NUR 2214 Exam 3

A patient enters the ED with severe angioedema. What are some important questions the nurse should immediately ask the patient? Select all that apply: A. "What medications have you taken recently?" B. "Are you sexually active?" C. "Do you have any known allergies?" D. "Do you have any family members with cancer?" E. "Are you having trouble breathing?" F. "Can you swallow?"

A. "What medications have you taken recently?" C. "Do you have any known allergies?" E. "Are you having trouble breathing?" F. "Can you swallow?"

An HIV positive patient appears to be suffering from "wasting syndrome." The patient clearly has malnutrition. What type of goal should the nurse set for the patient? A. Achieve some type of weight gain B. Ensure patient is compliant with medication regimen C. Monitor patient for infection D. Determine if patient is still sexually active

A. Achieve some type of weight gain

An HCP instructs a 7-year-old male patient to start carrying an EpiPen with him at all times. What should be included in the teaching? A. Administer the EpiPen injection to the thigh and right through the clothes B. Administer the EpiPen injection to the arm after you roll up the sleeve C. If the child uses his EpiPen successfully he does not need to see the HCP D. Administer the EpiPen injection directly to the heart

A. Administer the EpiPen injection to the thigh and right through the clothes

What are some risk factors that would put a person at a greater risk of developing lupus? Select all that apply: A. African American ethnicity B. Underweight C. Being male D. Between the ages of 10 - 20 years of age E. Overweight F. Caucasian ethnicity G. Between the ages of 20 - 40 years of age

A. African American ethnicity E. Overweight G. Between the ages of 20 - 40 years of age

A 24-year-old male patient arrives at his primary care provider's office for his annual physical. The patient works as a lifeguard and says he sometimes gets sunburned. What information should the nurse provide to him? Select all that apply: A. Always wear sunscreen with an appropriate SPF number B. Wear a visor instead of a hat C. Wear sunglasses D. Wear sunscreen from 11AM to 3PM E. Stay hydrated F. Try to wear a shirt unless it is an overcast day

A. Always wear sunscreen with an appropriate SPF number C. Wear sunglasses E. Stay hydrated Rationale: Always wear sunscreen and especially during the hours of 11AM to 3PM (try to even avoid sun exposure during those times); a hat provides more protection than a visor; wear sunglasses, stay hydrated, and wear shirts, hats, sunglasses even on overcast days.

A nursing student wants to write a research paper on childhood leukemia. How should the pathology of leukemia be described? A. An uncontrolled production of immature white blood cells (WBCs) B. An autoimmune disease that occurs when the body's immune system attacks its own tissues and organs C. The destruction of red blood cells (RBCs) D. A serious form of skin cancer that arises from melanocytes

A. An uncontrolled production of immature white blood cells (WBCs)

What is an example of a Type 1 allergic reaction? Select all that apply: A. Bronchial asthma B. Hemolytic anemia C. Food allergy D. Allergic conjunctivitis E. Anaphylaxis F. Erythroblastosis fetalis

A. Bronchial asthma C. Food allergy D. Allergic conjunctivitis E. Anaphylaxis Rationale: erythroblastosis fetalis is a type of anemia

What does the CAUTION acronym stand for? A. Change in bowel/bladder, a sore that does not heal, unusual bleeding or discharge, thickening of a lump, Indigestion, obvious change (warts or moles), nagging cough that will not go away B. Change in bowel/bladder, a sore that does not heal, unusual bleeding or discharge, thickening of a lump, Indigestion, obvious change (warts or moles), necrosis of the skin C. Change in bowel/bladder, a sore that does not heal, unusual bleeding or discharge, thickening of a lump, Indigestion, orthostatic hypotension, nagging cough that will not go away D. Change in bowel/bladder, a sore that does not heal, unusual bleeding or discharge, tinnitus, Indigestion, obvious change (warts or moles), nagging cough that will not go away

