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Unit 6 Immune and Infection ATI

Total questions: 27

Worksheet time: 14mins

Name
Class
Date
1.

To confirm bacterial pharyngitis, which diagnostic test should the nurse anticipate?

a)

Indirect laryngoscopy

b)

Chest x-ray

c)

Throat culture

d)

Monospot test

2.

Neutropenia: Which action should the nurse take?

a)

Allow visits from young children

b)

Give unpeeled apples for snacks

c)

Allow bouquet of fresh flowers

d)

Provide individually wrapped cups & utensils

3.

SLE — Which findings should the nurse expect?

a)

Decreased urine output

b)

Renal calculi

c)

Butterfly rash

d)

Joint inflammation

4.

Viral pneumonia — report immediately

a)

Negative blood culture

b)

Left shift in WBC differential

c)

O₂ sat 93%

d)

Crackles on auscultation

5.

Testicular cancer teaching

a)

More common after age 65

b)

Examine testicles after showering

c)

Survival rate 50% with early treatment

d)

Annual ultrasound screening

6.

Clindamycin adverse reaction to report

a)

Vaginitis

b)

Furry tongue

c)

Watery diarrhea

d)

Nausea

7.

Bone marrow suppression teaching

a)

Take aspirin for pain

b)

Clean toothbrush weekly

c)

Bathe with antimicrobial soap twice daily

d)

Avoid clothing that minimizes sun exposure

8.

Acute leukemia labs

a)

Increased WBC count

b)

Increased Hgb

c)

Increased Hct

d)

Increased platelets

9.

Highest risk for pneumonia

a)

School-aged child with asthma

b)

College dorm resident

c)

Using incentive spirometer after surgery

d)

Older adult with dysphagia

10.

Rheumatoid arthritis pain teaching

a)

Cool bath in evening

b)

Exercise every other day

c)

Use pillows to support joints in bed

d)

Ask family to help with chores

11.

SLE education understanding

a)

Use sunscreen SPF ≥15

b)

Long-term immunosuppressants cure disease

c)

Gloves needed only when cold

d)

Should not affect lungs

12.

Methotrexate teaching

a)

Avoid large crowds

b)

Expect symptoms to improve in 1–2 weeks

c)

Increase vitamin D intake

d)

Expect constipation

13.

Hyperacute rejection education

a)

Occurs weeks after transplant

b)

Kidney becomes enlarged

c)

Organ must be removed

d)

Immunosuppressants reverse it

14.

Hodgkin’s lymphoma radiation teaching

a)

Use antibacterial soap

b)

Wash off ink marks

c)

Rub skin dry

d)

Avoid direct sun exposure

15.

Lyme disease teaching

a)

Test immediately after tick bite

b)

Use a lit match to remove tick

c)

Wear dark-colored clothing

d)

Report joint pain & stiffness

16.

Elevated PSA — anticipate

a)

Testicular palpation

b)

hCG level

c)

Digital rectal exam

d)

Pelvic ultrasound

17.

Peanut allergy — priority instruction

a)

Tell health care team

b)

Wear medical ID

c)

Carry an emergency anaphylaxis kit

d)

Keep a food diary

18.

Skin cancer prevention risk factor

a)

Psoriasis

b)

Light skin pigmentation

c)

Frostbite history

d)

Immunodeficiency disorder

19.

HIV — effective med therapy

a)

Low WBC

b)

Low lymphocytes

c)

Decreased viral load

d)

Low CD4/CD8 ratio

20.

HIV → progressed to AIDS

a)

Purple skin lesions (Kaposi sarcoma)

b)

Fever/diarrhea >1 month

c)

Persistent lymphadenopathy

d)

Anorexia/weight loss

21.

Skin change to report

a)

Asymmetrical pigmented papule

b)

Silvery-white scales

c)

Dry black papules

d)

Red lesion from scar

22.

Platelets 48,000/mm³ — nursing plan

a)

Low vitamin K diet

b)

Contact precautions

c)

Test urine & stool for occult blood

d)

Administer epoetin alfa

23.

Hodgkin’s lymphoma — expected lab finding

a)

B-cell overgrowth

b)

Reed-Sternberg cells

c)

Epstein-Barr virus

d)

Blast overproduction

24.

Hepatitis B risk

a)

Institutional living

b)

Unprotected sexual intercourse

c)

Chemical waste exposure

d)

Foreign travel

25.

Non-Hodgkin chemo — priority finding

a)

Loss of body hair

b)

Anorexia

c)

Mucositis

d)

Erythema at IV insertion site

26.

HIV discharge teaching

a)

Clean bathroom w/ full-strength bleach

b)

Discard beverages left unrefrigerated 1 hr

c)

Wash soiled laundry in cool water

d)

Gardening without gloves

27.

Colorectal cancer indicators

a)

Recent stool pattern changes

b)

Unintentional weight change

c)

Abdominal cramping

d)

Positive occult blood

e)

Heart sounds