front 1 The nurse is caring for a patient receiving immunosuppressive therapy. Which assessment finding indicates the presence of an infection? Select all that apply. | back 1 Hypotension Presence of increased leukocytes Adventitious breath sounds Presence of lesions on the skin |
front 2 The nurse in the emergency department is caring for a newly admitted patient. Analyze the information and determine which priority action the nurse should take at 1030. | back 2 Deliver the epinephrine dose |
front 3 The patient presents with signs of a type II hypersensitivity reaction that includes a complement and antibody-mediated inflammation. The patient’s symptoms are blood in the sputum and urine. What should the healthcare team anticipate is the cause? | back 3 Goodpasture syndrome |
front 4 The nurse is caring for a patient with DiGeorge syndrome who has been prescribed calcium supplements. Which statement by the nurse correctly explains the purpose of this supplement? | back 4 "It prevents tetany and seizures". |
front 5 The nurse is teaching a patient diagnosed with type IV hypersensitivity. Which statement made by the patient indicates effective teaching? Select all that apply. | back 5 I will wear a medical alert bracelet "I will use an epinephrine injection if there is an allergic response". |
front 6 The nurse is caring for a patient with a latex allergy. Which action should the nurse take to prevent a reaction? | back 6 Cover skin with a cloth before applying a blood pressure cuff. |
front 7 The nurse is caring for a patient with Graves’ disease. Arrange the events in the order that they lead to this condition | back 7 An autoantibody binds to the thyroid-stimulating hormone receptor sites. The binding results in continual stimulation of the thyroid cells The thyroid hormone is produced The normal feedback system does not work The patient exhibits severe hyperthyroidism |
front 8 The nurse is admitting a male patient with immunosuppression to the medical-surgical unit. Which room would be the best to assign? | back 8 Room 204-A |
front 9 Arrange the events in the order in which they occur when a patient receives incompatible blood during a blood transfusion. | back 9 Antibodies coat the foreign erythrocytes Agglutination or clumping takes place small blood vessels are blocked Neutrophils and macrophages phagocytize the clumped cells Hemoglobin is released into the urine and plasma Vascular spasms occur in the kidney Acute renal failure occurs due to hemoglobinuria Coagulation depletes clotting factors Patient experiences massive bleeding |
front 10 The nurse is assessing an infant at a well-baby clinic appointment. Which assessment finding does the nurse identify as a warning sign of primary immune deficiency? | back 10 The infant has recurrent deep skin abscesses |
front 11 A patient who is exposed to animal dander reports nasal discharge and watering eyes. The nurse observes edema around the mouth and eyes. Which medication would be most beneficial in relieving the patient’s symptoms? Select all that apply. | back 11 Decongestants Antihistamines |
front 12 The condition of a patient with type I hypersensitivity progresses to anaphylactic shock and then respiratory arrest. Which intervention is the highest priority for this patient? | back 12 Preparing for endotracheal intubation |
front 13 The nurse is starting a patient on chemotherapy. Which is a priority teaching point for the patient and family? Select all that apply. | back 13 Practice good hand washing Refrain from keeping turtles or reptiles as pets Take antibiotics or antivirals as prescribed |
front 14 A patient is diagnosed with systemic lupus erythematosus (SLE). The laboratory report shows increased neutrophils and monocytes. Which type of hypersensitivity reaction might have occurred in the patient? | back 14 Type III |
front 15 The nurse is caring for a patient with immunosuppression from chemotherapy. Which protective device is most appropriate to wear into the patient’s room when performing care? | back 15 The mask on the left- The simple mask is appropriate |
front 16 Which statement would accurately reflect a characteristic of common variable immune deficiency (CVID)? | back 16 CVID can be treated with IV immune globulin (IVIG) |
front 17 A patient has developed contact dermatitis from a latex allergy. Which treatment is most beneficial for this patient? | back 17 Skin creams containing steroids |
front 18 The nurse is making assignments for the nursing unit and considering priorities for infection control. Which patient should not be assigned to the nurse caring for a patient with a contagious infectious disease? Select all that apply. | back 18 A patient undergoing chemotherapy A patient receiving radiation therapy A patient who had a kidney transplant A patient who had surgical removal of the spleen |
front 19 The nurse is providing education to the parents of a child newly diagnosed with DiGeorge syndrome. The parents ask the nurse, “What caused such odd facial features and bone structure?” Which response by the nurse would be appropriate? | back 19 "The facial abnormalities are related to the deletion of a specific chromosome in your child's DNA." |
front 20 The nurse is caring for a 2-year-old patient recently diagnosed with X-linked agammaglobulinemia. Which finding would be consistent with the diagnosis? | back 20 History of recurrent pneumonia |
front 21 Which assessment finding would the nurse anticipate in a patient diagnosed with DiGeorge syndrome? | back 21 Fingernail clubbing |
front 22 When caring for a patient with suspected serum sickness, which finding would confirm the diagnosis? | back 22 Patient reports taking penicillin 2 weeks ago |
front 23 The nurse is reviewing the laboratory and diagnostic reports of a patient with allergic rhinitis. Which finding supports the diagnosis? Select all that apply. | back 23 Eosinophils 8% Positive reaction on the scratch test |
