Day.

3- Comprehensive Exam-
Fundamentals of Nursing- Topics
1. Cultural Awareness and Health Practices;
2. Ethical and Legal Issues;
3. Prioritizing Client Care:
4. Leadership and Delegation
5. Emergency Response Planning;
6. Infectious Disease

1. The ambulatory care nurse is discussing preoperative procedures with a Japanese American
client who is scheduled for surgery the following week. During the discussion, the client
continually smiles and nods the head. How should the nurse interpret this nonverbal behavior?
a) Reflecting a cultural value
b) An acceptance of the treatment
c) Client agreement to the required procedures
d) Client understanding of the preoperative procedures
2. When communicating with a client who speaks a different language, which best practice
should the nurse implement?
a) Speak loudly and slowly.
b) Arrange for an interpreter to translate.
c) Speak to the client and family together.
d) Stand close to the client and speak loudly.
3. The nurse educator is providing in-service education to the nursing staff regarding
transcultural nursing care; a staff member asks the nurse educator to provide an example of the
concept of acculturation. The nurse educator should make which most appropriate response?
a) “A group of individuals identifying as a part of the Iroquois tribe among Native
Americans.”
b) “A person who moves from China to the United States (U.S.) and learns about and adapts
to the culture in the U.S.”
c) “A group of individuals living in the Azores that identify autonomously but are a part of
the larger population of Portugal.”
d) “A person who has grown up in the Philippines and chooses to stay there because of the
sense of belonging to his or her cultural group.”
4. The nurse is providing discharge instructions to a Chinese American client regarding
prescribed dietary modifications. During the teaching session, the client continuously turns away
from the nurse. The nurse should implement which best action?
 a) Continue with the instructions, verifying client understanding.
b) Walk around the client so that the nurse constantly faces the client.
c) Give the client a dietary booklet and return later to continue with the instructions.
d) Tell the client about the importance of the instructions for the maintenance of health care.
5. A critically ill Hispanic client tells the nurse through an interpreter that she is Roman Catholic
and firmly believes in the rituals and traditions of the Catholic faith. Based on the client’s
statements, which actions by the nurse demonstrate cultural sensitivity and spiritual support?
Select all that apply.
a) Ensures that close kin stays with the client.
b) Makes are feral for Catholic priest to visit the client.
c) Removes the crucifix from the wall in the client’s room.
d) Administers the sacrament of the sick to the client if death is imminent.
e) Offers to provide a means for praying the rosary if the client wishes.
f) Reminds the dietary department that meals served on Fridays during Lent do not contain
meat.
6. Which clients have a high risk of obesity and diabetes mellitus? Select all that apply.
a) Latino American man
b) Native American man
c) Asian American woman
d) Hispanic American man
e) African American woman
7. The nurse is preparing a plan of care for a client, and is asking the client about religious
preferences. The nurse considers the client’s religious preferences as being characteristic of a
Jehovah’s Witness if which client statement is made?
a) “I cannot have surgery.”
b) “I cannot have any medicine.”
c) “I believe the soul lives on after death.”
d) “I cannot have any food containing or prepared with blood.”
8. Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a
kosher diet?
a) Pork roast, rice, vegetables, mixed fruit, milk
b) Crab salad on a croissant, vegetables with dip, potato salad, milk
c) Sweet and sour chicken with rice and vegetables, mixed fruit, juice
d) Noodles and cream sauce with shrimp and vegetables, salad, mixed fruit, iced tea
9. An Asian American client is experiencing a fever. The nurse plans care so that the client can
self-treat the disorder using which method?
a) Prayer
b) Magnetic therapy
 c) Foods considered to be yin(cold)
d) Foods considered to be yang(hot)
10. Which is the best nursing intervention regarding complementary and alternative medicine?
a) Advising the client about “good” versus “bad” therapies
b) Discouraging the client from using any alternative therapies
c) Educating the client about therapies that he or she is using or is interested in using
d) Identifying herbal remedies that the client should request from the health care provider
11. An antihypertensive medication has been prescribed for a client with hypertension. The client
tells the clinic nurse that he would like to take an herbal substance to help lower his blood
pressure. The nurse should take which action?
a) Advise the client to read the labels of herbal therapies closely.
b) Tell the client that herbal substances are not safe and should never be used.
c) Encourage the client to discuss the use of an herbal substance with the health care
provider (HCP).
d) Tell the client that if he takes the herbal substance, he will need to have his blood
pressure checked frequently.
