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WorksheetsNCLEX - IMMUNE Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The clinic nurse performs an admission assessment on a client diagnosed with systemic lupus erythematosus (SLE), Which characteristic cutaneous manifestation of SLE would the nurse most likely assess?
a)
Butterfly shape rash (87%)
b)
Petechiae (7%)
c)
Pruritus (2%)
d)
Urticaria (2%)
e)
–
2.
The nurse is caring for a client with immune thrombocytopenia purpura. Which client statements indicate a need for further teaching? Select all that apply.
a)
I use a soft-bristle toothbrush and mild mouth rinse.
b)
I enjoy walking and wear nonskid footwear for safety.
c)
I use a safety razor and gentle shaving cream.
d)
Sometimes I get constipated, so I have been taking docusate.
e)
When I have a headache, I take over-the-counter ibuprofen.
3.
A client receiving a first dose of IV cefazolin has developed a diffuse rash, hypotension, and shortness of breath. Which action should the nurse perform first?
a)
Administer supplemental oxygen (5%)
b)
Give IM epinephrine (15%)
c)
Start IV normal saline bolus (3%)
d)
Stop the infusion and call for help (75%)
e)
–
4.
The nurse has been made aware of laboratory test results for assigned clients. Which of the following test results would require immediate follow-up? Click the exhibit button for additional client information.
a)
a WBC count of 13,000/mm3 (13.0 x 109/L) for a client who has cellulitis of the leg (4%)
b)
a hematocrit of 28% (0.28) and hemoglobin of 9 g/dL (90 g/L) for a client who has chronic kidney disease (17%)
c)
a 2-hour postprandial serum glucose of 165 mg/dL (9.2 mmol/L) for a client who has type 2 diabetes mellitus (3%)
d)
a urinalysis showing WBCs and bacteria for a client who had a kidney transplant 1 month ago (73%)
e)
–
5.
The nurse is reviewing new prescriptions for a client with inflammatory bowel disease and latent pulmonary tuberculosis. The nurse should clarify the prescription for
a)
prednisone (46%)
b)
multivitamin (10%)
c)
lansoprazole (11%)
d)
metronidazole (32%)
e)
–
6.
The nurse is assessing a client with scleroderma. Which of the following findings would be a priority to follow up?
a)
abrupt-onset hypertension and headache (41%)
b)
color changes on the skin of the fingers (22%)
c)
dry cough and exertional dyspnea (14%)
d)
heartburn and difficulty swallowing (21%)
e)
–
7.
The nurse has been made aware of laboratory test results for a client who is experiencing an acute exacerbation of systemic lupus erythematosus. Which of the following test results would require immediate follow-up? Click the exhibit button for additional information.
a)
antinuclear antibody titer (25%)
b)
erythrocyte sedimentation rate (18%)
c)
hemoglobin level (5%)
d)
serum creatinine level (50%)
e)
–
8.
The nurse is planning teaching for a client newly diagnosed with Sjogren's syndrome. Which measures will the nurse include in the teaching plan? Select all that apply.
a)
Chewing sugar-free gum or using artificial saliva
b)
Scheduling regular dental examinations
c)
Showering with lukewarm water and avoiding harsh soaps
d)
Using over-the-counter decongestants to alleviate nasal symptoms
e)
Using over-the-counter lubricants to ease vaginal dryness
9.
A clinic nurse is reviewing charts for clients who have appointments later in the day. Which of the following clients should the nurse recognize as appropriate recipients of a prescription for emtricitabine/tenofovir? Select all that apply.
a)
A client who reports current recreational IV drug use
b)
A client with a latent tuberculosis infection
c)
A female client whose spouse has HIV
d)
A male client who has intercourse with men and women
e)
A phlebotomist at an outpatient blood bank
10.
Exhibit: A client allergic to bee stings was stung about 20 minutes ago at a picnic. Based on the assessment data, the nurse anticipates which immediate actions? Select all that apply.
a)
Inhaled albuterol
b)
Intramuscular epinephrine
c)
Intravenous methylprednisolone
d)
Intravenous metoprolol
e)
Intravenous nitroglycerine
11.
A clinic nurse examines a client with a tentative diagnosis of primary Sjogren's syndrome. Which finding observed by the nurse would most likely be associated with this syndrome?
a)
Dry eyes and mouth (58%)
b)
Low back stiffness (5%)
c)
Multiple tender points (15%)
d)
Thickening of the skin (19%)
e)
–
12.
The clinic nurse reinforces teaching to a client with systemic lupus erythematosus. Which instructions will the nurse include? Select all that apply.
a)
Avoid annual influenza vaccination
b)
Avoid situations that cause physical and emotional stress
c)
Avoid sun exposure and ultraviolet light when possible
d)
Notify the health care provider if you have fever
e)
Use antibiotic soap to cleanse skin rashes
13.
The clinic nurse is preparing to administer an allergy immunotherapy injection to a client recently initiated on the therapy. Which statement by the client indicates a need for further teaching?
a)
I can leave right after the shot as I didn't have a reaction last time.
b)
I will be back in a week for my next allergy shot.
c)
I will let the doctor know if I get any itchy hives tonight.
d)
It is okay if I have some redness at the injection site tonight.
e)
-
14.
The nurse provides teaching about methotrexate to a client with rheumatoid arthritis. It is most important to address which topic regarding this drug?
a)
Need for an eye examination
b)
Need for sunblock
c)
Risk for infection
d)
Risk for kidney injury
e)
-
15.
The nurse has taught a client with rheumatoid arthritis who is receiving methotrexate. Which of the following statements by the client would require follow-up?
a)
I will avoid drinking alcoholic beverages while taking methotrexate.
b)
I should take precautions to prevent pregnancy while taking methotrexate.
c)
I should avoid large crowds and people who are ill while taking methotrexate.
d)
I will avoid consuming foods high in folic acid that will decrease effectiveness of methotrexate.
e)
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