26. NCLEX HIV Questions about a 6-year-old child with human immunodeficiency virus (HIV) who has been admitted to the hospital for pain management. The child asks the nurse if the pain will ever go away. The nurse should make which best response to the child?
a) “The pain will go away if you lie still and let the medicine work.”
b) “Try not to think about it. The more you think it hurts, the more it will hurt.”
c) “I know it must hurt, but if you tell me when it does, I will try and make it hurt a little less.”
d) “Every time it hurts, press on the call button and I will give you something to make the pain go all away.”
27. The nurse is caring for a 4-year-old child with human immunodeficiency virus (HIV) infection. The nurse should plan care with the understanding that which childhood psychosocial need occurs at this age?
a) Expressing fear, withdrawal, and denial
b) Beginning to understand that something is wrong
c) Unable to grasp the concept of illness and death
d) Beginning to conceptualize the death process as involving physical harm
28. NCLEX HIV Questions about the home care nurse who provides instructions regarding basic infection control to the parent of an infant with human immunodeficiency virus (HIV) infection. Which statement, if made by the parent, indicates the need for further instruction?
a) “I will clean up any spills from the diaper with diluted alcohol.”
b) “I will wash baby bottles, nipples, and pacifiers in the dishwasher.”
c) “I will be sure to prepare foods that are high in calories and high in protein.”
d) “I will be sure to wash my hands carefully before and after caring for my infant.”
29. Which home care instructions should the nurse provide to the parent of a child with acquired immunodeficiency syndrome (AIDS)? Select all that apply.
a) Monitor the child’s weight.
b) Frequent hand-washing is important.
c) The child should avoid exposure to other illnesses.
d) The child’s immunization schedule will need revision.
e) Clean up body fluid spills with bleach solution (10: 1 ratio of water to bleach).
f) Fever, malaise, fatigue, weight loss, vomiting, and diarrhea are expected to occur and do not require special intervention.
NCLEX HIV Questions
Answers and Rationale
- Rationale: The multiple complications associated with HIV are accompanied by a high level of pain. Aggressive pain management is essential for the child to have an acceptable quality of life. The nurse must acknowledge the child’s pain and let the child know that everything will be done to decrease the pain. Telling the child that movement or lack thereof would eliminate the pain is inaccurate. Allowing a child to think that he or she can control the pain simply by thinking or not thinking about it oversimplifies the pain cycle associated with HIV. Giving false hope by telling the child that the pain will be taken “all away” is neither truthful nor realistic.
- NCLEX HIV Questions Test-Taking Strategy: Note the strategic word best. Recall the general concept of pain and growth and development concepts of a 6-year-old child. Giving the child information about the pain in words that he or she can understand, but without providing false hope or not telling the truth, should guide you to the correct option. Options A and B provide inaccurate information about pain management. Option 4 provides false hope that the pain can be alleviated completely.
- Rationale: A preschool child begins to conceptualize the death process as involving physical harm. A child from birth to 2 years of age is unable to grasp the concept of illness and death. A school-age child begins to understand that something is wrong. An adolescent expresses fear, withdrawal, and denial.
- Test-Taking Strategy: Focus on the subject, a preschooler, and use concepts of growth and development and related psychosocial issues to answer the question. Noting the age of the child will assist in directing you to the correct option.
-NCLEX HIV Questions Rationale: HIV is transmitted through blood, semen, vaginal secretions, and breast milk. The mother of an infant with HIV should be instructed to use a bleach solution for disinfecting contaminated objects or cleaning up spills from the child’s diaper. Alcohol would not be effective in destroying the virus. Options B, C, and D are accurate instructions related to basic infection control.
- Test-Taking Strategy: Note the strategic words need for further instruction. These words indicate a negative event query and ask you to select an option that is an incorrect statement. Recalling basic infection control measures and the measures to prevent the spread of HIV will direct you to the correct option.
29) A, B, C, E
- Rationale: AIDS is a disorder caused by HIV and is characterized by a generalized dysfunction of the immune system. Home care instructions include the following: frequent hand-washing; monitoring for fever, malaise, fatigue, weight loss, vomiting, and diarrhea and notifying the health care provider if these occur; monitoring for signs and symptoms of opportunistic infections; administering antiretroviral medications and other medications as prescribed; avoiding exposure to other illnesses; keeping immunizations up to date; monitoring weight and providing a high-calorie, high-protein diet; washing eating utensils in the dishwasher; and avoiding sharing eating utensils. Gloves are worn for care, especially when in contact with body fluids and changing diapers; diapers are changed frequently and away from food areas, and soiled disposable diapers are folded inward, closed with the tabs, and disposed of in a tightly covered plastic-lined container. Any body fluid spills are cleaned with a bleach solution (10: 1 ratio of water to bleach).
- Test-Taking Strategy: Focus on the subject, care of the child with AIDS. Recalling that AIDS is characterized by a generalized dysfunction of the immune system and recalling the modes of transmission of the virus will assist in selecting the correct home care instructions.
After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning:
NCLEX HIV Questions 1-5
Or proceed to the next set of questions:
NCLEX HIV Questions 30-35
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