12. The nurse educator asks a student to list the 5 main categories of complementary and
alternative medicine (CAM), developed by the National Center for Complementary and
Alternative Medicine. Which statement, if made by the nursing student, indicates a need for
further teaching regarding CAM categories?
1. “CAM includes biologically based practices.”
2. “Whole medical systems are a component of CAM.”
3. “Mind-body medicine is part of the CAM
4.“Magnetic therapy and massage therapy are a focus of CAM.”
13. The nurse hears a client calling out for help, hurries down the hallway to the client’s room,
and finds the client lying on the floor. The nurse performs an assessment, assists the client back
to bed, notifies the health care provider of the incident, and completes an incident report. Which
statement should the nurse document on the incident report?
a) The client fell out of bed
b) 2. The client climbed over the side rails.
c) The client was found lying on the floor.
d) The client became restless and tried to get out of bed.
14. A client is brought to the emergency department by emergency medical services (EMS) after
being hit by a car. The name of the client is unknown, and the client has sustained a severe head
injury and multiple fractures and is unconscious. An emergency craniotomy is required.
Regarding informed consent for the surgical procedure, which is the best action?
 a) Obtain a court order for the surgical procedure
b) Ask the EMS team to sign the informed consent.
c) Transport the victim to the operating room for surgery.
d) Call the police to identify the client and locate the family.

15. The nurse has just assisted a client back to bed after a fall. The nurse and health care provider
have assessed the client and have determined that the client is not injured. After completing the
incident report, the nurse should implement which action next?
a) Reassess the client.
b) Conduct a staff meeting to describe the fall.
c) Document in the nurse’s notes that an incident report was completed.
d) Contact the nursing supervisor to update information regarding the fall.
16. The nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the
day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse
has never worked in the ICU. The nurse should take which action first?
a) Call the hospital lawyer.
b) Refuse to float to the ICU.
c) Call the nursing supervisor.
d) Identify tasks that can be performed safely in the ICU.
17. The nurse who works on the night shift enters the medication room and finds a co-worker
with a tourniquet wrapped around the upper arm. The co-worker is about to insert a needle,
attached to a syringe containing a clear liquid, into the antecubital area. Which is the most
appropriate action by the nurse?
a) Call security.
b) Call the police.
c) Call the nursing supervisor.
d) Lock the co-worker in the medication room until help is obtained.
18. A hospitalized client tells the nurse that a living will is being prepared and that the lawyer
will be bringing the will to the hospital today for witness signatures. The client asks the nurse for
assistance in obtaining a witness to the will. Which is the most appropriate response to the
client?
a) “I will sign as a witness to your signature.”
b) “You will need to find a witness on your own.”
c) “Whoever is available at the time will sign as a witness for you.”
d) “I will call the nursing supervisor to seek assistance regarding your request.”
19. The nurse has made an error in a narrative documentation of an assessment finding on a
client and obtains the client’s record to correct the error. The nurse should take which action to
correct the error?
a) Documenting a late entry into the client’s record
b) Trying to erase the error for space to write in the correct data
c) Using whiteout to delete the error to write in the correct data
d) Drawing one line through the error, initialing and dating, and then documenting the
correct information
20. Which identifies accurate nursing documentation notations? Select all that apply.
a) The client slept through the night.
b) Abdominal wound dressing is dry and intact without drainage.
c) The client seemed angry when awakened for vital sign measurement.
d) The client appears to become anxious when it is time for respiratory treatments.
e) The client’s left lower medial leg wound is 3 cm in length without redness, drainage, or
edema.
21. A nursing instructor delivers a lecture to nursing students regarding the issue of client’s
rights and asks a nursing student to identify a situation that represents an example of invasion of
client privacy. Which situation, if identified by the student, indicates an understanding of a
violation of this client right?
a) Performing a procedure without consent
b) Threatening to give a client a medication
c) Telling the client that he or she cannot leave the hospital
d) Observing care provided to the client without the client’s permission
22. Nursing staff members are sitting in the lounge taking their morning break. An unlicensed
assistive personnel (UAP) tells the group that she thinks that the unit secretary has acquired
immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary
probably contracted the disease from her husband, who is supposedly a drug addict. Which legal
tort has the UAP violated?
a) Libel
b) Slander
c) Assault
d) Negligence
23. An 87-year-old woman is brought to the emergency department for treatment of a fractured
arm. On physical assessment, the nurse notes old and new ecchymotic areas on the client’s chest
and legs and asks the client how the bruises were sustained. The client, although reluctant, tells
the nurse in confidence that her son frequently hits her if supper is not prepared on time when he
arrives home from work. Which is the most appropriate nursing response?
a) “Oh, really. I will discuss this situation with your son.”
 b) “Let’s talk about the ways you can manage your time to prevent this from happening.”
c) “Do you have any friends that can help you out until you resolve these important issues
with your son?”
d) “As a nurse, I am legally bound to report abuse. I will stay with you while you give the
report and help find a safe place for you to stay.”
