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WorksheetsTEST REVIEW 4
Total questions: 36
Worksheet time: 19mins
A nurse caring for an immune-suppressed patient wants to promote weight gain. Which nutritional intervention is most appropriate?
High carbohydrate diet
Protein supplementation
Low-fat diet
Vitamin C megadoses
Which of the following statements about fibromyalgia is correct?
It resolves without treatment within days
It is a contagious disease
It is treated primarily with symptom management including medications like Lyrica and Cymbalta
It has a specific lab test for diagnosis
A patient taking immunosuppressive drugs should be monitored for:
Increased risk of infections
Enhanced immune response
Increased white blood cell count
Improved vaccine effectiveness
A patient has lymphedema in the left arm. What is an important nursing intervention?
Elevate the arm and avoid taking blood pressure on that arm
Perform frequent blood draws from the affected arm
Restrict movement of the affected arm
Apply hot compresses to the arm daily
A patient diagnosed with Stage 2 Hodgkin’s disease is most likely to present with:
Painful, swollen lymph nodes only in the groin
Enlarged, painless lymph nodes above the diaphragm with systemic symptoms
Skin rash and joint pain
Persistent cough without lymphadenopathy
Which type of HIV is predominantly found in the United States?
HIV Type 1
HIV Type 2
Both types equally
HIV Type 3
Which of the following best defines anasarca?
Localized swelling in one limb
Swelling due to infection
Generalized massive edema from albumin loss
Inflammation due to immune response
A healthcare worker had an accidental needle stick from a patient with unknown HIV status. What is the recommended duration of post-exposure prophylaxis (PEP)?
7 days
14 days
28 days
90 days
A nurse is teaching an HIV-positive patient about infection prevention. Which pet should the patient be cautious about owning due to risk of toxoplasmosis?
Dog
Cat
Bird
Fish
Which patient populations are most appropriate to be evaluated for immunosuppression? (Select all that apply.)
Patients receiving chemotherapy
Patients taking corticosteroids
Patients with HIV
Patients with joint replacements
Healthy young adults
Which of the following are common diagnostic tests used to identify allergic reactions? (Select all that apply.)
RAST
Skin scratch test
Patch test
Complete blood count (CBC)
Oral food challenge
Which of the following best describes rheumatoid arthritis (RA)?
A localized joint condition caused by overuse
A chronic systemic autoimmune disease affecting multiple organs
An infection of the joint caused by bacteria
A degenerative joint disease seen in the elderly
Which physical finding indicates that the immune system is actively responding to an infection?
Hypotension
Decreased white blood cell count
Decreased urine output
Swollen lymph nodes
Which of the following is a valid reason to delay or avoid the flu vaccine?
The patient had a flu shot last year.
The patient has a common cold.
The patient is afraid of needles.
The patient is taking chemotherapy drugs.
A patient asks why inflammation is painful. What is the best explanation by the nurse?
The infection causes your blood vessels to clot.
The white blood cells attack the tissues directly.
Swelling compresses nerves, leading to pain.
The area becomes cold and stiff.
Which vaccine is recommended every year for older adults?
Pneumococcal vaccine
Shingles vaccine
Influenza vaccine
Hepatitis B vaccine
An adult asks how frequently the Tdap vaccine should be repeated. What is the correct response?
Every 5 years
Once in a lifetime
Every year
Every 10 years
Which of the following can impair B-lymphocyte function and antibody production?
Moderate caffeine intake
Occasional exercise
Chronic alcohol and drug use
Low carbohydrate diet
An HIV-positive patient is diagnosed with tuberculosis. Which medication is expected, and for how long should it be taken?
Rifampin for 10 days
Rifampin for 3 months
Rifampin for 6 months
Rifampin for 12 months
What type of infection control precautions should be used for all patients, including those with HIV?
Droplet precautions
Standard precautions
Contact precautions
Airborne precautions
Which of the following is a recommended safe sex practice to reduce the risk of HIV and STIs?
Use of withdrawal method
Use of oil-based lubricants with latex condoms
Consistent condom use during intercourse
Having multiple partners with frequent testing
A patient presents with a painful, blistering rash along a nerve pathway. What condition is the nurse most likely observing?
Contact dermatitis
Psoriasis
Shingles (Herpes zoster)
Cellulitis
An HIV-positive patient begins to experience frequent infections. What does this most likely indicate?
The patient is developing immunity.
The HIV is being suppressed.
The disease is progressing, and immune function is failing.
The patient has been reinfected with HIV.
A nurse is explaining the concept of immunocompetence to a student. Which statement best defines it?
The immune system cannot respond to any threats.
The immune system responds appropriately to infections and toxins.
Immunocompetence occurs only in children and young adults.
It refers to the body’s ability to develop allergies
Which example best describes passive artificial immunity?
Breastfeeding passing antibodies to an infant
Immunity after recovering from chickenpox
Injection of immunoglobulin after exposure to hepatitis
Receiving a flu vaccine annually
The nurse is educating a patient about the immune system. What does the term lysis refer to?
Swelling
Antibody production
Inflammation
Destruction of a cell
Which lymphocyte type is responsible for producing antibodies?
Helper T cells
B lymphocytes
Natural killer (NK) cells
Cytotoxic T cells
Why are older adults more susceptible to infections and immune disorders?
They have reduced immune response and chronic illnesses
They have increased immune cell production.
They spend more time indoors.
They are more likely to exercise less.
A patient develops sudden swelling and shortness of breath after eating shellfish. What is the nurse’s first action?
Administer epinephrine.
Call the healthcare provider.
Apply cool compresses.
Administer oxygen.
A nurse is teaching a patient about proper condom use. Which instruction is most accurate?
Use two condoms for extra protection.
Select any size; they all work the same.
Ensure the condom has a reservoir tip to catch semen.
Remove the condom after the erection goes away
A patient with a history of severe allergic reaction to bee stings asks how to manage future exposures. What is the nurse’s best advice?
“Avoid bees and carry aspirin at all times.”
“Keep an epinephrine auto-injector and possibly take a maintenance steroid.”
“Carry ibuprofen and drink antihistamine tea.”
“Wear a medical ID but medication is not necessary unless stung.”
A patient newly diagnosed with HIV asks if they are always contagious. What is the nurse’s best response?
“You are only contagious when your viral load is high.”
“You are only contagious if you have open sores.”
“Yes, you can transmit the virus at any stage of infection.”
“You are not contagious if you're on medication.”
A nurse is caring for an immunocompromised patient. What is the highest priority intervention?
Ensuring the patient drinks at least 2L of water per day
Keeping the patient away from visitors who are sick or small children
Monitoring vital signs every 8 hours
Educating the patient about medication side effects
Which diagnostic tests are used to confirm HIV infection?
Rapid antigen test and CD4 count
Western blot and ELISA
TB skin test and viral load
PCR and allergy testing
Which population is currently the fastest-growing group diagnosed with AIDS?
Men who have sex with men
Women and children
Elderly men
Healthcare workers
A nurse is caring for a patient with AIDS. Which of the following personal protective equipment (PPE) should be worn during routine care, such as taking vital signs?
Gloves only
Gown, gloves, mask, and eye protection
No PPE is needed for routine care
Mask and gloves only
