MEDSURG FINAL EXAM QUESTIONS
& VERIFIED ANSWERS RATED 100%
COMPLETE NEWEST VERSION
The nurse provides discharge instructions to a patient who has an immune deficiency involving
the T
lymphocytes. Which screening should the nurse include in the teaching plan for this patient?
a.
Screening for allergies
b.
Screening for malignancy
c.
Antibody deficiency screening
d.
Screening for autoimmune disorder
ANS: B
Cell-mediated immunity is responsible for the recognition and destruction of cancer cells.
Allergic reactions,
autoimmune disorders, and antibody deficiencies are mediated primarily by B lymphocytes and
humoral
immunity
.
A new mother expresses concern about her baby developing allergies and asks what the health
care provider
meant by passive immunity. Which example should the nurse use to explain this type of
immunity?
a.
Early immunization
b.
Bone marrow donation
c.
Breastfeeding her infant
d.
Exposure to communicable disease
,ANS: C
Colostrum provides passive immunity through antibodies from the mother. These antibodies
protect the infant
for a few months. However, memory cells are not retained, so the protection is not permanent.
Active
immunity is acquired by being immunized with vaccinations or having an infection. It requires
that the infant
has an immune response after exposure to an antigen. Cell-mediated immunity is acquired
through T
lymphocytes and is a form of active immunit
A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which
laboratory
value?
a.
IgE
b.
IgA
c.
Basophils
d.
Neutrophils
ANS: A
Serum IgE is elevated in an allergic response (type 1 hypersensitivity disorders). The eosinophil
level will be
elevated rather than neutrophil or basophil counts. IgA is located in body secretions and would
not be tested
when evaluating a patient who has symptoms of atopic dermatiti
An older adult patient who is having an annual check-up tells the nurse, I feel fine, and I dont
want to pay
for all these unnecessary cancer screening tests! Which information should the nurse plan to
teach this patient?
a.
Consequences of aging on cell-mediated immunity
b.
Decrease in antibody production associated with aging
c.
,Impact of poor nutrition on immune function in older people
d.
Incidence of cancer-stimulating infections in older individua
ANS: A
A patient who collects honey to earn supplemental income has developed a hypersensitivity to
bee stings.
Which statement, if made by the patient, would indicate a need for additional teaching?
a.
I need to find another way to earn extra money.
b.
I will get a prescription for epinephrine and learn to self-inject it.
c.
I will plan to take oral antihistamines daily before going to work.
Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
106
d.
I should wear a Medic-Alert bracelet indicating my allergy to bee sting
ANS: C
Which teaching should the nurse provide about intradermal skin testing to a patient with
possible allergies?
a.
Do not eat anything for about 6 hours before the testing.
b.
Take an oral antihistamine about an hour before the testing.
c.
Plan to wait in the clinic for 20 to 30 minutes after the testing.
d.
Reaction to the testing will take about 48 to 72 hours to occur
ANS: C
The nurse, who is reviewing a clinic patients medical record, notes that the patient missed the
previous
appointment for weekly immunotherapy. Which action by the nurse is
most
appropriate?
a.
, Schedule an additional dose that week.
b.
Administer the usual dosage of the allergen.
c.
Consult with the health care provider about giving a lower allergen dose.
d.
Re-evaluate the patients sensitivity to the allergen with a repeat skin te
ANS: C
While obtaining a health history from a patient, the nurse learns that the patient has a history
of allergic
rhinitis and multiple food allergies. Which action by the nurse is
most
appropriate?
a.
Encourage the patient to carry an epinephrine kit in case a type IV allergic reaction to latex
develops.
b.
Advise the patient to use oil-based hand creams to decrease contact with natural proteins in
latex
gloves.
c.
Document the patients allergy history and be alert for any clinical manifestations of a type I
latex
allergy.
d.
Recommend that the patient use vinyl gloves instead of latex gloves in preventing blood-borne
pathogen contac
C
The nurse teaches a patient diagnosed with systemic lupus erythematosus (SLE) about
plasmapheresis. What
instructions about plasmapheresis should the nurse include in the teaching plan?
a.
Plasmapheresis will eliminate eosinophils and basophils from blood.
b.
Plasmapheresis will remove antibody-antigen complexes from circulation.
c.
