIV patient with TB:
Rifampin
Zidovudine
Acyclovir
Ceftriaxone
Frequency of Tdap booster:
Every 5 years
Every 10 years
Every 15 years
Once
Vaccine recommended annually for older adults:
Influenza
Varicella
Hepatitis A
MMR
Sign of immune system activation:
Swollen lymph nodes
Weight loss
Fatigue
Headache
Which test is most reliable for allergy testing?
Skin scratch test
Patch test
RAST
Chest X-ray
Which hypersensitivity reaction is IgE mediated (anaphylaxis)?
Type 1
Type 2
Which hypersensitivity is delayed T-cell mediated (poison ivy)?
Type 1
Type 2
Type 3
Type 4
Which clients are at highest risk for immunosuppression?
Asthma on corticosteroids
Joint replacement therapy
Cancer on chemo
HIV positive
HIV clients should avoid which animal exposure?
Cats
Dogs
Fish
Birds
