Immune System Problem Quiz Questions!

20 Questions | Total Attempts: 2403

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Immune System Problem Quiz Questions! - Quiz

Do you have what it takes to answer the Immune system problem quiz questions below? HIV affects the immune system of a person suffering from it, and there are specific measures that a nurse is expected to use when handling a patient with such issues. Do you know these measures, and can you call on the right ones in a real medical setting? This quiz will help test out how true your assumption is. Check it out!.


Questions and Answers
  • 1. 
    You give an intradermal injection of allergen to a patient who is undergoing skin testing for allergies. A few minutes later, the patient complains about feeling  anxious, short of breath, and dizzy. You notice that the patient has reddened blotches on the face and arms. All of these therapies are available on your emergency cart. Which action should you take first?   
    • A. 

      Start oxygen at 4 L/min using a nasal cannula.

    • B. 

      Obtain IV access with a large-bore IV catheter.

    • C. 

      Administer epinephrine (Adrenalin) 0.3 mL subcutaneously

    • D. 

      Give albuterol (Proventil) with a nebulizer

  • 2. 
    As the nurse manager in a public health department, you are responsible for  developing a plan to reduce the incidence of infection with the human immunodeficiency virus (HIV) in the community. Which nursing action is best delegated to health assistants working for the agency?  
    • A. 

      Supply injection drug users with bleach solution for cleaning needles and syringes

    • B. 

      Provide pretest and post-test counseling to those patients who are seeking HIV testing

    • C. 

      Educate high-risk community members about the use of condoms in HIV prevention

    • D. 

      Determine which population groups to target for educational based on community assessment

  • 3. 
    You are working with a student nurses who is assigned to care for an HIV-positive patient with severe esophagitis caused by Candida albicans. Which action by the student indicates that you need to intervene most quickly?  
    • A. 

      The student puts on a mask and gown before entering the patient roo

    • B. 

      The student gives the patient a glass of water after the oral nystatin (Mycostatin) suspension.

    • C. 

      The student offers the patient a choice of chicken soup or chile con carne for lunch.

    • D. 

      The student places a “No Visitors” sign on the door of the patient’s room

  • 4. 
    You are evaluating an HIV-positive patient who is receiving IV pentamidine (Pentam) as a treatment for Pneumocystis carinii pneumonia. Which information is most important to communicate to the physician?  
    • A. 

      The blood pressure decreased to 104/76 during administration

    • B. 

      The patient is complaining of pain at the site of the infusion.

    • C. 

      The patient is not taking in an adequate amount of oral fluids

    • D. 

      Blood glucose is 55 mg/dL after the medication administration.

  • 5. 
    You are completing an assessment and health history for an HIV-positive patient who is considering starting antiretroviral therapy with several medications. Which patient information concerns you the most?
    • A. 

      Patient has been HIV positive for 8 years and has never been on any drug therapy for the HIV infectio

    • B. 

      Patient tells you that he never has been very consistent about taking medications in the past.

    • C. 

      Patient continues to be sexually active with multiple partners and says that he is careful to use condoms.

    • D. 

      Patient has many questions and concerns regarding how effective and safe the medications are

  • 6. 
    You have suffered a needle stick injury after giving a patient an IM injection, but you have no information about the patient’s HIV status. What is the most appropriate method for obtaining this information about the patient?  
    • A. 

      You should ask the patient to authorize HIV testing as soon as possible.

    • B. 

      The nurse manager for the unit is responsible for obtaining the information.

    • C. 

      The occupational health nurse should discuss HIV status with the patient.

    • D. 

      HIV testing should be done the next time blood is drawn for other tests.

  • 7. 
    A patient with acquired immunodeficiency syndrome (AIDS) has a negative tuberculosis (TB) skin test. Which nursing action is indicated next?
    • A. 

      Obtain a chest x-ray and sputum smear.

    • B. 

      No further action is needed after the negative skin test

    • C. 

      Teach about the anti-tuberculosis drug isoniazid (INH

    • D. 

      Schedule TB testing again in 6 month

  • 8. 
    You are working in an AIDS hospice facility that is also staffed with LPNs and nursing assistants. Which of these nursing actions is best to dele
    • A. 

      Assess patients’ nutritional needs and individualize diet plans to improve nutrition.

    • B. 

      Collect data about the patient’s response to medications used for pain and anorexia.

    • C. 

      Teach the nursing assistants about how to lower the risk for spreading infections.

    • D. 

      Teach the nursing assistants about how to lower the risk for spreading infections.

  • 9. 
    A patient who has received a kidney transplant has been admitted to the medical unit with acute rejection and is receiving IV cyclosporine (Sandimmune) and methylprednisolone (Solu-Medrol). Which staff member is best to assign to care for this patient?  
    • A. 

      An RN who floated to the medical unit from the coronary care unit for the day.

    • B. 

      An RN with 3 years of experience in the operating room who is orienting top the medical unit.

    • C. 

      An RN who has worked on the medical unit for 5 years and is working a double shift today.

    • D. 

      A new graduate RN who needs experience with IV medication administration

  • 10. 
    Your patient with rheumatoid arthritis (RA) is taking prednisone (Deltasone) and naprozen (Alleve) to reduce inflammation and joint paint. Which of these symptoms is the strongest indicator that a change in therapy may be necessary?  
    • A. 