& VERIFIED ANSWERS RATED 100%
COMPLETE NEWEST VERSION
The nurse provides discharge instructions to a patient who has an immune deficiency involving
the T
lymphocytes. Which screening should the nurse include in the teaching plan for this patient?
a.
Screening for allergies
b.
Screening for malignancy
c.
Antibody deficiency screening
d.
Screening for autoimmune disorder
ANS: B
Cell-mediated immunity is responsible for the recognition and destruction of cancer cells.
Allergic reactions,
autoimmune disorders, and antibody deficiencies are mediated primarily by B lymphocytes and
humoral
immunity
.
A new mother expresses concern about her baby developing allergies and asks what the health
care provider
meant by passive immunity. Which example should the nurse use to explain this type of
immunity?
a.
Early immunization
b.
Bone marrow donation
c.
Breastfeeding her infant
d.
Exposure to communicable disease
,ANS: C
Colostrum provides passive immunity through antibodies from the mother. These antibodies
protect the infant
for a few months. However, memory cells are not retained, so the protection is not permanent.
Active
immunity is acquired by being immunized with vaccinations or having an infection. It requires
that the infant
has an immune response after exposure to an antigen. Cell-mediated immunity is acquired
through T
lymphocytes and is a form of active immunit
A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which
laboratory
value?
a.
IgE
b.
IgA
c.
Basophils
d.
Neutrophils
ANS: A
Serum IgE is elevated in an allergic response (type 1 hypersensitivity disorders). The eosinophil
level will be
elevated rather than neutrophil or basophil counts. IgA is located in body secretions and would
not be tested
when evaluating a patient who has symptoms of atopic dermatiti
An older adult patient who is having an annual check-up tells the nurse, I feel fine, and I dont
want to pay
for all these unnecessary cancer screening tests! Which information should the nurse plan to
teach this patient?
a.
Consequences of aging on cell-mediated immunity
b.
Decrease in antibody production associated with aging
c.
,Impact of poor nutrition on immune function in older people
d.
Incidence of cancer-stimulating infections in older individua
ANS: A
A patient who collects honey to earn supplemental income has developed a hypersensitivity to
bee stings.
Which statement, if made by the patient, would indicate a need for additional teaching?
a.
I need to find another way to earn extra money.
b.
I will get a prescription for epinephrine and learn to self-inject it.
c.
I will plan to take oral antihistamines daily before going to work.
Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
106
d.
I should wear a Medic-Alert bracelet indicating my allergy to bee sting
ANS: C
Which teaching should the nurse provide about intradermal skin testing to a patient with
possible allergies?
a.
Do not eat anything for about 6 hours before the testing.
b.
Take an oral antihistamine about an hour before the testing.
c.
Plan to wait in the clinic for 20 to 30 minutes after the testing.
d.
Reaction to the testing will take about 48 to 72 hours to occur
ANS: C
The nurse, who is reviewing a clinic patients medical record, notes that the patient missed the
previous
appointment for weekly immunotherapy. Which action by the nurse is
most
appropriate?
a.
, Schedule an additional dose that week.
b.
Administer the usual dosage of the allergen.
c.
Consult with the health care provider about giving a lower allergen dose.
d.
Re-evaluate the patients sensitivity to the allergen with a repeat skin te
ANS: C
While obtaining a health history from a patient, the nurse learns that the patient has a history
of allergic
rhinitis and multiple food allergies. Which action by the nurse is
most
appropriate?
a.
Encourage the patient to carry an epinephrine kit in case a type IV allergic reaction to latex
develops.
b.
Advise the patient to use oil-based hand creams to decrease contact with natural proteins in
latex
gloves.
c.
Document the patients allergy history and be alert for any clinical manifestations of a type I
latex
allergy.
d.
Recommend that the patient use vinyl gloves instead of latex gloves in preventing blood-borne
pathogen contac
C
The nurse teaches a patient diagnosed with systemic lupus erythematosus (SLE) about
plasmapheresis. What
instructions about plasmapheresis should the nurse include in the teaching plan?
a.
Plasmapheresis will eliminate eosinophils and basophils from blood.
b.
Plasmapheresis will remove antibody-antigen complexes from circulation.
c.
