ATI Immune System Test
A nurse is instructing a client how to self-administer enfuvirtide. Which of the following instructions should the nurse include? A. "Allow the vial to sit until the solution is completely clear and without particulates." B. "After reconstituting with sterile water, vigorously shake the vial to mix the solution." C. "Use the medication immediately upon removing from the refrigerator." D. "Use the same location for five injections before rotating to a new site."
A
A nurse is teaching a client about immunizations. Which of the following information should the nurse include about the teaching? A. "You should receive a tetanus booster every 10 years." B. "You should not receive the influenza immunization if you have a common cold." C. "You do not have to receive the shingles vaccine if you have received two doses of the varicella virus vaccine." D. "As long as you don't have risk factors, you will start receiving the pneumococcal vaccine when you are 50 years old."
A
A nurse is teaching a client about recommended immunizations. Which of the following immunizations should the nurse recommend the client receive starting at 50 years of age? A. Herpes zoster vaccine B. Human papillomavirus vaccine (HPV) C. Pneumococcal vaccine D. Haemophilus influenzae type B vaccine (Hib)
A
A nurse is teaching a client who has a new diagnosis of breast cancer about the drug tamoxifen. The nurse should tell the client that which of the following conditions is a contraindication for taking tamoxifen? A. Deep-vein thrombosis B. COPD C. Diabetes mellitus D. Alcohol use disorder
A
A nurse is teaching a guardian of a child about the recommended age range to receive the human papillomavirus (HPV) vaccine. Which of the following age ranges should the nurse include? A. 11 to 12 years old B. 7 to 9 years old C. 13 to 15 years old D. 15 to 17 years old
A
A nurse is teaching the guardian of a 4- month- old infant about recommended immunizations for the infant. Which of the following immunizations should the nurse include? A. Haemophilus influenzae type B vaccine (Hib) B. Varicella vaccine C. Meningococcal conjugate vaccine (MCV4) D. Tetanus-diphtheria-acelluar pertussis vaccine (Tdap)
A
A nurse is teaching a client about maraviroc. Which of the following instructions should the nurse include? A. "It is important to report any noticeable rash immediately as it might indicate an issue with your liver." B. "Make sure you take this medication without any other medications first thing in the morning." C. "You might experience flu-like symptoms for which you can take any over-the-counter medication." D. "The side effects of this medication are minimal, so you can continue to work and drive as normal."
A Hepatic injury can manifest as a rash in clients who take maraviroc and should be reported to the provider regardless of how mild it appears.
A nurse is caring for a client who has a new prescription for delavirdine therapy to treat HIV-1. The nurse should instruct the client to report which of the following adverse reactions to this drug? A. Rash B. Insomnia C. Rhinitis D. Alopecia
A The nurse should instruct the client to report a rash, which can occur 1 to 3 weeks after therapy, because it can develop into Stevens-Johnson syndrome, a potentially life-threatening complication.
A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a child. The nurse should recognize that the MMR vaccine provides which of the following types of immunity? A. Artificial active immunity B. Active C. Passive D. Artificial passive immunity
A The nurse should recognize that the MMR vaccine provides artificial active immunity to the child. A vaccine contains a form of the disease that is live, attenuated, or killed, which will allow the body to build up an active immunity against the disease.
A nurse is caring for a client who is prescribed zidovudine. Which of the following laboratory values should the nurse report to the provider? A. Hemoglobin 7.1 g/dL B. RBC count 5.2/mm3 C. Neutrophil 57% D. Triglycerides 125 mg/dL
A The provider might consider dose reduction, discontinuation of therapy, or blood transfusions if the client's hemoglobin is less than 7.5 g/dL or has a reduction of greater than 25% from baseline.
A nurse is considering drug therapy options for a client who has metastatic breast cancer that is positive for human epidermal growth factor receptor 2 (HER2). Which of the following drugs should the nurse expect the provider to prescribe? A. Trastuzumab B. Imatinib C. Leuprolide D. Flutamide
A Trastuzumab, a monoclonal antibody and a pregnancy risk category D drug, treats and helps control the cell growth of metastatic breast cancer with tumors that overexpress HER2. This form of breast cancer accounts for up to 30% of metastatic breast tumors.
A nurse is caring for a client who is receiving vincristine to treat lung cancer. The nurse should monitor the client and recognize which of the following manifestations as an indication that the client is experiencing an adverse reaction to the drug. A. Weak hand grasps B. Constricted pupils C. Bradycardia D. Crackles
A Vincristine, a vinca alkaloid, can cause peripheral neuropathy. The nurse should monitor deep-tendon reflexes and the strength and movement of the hands and feet. The nurse should instruct the client to report paresthesia or reduced sensation in the hands or feet.
