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MEDSURG 2 EXAM 3 NEWEST 2025 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A client with HIV-III has oral thrush and difficulty eating. What actions does the nurse delegate to the assistive personnel (AP)?(Select all that apply.)
- Apply oral anesthetic gels before meals.
- Assist the client with oral care every 2 hours.
- Offer the client frequent sips of cool drinks.
- Provide the client with alcohol-based mouthwash.
- Remind the client to use only a soft toothbrush.
- Offer the client soft foods like gelatin or pudding. -
ANSWER-ANS: B, C, E, F
Rationale; The AP can help the client with oral care, offer fluids, and remind the client of things the nurse (or other professional) has already taught. Soft foods and liquids are tolerated better than harder foods. Applying medications is performed by the 1 / 4
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nurse. Alcohol-based mouthwashes are harsh and drying and would not be used.
A client with HIV-III is in the hospital with severe diarrhea.What actions does the nurse delegate to assistive personnel (AP)? (Select all that apply.)
- Assessing the client's fluid and electrolyte status
- Assisting the client to get out of bed to prevent falls
- Obtaining a bedside commode if the client is weak
- Providing gentle perianal cleansing after stools
e. Reporting any perianal abnormalities - ANSWER-ANS: B, C,
D, E Rationale; The AP can assist the client with getting out of bed, obtain a bedside commode for the client's use, cleanse the client's perianal area after bowel movements, and report any abnormal observations such as redness or open areas. The nurse assesses fluid and electrolyte status.
The nurse is educating a client with HIV-II and the partner on self-care measures to prevent infection when blood counts are low. What information does the nurse provide? (Select all that apply.)
- Do not work in the garden or with houseplants. 2 / 4
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- Do not empty the kitty litter boxes.
- Clean your toothbrush in the dishwasher daily.
- Bathe daily using antimicrobial soap.
- Avoid people who are sick and large crowds.
- Make sure meat, fish, and eggs are cooked well. - ANSWER-
ANS: A, B, D, E, F
Rationale; Ways to avoid infection when immunocompromised include not working in the garden or with houseplants; not emptying litter boxes; running the toothbrush through the dishwasher at least weekly; bathing daily using antimicrobial soap; avoiding sick people and large crowds; and making sure meat, fish, and eggs are cooked well prior to eating them.
A nurse is providing education about HIV risks at a health fair.What groups would the nurse include as needing to be tested for HIV on an annual basis? (Select all that apply.)
- Anyone who received a blood product in 1989
- Couples planning on getting married
- Those who are sexually active with multiple partners
- Injection drugs users
- Sex workers and their customers
- Adults over the age of 65 years - ANSWER-ANS: B, C, D, E 3 / 4
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Rationale; The CDC recommends that HIV testing would be performed on those who received a transfusion between 1978 and 1985 only. People planning on getting married should be tested and all sexually active people should know their HIV status. Those engaged in sex work and their customers should also be tested, as well as injection drug users. Those over the age of 65 years need a one-time screen.
A nurse begins a job at a Veterans Administration Hospital and asks why so much emphasis is on HIV testing for the veterans.What reasons is this nurse given? (Select all that apply.)
- Veterans have a high prevalence of substance abuse.
- Many veterans may engage in high risk behaviors.
- Many older veterans may not know their risks.
- Everyone should know their HIV status.
- Belief that the VA has tested them and would notify them if
positive. - ANSWER-ANS: A, B, C, D, E
Rationale; All options are correct for the veteran population. The nurse interacting with veteran would ensure they know about the HIV testing offered by the VA.
A nurse is teaching the client with systemic lupus erythematosus about prednisone. What information is the priority?
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