24. The nurse calls the heath care provider (HCP) regarding a new medication prescription
because the dosage prescribed is higher than the recommended dosage. The nurse is unable to
locate the HCP, and the medication is due to be administered. Which action should the nurse
take?
a) Contact the nursing supervisor.
b) Administer the dose prescribed.
c) Hold the medication until the HCP can be contacted.
d) Administer the recommended dose until the HCP can be located.
25. The nurse employed in a hospital is waiting to receive a report from the laboratory via the
facsimile (fax) machine. The fax machine activates and the nurse expects the report, but instead
receives a sexually oriented photograph. Which is the most appropriate nursing action?
a) Call the police.
b) Cut up the photograph and throw it away.
c) Call the nursing supervisor and report the incident.
d) Call the laboratory and ask for the individual’s name who sent the photograph.

26. The nurse is assigned to care for four clients. In planning client rounds, which client should
the nurse assess first?
a) A client scheduled for a chest x-ray
b) A client requiring daily dressing changes
c) A postoperative client preparing for discharge
d) A client receiving nasal oxygen who had difficulty breathing during the previous shift
27. The nurse employed in an emergency department is assigned to triage clients coming to the
emergency department for treatment on the evening shift. The nurse should assign priority to
which client?
a) A client complaining of muscle aches, a headache, and malaise
b) A client who twisted her ankle when she fell while rollerblading
c) A client with a minor laceration on the index finger sustained while cutting an eggplant
d) A client with chest pain who states that he just ate pizza that was made with a very spicy
sauce
28. A nursing graduate is attending an agency orientation regarding the nursing model of practice
implemented in the health care facility. The nurse is told that the nursing model is a team nursing
approach. The nurse understands that planning care delivery will be based on which
characteristic of this type of nursing model of practice?
a) A task approach method is used to provide care to clients.
b) Managed care concepts and tools are used in providing client care.
c) A single registered nurse is responsible for providing care to a group of clients.
d) A registered nurse leads nursing personnel in providing care to a group of clients.
29. A nurse has received the assignment for the day shift. After making initial rounds and
checking all of the assigned clients, which client should the nurse plan to care for first?
a) A client who is ambulatory
b) A client scheduled for physical therapy at 1 PM
c) A client with a fever who is diaphoretic and restless
d) A postoperative client who has just received pain medication
30. The nurse is giving a bed bath to an assigned client when an unlicensed assistive personnel
(UAP) enters the client’s room and tells the nurse that another assigned client is in pain and
needs pain medication. Which is the most appropriate nursing action?
a) Finish the bed bath and then administer the pain medication to the other client.
b) Ask the UAP to find out when the last pain medication was given to the client.
c) Ask the UAP to tell the client in pain that medication will be administered as soon as the
bed bath is complete.
d) Cover the client, raise the side rails, tell the client that you will return shortly, and
administer the pain medication to the other client.
31. The nurse manager has implemented a change in the method of the nursing delivery system
from functional to team nursing. An unlicensed assistive personnel (UAP) is resistant to the
change and is not taking an active part in facilitating the process of change. Which is the best
approach in dealing with the UAP?
a) Ignore the resistance.
b) Exert coercion on the UAP.
c) Provide a positive reward system for the UAP.
d) Confront the UAP to encourage verbalization of feelings regarding the change.
32. The registered nurse is planning the client assignments for the day. Which is the most
appropriate assignment for an unlicensed assistive personnel (UAP)?
a) A client requiring a colostomy irrigation
b) A client receiving continuous tube feedings
c) A client who requires urine specimen collections
d) A client with difficulty swallowing food and fluids
33. A new unit nurse manager is holding her first staff meeting. The manager greets the staff and
comments that she has been employed to bring about quality improvement. The manager
provides a plan that she developed and a list of tasks and activities for which each staff member
must volunteer to perform. In addition, she instructs staff members to report any problems
directly to her. What type of leader and manager approach do the new manager’s characteristics
suggest?
