All Med Surge Exams and Quizzes(Newly Updated 2022)
MedSurge Quiz 1 - 36 37 38 39
1. A nurse is admitting a patient with an immunodeficiency to the
... [Show More] medical unit. In
planning the care of this patient, the nurse should assess for what common sign of
immunodeficiency?
a. Chronic diarrhea
2. A nurse is caring for a patient who has an immunodeficiency. What assessment
finding should prompt the nurse to consider the possibility that the patient is
developing an infection?
a. Persistent diarrhea
3. The nurse is applying standard precautions in the care of a patient who has an
immunodeficiency. What are key elements of standard precautions? Select all that
apply.
a. Using appropriate personal protective equipment
b. Using safe injection practices
c. Performing hand hygiene
4. A home health nurse is reinforcing health education with a patient who is
immunosuppressed and his family. What statement best suggests that the patient
has understood the nurse's teaching?
a. “My family needs to understand that I'll probably need lifelong
treatment.”
5. The nurse is preparing to administer IVIG to a patient who has an
immunodeficiency. What nursing guideline should the nurse apply?
a. Administer pretreatment medications as ordered 30 minutes prior to
infusion.
Test Bank Questions Not On Quiz 1
CHP 36
1. A teenager is diagnosed with cellulitis of the right knee and fails to respond to oral
antibiotics. He then develops osteomyelitis of the right knee, prompting a detailed
diagnostic workup that reveals a phagocytic disorder. This patient faces an
increased risk of what complication?
a. Neutropenia
2. A patient is admitted for the treatment of a primary immunodeficiency and
intravenous immunoglobulin (IVIG) is ordered. What should the nurse monitor for
as a potential adverse effect of IVIG administration?
a. Anaphylaxis
3. A young couple visits the nurse practitioner stating that they want to start a family.
The husband states that his brother died of a severe infection at age 6 months. He
says he never knew what was wrong but his mother had him undergo ìblood
testingî as a child. Based on these statements, what health problem should the
nurse practitioner suspect?
a. X-linked agammaglobulinemia
4. The parents of a 1-month-old infant bring their child to the pediatrician with
symptoms of congestive heart failure. The infant is ultimately diagnosed with
DiGeorge syndrome. What will prolong this infant's survival?
a. Thymus gland transplantation
5. A patient who has received a heart transplant is taking cyclosporine, an
immunosuppressant. What should the nurse emphasize during health education
about infection prevention?
a. Perform frequent hand-washing
6. The nurse is caring for a patient who has a diagnosis of paroxysmal nocturnal
hemoglobinuria. When planning this patient's care, the nurse should recognize the
patient's heightened risk of what complication?
a. Venous thromboembolism
7. A patient diagnosed with common variable immune deficiency (CVID) has been
admitted to the acute medicine unit. When reviewing this patient's laboratory
findings, the nurse should prioritize what values?
CHP 37
1. A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed
that the patient is experiencing a progressive decline in cognitive, behavioral, and
motor functions. The nurse recognizes that these symptoms are most likely related
to the onset of what complication?
a. HIV encephalopathy
2. A nurse is assessing a 28-year-old man with HIV who has been admitted with
pneumonia. In assessing the patient, which of the following observations takes
immediate priority?
a. Tachypnea and restlessness
3. A patient has come into the free clinic asking to be tested for HIV infection. The
patient asks the nurse how the test works. The nurse responds that if the testing
shows that antibodies to the AIDS virus are present in the blood, this indicates
what?
a. The patient has been infected with HIV
4. The mother of two young children has been diagnosed with HIV and expresses fear
of dying. How should the nurse best respond to the patient?
a. Can you tell me what concerns you most about dying?
5. The nurse is addressing condom use in the context of a health promotion
workshop. When discussing the correct use of condoms, what should the nurse tell
the attendees?
a. Hold the condom by the cuff upon withdrawal
6. A nurse is planning the care of a patient with AIDS who is admitted to the unit with
Pneumocystis pneumonia (PCP). Which nursing diagnosis has the highest priority
for this patient?
a. Ineffective Airway Clearance
7. A public health nurse is preparing an educational campaign to address a recent
local increase in the incidence of HIV infection. The nurse should prioritize which of
the following interventions? [Show Less]