A. Change in bowel/bladder, a sore that does not heal, unusual bleeding or discharge, thickening of a lump, Indigestion, obvious change (warts or moles), nagging cough that will not go away

A public health nurse lectures on smoking among adolescents. Which statement by a student indicates the teaching was successful? A. Cigarette smoking among adolescents is on the decline from previous generations B. Cigarette smoking is not considered a gateway drug to illicit drug use C. The children of parents who smoke are less likely to smoke cigarettes when they get older D. Cigarette smoking is the highest among high school athletes

A. Cigarette smoking among adolescents is on the decline from previous generations

A 12-year-old female patient is diagnosed with lupus. What information should the nurse include while providing education to the parents? Select all that apply: A. Encourage social activity so child can interact with peers her own age B. Increase exposure to direct sunlight in order to ensure patient has adequate Vitamin D C. Discuss body changes that might be trigged by hormonal changes that occur during puberty D. Homeschooling is not required E. Restrict as many social activities as possible F. Ensure child carries an extra EpiPen when she is not inside the house

A. Encourage social activity so child can interact with peers her own age C. Discuss body changes that might be trigged by hormonal changes that occur during puberty D. Homeschooling is not required Rationale: Patients with Lupus should decrease the amount of direct exposure they have to sunlight, there will be body changes that are triggered by hormonal changes during puberty, do not pull the child out of school, encourage social activities as long as they do not compromise care, and an EpiPen is used to treat a hypersensitivity reaction (not Lupus)

What are some medications a nurse should keep on hand while providing care for a patient with who has a history of anaphylaxis? Select all that apply: A. EpiPen B. Opioids C. Antihistamines D. Betablockers E. Corticosteroids F. Antiemetics

A. EpiPen C. Antihistamines E. Corticosteroids

A nurse interviews a male patient who was admitted to the ED for being unresponsive after consuming a large amount of liquor while at a birthday party. After the patient regains consciousness, he states, "Over the years, I have had to drink more just to get that 'good feeling' I used to be able to have with just two beers." What is the patient describing? A. His tolerance for alcohol has gone up over the years B. His tolerance for alcohol has probably remained the same but he feels the need to drink because of peer pressure C. His tolerance for alcohol has gone down over the years The patient is describing alcohol withdrawal syndrome

A. His tolerance for alcohol has gone up over the years

A nurse preceptor provides teaching to a new nurse on the medication Oxycodone (Percocet). Which statement by the student nurse indicates the teaching was not successful? A. If a patient is physically dependent on a substance, this mean they are addicted to the medication B. It is possible to have a physical dependence on this medication without being addicted to it C. There is always a risk for addiction and dependence with this medication D. Patients are at risk for respiratory distress if they are administered too high a dose of this medication

A. If a patient is physically dependent on a substance, this mean they are addicted to the medication

If a patient is being treated for severe alcoholism, what actions should the medical team take? A. Limit stimulus B. Bed is lowest to the floor C. Initiate seizure precautions D. Put all four side rails up E. Monitor for delirium tremens F. Initiate fall precautions

A. Limit stimulus B. Bed is lowest to the floor C. Initiate seizure precautions E. Monitor for delirium tremens F. Initiate fall precautions

A patient with leukemia is prescribed a combination of medical treatments. Which medications will be included in the treatment plan? Select all that apply: A. Methotrexate B. Epogen C. Rifampin D. Cytarabine E. Hydrocortisone F. Mesnex

A. Methotrexate D. Cytarabine E. Hydrocortisone Rationale: There is a specific reason this medication is given. It is used prophylactically to prevent CNS leukemia

A patient's lab results reveal his platelets are less than 150,000. Which medication is the HCP most likely to administer? A. Neumega B. Epogen C. Mesnex D. Neupogen

