Immune Function Practice Test NUR212

A nurse is caring for client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5% (D5W) over 2 hr by IV intermittent bolus. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

125 mL/hr

A nurse is preparing to teach about communicable diseases. During which of the following stages is the period in which a disease is contagious?

Communicability period

A nurse is reviewing the lab results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following lab values as an indication that the client has developed an infection?

WBC count

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions should the nurse take>

Wear clean gloves

A nurse is creating home instructions for a client who immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?

"I will avoid people who have just received an immunization"

A nurse is caring for a client who asks about the functions of the thymus, spleen, and lymph nodes. Which of the following responses should the nurse make?

"These organs support immunity"

A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?

"This test will confirm if your child had a recent streptococcal infection"

A nurse enters an older adult client's room to insert a saline lock. The client asks the nurse, " Why do I need that? I am drinking plenty of fluids" Which of the following responses should the nurse provide?

"Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours"

A nurse is creating the plan of care for a client who is immunosuppressed. Which of the following precautions should the nurse include in the plan? (Select all that apply) -Don a mask, gloves, and gown -Restrict visitors who have active infections -Limit the client from bathing daily -Instruct the client to eat cooked foods only -Dispose of all linen in the trash after use

-Don a mask, gloves, and gown -Restrict visitors who have active infections -Instruct the client to eat cooked foods only

A nurse is caring for a group of clients on a med-surg unit. Which of the following situations requires that the nurse wear gloves? (Select all that apply_ -Emptying urine from an indwelling urine collection bag -Providing oral care -Changing an ostomy pouch -Delivering a food tray to a client who has AIDS -Placing oral medication tablets into a client's hand

-Emptying urine from an indwelling urine collection bag -Providing oral care -Changing an ostomy pouch

A nurse is preparing to exit the room of a client who has methicillin-resistant Staphylococcus aureus (MRSA) in a draining wound. Identify the sequence the nurse should follow before leaving the client's room.

-Remove the gloves -Remove eyewear -Remove gown -Remove the face mask -Perform hand hygiene

A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococci infection. Available is clindamycin premixed in 50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

100 ml/hr 50ml/.5hr =100

A nurse in a community health center is assessing the results of a tuberculin skin test she performed for a client. Which of the following results indicates exposure to and a possible infection with (TB)?

15 mm induration

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following info should the nurse include in the teaching?

A typical course of treatment involves 6 to 9 months of consistent med use

A nurse is reviewing the lab results of an adolescent female client and notes a WBC count of 16,000/mm3 with increased immature neutrophils (bands) and normal monocytes. Which of the following is the appropriate analysis of the results?

An acute infectious process

A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?

Apply 4 to 5 mL of liquid soap to the hands

A nurse in the emergency room is assessing a client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?

Assess the cranial nerves

A clinical nurse educator is preparing an educational program about transmission of methicillin-resistant Staphylococcus aureus (MRSA) in hospitalized clients. Which of the following info should the nurse include in the program?

Bathe clients with water and chlorhexidine gluconate

A nurse is admitting a client who has a wound infected with vancomycin-resistant enterococci (VRE). Which of the following types of precautions should the nurse plan to initiate?

Contact

A nurse caring for a client who has an infected wound removes a dressing saturated with blood and purulent drainage. How should the nurse dispose of the dressing material?

Dispose of the dressing in a biohazardous waste container

A nurse is admitted a client who has pertussis. Which of the following types of transmission-bases precautions should the nurse initiate?

Droplet

A nurse in a community health clinic is administering seasonal inactive influenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following?

Eggs

A nurse is planning care for a female client who has T4 spinal cord injury and is at risk for acquiring UTI. Which of the following actions should the nurse include in the client's plan of care?

Encourage fluid intake at and between meals

A nurse is assessing a client who is skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?

Fever

A nurse is removing personal protective equipment (PPE) after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first?

Gloves

A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?

Initiate droplet precautions

A nurse in a clinic is collecting a history from a client who reports that a member of his family just received a diagnosis of pulmonary TB. The nurse should expect that the provider will prescribe which of the following diagnostic tests first?

Nucleic acid amplification test (NAAT)

A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to prevent the transmission of the client's infection?

Performing hand hygiene before, during, and after direct contact with the client

A nurse is planning care for a client who has manifestations of Clostridium difficile (C. difficile) infection. Which of the following actions should the nurse plan to take?

Place the client on contact precautions

A nurse is preparing to discharge a client who has an abdominal wound that is healing by secondary intention. Which of the following actions is the nurse's priority?

Schedule a follow-up visit by a home health nurse for dressing changes

A nurse is reviewing the medical record for a client who has a health care-associated infection (HAI). The nurse should identify which of the following findings as a risk factor fir acquiring an HAI?

The client is 71 years old

A nurse is assessing a client's immune function by reviewing the lab value of the cellular response of the T-cells. The nurse should recognize that which of the following conditions is affected by the T-cells?

Transplant rejection

A nurse is planning care for a client who requires airborne precautions. Which of the following actions should the nurse take?

Wear an N95 respirator mask