Nursing 1460 exam prep.
EXAM#1
The nurse is caring for some clients with chronic anemia who are on blood transfusion
therapy. The nurse notices that one of the clients requires immediate treatment. Which
client is the nurse addressing in this situation?
Client with itching
Client with flushing
Client with pruritus
Client with wheezing
The nurse observes that a client with sickle cell anemia and on a blood transfusion
regimen has cardiac dysrhythmias due to iron overdose toxicity. Which medication is
most beneficial to this client?
Deferasirox
Deferiprone
Deferoxamine
Ferrous gluconate
Which type of immune preparation, made from donated blood, contains antibodies that
provide passive immunity?
Toxoid
Killed vaccine
Live attenuated vaccine
Specific immune globin
Arrange the sequence of steps required to stimulate antibody-mediated immunity in its
correct sequence.
1. Exposure of antigen
2. Antigen recognition
3. Sensitization
4. Antibody production
5. Antigen elimination
,Which leukocytes should the nurse include when teaching about antibody-mediated
immunity? Select all that apply.
Monocyte
Memory Cell
Helper T cell
B-lymphocyte
Cytotoxic T cell
Which conditions result in humoral immunity? Select all that apply.
Tuberculosis
Atopic diseases
Bacterial infections
Anaphylactic shock
Contact dermatitis
Which type of immunity will clients acquire through immunizations with live or killed
vaccines?
Natural active immunity
Artificial active immunity
Natural passive immunity
Artificial passive immunity
Which type of allergic condition of the skin manifests in the client as delayed
hypersensitivity?
Urticaria
A drug reaction
,Atopic dermatitis
Allergic contact dermatitis
A nurse is caring for a client with pruritic lesions from an IgE-mediated hypersensitivity
reaction. Which mediator of injury is involved?
Histamine
Cytokine
Neutrophil
Macrophage
A client is admitted with systemic lupus erythematosus (SLE). The laboratory report
shows the presence of neutrophils and monocytes as mediators of injury. Which type of
hypersensitivity reaction most likely occurred in the client?
Type I
Type II
Type III
Type IV
A client presents with sneezing; lacrimation; swelling with an airway obstruction; and
pruritus around the eyes, nose, throat, and mouth. The nurse interprets these findings
as a Type I hypersensitivity reaction. Which disease might have occurred in the client?
Angioedema
Allergic rhinitis
Contact dermatitis
Good pasture syndrome
, A client has received ABO-incompatible blood from a donor by mistake. Which type of
hypersensitivity reaction will occur in the client?
Type I
Type II
Type III
Type IV
The nurse is caring for some clients with chronic anemia who are on blood transfusion
therapy. The nurse notices that one of the clients requires immediate treatment. Which
client is the nurse addressing in this situation?
Client with itching
Client with flushing
Client with pruritus
Client with wheezing
While caring for a client receiving blood transfusion care, the nurse notices that the
client is having an acute hemolytic reaction. What is the priority nursing intervention in
this situation?
Report to the primary healthcare provider
Stop the blood transfusion immediately
Recheck identifying tags and numbers on the client
Maintain a patent intravenous (IV) line with saline solution
The nurse is preparing a blood transfusion for a client with renal failure. Why does
anemia often complicate renal failure?
Increase in blood pressure
Decrease in erythropoietin
Increase in serum phosphate levels
Decrease in serum sodium concentration
EXAM#1
The nurse is caring for some clients with chronic anemia who are on blood transfusion
therapy. The nurse notices that one of the clients requires immediate treatment. Which
client is the nurse addressing in this situation?
Client with itching
Client with flushing
Client with pruritus
Client with wheezing
The nurse observes that a client with sickle cell anemia and on a blood transfusion
regimen has cardiac dysrhythmias due to iron overdose toxicity. Which medication is
most beneficial to this client?
Deferasirox
Deferiprone
Deferoxamine
Ferrous gluconate
Which type of immune preparation, made from donated blood, contains antibodies that
provide passive immunity?
Toxoid
Killed vaccine
Live attenuated vaccine
Specific immune globin
Arrange the sequence of steps required to stimulate antibody-mediated immunity in its
correct sequence.
1. Exposure of antigen
2. Antigen recognition
3. Sensitization
4. Antibody production
5. Antigen elimination
,Which leukocytes should the nurse include when teaching about antibody-mediated
immunity? Select all that apply.
Monocyte
Memory Cell
Helper T cell
B-lymphocyte
Cytotoxic T cell
Which conditions result in humoral immunity? Select all that apply.
Tuberculosis
Atopic diseases
Bacterial infections
Anaphylactic shock
Contact dermatitis
Which type of immunity will clients acquire through immunizations with live or killed
vaccines?
Natural active immunity
Artificial active immunity
Natural passive immunity
Artificial passive immunity
Which type of allergic condition of the skin manifests in the client as delayed
hypersensitivity?
Urticaria
A drug reaction
,Atopic dermatitis
Allergic contact dermatitis
A nurse is caring for a client with pruritic lesions from an IgE-mediated hypersensitivity
reaction. Which mediator of injury is involved?
Histamine
Cytokine
Neutrophil
Macrophage
A client is admitted with systemic lupus erythematosus (SLE). The laboratory report
shows the presence of neutrophils and monocytes as mediators of injury. Which type of
hypersensitivity reaction most likely occurred in the client?
Type I
Type II
Type III
Type IV
A client presents with sneezing; lacrimation; swelling with an airway obstruction; and
pruritus around the eyes, nose, throat, and mouth. The nurse interprets these findings
as a Type I hypersensitivity reaction. Which disease might have occurred in the client?
Angioedema
Allergic rhinitis
Contact dermatitis
Good pasture syndrome
, A client has received ABO-incompatible blood from a donor by mistake. Which type of
hypersensitivity reaction will occur in the client?
Type I
Type II
Type III
Type IV
The nurse is caring for some clients with chronic anemia who are on blood transfusion
therapy. The nurse notices that one of the clients requires immediate treatment. Which
client is the nurse addressing in this situation?
Client with itching
Client with flushing
Client with pruritus
Client with wheezing
While caring for a client receiving blood transfusion care, the nurse notices that the
client is having an acute hemolytic reaction. What is the priority nursing intervention in
this situation?
Report to the primary healthcare provider
Stop the blood transfusion immediately
Recheck identifying tags and numbers on the client
Maintain a patent intravenous (IV) line with saline solution
The nurse is preparing a blood transfusion for a client with renal failure. Why does
anemia often complicate renal failure?
Increase in blood pressure
Decrease in erythropoietin
Increase in serum phosphate levels
Decrease in serum sodium concentration
