Exam (elaborations)
IMMUNE NCLEX REVIEW QUESTIONS WITH COMPLETE ANSWERS
IMMUNE NCLEX REVIEW QUESTIONS WITH COMPLETE ANSWERS
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IMMUNE NCLEX REVIEW QUESTIONS
WITH COMPLETE ANSWERS
A eeclient eearrives eeat eethe eehealth eecare eeclinic eeand eetells eethe eenurse eethat eehe
eewas eejust eebitten eeby eea eetick eeand eewould eelike eeto eebe eetested eefor eeLyme
eedisease. eeThe eeclient eereports eethat eehe eeremoved eethe eetick eeand eeflushed eeit
eedown eethe eetoilet. eeThe eenurse eeshould eetake eewhich eenursing eeaction?
Refer eethe eeclient eefor eea eeblood eetest eeimmediately.
Ask eethe eeclient eeabout eethe eesize eeand eecolor eeof eethe eetick.
Tell eethe eeclient eeto eereturn eeto eethe eeclinic eein ee4 eeto ee6 eeweeks.
Inform eethe eeclient eethat eethe eetick eeis eeneeded eeto eeperform eea eetest. ee- eeAnswer
eeTell eethe eeclient eeto eereturn eeto eethe eeclinic eein ee4 eeto ee6 eeweeks
A eeclient eepresents eeat eethe eeprimary eehealth eecare eeprovider's eeoffice eewith
eecomplaints eeof eea eebulls-eye eerash eeon eehis eeupper eeleg. eeWhich eequestion
eeshould eethe eenurse eeask eefirst?
"Do eeyou eehave eeany eecats eein eeyour eehome?"
"Have eeyou eebeen eecamping eein eethe eelast eemonth?"
"Have eeyou eeor eeclose eecontacts eehad eeany eeflu-like eesymptoms eewithin eethe eelast
eefew eeweeks?"
"Have eeyou eebeen eein eephysical eecontact eewith eeanyone eewho eehas eethe eesame
eetype eeof eerash?" ee- eeAnswer eeHave eeyou eebeen eecamping eein eethe eelast eemonth?
The eenurse eeprovides eeeducation eeto eethe eestudent eeabout eethe eeprocess eeof
eephagocytosis. eeWhich eestatement eeby eethe eestudent eeindicates eesuccessful
eeteaching?
"It eeis eethe eefirst eestage eeof eeinflammation."
"It eeis eea eeprocess eeof eeblood eecell eeproduction."
"It eeis eea eeprocess eeof eeblood eecell eedestruction."
"It eeis eea eeprocess eeof eeingesting eeand eedestroying eeany eepotentially eeforeign
eematerials, eesuch eeas eegerms." ee- eeAnswer eeIt eeis eethe eeprocess eeof eeingesting
eeand eedestroying eeany eepotentially eeforeign eematerials, eesuch eeas eegerms
The eenursing eeinstructor eeasks eea eenursing eestudent eeto eedefine eethe eeprocess eeof
eephagocytosis. eeThe eenursing eeinstructor eedetermines eethat eethe eestudent eehas eean
eeaccurate eeunderstanding eeif eewhich eestatement eeis eemade?
"It eeis eethe eeinitial eereaction eein eethe eeinflammatory eeresponse."
"Phagocytosis eeis eerequired eefor eethe eeproduction eeof eeantibodies."
,"It eeis eewhen eea eeprotein eeis eeproduced eein eeresponse eeto eea eeviral eeinfection."
"It eeis eea eeprocess eeby eewhich eea eeparticle eeis eeingested eeand eedigested eeby eea
eecell." ee- eeAnswer eeIt eeis eea eeprocess eeby eewhich eea eeparticle eeis eeingested eeand
eedisgested eeby eea eecell
A eecomplete eeblood eecell ee(CBC) eecount eeis eeperformed eein eea eeclient eewith
eesystemic eelupus eeerythematosus ee(SLE). eeThe eenurse eewould eesuspect eethat
eewhich eefinding eewill eebe eenoted eein eethe eeclient eewith eeSLE?
Decreased eeplatelets eeonly
Increased eered eeblood eecell eecount
Increased eewhite eeblood eecell eecount
Decreased eenumber eeof eeall eecell eetypes ee- eeAnswer eeDecreased eenumber eeof eeall
eecell eetypes
A eenursing eeinstructor eeis eereviewing eeinformation eeon eethe eeorgans eeof eethe
eeimmune eesystem. eeThe eeinstructor eeasks eea eenursing eestudent eeto eename eethe
eelocation eeof eeKupffer eecells. eeWhich eeorgan eeidentified eeby eethe eenursing eestudent
eeindicates eesuccessful eeteaching?
The eeliver
The eespleen
The eetonsils
Bone eemarrow ee- eeAnswer eeThe eeliver
The eenurse eeis eeconducting eea eeteaching eesession eewith eea eeclient eeon eetheir
eediagnosis eeof eepemphigus. eeWhich eestatement eeby eethe eeclient eeindicates eethat
eethe eeclient eeunderstands eethe eediagnosis?
"My eeskin eewill eehave eetiny eered eevesicles."
"The eepresence eeof eethe eeskin eevesicles eeis eecaused eeby eea eevirus."
"I eehave eean eeautoimmune eedisease eethat eecauses eeblistering eein eethe eeepidermis."
"The eepresence eeof eered, eeraised eepapules eeand eelarge eeplaques eecovered eeby
eesilvery eescales eewill eebe eepresent eeon eemy eeskin." ee- eeAnswer eeI eehave eean
eeautoimmune eedisease eethat eecauses eeblistering eein eethe eeepidermis
An eeerythrocyte eesedimentation eerate ee(ESR) eedetermination eeis eeprescribed eefor eea
eeclient eewith eea eeconnective eetissue eedisorder. eeThe eeclient eeasks eethe eenurse
eeabout eethe eepurpose eeof eethe eetest. eeWhat eeshould eethe eenurse eetell eethe eeclient
eeabout eethe eepurpose eeof eethe eetest?
Determines eethe eepresence eeof eeantigens
Identifies eewhich eeadditional eetests eeneed eeto eebe eeperformed
Confirms eethe eediagnosis eeof eea eeconnective eetissue eedisorder
Confirms eethe eepresence eeof eeinflammation eeor eeinfection eein eethe eebody ee- eeAnswer
eeConfirms eethe eepresence eeof eeinflammation eeor eeinfection eein eethe eebody
A eeclient eecalls eethe eenurse eein eethe eeemergency eedepartment eeand eestates eethat
eehe eewas eejust eestung eeby eea eebumblebee eewhile eegardening. eeThe eeclient eeis
eeafraid eeof eea eesevere eereaction eebecause eethe eeclient's eeneighbor eeexperienced
, eesuch eea eereaction eejust ee1 eeweek eeago. eeWhich eeaction eeshould eethe eenurse
eetake?
Advise eethe eeclient eeto eesoak eethe eesite eein eehydrogen eeperoxide.
Ask eethe eeclient eeif eehe eeever eesustained eea eebee eesting eein eethe eepast.
Tell eethe eeclient eeto eecall eean eeambulance eefor eetransport eeto eethe eeemergency
eedepartment.
Tell eethe eeclient eenot eeto eeworry eeabout eethe eesting eeunless eedifficulty eewith
eebreathing eeoccurs. ee- eeAnswer eeAsk eethe eeclient eeif eehe eeever eesustained eea eebee
eesting eein eethe eepast
A eeclient eeis eediagnosed eewith eeGoodpasture's eesyndrome. eeThe eenurse eedetermines
eethat eethis eeclient's eerenal eedisease eeis eecaused eeby eea eetype eeII eehypersensitivity
eeresponse. eeWhich eelaboratory eeresult eewould eebe eemost eeimportant eefor eethe
eenurse eeto eeevaluate?
Urinalysis
Electrolytes
Glomerular eefiltration eerate ee(GFR)
Partial eethromboplastin eetime ee(PTT) ee- eeAnswer eeGFR
A eeCD4 eeT-cell eecount eeis eemeasured eein eea eeclient eenewly eediagnosed eewith
eehuman eeimmunodeficiency eevirus ee(HIV). eeIn eeplanning eecare, eethe eenurse
eeunderstands eethat eewhich eeis eeaccurate eeregarding eethe eeCD4 eeT-cell eecount?
eeSelect eeall eethat eeapply.
Falls eein eeresponse eeto eea eedeclining eeviral eeload
Is eea eeprimary eemarker eeof eeimmunocompetence
Plays eea eerole eein eethe eecell-mediated eeimmune eeresponse
Is eea eedirect eemeasure eeof eethe eemagnitude eeof eeHIV eereplication
Guides eedecision eemaking eeregarding eetiming eeof eeinitiation eeof eetreatment ee-
eeAnswer eeIs eea eeprimary eemarker eeof eeimmunocompetence
Plays eea eerole eein eethe eecell-mediated eeimmune eeresponse
Guides eedecision eemaking eeregarding eetiming eeof eeintiation eeof eetreatment
The eeclinic eenurse eereads eethe eechart eeof eea eeclient eejust eeseen eeby eethe eeprimary
eehealth eecare eeprovider ee(PHCP) eeand eenotes eethat eethe eePHCP eehas eedocumented
eethat eethe eeclient eehas eestage eeIII eeLyme eedisease. eeWhich eeclinical eemanifestation
eeshould eethe eenurse eeexpect eeto eenote eein eethis eeclient?
Generalized eeskin eerash
Cardiac eedysrhythmia
Complaints eeof eejoint eepain
Paralysis eeof eethe eeaffected eeextremity ee- eeAnswer eeComplaints eeof eejoint eepain
A eeclient eewith eeacquired eeimmunodeficiency eesyndrome eehas eebeen eestarted eeon
eetherapy eewith eezidovudine. eeThe eenurse eeassesses eethe eecomplete eeblood eecell
ee(CBC) eecount, eeknowing eethat eewhich eeis eean eeadverse eeeffect eeof eethis
eemedication?
Polycythemia