Page 1 of 38
Integumentary System (Dermatology) and the
Immunology, Genetics, and Hypersensitivity
Medical-Surgical Nursing curriculum
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 38
A mother and her two children have been diagnosed with pediculosis corporis
at a health care center. An appropriate measure in teating this condition is:
A) applying pyrethrins to the body
B) topical application of griseofulvin
C) moist compresses applied frequently
D) administration of systemic antibiotics
A) applying pyrethrins to the body
A common site for the lesions associated with atopic dermatitis is the
A) buttocks
B) temporal area
C) antecubital space
D) plantar surface of the feet
C) antecubital space
During assessment of a patient, you note an area of red, sharply defined
plaques covered with silvery scales that are mildly itchy on the patient's knees
and elbows. You recognize this finding as:
A) lentigo
B) psoriasis
C) actinic keratosis
D) seborrheic keratosis
B) psoriasis
Dermatologic manifestation(s) of Cushing syndrome can include (select all
that apply)
A) acne
B) telangiectasia
C) increased sweating
D) brown pigmentation in the legs
, Page 3 of 38
A) acne
B) telangiectasia
Important patient teaching after a chemical peel includes
A) avoidance of sun exposure
B) application of firm bandages
C) limitation of vigorous exercise
D) use of ice to relieve discomfort
A) avoidance of sun exposure
b. Seasonal allergic rhinitis is most commonly caused by pollens from trees,
weeds, and grasses. Airborne allergies can be controlled by sleeping in an air-
conditioned room, daily damp dusting, covering the mattress and pillows with
hypoallergenic covers, and wearing a mask outdoors.
Which of the following statements made by the nurse is most appropriate in teaching
patient interventions to minimize the effects of seasonal allergic rhinitis?
A. "You will need to get rid of your pets."
B. "You should sleep in an air-conditioned room."
C. "You would do best to stay indoors during the winter months."
D. "You will need to dust your house with a dry feather duster twice a week."
a, c, d, e
When caring for a patient with a known latex allergy, the nurse would monitor the
patient closely for a cross-sensitivity to which of the following foods (select all that
apply)?
A. Grapes
B. Oranges
C. Bananas
D. Potatoes
E. Tomatoes
d. The patient's symptoms are characteristic of graft-versus-host-disease
(GVHD) in which transplanted cells mount an immune response to the host's
tissue. GVHD is not a type I allergic response or an atopic reaction, and it
differs from transplant rejection in that the graft rejects the host rather than
the host rejecting the graft.
, Page 4 of 38
Ten days after receiving a bone marrow transplant, a patient has developed a skin
rash on his palms and soles, jaundice, and diarrhea. What is the most likely etiology
of these clinical manifestations?
A. The patient is experiencing a type I allergic reaction.
B. An atopic reaction is causing the patient's symptoms.
C. The patient is experiencing rejection of the bone marrow.
D. Cells in the transplanted bone marrow are rejecting the host tissue.
b. Transfusion reactions are characterized as a type II (cytotoxic) reaction in
which agglutination and cytolysis occur.
A patient's low hemoglobin and hematocrit have necessitated a transfusion of
packed red blood cells (PRBCs). Shortly after the first unit of PRBCs is hung, the
patient develops signs and symptoms of a transfusion reaction. Which of the
following hypersensitivity reactions has the patient experienced?
A. Type I
B. Type II
C. Type III
D. Type IV
d. When administering immunotherapy, it is imperative to closely monitor the
patient for any signs of an adverse reaction. The high risk and significant
consequence of an adverse reaction supersede the need to assess the
patient's fluid balance, whereas pain and changes in level of consciousness
are not likely events when administering immunotherapy.
A patient has begun immunotherapy for the treatment of intractable environmental
allergies. When administering the patient's immunotherapy, which of the following is
the nurse's priority action?
A. Monitoring the patient's fluid balance
B. Assessing the patient's need for analgesia
C. Assessing the patient for changes in level of consciousness
D. Monitoring for signs and symptoms of an adverse reaction
b. Genetic carrier screening should be done in families with a history of sickle
cell disease. Diabetes and iron-deficiency anemia are not amenable to any
form of genetic testing, whereas a family history of breast cancer suggests the
need for presymptomatic testing for estimating the patient's risk of developing
breast cancer.
