RN targeted medical surgical Immune online practice 2024 Answered Correct, Exams of Nursing

Download RN targeted medical surgical Immune online practice 2024 Answered Correct and more Exams Nursing in PDF only on Docsity! RN targeted medical surgical Immune online practice 2024 Answered Correct A nurse is providing teaching to a client who is scheduled for a Papanicolaou (pap) test. The nurse should inform the client that the Pap test is used to screen for which of the following? A. uterine cancer B. cervical cancer C. ovarian cysts Fibroids - ANSWER B. Cervical cancer the nurse should inform the client that a pap test is used to screen for cervical cancer A nurse is planning on education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse include regarding Lyme Disease? A. If bitten by a tick, you should be tested immediately. B. If you have a tick embedded in your skin, apply a lit match to remove it C. You should wear dark colored clothing to deter ticks from biting D. If you develop pain and stiffness in your joints, you should see your doctor - ANSWER D. If you develop pain and stiffness in your joints, you should see your doctor The nurse should inform the group that manifestations of stage 1 Lyme disease include influenza-like manifestations, a "bull's-eye" rash, muscle and joint pain, and stiffness. The nurse should instruct the group to report these findings to a provider. A nurse is reviewing the daily laboratory results for a female client who has acute leukemia. Which of the following values is an expected finding? A. WBC count 21000 B. Hgb 14 C. Hct 40% D. Platelets 170,000 - ANSWER A. WBC count 21000 The nurse should expect a client who has acute leukemia to have an elevated WBC count A nurse is providing teaching to a client who has systemic lupus erythematosus. Which of the following statements by the client indicates an understanding of the teaching? A.. I should use a sunscreen with a SPF of at least 15 B. Long-term immunosuppressive therapy could cure this the client's immunocompromised status. A nurse is providing teaching to a client who has Hodkin's lymphoma and is undergoing external radiation treatment. Which of the following instructions should the nurse include? A. Use an antibacterial soap to cleanse the skin B. Wash the ink marking off when showering C. Rub the skin with a towel when drying D. Avoid direct sun exposure to the skin - ANSWER D. Avoid direct sun exposure to the skin The nurse should instruct the client to avoid sun exposure because the client's skin is sensitive to sunburn due to the external radiation. A nurse is providing teaching to a group of clients regarding skin cancer prevention. Which of the following risk factors should the nurse include in the teaching? A. Light skin pigmentation B. Psoriasis C. History of frostbite D. Immunodeficiency disorder - ANSWER A. Light skin pigmentation The nurse should inform the clients that light skin pigmentation is a risk factor for the development of skin cancer A nursing is educating a client who is scheduled for a kidney transplant. Which of the following information about hyperacute rejection should the nurse include in the teaching? A. Hyperacute rejection can occur during the first few weeks after the transplant B. If hyperacute rejection occurs, the kidney can become enlarged C. The organ will need to be removed if hyperacute rejection occurs D. Immunosuppressive therapy is given to reverse hyperacute rejection - ANSWER C. The organ will need to be removed if hyperacute rejection occurs Removing the transplanted organ is the only treatment for hyperacute rejection, due to the widespread clotting cascade that leads to ischemic necrosis of the transplant kidney A nurse is caring for a client who reports a skin change. Which of the following findings should the nurse report to the provider? A. an asymmetrical papule that is pigmented B. A patch of silvery-white scales with a red epidermal base C. A collection of irregular, dry papules that are black D. An elevated red lesion that arises from a scar - ANSWER A. An asymmetrical papule that is pigmented The nurse should identify an asymmetrical papule that is pigmented as an indication of malignant melanoma. The nurse should report the client's skin change to the provider. The nurse should instruct the client to avoid crowds when taking methotrexate. Methotrexate can cause leukopenia due to bone marrow suppression, which can increase the client's risk for infection. A nurse is caring for a client who is admitted with enlarged lymph nodes and a fever. To confirm a diagnosis of bacterial pharyngitis, the nurse should anticipate which of the following diagnostic tests? A. indirect laryngoscopy B. Chest xray C. Throat culture D. Monospot test - ANSWER C. Throat culture Nurse should recongnize that a throat culture is used to confirm a diagnosis of bacterial pharyngitis by identifying specific micro-organisms present in the pharynx a nurse is providing discharge teaching to a client who has HIV. Which of the following statements by the client indicates an understanding of the teaching? A. I will clean the bathroom surfaces with full strength bleach B. I should discard open beverages that have been unrefrigerated for 1 hr C. I should wash laundry that is soiled with a body fluid in cool water D. I will work in the garden for exercise - ANSWER B. I should discard open beverages that have been unrefrigerated for 1 hr The nurse should instruct the client to discard beverages that have been unrefrigerated for 1 hr. Bacteria can grow in open, unrefrigerated beverages, which places the client at risk for infection. A nurse is providing teaching to a client who has an allergy to peanuts. Which of the following instructions is the priority to include in the teaching? A. Inform other health care professionals of the allergy B. Wear a medical identification tag C. Carry an emergency anaphylaxis kit D. Keep a food diary - ANSWER C. Carry an emergency anaphylaxis kit the greatest risk to the client is injury or death from an anaphylactic reaction. therefore, the priority instruction for the client is to be prepared for emergency treatment carrying an emergency anaphylaxis kit A nurse is planning care for a client who has leukemia and a platelet count of 48,000. Which of the following interventions should the nurse include in the plan? A. Provide the client with a diet that is low in vitamin K B. Place the client on contact precautions C. Administer subcutaneous epoetin alfa D. Test the client's urine and stool for occult blood - ANSWER D. Test the client's urine and stool for occult blood A client who is thrombocytopenic is at risk for occult bleeding. Therefore, the nurse should test the client's urine and stool for occult blood A nurse is providing teaching to a client who has rheumatoid arthritis and reports persistent pain. Which of the following responses should the nurse make? A. Take a cool bath in the evening B. Exercise every other day C. Use pillows to support your joints while in bed D. Ask a friend or a family member to help with household chores - ANSWER D. Ask a friend or a family member to help with household chores The nurse should A nurse is performing a breast examination on a female client who is pregnant. Which of the following findings should the nurse report to the provider? A. Slight asymmetrical breast size B. Breast tissue with an orange-peel appearance C. Nipple inversion of one breast since puberty D. Elevated Montgomery's glands - ANSWER B. Breast tissue with an orange- peel appearance The nurse should report an orange-peel appearance of the client's skin because this can indicate a blockage of lymph channels which is a manifestation of advanced breast cancer A nurse is planning discharge teaching for a client who is receiving chemotherapy and has bone marrow suppression. Which of the following instructions should the nurse plan to include in the teaching? A. Take aspirin for minor aches and pains B. Clean your toothbrush with warm water weekly C. Bathe with an antimicrobial soap twice per day D. Wear clothing that will minimize sun exposure - ANSWER C. Bathe with an antimicrobial soap twice per day The nurse should instruct the client to bathe twice per day with an antimicrobial soap to decrease their exposure to micro-organisms. A client who has bone marrow suppression is at increased risk for infection A nurse in an emergency department is assessing a newly admitted client. Which of the following actions places the client at increased risk for contracting hepatitis B? A. residing in an institutional setting B. Engaging in unprotected sexual intercourse C. Working with hazardous chemical waste materials