When scheduling a patient for skin testing for allergies, which information is most important for the allergy clinic nurse to include in patient teaching?
a. avoid taking antihistamine before skin testing b. skin testing may be done with an intradermal injection c. swelling and itching may occur a...
NUR 334 Exam 1 Book Questions and
Correct Answers
When scheduling a patient for skin testing for allergies, which information is most
important for the allergy clinic nurse to include in patient teaching?
a. avoid taking antihistamine before skin testing
b. skin testing may be done with an intradermal injection
c. swelling and itching may occur at the site of the skin testing
d. patient will need to wait in the clinic for 20 minutes after the testing ✅a
Which finding will be most important for the nurse to report to the health care provider
about a patient who is taking prednisone chronically after an organ transplant?
a. multiple arm bruises
b. sodium level of 146 mEq/dL
c. blood glucose of 110 mg/dL
d. black-colored stool ✅d
When the occupational health nurse is teaching unlicensed assistive personnel (UAP)
about blood borne pathogen exposure and human immunodeficiency virus (HIV) risk,
which information is most important to emphasize?
a. occupational transmission of HIV from patients to health care workers is relatively
rare
b. occupational exposure to HIV-containing fluids should be reported immediately to the
supervisor
c. treatment for occupational exposure to HIV may include use of antiretroviral
medications
d. post exposure treatment will include HIV testing at baseline and at several intervals
after the exposure ✅b
A patient in the allergy clinic who has a rash has received diphenhydramine 50mg PO.
Which patient information is most indicative of a need for action by the nurse?
a. the patient is preparing to drive home
b. the patient reports itching at the site of the rash
c. the patient has a history of constipation
d. the patient states "my mouth feels so very dry!" ✅a
After change-of-shift report, which newly admitted patient should the nurse assess first?
a. patient with human immunodeficiency virus (HIV) whose CD4 count is 45 cells/mcL
,b. a patient with acute kidney transplant rejection who has a scheduled dose of
prednisone due
c. a patient with graft-versus-host disease who has frequent liquid stool
d. a patient with hypertension who has angioedema after receiving lisonopril ✅d
A few minutes after the nurse has given an intradermal injection of an allergen to a
patient who is undergoing skin testing for allergies, the patient reports feeling anxious,
SOB, and dizzy. Which action included in the emergency protocol should the nurse take
first?
a. start oxygen at 6L/min using a face mask
b. obtain IV access with a large-bore IV catheter
c. give epinephrine 0.5mg intramuscularly
d. administer albuterol per nebulizer mask ✅c
The nurse is supervising a student nurse who is caring for a patient with HIV. The
patient has severe esophagitis caused by Candida albicans. Which action by the
student requires the most rapid intervention by the nurse?
a. putting on a mask and gown before entering the patient's room
b. giving the patient a glass of water after administering the prescribed oral nystatin
suspension
c. suggesting that the patient should order chile concarne or chicken soup for the next
meal
d. placing a "no visitors" sign on the door of the patient room ✅b
The nurse is evaluating a paitent with HIV who is receiving
trimethoprimsulfamethoxazole (TMP-SMX) as a treatment for Pneumocystis jiroveci
pneumonia. Which information is most important to communicate to the health care
provider?
a. the patient reports a blistering rash
b. the patient's fluid intake is 2L/day
c. the patient's potassium is 3.4 mg/dL
d. the patient enjoys spending time outside in the sun ✅a
The nurse is working with a patient who has a new diagnosis of HIV and who reports
current use of injectable heroin and methamphetamine. Which actions by the nurse are
appropriate? Select all that apply.
a. refer the patient to a substance abuse treatment program
b. plan for the patient to participate in a needle exchange program
c. coordinate the patient's schedule for directly observed antiretroviral drug treatment
d. instruct the patient that ongoing injectable drug use is a contraindication for
antiretroviral therapy
, e. provide patient education about the risk of transmitting HIV to others when sharing
needles ✅a, b, c, e
A patient with newly diagnosed AIDS has a 6-mm induration at 48 hours after a skin test
for TB. Which action will the nurse anticipate taking next?
a. arrange for a chest x-ray to check for active TB
b. tell the patient that the TB test results are negative
c. teach the patient about multidrug treatment for TB
d. schedule TB skin testing again in 12 months ✅
The nurse is working in a hospice facility for patients with AIDS. The facility is staffed
with LPNs/LVNs and unlicensed assistive personnel. Which action will the nurse assign
to the LPN/LVN?
a. assessing patient's nutritional needs and individualizing diet plans to improve nutrition
b. collecting data about the patients' responses to medications used for pain and
anorexia
c. developing UAP training programs about how to lower the risk of spreading infections
d. assisting patients with personal hygiene and other activities of daily living as needed
✅b
The nurse manager in a public health department is implementing a plan to reduce the
incidence of infection with HIV in the community. Which nursing action will be delegated
to unlicensed assistive personnel (UAP) working for the agency
a. supplying injection drug users with sterile injection equipment such as needles and
syringes
b. interviewing patients about behaviors that indicate a need for annual HIV testing
c. teaching high-risk community members about the use of condoms in preventing HIV
infection
d. assessing the community to determine which population groups to target for
education ✅a
A patient who has received a kidney transplant has been admitted to the medical unit
with acute rejection and is receiving IV cyclosporine and methylprednisolone. Which
staff member is best to assign to care for this patient?
a. RN who floated to the medical unit from the coronary care unit for the day
b. RN with 3 years of experience in the operating room who is orienting to the medical
unit?
c. RN who has worked on the medical unit for 5 years and working a double shift today
d. Newly graduated RN who needs experience with IV medication administration ✅c
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