CLINICAL PHARMACOLOGY TEST
PAPER.
1. Which of the following would the nurse most likely identify as a nursing diagnosis for a
client who is receiving an immunization?
A) Risk for Infection
B) Acute Pain
C) Hyperthermia
D) Ineffective Coping Answer: B
Response:
The client who is receiving an immunization would most likely experience pain at the injection
site; therefore, Acute Pain would be most appropriate. If the drug was not given, then the
client would be at risk for infection. Although fever may occur, Hyperthermia as a nursing
diagnosis would be inappropriate. Ineffective Coping would not be associated with
immunologic agents.
2. A nurse identifies a nursing diagnosis of Acute Pain for a client receiving a vaccine. Which of
the following would the nurse include in the client's plan of care to address this problem?
Select all that apply.
A) Administering acetaminophen every 4 hours
B) Providing for adequate rest periods
C) Ensuring that the environment is stimulating
D) Applying compresses to the injection site
E) Limiting the client's access to fluids Answer: A, B, D Response:
For the client with acute pain related to the administration of a vaccine, the nurse would
administer prescribed acetaminophen; provide for frequent rest periods in a quiet,
nonstimulating environment; apply warm or cool compresses to the injection site; and
encourage fluid intake.
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, 3. After teaching a group of nursing students about the various immunologic drugs, the
instructor determines that the teaching was successful when the students identify which of
the following as a viral vaccine? Select all that apply.
A) Haemophilus influenza type B conjugate
B) Typhoid
C) Mumps
D) Avian influenza
E) Rabies
Answer: C, D,
E
Response:
Mumps, avian influenza, and rabies are virus vaccines. Haemophilus influenza type B
conjugate and typhoid are bacterial vaccines.
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4. When describing humoral immunity to a group of nursing students, which of the following
would the instructor most likely include? Select all that apply. A) B lymphocytes are
involved.
B) An antigen–antibody response occurs.
C) An immunity that is independent of cell-mediated immunity occurs.
D) T lymphocytes are activated.
E) The immunity protects the body against bacterial, viral, and fungal infections. Answer:
A, B
Response:
Humoral immunity involves the action of B lymphocytes and protects the body against
bacterial and viral infections. Humoral immunity is based on the antigen–antibody response.
Humoral immunity is interdependent with cell-mediated immunity. Cell-mediated immunity
involves the action of T lymphocytes and protects against bacterial, viral, and fungal infection.
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PAPER.
1. Which of the following would the nurse most likely identify as a nursing diagnosis for a
client who is receiving an immunization?
A) Risk for Infection
B) Acute Pain
C) Hyperthermia
D) Ineffective Coping Answer: B
Response:
The client who is receiving an immunization would most likely experience pain at the injection
site; therefore, Acute Pain would be most appropriate. If the drug was not given, then the
client would be at risk for infection. Although fever may occur, Hyperthermia as a nursing
diagnosis would be inappropriate. Ineffective Coping would not be associated with
immunologic agents.
2. A nurse identifies a nursing diagnosis of Acute Pain for a client receiving a vaccine. Which of
the following would the nurse include in the client's plan of care to address this problem?
Select all that apply.
A) Administering acetaminophen every 4 hours
B) Providing for adequate rest periods
C) Ensuring that the environment is stimulating
D) Applying compresses to the injection site
E) Limiting the client's access to fluids Answer: A, B, D Response:
For the client with acute pain related to the administration of a vaccine, the nurse would
administer prescribed acetaminophen; provide for frequent rest periods in a quiet,
nonstimulating environment; apply warm or cool compresses to the injection site; and
encourage fluid intake.
Page
, 3. After teaching a group of nursing students about the various immunologic drugs, the
instructor determines that the teaching was successful when the students identify which of
the following as a viral vaccine? Select all that apply.
A) Haemophilus influenza type B conjugate
B) Typhoid
C) Mumps
D) Avian influenza
E) Rabies
Answer: C, D,
E
Response:
Mumps, avian influenza, and rabies are virus vaccines. Haemophilus influenza type B
conjugate and typhoid are bacterial vaccines.
13
4. When describing humoral immunity to a group of nursing students, which of the following
would the instructor most likely include? Select all that apply. A) B lymphocytes are
involved.
B) An antigen–antibody response occurs.
C) An immunity that is independent of cell-mediated immunity occurs.
D) T lymphocytes are activated.
E) The immunity protects the body against bacterial, viral, and fungal infections. Answer:
A, B
Response:
Humoral immunity involves the action of B lymphocytes and protects the body against
bacterial and viral infections. Humoral immunity is based on the antigen–antibody response.
Humoral immunity is interdependent with cell-mediated immunity. Cell-mediated immunity
involves the action of T lymphocytes and protects against bacterial, viral, and fungal infection.
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