A nurse is assessing a client following trastuzumab infusion to treat metastatic breast cancer. Which of the following should the nurse recognize as an indication that the client is experiencing an adverse reaction to the drug. (Select all that apply). A. Wheezing B. Dysrhythmias C. Hypotension D. Fever E. Ascites
A, B, C, D
A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. The nurse should instruct the client to report which of the following adverse effects? (Select all that apply) A. Paresthesia B. Sore throat C. Flank pain D. Tinnitus E. Conjunctivitis
A, B, C, D
A nurse is preparing a client who has a new prescription for maraviroc therapy. The nurse should instruct the client to report which of the following adverse effects. (Select all that apply). A. Paresthesia B. Cough C. Tinnitus D. Jaundice E. Fever
A, B, D, E
A nurse is teaching a client who has a new prescription for mercaptopurine to treat leukemia. Which of the following instructions should the nurse include? (Select all that apply). A. Use contraception if pregnancy is a risk. B. Perform oral hygiene frequently. C. Avoid activities that require mental alertness. D. Perform hand hygiene frequently. E. Avoid activities that can cause injury.
A, B, D, E
A nurse is preparing to administer enfuvirtide to a client. Which of the following actions should the nurse plan to perform. (Select all that apply). A. Administer the drug subcutaneously. B. Discard the unused portion. C. Roll the vial gently to reconstitute the solution. D. Inject the solution at room temperature. E. Expect a cloudy solution.
A, C, D
A nurse is preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should the nurse take. (Select all that apply). A. Give the client an antihistamine. B. Infuse the drug over 1 hr. C. Administer the drug through non-PVC tubing. D. Use an in-line filter. E. Add heparin to the paclitaxel solution.
A, C, D
A nurse is teaching a client who has a new prescription for imatinib to treat chronic myeloid leukemia. Which of the following instructions should the nurse include? (Select all that apply). A. Clean fruits and vegetables thoroughly. B. Increase calcium intake. C. Weigh yourself daily. D. Perform hand hygiene frequently. E. Avoid grapefruit and grapefruit juice.
A, C, D, E
A nurse should recognize that enfuvirtide can be prescribed to clients who have which of the following conditions? A. Advanced prostate cancer B. Primary brain tumors C. Advanced HIV D. Metastatic ovarian cancer
C Enfuvirtide, a fusion inhibitor, treats HIV that is advanced or resistant to other types of treatment.
A nurse is caring for a client who has a new prescription for topotecan therapy to treat resistant, small-cell lung cancer. The nurse should advise the client against taking which of the following types of over-the-counter drugs while receiving the therapy? A. Folic acid B. St. John's wort C. Ibuprofen D. Aluminum hydroxide
C NSAIDs, anticoagulants, and antiplatelet drugs increase the client's risk for bleeding while receiving topotecan, a topoisomerase inhibitor. The nurse should advise the client against taking aspirin, ibuprofen, and other NSAIDs during therapy.
A nurse is caring for a client who has a new prescription for ritonavir and zidovudine therapy to treat HIV-1. The nurse should inform the client that zidovudine is prescribed with ritonavir for which of the following reasons? A. To prevent an infusion reaction B. To increase platelet production C. To protect healthy cells from the toxic effects of ritonavir D. To prevent drug resistance
D
A nurse should recognize that maraviroc is used in the treatment of which of the following conditions? A. Diabetes mellitus B. Meningeal infection C. Pancreatitis D. Chemokine receptor 5 (CCR5)-tropic HIV-1
D
A nurse is caring for a client who has a new prescription for intrathecal cytarabine therapy to treat meningeal leukemia. The nurse should inform the client that they will also receive which of the following drugs to reduce the risk of neurotoxicity? A. Diphenhydramine B. Leucovorin C. Folic acid D. Dexamethasone
D Clients who have a prescription for the intrathecal form of cytarabine should also receive dexamethasone, a glucocorticoid, to help decrease the inflammation of the arachnoid that the drug can cause. IV dexamethasone reduces the client's risk for neurotoxicity.
A nurse should recognize that raltegravir is used to treat clients who have which of the following conditions? A. Hairy cell leukemia B. Thyroid cancer C. Kaposi's sarcoma D. Resistant HIV
D Raltegravir, an integrase inhibitor, along with other antiretroviral drugs, treats HIV that is resistant to other drugs.