a) Autocratic
b) Situational
c) Democratic
d) Laissez-faire
34. The nurse employed in a long-term care facility is planning assignments for the clients on a
nursing unit. The nurse needs to assign four clients and has a licensed practical (vocational)
nurse and three unlicensed assistive personnel (UAP) on a nursing team. Which client would the
nurse most appropriately assign to the licensed practical (vocational) nurse?
a) A client who requires a bed bath
b) An older client requiring frequent ambulation
c) A client who requires hourly vital sign measurements
d) A client requiring abdominal wound irrigations and dressing changes every 3 hours
35. The nurse should use which guideline(s) to plan delegation and assignment-making
activities? Select all that apply.
a) Ensuring client safety
b) Requests from the staff
c) The clustering of the rooms on the unit
d) The number of anticipated client discharges
e) Client needs and workers’ needs and abilities

36. The nurse is preparing to initiate an intravenous (IV)line containing a high dose of potassium
chloride and plans to use an IV infusion pump. The nurse brings the pump to the bedside,
prepares to plug the pump cord in to the wall ,and notes that no receptacle is available in the wall
socket. The nurse should take which action?
a) Initiate the IV line without the use of a pump.
b) Contact the electrical maintenance department for assistance.
c) Plug in the pump cord in the available plug above the room sink.
d) Use an extension cord from the nurses’ lounge for the pump plug.
37. The nurse obtains a prescription from a health care provider to restrain a client and instructs
an unlicensed assistive personnel (UAP) to apply the safety device to the client. Which
observation of unsafe application of the safety device would indicate that further instruction is
required by the UAP?
a) Placing a safety knot in the safety device straps
b) Safely securing the safety device straps to the side rails
 c) Applying safety device straps that do not tighten when force is applied against them
d) Securing so that 2 fingers can slide easily between the safety device and the client’s skin
38. The community health nurse is providing a teaching session about anthrax to members of the
community and asks the participants about the methods of transmission. Which answers by the
participants would indicate that teaching was effective? Select all that apply.
a) Bites from ticks or deer flies
b) Inhalation of bacterial spores
c) Through a cut or abrasion in the skin
d) Direct contact with an infected individual
e) Sexual contact with an infected individual
f) Ingestion of contaminated under cooked meat
39. The nurse is giving a report to an unlicensed assistive personnel (UAP)who will be caring for
a client who has hand restraints (safety devices). The nurse instructs the UAP to check the skin
integrity of the restrained hands how frequently?
a) Every 2 hours
b) Every 3 hours
c) Every 4 hours
d) Every 30 minutes
40. The nurse is reviewing a plan of care for a client with an internal radiation implant. Which
intervention, if noted in the plan, indicates the need for revision of the plan?
a) Wearing gloves when emptying the client’s bedpan
b) Keeping all linens in the room until the implant is removed
c) Wearing a lead apron when providing direct care to the client
d) Placing the client in a semiprivate room at the end of the hallway
41. Contact precautions are initiated for a client with a health care–associated (nosocomial)
infection caused by methicillin-resistant Staphylococcus aureus. The nurse prepares to provide
colostomy care and should obtain which protective items to perform this procedure?
a) Gloves and gown
b) Gloves and goggles
c) Gloves, gown, and shoe protectors
d) Gloves,gown,goggles,and a mask or face shield
42. The nurse enters a client’s room and finds that the wastebasket is on fire. The nurse
immediately assists the client out of the room. What is the next nursing action?
a) Call for help.
b) Extinguish the fire.
c) Activate the fire alarm.
d) Confine the fire by closing the room door.
43. A mother calls a neighbor who is a nurse and tells the nurse thather3-year-old child has just
ingested liquid furniture polish. The nurse would direct the mother to take which immediate
action?
a) Induce vomiting.
b) Call an ambulance.
c) Call the Poison Control Center.
d) Bring the child to the emergency department.
44. The emergency department (ED) nurse receives a telephone call and is informed that a
tornado has hit a local residential area and that numerous casualties have occurred. The victims
will be brought to the ED. The nurse should take which initial action?
a) Prepare the triage rooms.
b) Activate the emergency response plan.
c) Obtain additional supplies from the central supply department.
d) Obtain additional nursing staff to assist intreating the casualties
45.The nurse is caring for a client with meningitis and implements which transmission-based
precautions for this client?
a) Private room or cohort client
b) Personal respiratory protection device
c) Private room with negative airflow pressure
d) Mask worn by staff when the client needs to leave the room
46. The nurse working in the emergency department (ED) is assessing a client who recently
returned from Liberia and presented complaining of a fever at home, fatigue, muscle pain, and
abdominal pain.( Ebola virus disease (EVD) because of theclient’s recenttravel to Liberia.)
