Question 1

The nurse who is caring for a patient with thrombotic thrombocytopenic purpura (TTP)who is having plasmapheresis every day is alert for the first indication of:

Accepted Answer

A)  Hypotension 
B)  Seizure activity 
C)  Diarrhea 
D)  Intense headache 
A)  Hypotension 
B)  Seizure activity 
C)  Diarrhea 
D)  Intense headache A

Question 2

The nurse gives an example of innate immunity by comparing it with a human's immunity to:

Accepted Answer

A)  Hoof-and-mouth disease 
B)  Measles 
C)  Rabies 
D)  Mange 
A)  Hoof-and-mouth disease 
B)  Measles 
C)  Rabies 
D)  Mange A

Question 3

When developing a plan of care for the patient with human immunodeficiency virus (HIV),the nurse includes:

Accepted Answer

A)  Careful aseptic technique to prevent infection 
B)  Instruction to limit fluids to prevent congestive heart failure 
C)  Oral alcohol rinses to control mouth infections 
D)  Selections of high-fat foods in the daily diet 
A)  Careful aseptic technique to prevent infection 
B)  Instruction to limit fluids to prevent congestive heart failure 
C)  Oral alcohol rinses to control mouth infections 
D)  Selections of high-fat foods in the daily diet A

Question 4

The nursing staff of an oncology unit cautions visitors to be free of infections before visiting patients.The rationale for this precaution is because chemotherapy and decreased bone marrow production can cause:

Accepted Answer

A)  Hemorrhage 
B)  Neutropenia 
C)  Edema 
D)  Hypovolemia 
A)  Hemorrhage 
B)  Neutropenia 
C)  Edema 
D)  Hypovolemia

Question 5

The nurse is preparing a patient for a liver-spleen scan.Which of the following interventions is most important before the procedure?

Accepted Answer

A)  Prepare the biopsy site with a clean field. 
B)  Check for any allergies to contrast media. 
C)  Explain the procedure to the patient's family. 
D)  Have the patient eat a complete regular diet. 
A)  Prepare the biopsy site with a clean field. 
B)  Check for any allergies to contrast media. 
C)  Explain the procedure to the patient's family. 
D)  Have the patient eat a complete regular diet.

Question 6

The nurse explains that the type of bone marrow transplant that uses the patient's own bone marrow is:

Accepted Answer

A)  Allergenic 
B)  Allogeneic 
C)  Peripheral blood stem cell 
D)  Autologous 
A)  Allergenic 
B)  Allogeneic 
C)  Peripheral blood stem cell 
D)  Autologous

Question 7

When the nurse has assessed a neutrophil count of 900/mm³,the nurse begins to prepare the patient with acute leukemia for the initiation of:

Accepted Answer

A)  A high-protein diet. 
B)  Increased doses of steroids. 
C)  Compromised Host Precautions. 
D)  Injections of blood-building medication. 
A)  A high-protein diet. 
B)  Increased doses of steroids. 
C)  Compromised Host Precautions. 
D)  Injections of blood-building medication.

Question 8

A hospitalized patient has been prescribed dexamethasone (Decadron)for an allergic reaction.The teaching instruction that the patient should be given with discharge,relative to this drug,is:

Accepted Answer

A)  Report blurry vision. 
B)  Take the medication on an empty stomach. 
C)  Do not operate heavy machinery. 
D)  Take this medication with meals. 
A)  Report blurry vision. 
B)  Take the medication on an empty stomach. 
C)  Do not operate heavy machinery. 
D)  Take this medication with meals.

Question 9

The nursing staff decides on a nursing diagnosis of "Imbalanced nutrition: less than body requirements for a patient with leukemia." The goal that would be realistic for this patient is:

Accepted Answer

A)  To gain 5 pounds, eat foods high in calories at each meal. 
B)  To avoid nausea, eat slowly and eat small meals. 
C)  To consume all food at every meal, offer three large meals. 
D)  To maintain a stable weight, eat small meals and avoid vomiting. 
A)  To gain 5 pounds, eat foods high in calories at each meal. 
B)  To avoid nausea, eat slowly and eat small meals. 
C)  To consume all food at every meal, offer three large meals. 
D)  To maintain a stable weight, eat small meals and avoid vomiting.