A. Neumega

A nurse notices the caregiver of a patient with dementia displays poor hygiene during a meeting. The caregiver confesses that she is losing sleep, always exhausted, and running out of options on how to care for the patient. How should the nurse respond? A. Offer resources B. Recommend therapy for the caregiver C. Remain silent because this matter is not within the nurse's scope practice D. Educate the patient on how she can employ better coping strategies

A. Offer resources

A nurse works on a psychiatric unit. At shift change, the nurse assumes care of a patient who has a history of acting out violently. What are some signs the nurse should be on the lookout for? A. Pacing B. Rigid posture while clinching jaw C. Sleepiness D. Narrowed eye while starring at a person E. Restlessness F. Crying

A. Pacing B. Rigid posture while clinching jaw D. Narrowed eye while starring at a person E. Restlessness

A 35-year-old female patient has breast cancer. Her initial treatment plan includes months of chemotherapy. The HCP anticipates she will experience alopecia. What recommendations should the nurse make to the patient before starting her chemo regimen? Select all that apply: A. Provide resources for purchasing a wig B. Assess for psychosocial implications after the patient starts to lose her hair C. Provide resources for the patient to attend support groups D. Instruct the patient to wear a hat or scarf when going outside E. Explain to the patient that her hair will completely grow back with the same color and texture F. Educate patient on why she needs to protect against scalp injury

A. Provide resources for purchasing a wig C. Provide resources for the patient to attend support groups D. Instruct the patient to wear a hat or scarf when going outside F. Educate patient on why she needs to protect against scalp injury Rationale: Psychosocial factors and safety measures are both very important when providing care to cancer patients. This is perhaps even more crucial with female patients who have breast cancer. However, ensuring safety measures takes priority over the psychosocial measures.

What populations are at a higher risk of contracting tuberculosis (TB)? Select all that apply: A. Travelers B. People who live alone C. People with a positive HIV status D. Prisoners E. People who live in dormitories F. The elderly G. Nurses who work around infectious diseases and correctly wear PPE

A. Travelers C. People with a positive HIV status D. Prisoners E. People who live in dormitories

A nurse has completed an assessment on four different patients who are being treated for Rheumatoid Arthritis (RA). Which patient should the nurse reassess first? A. A patient who reports difficulty getting up in the morning B. A patient who reports a new pain and describes her joint as red, hot, and swollen C. A patient who reports ambulating very slowly D. A patient who reports a sensation of "pins and needles" in the same area as before

B. A patient who reports a new pain and describes her joint as red, hot, and swollen

A nurse cares for a 7-year-old female patient who has sickle cell anemia disease. Upon her admission to the clinic, the patient rated her pain as a 4 on the Faces Scale. Two hours later, she rates her pain as a 7 on the "Faces Scale." Her input/output includes 40 mL and her O2 status is 94%. The nurse suspects the patient is experiencing a sickle cell crisis. What action should the nurse take first? A. Notify the physician B. Administer IV fluids (standing order) C. Reassess the patient's pain level D. Order a STAT MRI

B. Administer IV fluids (standing order) Rationale: The priority actions the nurse should take while caring for a a patient who is in a sickle cell crisis, involve "hydration, pain, and oxygenation." In this case, the patient's pain level has already been reassessed and her O2 status is normal. However, her input/output is well below 60 mL (30 mL per hour) and there is already a standing order for IV fluids. In this case, it is necessary to administer the fluids before notifying the HCP.

A chemotherapy patient states they are experiencing extreme fatigue every time they receive chemotherapy. What are some interventions the patient's nurse can implement to accommodate the patient? Select all that apply: A. Only meet with the patient one time during the day B. Allow patient time to rest C. Spread care throughout the day D. Prioritize each episode of care E. Honor their sleep schedule as much as possible F. Consolidate all care to the early morning hours

B. Allow patient time to rest C. Spread care throughout the day D. Prioritize each episode of care E. Honor their sleep schedule as much as possible

After providing patient teaching on expected chemotherapy side effects, what statement by the patient indicates the teaching was successful? Select all that apply: A. Anaphylaxis B. Alopecia C. Confusion (known as chemo brain) D. Nausea & vomiting E. Angioedema F. Dementia G. Permanent hair loss