Integumentary System (Dermatology) and the
Immunology, Genetics, and Hypersensitivity
Medical-Surgical Nursing curriculum
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 38
A mother and her two children have been diagnosed with pediculosis corporis
at a health care center. An appropriate measure in teating this condition is:
A) applying pyrethrins to the body
B) topical application of griseofulvin
C) moist compresses applied frequently
D) administration of systemic antibiotics
A) applying pyrethrins to the body
A common site for the lesions associated with atopic dermatitis is the
A) buttocks
B) temporal area
C) antecubital space
D) plantar surface of the feet
C) antecubital space
During assessment of a patient, you note an area of red, sharply defined
plaques covered with silvery scales that are mildly itchy on the patient's knees
and elbows. You recognize this finding as:
A) lentigo
B) psoriasis
C) actinic keratosis
D) seborrheic keratosis
B) psoriasis
Dermatologic manifestation(s) of Cushing syndrome can include (select all
that apply)
A) acne
B) telangiectasia
C) increased sweating
D) brown pigmentation in the legs
, Page 3 of 38
A) acne
B) telangiectasia
Important patient teaching after a chemical peel includes
A) avoidance of sun exposure
B) application of firm bandages
C) limitation of vigorous exercise
D) use of ice to relieve discomfort
A) avoidance of sun exposure
b. Seasonal allergic rhinitis is most commonly caused by pollens from trees,
weeds, and grasses. Airborne allergies can be controlled by sleeping in an air-
conditioned room, daily damp dusting, covering the mattress and pillows with
hypoallergenic covers, and wearing a mask outdoors.
Which of the following statements made by the nurse is most appropriate in teaching
patient interventions to minimize the effects of seasonal allergic rhinitis?
A. "You will need to get rid of your pets."
B. "You should sleep in an air-conditioned room."
C. "You would do best to stay indoors during the winter months."
D. "You will need to dust your house with a dry feather duster twice a week."
a, c, d, e
When caring for a patient with a known latex allergy, the nurse would monitor the
patient closely for a cross-sensitivity to which of the following foods (select all that
apply)?
A. Grapes
B. Oranges
C. Bananas
D. Potatoes
E. Tomatoes
d. The patient's symptoms are characteristic of graft-versus-host-disease
(GVHD) in which transplanted cells mount an immune response to the host's
tissue. GVHD is not a type I allergic response or an atopic reaction, and it
differs from transplant rejection in that the graft rejects the host rather than
the host rejecting the graft.
, Page 4 of 38
Ten days after receiving a bone marrow transplant, a patient has developed a skin
rash on his palms and soles, jaundice, and diarrhea. What is the most likely etiology
of these clinical manifestations?
A. The patient is experiencing a type I allergic reaction.
B. An atopic reaction is causing the patient's symptoms.
C. The patient is experiencing rejection of the bone marrow.
D. Cells in the transplanted bone marrow are rejecting the host tissue.
b. Transfusion reactions are characterized as a type II (cytotoxic) reaction in
which agglutination and cytolysis occur.
A patient's low hemoglobin and hematocrit have necessitated a transfusion of
packed red blood cells (PRBCs). Shortly after the first unit of PRBCs is hung, the
patient develops signs and symptoms of a transfusion reaction. Which of the
following hypersensitivity reactions has the patient experienced?
A. Type I
B. Type II
C. Type III
D. Type IV
d. When administering immunotherapy, it is imperative to closely monitor the
patient for any signs of an adverse reaction. The high risk and significant
consequence of an adverse reaction supersede the need to assess the
patient's fluid balance, whereas pain and changes in level of consciousness
are not likely events when administering immunotherapy.
A patient has begun immunotherapy for the treatment of intractable environmental
allergies. When administering the patient's immunotherapy, which of the following is
the nurse's priority action?
A. Monitoring the patient's fluid balance
B. Assessing the patient's need for analgesia
C. Assessing the patient for changes in level of consciousness
D. Monitoring for signs and symptoms of an adverse reaction
b. Genetic carrier screening should be done in families with a history of sickle
cell disease. Diabetes and iron-deficiency anemia are not amenable to any
form of genetic testing, whereas a family history of breast cancer suggests the
need for presymptomatic testing for estimating the patient's risk of developing
breast cancer.
