Grade A+ NCLEX Style Questions and ans 2025 exam: Hypersensitivity
A client is noted to have a type I (IgE-mediated) hypersensitivity
reaction with a systemic response. Which clinical manifestation
should the nurse anticipate? (Select all that apply) B. Stridor
A. Allergic rhinitis C. Wheezing
B. Stridor D. Urticaria
C. Wheezing E. Hypotension
D. Urticaria
E. Hypotension
Which hypersensitivity reaction releases enzymes that increase
tissue damage?
A. Type III
Type III
B. Type IV
C. Type I
D. Type II
Which is the nurse's PRIORITY action when managing a client
experiencing a type I hypersensitivity?
A. Management of arthralgia
B. Airway management B. airway management
C. Stopping the blood transfusion
D. Decreasing a fever
How are the systemic type I IgE-mediated responses initiated?
A. With contact of the allergen and IgE in the conjunctival tissues.
B. by contact of the allergen with IgE in the bronchial tree
D. Allergens are absorbed in the GI mucosa
C. the allergen makes contact with the IgE in the circulatory
system
D. Allergens are absorbed in the GI mucosa
The nurse is providing teaching for a client on dietary intake and
anaphylaxis. Which food should the nurse identify that trigger
anaphylaxis in a sensitized individual (Select all that apply)
A. Fish D. Chocolate
B. Coconut oil E. Grains
C. Milk
D. Chocolate
E. Grains
The nurse is teaching a group of clients with allergies to foods and
a history of asthma about the risk factors for the development of
anaphylaxis. The nurse identifies which age group as having the
highest risk for the development and severity of anaphylaxis?
B. Older adult
A. Adolescent
B. Older adult
C. Adult
D. Child
The nurse is providing discharge teaching for a teenager who
has experienced anaphylaxis related to a food allergy. Which
statement by the nurse addresses the most common risk factor
for an allergic reaction in a teenager?
A. "eat nutritional meals and drink plenty of fluids." B. "Monitor what you are eating outside the home."
B. "Monitor what you are eating outside the home."
C. Seek emergency medical help if you feel you have experiencing
anaphylaxis."
D. "limit your exposure to the food that caused the reaction."
The nurse is caring for a client who requires a course of oral
steroids more than once a year for the treatment of asthma related
to allergens. Which alternative therapy should the nurse anticipate
being prescribe for the client to avoid the frequent use of steroids?
A. Immunotherapy A. Immunotherapy
B. Omalizumab
C. Plasmapheresis
D. Antihistamines
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A client is noted to have a type I (IgE-mediated) hypersensitivity
reaction with a systemic response. Which clinical manifestation
should the nurse anticipate? (Select all that apply) B. Stridor
A. Allergic rhinitis C. Wheezing
B. Stridor D. Urticaria
C. Wheezing E. Hypotension
D. Urticaria
E. Hypotension
Which hypersensitivity reaction releases enzymes that increase
tissue damage?
A. Type III
Type III
B. Type IV
C. Type I
D. Type II
Which is the nurse's PRIORITY action when managing a client
experiencing a type I hypersensitivity?
A. Management of arthralgia
B. Airway management B. airway management
C. Stopping the blood transfusion
D. Decreasing a fever
How are the systemic type I IgE-mediated responses initiated?
A. With contact of the allergen and IgE in the conjunctival tissues.
B. by contact of the allergen with IgE in the bronchial tree
D. Allergens are absorbed in the GI mucosa
C. the allergen makes contact with the IgE in the circulatory
system
D. Allergens are absorbed in the GI mucosa
The nurse is providing teaching for a client on dietary intake and
anaphylaxis. Which food should the nurse identify that trigger
anaphylaxis in a sensitized individual (Select all that apply)
A. Fish D. Chocolate
B. Coconut oil E. Grains
C. Milk
D. Chocolate
E. Grains
The nurse is teaching a group of clients with allergies to foods and
a history of asthma about the risk factors for the development of
anaphylaxis. The nurse identifies which age group as having the
highest risk for the development and severity of anaphylaxis?
B. Older adult
A. Adolescent
B. Older adult
C. Adult
D. Child
The nurse is providing discharge teaching for a teenager who
has experienced anaphylaxis related to a food allergy. Which
statement by the nurse addresses the most common risk factor
for an allergic reaction in a teenager?
A. "eat nutritional meals and drink plenty of fluids." B. "Monitor what you are eating outside the home."
B. "Monitor what you are eating outside the home."
C. Seek emergency medical help if you feel you have experiencing
anaphylaxis."
D. "limit your exposure to the food that caused the reaction."
The nurse is caring for a client who requires a course of oral
steroids more than once a year for the treatment of asthma related
to allergens. Which alternative therapy should the nurse anticipate
being prescribe for the client to avoid the frequent use of steroids?
A. Immunotherapy A. Immunotherapy
B. Omalizumab
C. Plasmapheresis
D. Antihistamines
1/3