B. Alopecia C. Confusion (known as chemo brain) D. Nausea & vomiting

What does sickle cell anemia cause? Select all that apply: A. A decrease in the viscosity of the blood B. An increase in destruction of red blood cells C. A decrease in the amount of oxygenated blood D. An increase in the viscosity of the blood

B. An increase in destruction of red blood cells C. A decrease in the amount of oxygenated blood D. An increase in the viscosity of the blood

This condition is considered the most severe form of Type 1 Hypersensitivity. A. Malaise B. Anaphylaxis C. Angioedema D. Conjunctivitis

B. Anaphylaxis

A patient performs an assessment on a patient and observes the patient as having a swollen face and laryngeal edema. What is the patient most likely suffering from? A. Respiratory distress B. Angioedema C. Anaphylaxis D. Jaundice

B. Angioedema

Which gene is most associated with increasing a person's risk for breast cancer? A. BRAF B. BRCA C. HLA D. CDKN2A

B. BRCA Rationale: BRCA 1 & 2 gene alterations indicate a major risk for breast cancer. BRAF and CDKN2A gene alterations indicate a patient is at an increased risk for melanoma. HLA gene mutation indicates a patient is at a greater risk for Rheumatoid Arthritis (RA).

A chemotherapy patient is suspected of having myelosuppression. What signs and symptoms alert the nurse that the patient may be suffering from myelosuppression? Select all that apply: A. Excessive alertness B. Bleeding around the gums C. Butterfly rash D. Pink or red-tinged urine E. Epistaxis F. WBC of 8,500 - 9,000

B. Bleeding around the gums D. Pink or red-tinged urine E. Epistaxis Rationale: Myelosuppression involves destruction of RBCs, which causes a decrease in platelets and therefore a risk for bleeding; epistaxis means nosebleeds

In the last 6 weeks, a 4-year-old girl has checked into the hospital multiple times. Her WBC is severely elevated, and the HCP suspects she may have leukemia. What test does the nurse anticipate the HCP ordering? A. MRI scan B. Bone marrow aspiration C. Chloride sweat test D. A breast biopsy

B. Bone marrow aspiration

A patient comes in contact with poison ivy. What type of medication class should the nurse anticipate the HCP ordering? A. Antiemetic B. Corticosteroids C. Antihistamines D. Benadryl

B. Corticosteroids Rationale: This is a type 4 sensitivity and will require corticosteroids

A pediatric patient appears to have stomatitis and is slightly underweight. What teaching should the nurse include when educating the parents? A. Make the child only eat foods that are hot B. Do not force the child to eat food C. Try to trick the child into eating vegetables D. Recommend the child only eat cold foods

B. Do not force the child to eat food

A 42-year-old male patient with a history of alcoholism has been prescribed Disulfiram (Antabuse). What information is most important for the nurse to convey to both the patient and his wife? A. Only take medication when the patient relapses B. Do not take this medication while consuming alcohol C. This medication can be taken anytime during the day because it has no other drug interactions D. This medication will be administered through the PO route

B. Do not take this medication while consuming alcohol

A patient has a low hemoglobin. What medication is the HCP likely to order? A. Neumega B. Epogen C. Mesnex D. Neupogen

B. Epogen

Why is Benadryl not used to treat a patient, with bipolar disorder, who is suffering from a rash they obtained after being exposed to poison ivy? A. Patient could be at risk for respiratory distress B. Histamine is not the issue with poison ivy C. Benadryl works too slowly D. Benadryl might cause a manic episode for the patient

B. Histamine is not the issue with poison ivy Rationale: Poison ivy is a Type 4 hypersensitivity reaction and corticosteroids will need to be used

Which type of antibody is associated with a type 1 allergic reaction? A. IgG B. IgE C. IgM D. IgA