Which action should the nurse take next?
a) Check the client’s temperature.
b) Contact the health care provider.
c) Isolate the client in a private room.
d) Check a complete set of vital signs

47. The client is a practicing Hindu. Which food should be removed from the client’s
tray?
a) Bread
b) Cabbage
c) Steak
d) Apple
48.. A Korean client is admitted to the postpartum unit following the delivery of a 9 lb.
infant. Although the client does not refuse to shower, the nurse notices that she
stands in the shower but does not allow the water to touch her. Which of the
following should be the next action by the nurse?
a) Ask the client why she refuses to shower.
b) Call the doctor and report the client’s refusal to shower.
c) Tell the client that the nurse will obtain a heat lamp to assist in healing theperineum.
d) Turn the shower so that the water sprays on the client.
49. An infant is admitted with a volvulus and scheduled for surgery. The parents are
Jehovah’s Witnesses and refuse to sign the permit. Which action by the nurse is
most appropriate?
a) Obtain a court order.
b) Call the doctor.
c) Tell them that the surgery is optional.
d) Monitor the situation.
50. Which medication will most likely be refused by a Muslim client?
a) Insulin
b) Cough syrup
c) NSAIDs
d) Antacids
51. The condition of an Arab client who is terminally ill deteriorates and death seems
imminent. If the client is hospitalized in the mainland United States, the nurse
should position the bed facing which direction?
a) Northeast
b) Southeast
c) West
d) South
52. An 88-year-old female Jewish client is admitted to the hospital and diagnosed with
diabetes. Which type of insulin is refused by this client?
a) Beef
b) Pork
c) Synthetic
d) Fish
53. The nurse observes that a Hispanic client and his family have been late for their
appointment the last three times. Which of the following is the best explanation?
for this behavior?
a) A lack of concern for the health of the client.
b) An attempt to avoid talking to the nurse.
c) The client probably forgot the appointment time.
d) The client and family view time differently than does the nurse.
54. A 90-year-old client from Thailand is diagnosed with terminal cancer. The family
seems unconcerned and, although they do not refuse treatment for the client, they
do not assist with treatment. Which of the following is the nurse’s likely assessment?
of this behavior?
a) The family believes in the cycle of life and that death is a step into the next
cycle.
b) The family is in denial concerning the diagnosis and needs further teaching.
c) The family is planning to get another opinion regarding the diagnosis.
d) The family is not concerned with the treatment and care of the client.
55. The nurse is assisting a client from Iraq with her bath. The nurse notices that the
client uses only her left hand to bathe her genital area. Which of the following is
the correct assessment of this behavior?
a) he client’s dominant hand is her left one.
b) The client is using her nondominant hand to more easily cleanse the perineum.
c) The client believes that the right hand is reserved for eating and touching others and that
the left hand is the dirty hand.
d) The client has in some way injured her right hand, making it difficult to use it.
56. A Japanese client refuses to eat the ice cream or drink the milk on his tray. Which
action by the nurse would indicate an understanding of the client’s needs?
a) She obtains yogurt for the client instead.
b) She obtains an order for Lactaid dietary supplement.
c) She removes the milk from the tray and says nothing to the client.
d) She asks the client why he will not drink the milk.
57. The nurse is making assignments for the day. Which client should be assigned to
the pregnant nurse?
a) The client receiving radium linear accelerator radiation therapy for cancer
b) The client with a radium implant for vaginal cancer
c) The client who has just been administered radioactive isotopes for cancer
 d) The client who returned from placement of iridium seeds for prostate cancer
58 The nurse is planning room assignments for the day. Which client should be
assigned to the only private room?
a) The client with Cushing’s disease
b) The client with diabetes
c) The client with acromegaly
d) The client with myxedema
59. The charge nurse witnesses the nursing assistant being abusive to a client in the
nursing home facility. The nursing assistant can be charged with which of the
following?
a) Negligence
b) Tort
c) Assault
d) Malpractice
60. Which assignment is outside the realm of nursing practice for the licensed practical
nurse?
a) Inserting a Foley catheter
b) Discontinuing a nasogastric tube
c) Obtaining a sputum specimen
d) Starting a blood transfusion
61. The client returns to the unit from surgery with a blood pressure of 100/50, pulse 122, and
respirations 30. Which action by the nurse should receive priority?
