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WorksheetsMedical Surgical Nursing Quiz
Total questions: 20
Worksheet time: 21mins
The nurse uses a picture to show the histamine releasing mast cells that are located:
Circulating in the blood
circulating in the lymph
attached to organ tissue
embedded in the bone marrow
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:
Report blurry vision
Take the medication on an empty stomach
Do not operate heavy machinery
Take the medication with meals
Which category of hypersensitivity BEST describes hemolytic disease of the newborn caused by Rh incompatibility?
anaphylactic
cytotoxic
immune complex
delayed
The principal difference between cytotoxic (type II) and immune complex (type III) hypersensitivity is
The class of antibody
The site where antigen-antibody complexes are formed
The participation of complement
The participation of T cells
A child stung by a bee experiences respiratory distress within minutes and lapses into unconsciousness. This reaction is probably mediated by
IgE antibody
IgG antibody
Sensitized T cells
Complement
A delayed hypersensitivity reaction is characterized by
Edema without a cellular infiltrate
An infiltrate composed of neutrophils
An infiltrate composed of helper T cells and macrophages
An infiltrate composed of eosinophils
Your patient is a child who has no detectable T or B cells. This immunodeficiency is most probably the result of a defect in
The thymus
The bursal equivalent
T cell-B cell interaction
Stem cells originating in the bone marrow
Binds firmly to mast cells and triggers anaphylaxis
IgG
IgA
IgM
IgE
T cells are involved in which of the following types of immunity?
Humoral immunity
Cell mediated immunity
Antigen mediated immunity
Immunoglobulin-mediated immunity
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?
Airborne pollens or molds
Ingested foods
Parenteral medications
Topical creams or ointments
The nurse is preparing to administer a medication that has an affinity for H1 receptors.
Which medication would the nurse administer?
Diphenhydramine
Omeprazole
Cimetidine
Ranitidine
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?
2 hours
6 hours
12 hours
24 hours
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?
Dyspnea, bronchospasm, and/or laryngeal edema
Hypotension and tachycardia
The presence and location of pruritus
The severity of cutaneous warmth and flushing
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?
Diarrhea
Anorexia
Palpitations
Sedation
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)
Causes bronchodilation
Causes bronchoconstriction
Dilates the muscular vasculature
Causes laryngospasm
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?
Phenergan hydrochloride
Pentazocine
Epinephrine
Meclizine hydrochloride
A patient has been diagnosed with an allergy to peanuts. What is a priority for this patient to carry at all times?
A medical alert bracelet
An H1 blocker
An EpiPen
An oral airway
What education should the nurse provide to the patient taking long-term corticosteroids?
The patient should not stop taking medication abruptly and should be weaned off the medication
The patient should take the medication only as neededand not take it unnecessarily
Corticosteroids are relatively safe drugs with very few side effects
The patient should discontinue using the drug immediately if weight gain is observed
A patient has been brought to the emergency department in apparent anaphylaxis. The priority aspect of care is:
Ensuring a patent airway
Managing the patient's anxiety
Assessing the patient's circulatory status
Preventing complications of anaphylaxis
The nurse explains that the inflammatory response is initiated by immunoglobulin (IgE) and the:
Macrophages and eosinophils
Macrophages and monocytes
Basophils and histamine
Neutrophils and IgE