B. IgE

A graduate nurse and their preceptor assess a kidney transplant patient. The patient asks what is the purpose of being on immunosuppressants? How should the nurse or preceptor respond? A. Immunosuppressants elevate WBCs B. Immunosuppressants help prevent the body from rejecting the new organ C. Immunosuppressants reduce allergic reactions D. Immunosuppressants increase RBCs

B. Immunosuppressants help prevent the body from rejecting the new organ

A 50-year-old patient seeks care at a dermatology clinic because of some yellowish spots that have formed on their forehead. The patient wants to know what they can do to protect against skin cancer. What should the nurse recommend? A. Schedule yearly appointments with a dermatologist B. Keep a body map to and record any changes C. Have a full body MRI scan every 5 years D. Only wear sunscreen between the hours of 11AM - 3PM

B. Keep a body map to and record any changes Rationale: The body/lesion map will help the patient monitor for changes on their skin. Sunscreen should always be worn, and sun exposure should be avoided between the hours of 11AM - 3PM. Scheduling yearly visits with a dermatologist may be necessary but does not constitute as "self-monitoring," which should always be encouraged. Scheduling MRI scans are not the most effective way to monitor for cancer that originates in the skin.

A 32-year-old male patient states he is allergic to avocados and strawberries. What other substance should the nurse make sure the patient does not common in contact with? A. CT scans because of iodine B. Latex gloves C. MRI scans because of gadolinium D. Hand sanitizers

B. Latex gloves Rationale: Strawberries, bananas, nuts, and avocados put a patient at a higher risk for latex allergies. A shellfish allergy indicates an iodine allergy

A nurse provides education to the parents of a pediatric patient with sickle-cell anemia. What should be included in the teaching? Select all that apply: A. Prevent child from playing outdoors B. Monitor child's temperature C. Ensure child stays hydrated D. Monitor RR E. Fatigue and pain are normal and do not require immediate medical attention F. Encourage the child to partake in stressful situations

B. Monitor child's temperature C. Ensure child stays hydrated D. Monitor RR

A patient receives several doses of an antihistamine and states they feel "very drowsy." What is the highest priority for this patient? A. Monitor Low platelets B. Protect against fall risk C. Monitor for dehydration D. Assess for hypotension

B. Protect against fall risk

A patient is suspected of having a basal cell carcinoma. What diagnostic test is the HCP most likely to order? A. MRI scan B. Punch biopsy C. Complete blood count (CBC) D. A full body scan assessment

B. Punch biopsy

Why is it most important to teach adolescents not to start smoking? A. Smoking increases the risk of teen suicide B. Smoking is a gateway to trying other substances C. Smoking is known to increase violence among teens D. Smoking is known to increase depression among teenagers

B. Smoking is a gateway to trying other substances

What protocol should nurses always follow when providing care to patients with a positive HIV status? A. Isolation precautions B. Standard precautions C. Wear personal protective equipment D. N-95 mask

B. Standard precautions

A nurse realizes a 22-year-old female patient was readmitted to hospital. The woman was previously admitted because she suffered from interpersonal violence. What should the nurse establish before asking if the woman is still suffering from physical abuse? A. Conduct a physical assessment before asking if the patient has experienced any physical abuse B. The nurse should determine if there is enough trust established between them and the patient before investigating further C. Determine if the patient still lives with their abuser D. Ensure the authorities have already been involved

B. The nurse should determine if there is enough trust established between them and the patient before investigating further

A nurse is instructed to monitor a patient who has been placed in restraints. What is the first sign that indicates the restraints are too tight? A. Cyanosis B. The patient states there is a tingling feeling in their hand C. The patient complains about the restraints D. The patient starts crying