a) Continue to monitor the vital signs
b) Contact the physician
c) Ask the client how he feels
d) Ask the LPN to continue the postop care
62. Which nurse should be assigned to care for the client with preeclampsia?
a) The RN with 2 weeks experience on postpartum
b) The RN with 3 years’ experience in labor and delivery
c) The RN with 10 years’ experience in surgery
d) The RN with 1-year experience in the neonatal intensive care unit
63. Which information should be reported to the state board of nursing?
a) The facility fails to provide literature in both Spanish and English.
b) The narcotic count has been incorrect on the unit for the past three days.
 c) The client fails to receive an itemized account of his bills and services
received during his hospital stay.
d) The nursing assistant assigned to the client with hepatitis fails to feed the
client and give him a bath.
64 The nurse is found to have charted blood glucose results without actually
performing the procedure. After talking to the nurse, the charge nurse should do
which of the following?
a) Call the board of nursing
b) File a formal reprimand and monitor the nurse
c) Terminate the nurse
d) Charge the nurse with a tort
65. The home health nurse is planning for the day’s visits. Which client should be seen first?
a) The 78-year-old who had a gastrectomy three weeks ago with a PEG tube
b) The 5-month-old discharged one week ago with pneumonia who is being
treated with amoxicillin liquid suspension
c) The 50-year-old with MRSA being treated with vancomycin via a PICC line
d) The 30-year-old with an exacerbation of multiple sclerosis being treated
with cortisone via a centrally placed venous catheter
66. The emergency room is flooded with clients injured in a tornado. Which clients
can be assigned to share a room in the emergency department during the disaster?
a) A schizophrenic client having visual and auditory hallucinations and the
client with ulcerative colitis
b) The client who is six months pregnant with abdominal pain and the client
with facial lacerations and a broken arm
c) A child whose pupils are fixed and dilated and his parents and a client with a
frontal head injury
d) The client who arrives with a large puncture wound to the abdomen and the
client with chest pain
67. The client is seen in the clinic requesting screening for HIV. Which of the
following is a screening test for HIV?
a) Viral load
b) Viral culture
c) ELISA
d) CD4/CD8 count
68. The nurse has just taken a report and is preparing for the day’s activities. Which
client with AIDS should be seen first?
 a) The client with Kaposi’s sarcoma
b) The client with oral leukoplakia
c) The client with vaginal candidiasis
d) The client with Pneumocystis carinii pneumonia
69. The client with AIDS has a CD4 +T-cell count of 175 cu.mm/liter. The nurse is
aware that:
a) He is relatively free of HIV.
b) He is at risk for opportunistic infections.
c) He is likely to be asymptomatic.
d) He is in remission with his disease.
70. Which medication is usually prescribed for the pregnant client with AIDS to
prevent transmission of the virus from mother to infant?
a) Acyclovir (Zovirax)
b) Sulfamethaxazole (Bactrim)
c) Zidovudine (AZT)
d) Fluconazole (Diflucan)
71. The pregnant client with AIDS asks whether she should try to breast feed her baby
after delivery. Which response is most appropriate?
a) You can breast feed after the third day post-partum.
b) Breast milk can cause cross contamination, leading to HIV infection in the
infant.
c) There is no risk with breast-feeding your infant when you have HIV infection.
d) What did your doctor tell you about breast-feeding?
72. Which statement, if made by a client with AIDS, indicates understanding of the
illness?
a) I need to eat yogurt every day to provide needed calcium for my bones.
b) I should peel and cook fruits before eating them.
c) I can enjoy foods from the salad bar at my local restaurant.
d) I might have to floss my teeth more often to prevent gum disease.
73. The client has been prescribed metronidazole (Flagyl) for Pneumocystis carinii
pneumonia and candida. Which instruction should be given to the client taking
Flagyl?
a) Take the medication with water only.
b) Arise slowly after taking the medication.
 c) Abstain from drinking alcohol while taking the medication.
d) Remain supine for 30 minutes after taking the medication.
74 The client has a viral load of 1500 copies per mL. The nurse recognizes that this
finding indicates the client is:
a) At risk for opportunistic infections
b) Relatively free of HIV infection
c) In remission with his HIV infection
d) Within the normal limits for viral load results
75 The nurse should use which solution to destroy HIV?
a) Mild soap and water
b) A hypochlorite solution
c) Water only
d) Bath oil
76. The client infected with HIV might be prescribed several medications to control
replication of the AIDS virus. The combination of drug therapy is known by the
abbreviation:
a) ELISA
b) RIPA
c) IFA
d) HAART