front 24 The nurse is caring for a patient with hay fever. The nurse identifies the condition as type I hypersensitivity reaction. Which information about this condition is correct? | back 24 The patient has developed rapid allergic reaction |
front 25 The nurse is explaining the “CATCH” acronym that describes clinical manifestations of DiGeorge syndrome to a nursing student. When asked about what the “C” stands for, which manifestation listed by the student nurse would indicate an understanding of the teaching? | back 25 Cleft palate |
front 26 A patient exposed to pollen dust is seen at the medical clinic with acute symptoms of dyspnea and shortness of breath. Which other symptom might the nurse observe in this patient? Select all that apply. | back 26 Angioedema Hoarseness ans stridor Swelling below surface of the skin around the mouth and eyes |
front 27 The nurse is caring for a patient who is treated symptomatically for systemic lupus erythematous (SLE). Which treatment is considered for pruritus? | back 27 Antihistamines |
front 28 Which intervention should be performed first when treating a type III hypersensitivity reaction? | back 28 Removal of the offending agent |
front 29 The nurse on the medical unit is caring for a postoperative patient. Based on the information provided, which priority action the nurse should take next? | back 29 Apply oxygen 100% per nonrebreather mask |
front 30 The emergency department (ED) nurse is caring for a patient involved in a large motor vehicle accident who requires multiple blood transfusions immediately but with an unknown blood type. Which nursing intervention would be the priority? | back 30 Administer several units of type O blood immediately |
front 31 The nurse receives admission orders from the healthcare provider. Which priority should the nurse initiate, based on the prescriptions received? | back 31 Ciprofloxacin 400 mg IV bid |
front 32 When the patient in the emergency department (ED) reports a history of fungal infections of the feet and uncontrollable twitching, which condition would the nurse suspect? | back 32 Chronic mucocutaneous candidiasis |
front 33 The nurse is caring for a child with autosomal dominant genetic inheritance disorder. The father brings in this image from the internet and asks if he was the parent that gave the child this illness. Which is the best response by the nurse? | back 33 "This image shows the father as an example, but it could have been from either you or the child's mother". |
front 34 A patient diagnosed with anaphylaxis is treated with a beta agonist to decrease bronchospasms. Which assessment finding indicates effective outcome of the treatment? | back 34 Respiratory rate 16 breaths/min |
front 35 Assessment data the nurse should anticipate when providing care to a patient diagnosed with DiGeorge syndrome include ? | back 35 Recurrent infections Gastroesophageal reflux. Cardiac abnormalities Cleft palate |
front 36
Can you differentiate assessment data for immunodeficiency
disorders? For each disorder, drag and drop the clinical
manifestations associated with the specific disorder to the box.
| back 36 Bronchospasm Urticaria Dyspnea Stridor Vomiting The patient may experience bronchospasm with extreme dyspnea, shortness of breath, wheezing, urticaria, pruritus, nausea, vomiting, and diarrhea. Hoarseness and stridor, a high-pitched crowing sound that indicates narrowing of the airways, may also occur. Severe or untreated reactions result in anaphylactic shock with hypotension and tachycardia due to vasodilation and capillary leakage from the circulatory system to the interstitial space. |
front 37
Can you differentiate assessment data for immunodeficiency
disorders? For each disorder, drag and drop the clinical
manifestations associated with the specific disorder to the box.
| back 37 Angioedema Nephritis Arthralgia Urticaria Lymphadenopathy Clinical manifestations associated with serum sickness include fever, joint pain, lymphadenopathy (swollen lymph nodes), malaise, possible polyarthritis (arthritis in multiple joints), nephritis (inflammation of the nephrons in the kidney), urticaria (hives), a patchy or generalized rash, or extensive edema involving the face, neck, and joints. |
front 38
Can you differentiate assessment data for immunodeficiency
disorders? For each disorder, drag and drop the clinical
manifestations associated with the specific disorder to the box.
| back 38 Bronchial constriction Anaphylaxis Allergic rhinitis |
front 39
Can you differentiate assessment data for immunodeficiency
disorders? For each disorder, drag and drop the clinical
manifestations associated with the specific disorder to the box.
| back 39 Transfusion reaction Goodpasture's syndrome Autoimmune thrombocytopenia purpura |
front 40
Can you differentiate assessment data for immunodeficiency
disorders? For each disorder, drag and drop the clinical
manifestations associated with the specific disorder to the box.
| back 40 Serum sickness Rheumatoid arthritis Systemic Lupus Erythematosus |
front 41
Can you differentiate assessment data for immunodeficiency
disorders? For each disorder, drag and drop the clinical
manifestations associated with the specific disorder to the box.
| back 41 Latex allergy Skin rash from poison ivy Positive reaction to a TB skin test |
front 42 The nurse is caring for a 2-year-old patient recently diagnosed with X-linked agammaglobulinemia. Which finding would be consistent with the diagnosis? A. History of recurrent pneumonia B. Moist mucous membranes C. Hypothermia D. Increased appetite | back 42 A.History of recurrent pneumonia |
front 43 A patient with a hemoglobin of 6.2 g/dL who has type A blood receives blood from a donor with type AB blood. Which type of hypersensitivity reaction will most likely be seen in this patient? A. Type I B. Type II C. Type III D. Type IV | back 43 B. Type II |