Question 1

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. C

Question 2

The nurse explains that the inflammatory process has four distinct stages,which are: (Select all that apply.)

Accepted Answer

A)  Dolor 
B)  Rubor 
C)  Tumor 
D)  Calor 
E)  Rumor 
A)  Dolor 
B)  Rubor 
C)  Tumor 
D)  Calor 
E)  Rumor A,B,C,D

Question 3

In preparing discharge plans for a patient with SLE,the nurse must include:

Accepted Answer

A)  Need to consume 2 L of fluid daily 
B)  Close monitoring of daily blood glucose level 
C)  Use of daily sunscreens with a sun protection factor (SPF) higher than 15 
D)  Careful concern for certain food allergies 
A)  Need to consume 2 L of fluid daily 
B)  Close monitoring of daily blood glucose level 
C)  Use of daily sunscreens with a sun protection factor (SPF) higher than 15 
D)  Careful concern for certain food allergies C

Question 4

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 5

The nurse uses a picture to show the histamine-releasing mast cells that are:

Accepted Answer

A)  Circulating in the blood 
B)  Circulating in the lymph 
C)  Attached to organ tissue 
D)  Embedded in the bone marrow 
A)  Circulating in the blood 
B)  Circulating in the lymph 
C)  Attached to organ tissue 
D)  Embedded in the bone marrow

Question 6

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 7

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

Question 8

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

Question 9

A 24-year-old woman is admitted to the hospital for a complete medical examination.Her current complaints are indicative of SLE.Which one of the following symptoms would indicate this diagnosis?

Accepted Answer

A)  Recent weight gain of 10 pounds 
B)  Difficulty breathing in the morning 
C)  Frequent episodes of diarrhea 
D)  Musculoskeletal pain in the hands 
A)  Recent weight gain of 10 pounds 
B)  Difficulty breathing in the morning 
C)  Frequent episodes of diarrhea 
D)  Musculoskeletal pain in the hands

Question 10

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 11

The laboratory results for a patient with acute leukemia that should alert the nurse to the fact that the drug protocols are not effective is:

Accepted Answer

A)  Decreased prothrombin time. 
B)  Platelet count lower than 50,000/mm3. 
C)  Negative Western blot. 
D)  Neutrophils 50% to 62%. 
A)  Decreased prothrombin time. 
B)  Platelet count lower than 50,000/mm3. 
C)  Negative Western blot. 
D)  Neutrophils 50% to 62%.

Question 12

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 13

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 14

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 15

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 16

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: (Select all that apply.)

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 17

After a bone marrow transplant,the patient is placed on a protocol of chemotherapy and radiation and the nursing diagnosis of risk for injury is added.The nurse will add the intervention of assessing for:

Accepted Answer

A)  Increased urine output 
B)  Decreasing bilirubin levels 
C)  Increasing blood pressure 
D)  Increasing abdominal girth 
A)  Increased urine output 
B)  Decreasing bilirubin levels 
C)  Increasing blood pressure 
D)  Increasing abdominal girth

Question 18

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 19

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 20

When the skin test shows a redness and swelling a few days after injection,the nurse assesses this as a hypersensitivity reaction of type:

Accepted Answer

A)  I 
B)  II 
C)  III 
D)  IV 
A)  I 
B)  II 
C)  III 
D)  IV

Exam 33: Immunologic Disorders

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

The nurse explains that the inflammatory process has four distinct stages,which are: (Select all that apply.)

In preparing discharge plans for a patient with SLE,the nurse must include:

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

The nurse uses a picture to show the histamine-releasing mast cells that are:

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

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:

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

A 24-year-old woman is admitted to the hospital for a complete medical examination.Her current complaints are indicative of SLE.Which one of the following symptoms would indicate this diagnosis?

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 laboratory results for a patient with acute leukemia that should alert the nurse to the fact that the drug protocols are not effective is:

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 nurse explains that the type of bone marrow transplant that uses the patient's own bone marrow 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 nurse explains that in autoimmune diseases,the body identifies its own proteins as foreign matter and sets out to destroy itself.Such diseases are: (Select all that apply.)

After a bone marrow transplant,the patient is placed on a protocol of chemotherapy and radiation and the nursing diagnosis of risk for injury is added.The nurse will add the intervention of assessing for:

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:

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

When the skin test shows a redness and swelling a few days after injection,the nurse assesses this as a hypersensitivity reaction of type:

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