B. The patient states there is a tingling feeling in their hand

A nurse practitioner reviews "physical dependence" with a graduate nurse before performing an assessment on a patient who is being treated for alcoholism. The patient has been sober for 48 hours. What statement(s) by the graduate nurse indicates they have a good understanding of this concept? Select all that apply: A. The patient is not likely to be experiencing withdrawal symptoms by this time B. The patient will have an involuntary response to their withdrawal status C. The patient should be restrained D. The patient should be introduced to lots of stimuli so they will be distracted during their withdrawal

B. The patient will have an involuntary response to their withdrawal status

A nurse provides care to 6-year-old female patient with a positive HIV status. While reviewing child's medications with her parents, her mother asks, "Why does she need so many anti-viral medications? What is the purpose?" How should the nurse respond? A. To cure her HIV status B. To suppress the virus from replicating, which stops the progression of the disease C. To destroy the HIV positive blood cells D. To eradicate any bacterial infections that may be present

B. To suppress the virus from replicating, which stops the progression of the disease Rationale: The primary objective for the healthcare team is prevent the child from going from HIV to AIDs (stop the virus from replicating)

A nurse administers penicillin to a patient who appears to be suffering from a hypersensitivity reaction. What type of hypersensitivity reaction does the nurse fear the patient has suffered from? A. Type 1 B. Type 2 C. Type 3 D. Type 4

B. Type 2

A patient receives a blood transfusion and appears to be having a reaction. What type of hypersensitivity reaction has the patient suffered from? A. Type 1 B. Type 2 C. Type 3 D. Type 4

B. Type 2 Rationale: A blood transfusion is good example of a type 2 hypersensitivity reaction. This is why a Type and Screen needs to be performed on a patient prior to receiving the transfusion.

A 29-year-old male patient with a history of alcoholism has been prescribed Disulfiram (Antabuse). His girlfriend tells the nurse he gets "extremely sick" (nausea and vomiting) every time he takes the medication. She says all forms of alcohol (beer, wine, and liquor) have been removed from their house. Furthermore, "his license has been revoked and his keys have been confiscated. He is not able to drive to a liquor store." How should the nurse respond? A. Explain to the nurse that nausea and vomiting are normal side effects of this medication but will eventually subside B. Tell the girlfriend that he probably has other means of transportation to the liquor store C. Ask the girlfriend to consider other sources of alcohol such as mouthwash, hand sanitizer, or other products that may be in their house D. Explain to the girlfriend he might have an allergic reaction to the medication and his HCP will be notified

C. Ask the girlfriend to consider other sources of alcohol such as mouthwash, hand sanitizer, or other products that may be in their house Rationale: Check all liquid forms of medications (read labels), look for fumes, or even cleaning agents because these substances may contain alcohol

A 12-year-old male patient is admitted to the ED after suffering a bee sting and he tells the triage nurse he "is really allergic to bees." The triage nurse observes hives and facial swelling on the patient. What are some symptoms that would indicate this patient is experiencing anaphylaxis? Select all that apply: A. Dehydration B. Widening of the throat C. Bronchoconstriction D. Increased cardiac output E. Blood vessel dilation F. Decreased cardiac output G. Hypertension

C. Bronchoconstriction D. Increased cardiac output E. Blood vessel dilation Rationale: Symptoms also include swelling of the throat, increased heart rate, low blood pressure (hypotension), and facial swelling. Hives (rash) and facial swelling are likely to be earlier signs

Which assessment finding is the biggest indicator of Lupus? A. Priapism B. Bleeding around the gums C. Butterfly rash D. Pink or red-tinged urine

C. Butterfly rash Rationale: The butterfly rash occurs around the cheeks and nose

A 25-year-old female patient requested an HIV blood test because she has had multiple, consensual sexual partners and does not use protection. Her test comes back negative and the patient is both relieved and excited. What should the nurse include in the patient's care? A. Ask the patient why she has so many different partners B. Inform the patient that the test will have to repeated before her negative status can be confirmed C. Educate the patient to start using protection during future sexual encounters D. Assess the patient for depression

C. Educate the patient to start using protection during future sexual encounters Rationale: The nurse should discuss primary preventions for this patient. The patient is not the victim of a sex crime and therefore does not need to be assessed for depression. It is not appropriate to inquire about the number of sexual partners she has had and the ELISA does not have to be repeated

If a patient is the victim of interpersonal violence (IPV), what priority action should nurse take? A. Notify the police B. Call the person who is causing the abuse C. Ensure the patient has the necessary resources to leave their home D. Ask the patient why they think they are being abused

C. Ensure the patient has the necessary resources to leave their home

A patient is at risk for bladder toxicity. Which medication is the HCP likely to order? A. Neumega B. Epogen C. Mesnex D. Neupogen

C. Mesnex

A rheumatology nurse suspects a patient has Sjogren's syndrome. What assessment findings lead the nurse to reach this conclusion? A. Patient complained of pain and fatigue B. Patient has butterfly rash C. Patient has dry mucous membranes around the eyes and mouth D. Patient has skin lesions

C. Patient has dry mucous membranes around the eyes and mouth

Which medication is most likely going to be prescribed to a patient who has TB? A. Oxycodone (Percocet) B. Disulfiram (Antabuse) C. Rifampin (Rifadin) D. Phenazopyridine (Pyridium)

C. Rifampin (Rifadin) Rationale: Rifampin (Rifadin) is used to treat TB. An important side effect includes orange bodily fluids. Disulfiram (Antabuse) is used to treat alcoholism. Oxycodone (Percocet) is used to treat mild to severe pain. Phenazopyridine (Pyridium) is used to treat UTIs and one of its side effects is orange-colored urine

A male patient is who has a history of anaphylaxis is instructed to inject his EpiPen every time he suffers a severe allergic reaction. What action should he take after successfully injecting the EpiPen? A. The patient should immediately lie down and rest B. The patient should continue to ambulate C. The patient should seek follow-up care even if his symptoms subside D. The patient should inject his second EpiPen about 12 hours later

C. The patient should seek follow-up care even if his symptoms subside

The parents of a 4-year-old boy, who has sickle cell anemia disease, ask the nurse what the best action is they can take to prevent him from having a sickle-cell-crisis. How should the nurse respond? A. Prevent outdoor activities B. Try to avoid social interactions C. Try to avoid stressful situations D. Try not wear too many layers of clothing on a chilly day

C. Try to avoid stressful situations

After receiving penicillin, a 45-year-old patient begins suffering from serum sickness. What type of reaction does he appear to be suffering from? A. Type 1 B. Type 2 C. Type 3 D. Type 4

C. Type 3

A nursing professor provides teaching on sickle cell anemia. What student response tells the instructor the teaching was comprehended? A. "The number of WBCs (leukocytes) are reduced and unable to fight off illnesses." B. "A number of RBCs are enlarged and carries too much oxygen throughout the body." C. "A virus that can be either sexually transmitted or through a blood transfusion and causes the body to attack its own immune system." D. "A number of RBCs are misshaped and less able to carry oxygen throughout the body."

D. "A number of RBCs are misshaped and less able to carry oxygen throughout the body."

A nursing instructor provides teaching on how allergies are related to inheritance. Which statement by the student nurse indicates adequate comprehension of the material? A. "Allergic tendencies are not inherited, and neither are specific allergies." B. "Allergic tendencies are not inherited but specific allergies are inherited." C. "Allergic tendencies are inherited as are specific allergies." D. "Allergic tendencies are inherited but specific allergies are not inherited."

D. "Allergic tendencies are inherited but specific allergies are not inherited."

A nurse conducts the CAGE questionnaire on a 40-year-old male patient who is suspected of all alcoholism. The patient answers "yes" to all five of the questions. What statement by the patients indicates he is in denial? A. "I have been trying to quit but it is so difficult." B. "Both of my parents were alcoholics and I think that had an impact on me." C. "I believe my family still cares for me despite my alcoholism." D. "I know I can quit easily and at any time."

D. "I know I can quit easily and at any time."

A 55-year-old female patient arrives at an outpatient oncology clinic for her second round of chemotherapy. The first time the patient received chemotherapy she complained of severe nausea and vomiting that lasted several hours after the infusion. What intervention should the nurse use before the patient has her second dose of therapy? A. Explain to the patient these are normal side effects of chemotherapy B. Offer the pill form of chemotherapy because there are less side effects when chemotherapy is administered the PO route C. Administer an antiemetic during the patient's chemotherapy session D. Administer an antiemetic 1 hour prior to the start of her infusion time

D. Administer an antiemetic 1 hour prior to the start of her infusion time

A lupus patient is having an acute exacerbation. What should be included in the patient's treatment plan? A. Administer antihistamine B. Administer opioids C. Administer antibiotics D. Administer corticosteroids

D. Administer corticosteroids

Which population is at the highest risk for lupus? A. African American men B. Caucasian women C. Caucasian men D. African American women

D. African American women Rationale: this usually occurs during child-bearing years (20 - 40 years of age)

An 8-year-old male patient with leukemia receives chemotherapy intravenously. What complication does the nurse need to monitor against? A. A slight increase in temperature 99 degrees Fahrenheit B. Jaundice C. Fatigue D. Extravasation

D. Extravasation Rationale: Assess the site every hour to ensure there is no sign of extravasation

A 4-year-old child with Leukemia receives chemotherapy. Which vaccine is the nurse most concerned with child receiving? A. DTAP (pertussis) B. IPV (polio) C. Hib vaccine (Flu) D. MMR (mumps, measles, rubella)

D. MMR (mumps, measles, rubella) Rationale: The rubella might be contraindicated

A patient has a low WBC count. Which medication is the HCP most likely to prescribe? A. Neumega B. Epogen C. Mesnex D. Neupogen

D. Neupogen

A nurse preceptor overhears another nurse refer to a patient, who is HIV positive, as the "AIDS guy." How should the nurse preceptor convey to their colleague that this type of language is unprofessional? A. Call the patient out in front of their peers B. Write an incident report C. Notify the nurse manager D. Pull the nurse aside and speak to them privately

D. Pull the nurse aside and speak to them privately

A patient with Rheumatoid Arthritis is prescribed Etanercept (Enbrel). How is this medication administered? A. IM medication once a week B. Intravenous injection PRN C. PO before patient's breakfast D. Subcutaneous Injection twice a week

D. Subcutaneous Injection twice a week Rationale: Patient teaching should include a return demonstration from the patient to ensure the teaching was successful

A 40-year-old male patient has received treatment for alcoholism and successfully completed a rehab program. While meeting with the patient's wife, what should nurse prepare her for? A. Relapses are very unlikely B. It is okay to keep alcohol in the house C. The recovery will only last a few years D. The patient will probably require new a new coping mechanism

D. The patient will probably require new a new coping mechanism

A nurse administers Rifampin (Rifadin) to a patient with a confirmed case of Tuberculosis (TB). What important information should be included in the patient teaching? A. This medication will only the turn the patient's urine to an orange color B. This medication will cause white, clay-like stools C. This medication may make the patient's urine appear cloudy or red-tinged D. This medication will turn all bodily fluids to an orange color

D. This medication will turn all bodily fluids to an orange color Rationale: this medication will give all bodily fluids an orange-colored appearance. This includes the tear ducts which can compromise a patient's vision if they are wearing a soft contacts lenses (the lenses will be stained with on orange tint). In addition, a patient's bed sheets and pillowcases may also turn orange, too.

A patient who was recently diagnosed with tuberculosis (TB) asks how he most likely contracted the bacterial disease? The patient discusses what he normal eats and drinks. Which beverage stands out to the nurse as a possible cause for TB? A. Alcohol B. Orange juice C. Coffee D. Unpasteurized milk

D. Unpasteurized milk