Chapter 35: Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Chapter 35: Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which population, according to statistics from the Centers for Disease Control and Prevention (CDC), has the greatest incidence of human immunodeficiency viral (HIV) infection in the United States?

a.	Asian Americans
b.	African Americans
c.	Latinos
d.	Whites

 

 

ANS:  B

Of those with HIV infection in the United States, African Americans make up 49%, whites 27%, and Latinos 12%. Asian Americans were not reported.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 664             OBJ:   3

TOP:   Human Immunodeficiency Virus (HIV) Incidence in the United States

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

2. What does enzyme reverse transcriptase transcribe?

a.	DNA to mimic CD4 cells
b.	T4-helper cells to RNA
c.	HIV RNA to HIV DNA
d.	T4 cells to HIV virions

 

 

ANS:  C

Reverse transcriptase reverses the normal process and allows the RNA to be transcribed to the DNA rather than the DNA to be transcribed to the RNA.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 668             OBJ:   2

TOP:   Pathophysiology                             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. What is the most common form of transmission of the HIV virus?

a.	Injection drug use
b.	Heterosexual contact
c.	Exposure to contaminated blood products
d.	Male to male

 

 

ANS:  D

Male-to-male transmission is still the most common mode.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 664             OBJ:   3

TOP:   Transmission of HIV                       KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

4. A nurse is assessing a patient with AIDS for risk factors. What is recognized as the most risky behavior in the patient history?

a.	Oral sex without contact with the glans penis
b.	Oral sex with a condom
c.	Use of sex toys
d.	Anal sex with a condom

 

 

ANS:  D

Anal sex, even with a condom, is a higher risk behavior than the other three options.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 667             OBJ:   3

TOP:   Risk Factors   KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

5. When is a patient with HIV considered to have progressed to AIDS?

a.	Two or more opportunistic infections are diagnosed.
b.	Kaposi sarcoma appears.
c.	CD4 cell level drops to 200.
d.	Patient tested positive for enzyme-linked immunosorbent assay (ELISA).

 

 

ANS:  C

A person with an HIV infection is not diagnosed with AIDS until the CD4 count falls to 200. Other AIDS markers exist as well.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 668             OBJ:   5

TOP:   AIDS              KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation