UCU - INFECTIOUS, INFLAMMATORY, IMMUNITY & NEUROLOGIC
DISORDERS, CARE OF CLIENTS WITH PHYSIOLOGIC AND
PSYCHOSOCIAL ALTERATIONS ACTUAL EXAM WITH REAL
QUESTIONS AND ANSWERS
1. The state or quality of being resistant to a particular infectious disease or
pathogen is:
A. Infectious (contagious, communicable)
B. Immunity (state of being resistant to disease or certain infections)
C. Inflammation (the body’s normal response to infection or injury)
D. Contagious (capacity to spread the infectious process)
2. 2. An infant of a mother infected with human immunodeficiency virus (HIV)
is seen in the clinic each month and is being monitored for symptoms
indicative of HIV infection. With knowledge of the most common
opportunistic infection of children infected with HIV, the nurse assesses the
infant for which sign?
Stage of HIY – AIDS – Immunosuppressed (opportunistic infections) = PCP
, 1. Cough - dry
2. Liver failure (Hepatitis)
3. Watery stool (Bacillary dysentery)
Nuchal rigidity (Meningitis) KERNIG’S, NECK STIFFNESS,
4.
OPSTHOTONOS,
BRUSZINSKI
3. 3. A 24-year-old is admitted to a medical unit with the diagnosis of * 1
point hepatitis A and placed in contact precautions. What is the primary goal
of this action?
1. To prevent transmission of infectious microorganisms
2. To control the environment of the patient
3. To protect the patient from infectious microorganisms
4. To protect only the family
,4. 4. The nurse is working in a clinical medical area with a census of 15. Each
patient has a different illness. When planning care, the nurse recognizes
which of the following as the most important action to provide protection to
each patient from health care-associated infections? NOSOCOMIAL
INFECTION
1. Wearing a gown
2. Placing each patient in isolation
3. Hand hygiene
4. Wearing gloves
5. 5. The oncology nurse cares for a group of clients receiving * 1 point
chemotherapy. The client with which sign/symptom is displaying bone
marrow suppression? Depletion of RBC, PLATELETS, WBC
A Hemoglobin of 7.4 and hematocrit of 21.8 (low RBCs)
B Potassium level of 2.9 mEq/L and diarrhea – HYPOKALEMIA
(vomiting, suction, bulimia)
C 250,000 platelets/mm3 (150,000-400/450,000)
D 5000 white blood cells/mm3 (5-10K)
6. 6. The nurse caring for the patient in isolation wears latex gloves. * 1
Which is an important consideration?
1. First assess the patient for potential latex allergy. DOCTOR X,
SEASON 1, EPISODE
, 2. Vinyl gloves provide higher barrier protection than latex.
3. The cost of latex gloves is significantly higher than that of synthetic
gloves.
4. Latex gloves are so reliable as barriers that hand hygiene is not
required.
7. The nurse assesses a 76-yr-old man with chronic myeloid leukemia receiving
chemotherapy using a kinase inhibitor medication (Immunotherapy).
Which question is most important for the nurse to ask? SAUNDER’S
IMMUNOTHERAPY – BOOSTS THE IMMUNE SYSTEM TO DESTROY CANCER.
ENHANCES THE IMMUNE SYSTEM TO KILL TUMORS
ANTIGEN-ANTIBODY RESPONSE (INFLAMMATION) = FATIGUE, CHILLS, FEVER
a. "Have you had a fever?" (INTEGUMENTARY – FLUSHING, A/E:
PULMONARY EDEMA - DOB
b. "Have you lost any weight?"
c. "Has diarrhea been a problem?"
d. "Have you noticed any hair loss?"
8. 8. The nurse is caring for an 18-yr-old female patient with acute lymphocytic *
1 point leukemia that is scheduled for hematopoietic stem cell transplantation
(HSCT). Which patient statement indicates a correct understanding of the