1 Galen College NUR 265 Exam 4 Study Guide 2026 - Practice Questions with Detailed Answers & Rationales 1: HIV/AIDS & IMMUNOLOGY Q1. The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal meningitis. Which of the following actions should the nurse take? A. Perform passive range-of-motion exercises every shift B. Initiate seizure precautions with padded side rails C. Encourage increased fluid intake to reduce intracranial pressure D. Restrict visitors to prevent infection exposure Correct Answer>>>: B. Initiate seizure precautions with padded side rails Rationale--: Cryptococcal meningitis can lead to increased intracranial pressure and neurological complications including seizures. Seizure precautions are essential to prevent injury. Fluid management must be cautious due to risk of cerebral edema . Key Tip: Remember that any CNS infection in an immunocompromised patient automatically raises seizure riskthink "brain irritation = seizure precautions." Q2. The nurse working in the emergency department is triaging a client with chest pain, shortness of breath, productive cough, and night sweats. The client has a history of AIDS and a recent low CD4 count. Airborne precautions have been initiated. Which action should the nurse take next? A. Prepare the client for chest tube insertion B.