Question 10

A nurse caring for a patient in the last stages of leukemia is aware that the patient is at risk from the bacteria of his own body as an infection risk source,such as:

Accepted Answer

A)  Beta-hemolytic streptococci 
B)  Streptococcus pneumoniae 
C)  Streptococcus viridans 
D)  Pseudomonas aeruginosa 
A)  Beta-hemolytic streptococci 
B)  Streptococcus pneumoniae 
C)  Streptococcus viridans 
D)  Pseudomonas aeruginosa

Question 11

The observation by the nurse that would indicate a patient's acceptance of the diagnosis of acute leukemia is that the patient:

Accepted Answer

A)  Plans a 14-day cruise in 2 weeks. 
B)  States that he will be fine in a few months 
C)  Asks for educational material about acute leukemia. 
D)  Rests after a chemotherapy session. 
A)  Plans a 14-day cruise in 2 weeks. 
B)  States that he will be fine in a few months 
C)  Asks for educational material about acute leukemia. 
D)  Rests after a chemotherapy session.

Question 12

The nurse points out that the spleen's primary function in the immune process is to:

Accepted Answer

A)  Filter microorganisms from the blood. 
B)  Store lymphocytes used to fight infections. 
C)  Produce additional RBCs (red blood cells). 
D)  Stimulate WBC production. 
A)  Filter microorganisms from the blood. 
B)  Store lymphocytes used to fight infections. 
C)  Produce additional RBCs (red blood cells). 
D)  Stimulate WBC production.

Question 13

The nurse tells the family of a patient who has just undergone bone marrow transplant that to help stabilize the immune response and prevent rejection,________________ will be given.

Accepted Answer

A)  Dexamethasone (Decadron) 
B)  Filgrastim (Neupogen) 
C)  Zidovudine (Retrovir) 
D)  Nevirapine (Viramune) 
A)  Dexamethasone (Decadron) 
B)  Filgrastim (Neupogen) 
C)  Zidovudine (Retrovir) 
D)  Nevirapine (Viramune)

Question 14

The nurse differentiates that passive-acquired immunity means that the antibodies were:

Accepted Answer

A)  Acquired from outside the host and instilled in the host. 
B)  Manufactured in response to a disease in the host. 
C)  Innately acquired because of being born a human being. 
D)  Cell-mediated inside the host. 
A)  Acquired from outside the host and instilled in the host. 
B)  Manufactured in response to a disease in the host. 
C)  Innately acquired because of being born a human being. 
D)  Cell-mediated inside the host.

Question 15

The nurse is alarmed by a complete blood count that shows a large shift to the left.The nurse assesses this to mean that the cell level count of:

Accepted Answer

A)  Neutrophils have dropped by 10%. 
B)  Basophils have increased by 25%. 
C)  Neutrophils have increased by 25%. 
D)  Neutrophils have increased by 60%. 
A)  Neutrophils have dropped by 10%. 
B)  Basophils have increased by 25%. 
C)  Neutrophils have increased by 25%. 
D)  Neutrophils have increased by 60%.

