NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
What is Lyme disease? - correct answer systemic infection caused by spirochete
borrelia burgdorferi d/t tick bite
What is Stage 1 with lyme? - correct answer flu like symptoms
erythema migrans (bulls eye)
pain/stiffness in muscles/joints
symptoms begin 3-30 days
tx abs doxy or amoxx (14-21 days)
What is Stage 2 with lyme? - correct answer 2-12wks after tick bite
can develop carditis w/ dysrhythmias
dyspnea, dizziness or palpitations, meningitis, facial paralysis, peripheral neuritis
tx iv abx for 30 days (ceftriaxone & cefotaxime)
What is stage3 with lyme? - correct answer months-years after bite
arthritis is 1st and only symptom
What is teaching with lyme? - correct answer avoid heavily wooded areas
wear light colors
DEET repellent
long sleeves & pants
, NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
bathe & inspect immed.
remove w/ tweezers & flush (DO NOT BURN)
How do you remove ticks? - correct answer with tweezers making sure you remove
the tick intact within 36 hours
What is the purpose of inflammation and immunity? - correct answer to provide
protection by neutralizing, eliminating or destroying organisms that invade the body.
What are the different types of reactions? - correct answer type 1= immediate( hay
fever, allergic asthma or anaphylaxis)
type 2= cytotoxic (hemolytic anemia, myasthenia gravis)
type 3= immune (serum sickness, lupus, RA
type 4= delayed ( poison ivy, graft rejection, positive tb test)
How are allergens contracted? - correct answer inhalation, ingestion, injection,
contraction (latex, pollen)
What is an allergic reaction? - correct answer excessive inflammation in response to
the presence of an antigen to which the pt has been previously exposed
What is an allergic reaction type 1? - correct answer anaphylaxis
, NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
What are s/s of allergies? - correct answer rhinorrhea, sneezing, itchy, red, watery
eyes
How are allergies dx'ed? - correct answer allergy skin testing for type 1, history and
s/s during allergen exposure
What are interventions with allergy? - correct answer avoidance therapy
decongestant
antihistamine
corticosteroids
desensilization therapy (allergy shots)
What are s/s of anaphylaxis? - correct answer swollen lips, tongue, soft palate, uvula,
widespread hives, pruritus & flushing, hypotension, resp distress, dyspnea,
bronchospasms, wheezes, stridor, cyanosis, low perfusion, hypotension, loss of
consciousness, incontinence, absent deep tendon reflex
What to teach with allergies/anaphylaxis? - correct answer avoid allergens
what are interventions with allergies/anaphylaxis? - correct answer assess resp
(secure airway & apply oxygen)
, NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
notify RRT 1st
epi
immediately d/c drug or infusion solution
DONT REMOVE IV (change tubing)
HOB up 10 if hypotensive, 45 if not
stay with pt
antihistamines, beta, cortico, oral steroids
Who is at high risk for latex allergies? - correct answer spina bifida pts
healthcare workers
what is the difference between HIV and AIDS - correct answer based on cd4 T cell
cells and presence of opurtunistic infections
What is the HIV infection Process? - correct answer Hiv enters blood stream
It hijacks cd4 cell helper/inducer Tc cell or t4 cell
after entering cd4 t cell it creates more virus particles
How many CD4+ T-cells does a normal healthy person have? - correct answer 800-
1,000 per cubic millimeter
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
What is Lyme disease? - correct answer systemic infection caused by spirochete
borrelia burgdorferi d/t tick bite
What is Stage 1 with lyme? - correct answer flu like symptoms
erythema migrans (bulls eye)
pain/stiffness in muscles/joints
symptoms begin 3-30 days
tx abs doxy or amoxx (14-21 days)
What is Stage 2 with lyme? - correct answer 2-12wks after tick bite
can develop carditis w/ dysrhythmias
dyspnea, dizziness or palpitations, meningitis, facial paralysis, peripheral neuritis
tx iv abx for 30 days (ceftriaxone & cefotaxime)
What is stage3 with lyme? - correct answer months-years after bite
arthritis is 1st and only symptom
What is teaching with lyme? - correct answer avoid heavily wooded areas
wear light colors
DEET repellent
long sleeves & pants
, NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
bathe & inspect immed.
remove w/ tweezers & flush (DO NOT BURN)
How do you remove ticks? - correct answer with tweezers making sure you remove
the tick intact within 36 hours
What is the purpose of inflammation and immunity? - correct answer to provide
protection by neutralizing, eliminating or destroying organisms that invade the body.
What are the different types of reactions? - correct answer type 1= immediate( hay
fever, allergic asthma or anaphylaxis)
type 2= cytotoxic (hemolytic anemia, myasthenia gravis)
type 3= immune (serum sickness, lupus, RA
type 4= delayed ( poison ivy, graft rejection, positive tb test)
How are allergens contracted? - correct answer inhalation, ingestion, injection,
contraction (latex, pollen)
What is an allergic reaction? - correct answer excessive inflammation in response to
the presence of an antigen to which the pt has been previously exposed
What is an allergic reaction type 1? - correct answer anaphylaxis
, NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
What are s/s of allergies? - correct answer rhinorrhea, sneezing, itchy, red, watery
eyes
How are allergies dx'ed? - correct answer allergy skin testing for type 1, history and
s/s during allergen exposure
What are interventions with allergy? - correct answer avoidance therapy
decongestant
antihistamine
corticosteroids
desensilization therapy (allergy shots)
What are s/s of anaphylaxis? - correct answer swollen lips, tongue, soft palate, uvula,
widespread hives, pruritus & flushing, hypotension, resp distress, dyspnea,
bronchospasms, wheezes, stridor, cyanosis, low perfusion, hypotension, loss of
consciousness, incontinence, absent deep tendon reflex
What to teach with allergies/anaphylaxis? - correct answer avoid allergens
what are interventions with allergies/anaphylaxis? - correct answer assess resp
(secure airway & apply oxygen)
, NUR 265 Exam 4 (latest Update Fall
2025/2026) Questions and Answers 100%
Correct -Galen College of Nursing
notify RRT 1st
epi
immediately d/c drug or infusion solution
DONT REMOVE IV (change tubing)
HOB up 10 if hypotensive, 45 if not
stay with pt
antihistamines, beta, cortico, oral steroids
Who is at high risk for latex allergies? - correct answer spina bifida pts
healthcare workers
what is the difference between HIV and AIDS - correct answer based on cd4 T cell
cells and presence of opurtunistic infections
What is the HIV infection Process? - correct answer Hiv enters blood stream
It hijacks cd4 cell helper/inducer Tc cell or t4 cell
after entering cd4 t cell it creates more virus particles
How many CD4+ T-cells does a normal healthy person have? - correct answer 800-
1,000 per cubic millimeter