      Your patient with rheumatoid arthritis (RA) is taking prednisone (Deltasone) and naprozen (Alleve) to reduce inflammation and joint paint. Which of these symptoms is the strongest indicator that a change in therapy may be necessary?

    • B. 

      The patient complains about having dry eyes.

    • C. 

      The patient has round and moveable nodules just under the skin.

    • D. 

      The patient has stools that are very dark in color.

  • 11. 
    A patient with chronic hepatitis C has been receiving interferon alfa-2a (Roferon-A) injections for the last month. Which information gathered during a visit in the home to conduct an interview and physical assessment is most important to communicate to the physician?
    • A. 

      The patient has chronic nausea and vomiting

    • B. 

      The patient is giving the medication by the IM route to her lateral thigh

    • C. 

      The patient has a temperature of 99.7o F orally

    • D. 

      The patient complains of chronic fatigue, muscle aches, and anorexia.

  • 12. 
    You obtain these assessment data while completing as admission for a patient with a history of a liver transplant who is receiving cyclosporine (Sandimmune), prednisone (Deltasone), and mycophenolate (CellCept) to suppress immune function. Which one will be of most concern?  
    • A. 

      The patient’s gums appear very pink and swollen.

    • B. 

      The patient’s blood glucose is increased to 162 mg/dL

    • C. 

      The patient has a non-tender swelling above the clavicl

    • D. 

      The patient has 1+ pitting edema in the feet and ankle

  • 13. 
    While caring for an HIV-positive patient who is hospitalized with Pneumocystis carinii pneumonia, you note that all of these drug therapies are scheduled for 10:00 AM. Which nursing action is most essential to accomplish at the scheduled time?  
    • A. 

      Administer the protease inhibitor indinavir (Crixivan) 800 mg PO

    • B. 

      Infuse pentamidine (Pentam-300) 300 mg IV over 60 minutes

    • C. 

      Have the patient “swish and swallow” nystatin (Mycostatin) 5 m

    • D. 

      Apply acyclovir (Zovirax) cream to oral herpes simplex lesions.

  • 14. 
    An HIV-positive patient who has been started on antiretroviral therapy (ART) is seen in the clinic for follow-up. Which test will be most helpful in determining the response to therapy?  
    • A. 

      Lymphocyte cou

    • B. 

      ELISA testing

    • C. 

      Western blot analy

    • D. 

      Viral load testing

  • 15. 
    You have developed a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements for a hospitalized patient with AIDS who has anorexia and nausea. Which of these nursing actions is most appropriate to delegate to an LPN who is providing care for this patient?  
    • A. 

      Administer oxandrolone (Oxanddrin) 5 mg daily in morning.

    • B. 

      Provide oral care with a soft toothbrush every 8 hours.

    • C. 

      Instruct the patient about a high-calorie, high-protein diet.

    • D. 

      Assess the patient for other nutrition risk factors

  • 16. 
    You assess a 24-year-old with RA who is considering using methotrexate (Rheumatrex) for treatment. Which information is most important to communicate with the physician? 
    • A. 

      The patient has many concerns about the safety of the dru

    • B. 

      The patient has been trying to get pregnant

    • C. 

      The patient takes a daily multivitamin tablet.

    • D. 

      The patient says that she has taken methotrexate in the past

  • 17. 
    An 18-year-old college student with an exacerbation of systemic lupus erythematosus (SLE) has been receiving prednisone (Deltasone) 20 mg daily for 4  hours. Which of these medical orders should you question?
    • A. 

      Discontinue prednisone after today’s dose.

    • B. 

      Administer first dose of varicella vaccine

    • C. 

      Check patient’s C-reactive protein (CRP).

    • D. 

      Give Ibuprofen (Advil) 800 mg every 6 hours.

  • 18. 
    A patient with wheezing and coughing caused by an allergic reaction to penicillin is admitted to the emergency department (ED). Which of these medications do you anticipate administering first?  
    • A. 

      Methylprednisolone (Solu-Medrol) 100 mg IV

    • B. 

      Cromolyn sodium (Intal) 20 mg per nebulizer

    • C. 

      Albuterol (Proventil) 0.5 mL per nebulizer

    • D. 

      Aminophylline 500 mg IV over 20 minutes

  • 19. 
    A patient with systemic lupus erythematosus (SLE) is admitted to the hospital for evaluation and management of acute joint inflammation. Which information obtained in the admission laboratory testing concerns you most?  
    • A. 

      The blood urea nitrogen (BUN) level is elevated.

    • B. 

      The C-reactive protein (CRP) level is increased.

    • C. 

      The anti-nuclear antibody (ANA) test is positive

    • D. 

      The lupus erythematosus (LE) cell prep is positive.

  • 20. 
    As the hospital employee health nurse, you are completing a health history for a newly hired nursing assistant. Which information given by the new employee most indicates the need for further nursing action prior to orienting the nursing assistant to patient care?  
    • A. 

      The new employee takes enalapril (Vasotec) for hypertension.

    • B. 

      The new employee is allergic to bananas, avocados, and papayas.

    • C. 

      The new employee received a tetanus vaccination 3 years ago

    • D. 

      The new employee’s TB skin test has a 5-mm induration at 48 hours

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