Question 16

The symptom that the nurse would recognize as being pertinent to a possible diagnosis of systemic lupus erythematosus (SLE)is:

Accepted Answer

A)  Butterfly rash of the face 
B)  Protruding abdomen 
C)  Thinning hair 
D)  Bloody diarrhea 
A)  Butterfly rash of the face 
B)  Protruding abdomen 
C)  Thinning hair 
D)  Bloody diarrhea

Question 17

The nurse explains that the inflammatory response is initiated by immunoglobulin E (IgE)and the:

Accepted Answer

A)  Eosinophils 
B)  Lymphocytes 
C)  Basophils 
D)  Neutrophils 
A)  Eosinophils 
B)  Lymphocytes 
C)  Basophils 
D)  Neutrophils

Question 18

In the preparation to perform skin testing,the nurse should:

Accepted Answer

A)  Select an 18-gauge needle. 
B)  Inject 1 mL intradermally. 
C)  Check the site in 2 to 3 days for swelling. 
D)  Wrap the site with a pressure dressing. 
A)  Select an 18-gauge needle. 
B)  Inject 1 mL intradermally. 
C)  Check the site in 2 to 3 days for swelling. 
D)  Wrap the site with a pressure dressing.

Question 19

The nurse explains that in autoimmune diseases,the body identifies its own proteins as foreign matter and sets out to destroy itself.Such diseases are:

Accepted Answer

A)  SLE 
B)  Type 1 diabetes mellitus (DM) 
C)  Rheumatoid arthritis (R
A)  
D)  Osteoarthritis 
E)  Pancreatitis 
A)  SLE 
B)  Type 1 diabetes mellitus (DM) 
C)  Rheumatoid arthritis (R
A)  
D)  Osteoarthritis 
E)  Pancreatitis

Question 20

When a patient is taking dexamethasone (Decadron)complains of insomnia,the nurse advises the patient to take the drug:

Accepted Answer

A)  With milk 
B)  At breakfast 
C)  Dissolved in fruit juice 
D)  At bedtime 
A)  With milk 
B)  At breakfast 
C)  Dissolved in fruit juice 
D)  At bedtime

Exam 33: Immunologic Disorders

The nurse who is caring for a patient with thrombotic thrombocytopenic purpura (TTP)who is having plasmapheresis every day is alert for the first indication of:

The nurse gives an example of innate immunity by comparing it with a human's immunity to:

When developing a plan of care for the patient with human immunodeficiency virus (HIV),the nurse includes:

The nursing staff of an oncology unit cautions visitors to be free of infections before visiting patients.The rationale for this precaution is because chemotherapy and decreased bone marrow production can cause:

The nurse is preparing a patient for a liver-spleen scan.Which of the following interventions is most important before the procedure?

The nurse explains that the type of bone marrow transplant that uses the patient's own bone marrow is:

When the nurse has assessed a neutrophil count of 900/mm³,the nurse begins to prepare the patient with acute leukemia for the initiation of:

A hospitalized patient has been prescribed dexamethasone (Decadron)for an allergic reaction.The teaching instruction that the patient should be given with discharge,relative to this drug,is:

The nursing staff decides on a nursing diagnosis of "Imbalanced nutrition: less than body requirements for a patient with leukemia." The goal that would be realistic for this patient is:

A nurse caring for a patient in the last stages of leukemia is aware that the patient is at risk from the bacteria of his own body as an infection risk source,such as:

The observation by the nurse that would indicate a patient's acceptance of the diagnosis of acute leukemia is that the patient:

The nurse points out that the spleen's primary function in the immune process is to:

The nurse tells the family of a patient who has just undergone bone marrow transplant that to help stabilize the immune response and prevent rejection,________________ will be given.

The nurse differentiates that passive-acquired immunity means that the antibodies were:

The nurse is alarmed by a complete blood count that shows a large shift to the left.The nurse assesses this to mean that the cell level count of:

The symptom that the nurse would recognize as being pertinent to a possible diagnosis of systemic lupus erythematosus (SLE)is:

The nurse explains that the inflammatory response is initiated by immunoglobulin E (IgE)and the:

In the preparation to perform skin testing,the nurse should:

The nurse explains that in autoimmune diseases,the body identifies its own proteins as foreign matter and sets out to destroy itself.Such diseases are:

When a patient is taking dexamethasone (Decadron)complains of insomnia,the nurse advises the patient to take the drug:

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