Blood and Lymph NCLEX Questions

Blood and Lymph NCLEX Questions 5.0 (5 reviews) Students also studied Terms in this set (40) Science MedicineNursing Save Blood or Lymphatic Disorder NCLE...34 terms BenduTeanette Preview

NCLEX review questions: Blood and ...

10 terms roseanna_barker Preview ATI - Immune & Infectious Practice 30 terms Tiffany_Clark2 Preview Skin, al 60 terms cry When helping a patient limit exposure to allergens, what should the nurse be sure the patient understands?

• How to administer allergy shots
• The symptoms of anaphylactic shock
• The possible reservoirs and sources of allergens

D.Whether the patient's type of allergy is contagious

• The possible reservoirs and sources of allergens

The nurse is caring for a patient with a compromised immune system and requires protective precautions. The unlicensed assistive personnel asks the nurse why this is necessary. What is the correct response made by the nurse?

• "Protective precautions bolster the patient's defenses

against infection."

• "Protective precautions remove allergenic substances

from the patient's environment."

• "Protective precautions protect others from infectious

microorganisms that are causing the patient's disease."

• "Protective precautions will limit as much as possible

the number of microorganisms to which the patient is exposed."

• "Protective precautions will limit as much as possible the number of

microorganisms to which the patient is exposed."

A patient is to have a measles vaccine. Which factor, if present in the patient's history, should be reported because it may be a contraindication to giving the immunization?

• The patient thinks she may be pregnant.
• The patient is taking potassium supplements.
• The patient's pulse rate is 100 beats/min.
• The patient has been taking penicillin for the past 8

days.

• The patient thinks she may be pregnant.

The student nurse is discussing the topic of acquired immunity with the instructor. Which statement by the student indicates the need for further instruction?

• "Acquired immunity can be achieved with

administration of a toxoid."

• "Acquired immunity can be achieved with

administration of a vaccine."

• "Acquired immunity can be achieved after having an

infection or disease."

• "Acquired immunity can be achieved when the person

is born with certain immunities."

• "Acquired immunity can be achieved when the person is born with certain

immunities." The primary health care provider has ordered neutropenic precautions for a patient with neutropenia.What food should the nurse teach the patient to avoid?

• Salt
• Oranges
• Ketchup
• Corn flakes
• Oranges

The student nurse is preparing a presentation on the immune system. The student is correct when identifying an antibody as being considered what?

• A toxin
• A sugar
• A protein
• A chemical
• A protein

A pediatric patient has acquired mumps. What will the patient's body immediately produce in response to the mumps?

• Antigens

B, Antibodies

• Memory T cells
• Sensitized T cells
• Antibodies

A patient has a positive reaction to a tuberculin skin test.Which interpretation of this finding is accurate?

• The patient is immune to tuberculosis (TB) infections.
• The patient has no immunity to TB infections.
• The patient was exposed to someone who has TB.
• The patient may have had a TB infection that has

healed.

• The patient was exposed to someone who has TB.

The nurse explains to patients with immune or lymphatic system problems that they will need to be monitored for particular problems. What are some common problems related to the immune and lymphatic systems? (Select all that apply.)

• Fever
• Bradycardia
• Deep vein thrombus
• Immunosuppression
• Nutritional problems
• Fever
• Immunosuppression
• Nutritional problems

The nurse explains to the nursing student that which organs and tissues are associated with the lymphatic or immune system? (Select all that apply.)

• Liver
• Spleen
• Tonsils
• Pineal gland
• Thymus gland
• Spleen
• Tonsils
• Thymus Gland

The nurse is caring for a patient with acquired immune deficiency syndrome (AIDS) who has Kaposi sarcoma (KS). What findings should the nurse assess for in this patient?

• Fluid-filled vesicles
• Loss of peripheral vision
• Red/purple lesions on the skin
• Abdominal cramps, diarrhea, and anorexia
• Red/purple lesions on the skin

The student nurse has just completed an in-service on HIV and AIDS. Which statement by the student indicates an understanding of the spread of HIV?

• "Health care workers cannot prevent spread of HIV."
• "Health care workers should avoid contact with HIV

patients."

• "Health care workers should consider all patients to be

infected with blood-borne pathogens."

• "Health care workers will be protected from HIV

infection if they observe proper hand hygiene techniques."

• "Health care workers should consider all patients to be infected with blood-

borne pathogens." The nurse is teaching a group of teenagers about HIV/AIDS. The nurse should stress which teaching point as being the most important regarding protection against sexual transmission of the virus?

• Total abstinence
• Avoidance of anal sex
• A monogamous relationship
• The use of lambskin condoms
• Total abstinence

A patient with AIDS becomes short of breath and fatigued while completing activities of daily living. Which measure should be included in the patient's care to promote independence?

• Discouraging outside stimuli
• Teaching relaxation techniques
• Assessing the patient's level of pain frequently
• Alternating periods of activity with periods of rest
• Alternating periods of activity with periods of rest

Which clinical sign/symptom noted in a patient with pernicious anemia would indicate that the patient has been nonadherent with B12 injections?

• Weight gain of 5 pounds in 1 week
• Paresthesia of hands and feet
• Hyperactivity in the evening hours
• Diarrhea stools several times per day
• Paresthesia of hands and feet

The patient has an immune deficiency disorder and has acquired an infection. How could passive immunity be administered to this patient to help in fighting the infection?

• Administration of injections of immune globulin
• Administration of allergens to produce a reaction
• Administration of a permanent immunity against a

disease

• Administration of a "booster dose" to stimulate the

production of specific antibodies

• Administration of injections of immune globulin

In terms of the immune system, a patient over the age of 70 is likely to have which of these findings?

• Fewer than normal T cells
• Fewer than normal B cells
• Overproductivity of bone marrow
• Diminished ability to produce bone marrow
• Fewer than normal T cells

A female patient with systemic lupus erythematosus (SLE) complains of photosensitivity. The LPN/LVN should instruct the patient on which self-care measure?

• Wear sunblock whenever she is outdoors.
• Include foods high in beta-carotene in her diet.
• Manage joint pain with prescribed medications.
• Use a tanning bed once per week to help with rashes.
• Wear sunblock whenever she is outdoors.

When planning care for a patient with HIV encephalopathy, what should the focus of nursing care be? (Select all that apply.)

• Supportive care
• needs met
• Infection control
• Safe environment
• Non-narcotic analgesia
• Supportive care
• needs met
• Safe environment