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WorksheetsNCLEX - IMMUNE Day1 (Part 2)
Total questions: 10
Worksheet time: 10mins
Name
Class
Date
1.
The nurse is caring for a child who has had a tonsillectomy. Which of the following are appropriate nursing interventions? Select all that apply.
a)
Anticipate ear pain and give acetaminophen as needed
b)
Educate parents to expect the child to develop bad breath postoperatively
c)
Encourage the child to drink cold liquids through a straw
d)
Notify the health care provider about frequent, increased swallowing
e)
Use an oral suction device regularly to remove secretions from the back of the throat
2.
The nurse is teaching a client with newly diagnosed HIV about antiretroviral therapy (ART). Which of the following statements by the client would require follow-up?
a)
ART consists of several different medications.
b)
I understand that missing doses of ART can lead to viral resistance.
c)
ART can be discontinued once my viral load is undetectable.
d)
I should check for interactions between ART and my current medications.
e)
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3.
The nurse has taught the parents of a 6-year-old client with chronic allergic rhinitis that is triggered by dust and pollen. Which of the following statements by the parents would indicate a correct understanding of the teaching? Select all that apply.
a)
We are planning to purchase an air purifier with a high-efficiency particulate air filter.
b)
We will keep the windows open during warm weather to air out our house.
c)
We should use hypoallergenic covers on our child's mattress and pillow.
d)
We will clean our wood floors with a damp mop at least once a week.
e)
We are planning to remove the carpet from our child's bedroom.
4.
A client with fibromyalgia refuses to take the prescribed drug duloxetine. When the nurse asks, why, the client responds, "Because I'm not depressed!" What is the nurse's most appropriate response?
a)
Depression is common with fibromyalgia, but a low dose of this drug can prevent it.
b)
It can relieve your chronic pain and help you sleep better at night.
c)
It helps to relieve the adverse effects of your other prescribed drugs.
d)
You have the right to refuse. I will notify your health care provider (HCP).
5.
Several 12-month-old infants are brought to the clinic for routine immunizations. Which situation would be most important for the nurse to clarify with the provider before administering the vaccination?
a)
Haemophilus influenzae type b vaccine for client allergic to penicillin
b)
Hepatitis A vaccine for a client with a "cold" and temperature of 99.0 F (37.2 C)
c)
Pneumococcal vaccine for client with local swelling after last immunization
d)
Varicella-zoster vaccine for client recently diagnosed with leukemia
6.
A nurse is caring for a client with a diagnosis of fibromyalgia. During care, the client reports having suicidal thoughts. What currently prescribed medication should the nurse question in regard to this new finding?
a)
Amitriptyline
b)
Celecoxib
c)
Cyclobenzaprine
d)
Hydrocodone
7.
The nurse is talking with a client with rheumatoid arthritis who has a new prescription for adalimumab. Which of the following statements by the client would require follow-up?
a)
I usually take naproxen for pain twice a week.
b)
I received my annual influenza vaccine injection 3 weeks ago.
c)
I received a negative test result for my tuberculin skin test one week ago.
d)
I started a course of antibiotic therapy to treat a urinary tract infection 2 days ago.
8.
A client with ulcerative colitis is prescribed the drug sulfasalazine. Which information should the nurse discuss with the client concerning this drug? Select all that apply.
a)
Drinking 8 glasses of water daily
b)
Stopping the medicine if blood is present in stool
c)
Stopping the medicine if urine turns an orange-yellow color
d)
Taking folic acid supplements
e)
Wearing sunscreen when outdoors
9.
A client is prescribed long-term pharmacologic therapy with hydroxychloroquine to treat systemic lupus erythematosus. Which intervention related to the drug's adverse effects should the nurse include in the teaching plan?
a)
Have an ophthalmologic examination every 6 months
b)
Take the medication on an empty stomach
c)
Take vitamin D and calcium supplements
d)
Wear a MedicAlert bracelet
10.
The nurse has provided education about proper use of an epinephrine auto-injector to a client with a history of a severe hypersensitivity reaction to bee stings. Which of the following client statements indicate that teaching has been effective? Select all that apply.
a)
I may have a rapid heartbeat and palpitations after injecting the medication.
b)
I must call an ambulance or go to the nearest hospital following an injection.
c)
I should avoid storing my device in extremely hot or cold temperatures.
d)
The area to be injected should be cleansed with alcohol or soap and water.
e)
The medication is injected at a 90-degree angle into the outer thigh.
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