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Medical-Surgical Nursing

Review Questions

Medical-Surgical NursingReview Questions

Review Questions

1 .
What immunoglobulin is involved in allergic disorders?
  1. IgA
  2. IgD
  3. IgE
  4. IgM
2 .
What seasons are associated with allergic rhinitis? Select all that apply.
  1. Spring
  2. Summer
  3. Fall
  4. Winter
3 .
A patient is undergoing subcutaneous immunotherapy. If the patient exhibits localized swelling at the injection site, what conclusion should the nurse draw?
  1. This is an expected finding.
  2. This could be a sign of a possible systemic reaction.
  3. The next dose should be increased to aid in the patient reaching a therapeutic level.
  4. The injection site should be rubbed to get the swelling to go down.
4 .
What kind of hypersensitivity is atopic dermatitis?
  1. Type I
  2. Type II
  3. Type III
  4. Type IV
5 .
A nurse has provided education to a patient newly diagnosed with atopic dermatitis. What is an example of a statement by the patient that demonstrates to the nurse the patient understands the teaching?
  1. “Atopy means the reaction is on the outer area of the skin.”
  2. “Atopy means there is a genetic tendency to develop allergic diseases.”
  3. “Atopy means the inflammation is improving.”
  4. “Atopy means the reaction only occurs due to contact with an allergen.”
6 .
A nurse is caring for a patient who is experiencing angioedema. What does the nurse know is the highest priority?
  1. monitoring blood pressure and heart rate
  2. managing the airway and ensuring patency
  3. assessing possible triggers
  4. performing tests to identify the trigger
7 .
An experienced nurse provides education to a new nurse at an allergy and asthma clinic. What is an example of a statement by the patient that demonstrates to the experienced nurse that they understand the teaching?
  1. “Urticaria is always accompanied by angioneurotic edema.”
  2. “Urticaria always occurs without the presence of angioneurotic edema.”
  3. “Angioneurotic edema only results due to urticaria.”
  4. “Urticaria and angioneurotic edema may occur with the other or alone.”
8 .
A patient states they do not understand why a food they ate previously did not cause an allergic reaction but now it does. What is an example of a response the nurse should give?
  1. “You did have a reaction following your first exposure, but you must not have recognized it.”
  2. “Your body formed antibodies during the first exposure, so the subsequent exposure resulted in an immune response.”
  3. “This is probably a one-time occurrence, so you can eat the food again without risk.”
  4. “Your symptoms were probably caused by a stomach virus rather than a food allergy.”
9 .
A patient with a peanut allergy asks why the nurse recommends reading food labels. What is an example of a statement that demonstrates an appropriate explanation by the nurse?
  1. “Some foods that you may not expect, like certain salad dressings, contain peanuts as one of the ingredients.”
  2. “If a patient is allergic to peanuts, then they are probably allergic to all the common food allergens like wheat, dairy, and shellfish.”
  3. “Some foods may be manufactured in a facility that also makes foods with peanuts in it.”
  4. “Foods that contain tree nuts may pose a similar reaction as peanuts.”
10 .
What foods have been reported to have cross-reactions for those with latex allergies? Select all that apply.
  1. Melons
  2. Bananas
  3. Avocados
  4. Kiwis
  5. Strawberries
11 .
What is an example of a vasopressor agent that may be given during anaphylaxis?
  1. Normal saline
  2. Dopamine
  3. Aminophylline
  4. Prednisone
12 .
A nurse has administered epinephrine to a patient in anaphylactic shock. What is an indicator to the nurse that the epinephrine is having a therapeutic response?
  1. dilates the patient’s airways
  2. blocks histamine effects
  3. increases blood pressure and heart rate
  4. prevents anaphylaxis from occurring with subsequent exposures to the antigen
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