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Medical Surgical Nursing Quiz

Total questions: 20

Worksheet time: 21mins

Name
Class
Date
1.

The nurse uses a picture to show the histamine releasing mast cells that are located:

a)

Circulating in the blood

b)

circulating in the lymph

c)

attached to organ tissue

d)

embedded in the bone marrow

2.

A hospitalized patient has been prescribed dexamethasone (Decadron) for an allergic reaction. The instructions that the patient should be given with the discharge teaching relative to this drug is:

a)

Report blurry vision

b)

Take the medication on an empty stomach

c)

Do not operate heavy machinery

d)

Take the medication with meals

3.

Which category of hypersensitivity BEST describes hemolytic disease of the newborn caused by Rh incompatibility?

a)

anaphylactic

b)

cytotoxic

c)

immune complex

d)

delayed

4.

The principal difference between cytotoxic (type II) and immune complex (type III) hypersensitivity is

a)

The class of antibody

b)

The site where antigen-antibody complexes are formed

c)

The participation of complement

d)

The participation of T cells

5.

A child stung by a bee experiences respiratory distress within minutes and lapses into unconsciousness. This reaction is probably mediated by

a)

IgE antibody

b)

IgG antibody

c)

Sensitized T cells

d)

Complement

6.

A delayed hypersensitivity reaction is characterized by

a)

Edema without a cellular infiltrate

b)

An infiltrate composed of neutrophils

c)

An infiltrate composed of helper T cells and macrophages

d)

An infiltrate composed of eosinophils

7.

Your patient is a child who has no detectable T or B cells. This immunodeficiency is most probably the result of a defect in

a)

The thymus

b)

The bursal equivalent

c)

T cell-B cell interaction

d)

Stem cells originating in the bone marrow

8.

Binds firmly to mast cells and triggers anaphylaxis

a)

IgG

b)

IgA

c)

IgM

d)

IgE

9.

T cells are involved in which of the following types of immunity?

a)

Humoral immunity

b)

Cell mediated immunity

c)

Antigen mediated immunity

d)

Immunoglobulin-mediated immunity

10.

The nurse is educating a patient with allergic rhinitis about how the condition is induced. What should the nurse include in the education on this topic?

a)

Airborne pollens or molds

b)

Ingested foods

c)

Parenteral medications

d)

Topical creams or ointments

11.

The nurse is preparing to administer a medication that has an affinity for H1 receptors.

Which medication would the nurse administer?

a)

Diphenhydramine

b)

Omeprazole

c)

Cimetidine

d)

Ranitidine

12.

A patient comes to the clinic with pruritus and nasal congestion after eating shrimp for lunch and is suspected to be experiencing an anaphylactic reaction to the shrimp. These symptoms typically occur within how many hours after exposure?

a)

2 hours

b)

6 hours

c)

12 hours

d)

24 hours

13.

A patient is experiencing an allergic reaction after receiving a dose of penicillin. What should the nurse look for in the patient's initial assessment?

a)

Dyspnea, bronchospasm, and/or laryngeal edema

b)

Hypotension and tachycardia

c)

The presence and location of pruritus

d)

The severity of cutaneous warmth and flushing

14.

A patient asks the nurse if it would be all right to take an over-the-counter antihistamine for the treatment of a rash. What should the nurse educate the patient is a major side effect of antihistamines?

a)

Diarrhea

b)

Anorexia

c)

Palpitations

d)

Sedation

15.

The nurse is administering a sympathomimetic drug to a patient. What areas of concern does the nurse have when administering this drug? (Select all that apply)

a)

Causes bronchodilation

b)

Causes bronchoconstriction

c)

Dilates the muscular vasculature

d)

Causes laryngospasm

16.

The nurse is administering injected allergens for "hyposensitization," which may produce harmful systemic reactions. Prior to administering these allergens, what medication should the nurse have at the bedside?

a)

Phenergan hydrochloride

b)

Pentazocine

c)

Epinephrine

d)

Meclizine hydrochloride

17.

A patient has been diagnosed with an allergy to peanuts. What is a priority for this patient to carry at all times?

a)

A medical alert bracelet

b)

An H1 blocker

c)

An EpiPen

d)

An oral airway

18.

What education should the nurse provide to the patient taking long-term corticosteroids?

a)

The patient should not stop taking medication abruptly and should be weaned off the medication

b)

The patient should take the medication only as neededand not take it unnecessarily

c)

Corticosteroids are relatively safe drugs with very few side effects

d)

The patient should discontinue using the drug immediately if weight gain is observed

19.

A patient has been brought to the emergency department in apparent anaphylaxis. The priority aspect of care is:

a)

Ensuring a patent airway

b)

Managing the patient's anxiety

c)

Assessing the patient's circulatory status

d)

Preventing complications of anaphylaxis

20.

The nurse explains that the inflammatory response is initiated by immunoglobulin (IgE) and the:

a)

Macrophages and eosinophils

b)

Macrophages and monocytes

c)

Basophils and histamine

d)

Neutrophils and IgE