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NCLEX-RN IMMUNITY EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (83)
The parents of a child with cystic Correct response:
fibrosis express concern about Two parents who are carriers may produce a child who has the disease.
how the disease was transmitted
to their child. What
information should the nurse give
to the clients?
Which would be most important to Correct response:
teach a client older than 65 years to Obtain influenza and pneumococcal vaccines.
prevent a
recurrence of bacterial pneumonia?
The nurse is assigning a room for a client Correct response:
admitted with hepatitis A. Which congestive heart
diagnosis failure
would be an appropriate roommate for
this client?
A client diagnosed with leukemia is Correct
now experiencing neutropenia. Which response:
assessment related to neutropenia is Breath sounds
a priority for the nurse?
A 34-year-old primigravid client at 39 Correct response:
weeks' gestation admitted to the to prevent Rh-positive sensitization with the next pregnancy
hospital in active labor has type B
Rh-negative blood. The nurse should
instruct the client that if the neonate
is Rh positive, the client will receive
an Rh immune globulin injection for
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what reason?
A client's blood test results are: Correct
white blood cell (WBC) count is response:
1,000/μl; prevent
hemoglobin (Hb) level, 14 g/dl; infection
hematocrit (HCT), 42%. Which goal is
most important for this client?
The nurse is caring for a 2-year- Correct response:
old child with cancer. The parents "A donor is determined after testing for similar human leukocyte antigens."
have been told
that the child will need an allogeneic
bone marrow transplant and want to
know what this means. What is the
best response by the nurse?
A preschooler with a history of Correct response:
repaired lumbar myelomeningocele is "Is your child allergic to bananas or any other food?"
in the
emergency department with
wheezing and skin rash. Which
question should the nurse ask the
parent first?
The nurse is preparing to Correct response:
administer the measles-mumps- administer both
rubella (MMR) and vaccines
varicella vaccines to an infant who
has an egg allergy and a wheat
allergy. Which is the appropriate
action by the nurse?
An 8-year-old child has been Correct response:
admitted to the oncology unit with the diagnosis of Down's syndrome at birth
a suspected
diagnosis of acute lymphoblastic
leukemia. The nurse is obtaining a
health history from the parents.
During the interview, the
parents ask the nurse if any of the
factors discussed would make their
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child more at risk for this type of
leukemia. What
information about potential risk factors
is correct for the nurse to share with
the parents?
Antenatal laboratory testing Correct response:
revealed a negative rubella rubella counseling and immunization with live rubella virus vaccine
antibody for a client
admitted to the postpartum unit.
Which action takes priority for this
client during early puerperium?
The parents of a toddler do not want Correct response:
their child to have a varicella "If the child contracts the disease, it could be very serious, even life threatening."
immunization,
stating, "My child will have better
immunity if he or she gets the disease
now." Which is the nurse's best
response?
Which family member exposed to Correct response:
tuberculosis would be at highest risk 76-year-old grandmother
for contracting the disease?
When explaining the long-term toxic Correct response:
effects of cancer treatments on the The use of radiation and combination chemotherapy can result in more
immune system, what should the frequent and more severe immune system impairment.
nurse tell the
client?
At a 6-month well-child check, an Correct response:
infant has a high fever and cold "Make an appointment to come back for the immunizations after your
symptoms and is diagnosed with child has finished the antibiotics."
otitis media. The child is
scheduled to receive the 6-month
immunizations. The parent asks the
nurse if the child will receive them.
What is the
nurse's best response?
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