NUR 304 Exam 1 EAQs – Study Guide and Practice Questions
Which complication will the nurse monitor for in a client who has been prescribed long-term
antibiotic therapy?
A. Increased risk of bleeding
B. Increased risk of hypertension
C. Increased risk of hypoglycemia
D. Increased risk of Candida albicans infection - ✔✔D. Increased risk of Candida albicans
infection
A child with ill-fitting shoes developed a small blister that burst, releasing clear watery fluid.
How should the school nurse document this type of exudate?
A. Serous
B. Purulent
C. Fibrinous
D. Hemorrhagic - ✔✔A. Serous
White Blood Cell Count A=3500/ml3 B=10400/ml3 C=12100/ml3 D=4100/ml3
Which client's white blood cell count indicates leukocytosis? - ✔✔Client C
The nurse is caring for a client with swelling and pain at the site of a wound. Which other
physiological changes does the nurse expect to find? Select all that apply.
Increased redness
Increased blood flow
Decreased local temperature
Decreased hemoglobin levels
Increased blood glucose levels - ✔✔Increased redness
,Increased blood flow
A client's laboratory results indicate an increase in tumor necrosis factor α, interleukin 6, and
prostaglandin. Which condition does the nurse expect to find in the client?
A. Cachexia
B. Hemophilia
C. Chemotaxis
D. Gram-positive bacterial infection - ✔✔A. Cachexia
After reviewing the history of a client with recurrent infection, the nurse finds that the client has
impaired adaptive immunity. Which finding supports the nurse's conclusion?
A. The client has a T cell deficiency.
B. The client has a low platelet count.
C. The client has a low neutrophil count.
D. The client has an erythrocyte deficiency - ✔✔A. The client has a T cell deficiency.
Which information from the staff indicates effective teaching by the nurse for the first line of
defenses against disease? Select all that apply.
Intact skin
Phagocytes
T lymphocytes
B lymphocytes
Mucous membranes
Low skin temperature - ✔✔Intact skin
Mucous membranes
Low skin temperature
, A client has an inflammatory response. Upon assessment, the nurse finds edema in the client's
foot. What caused the edema?
A. Leukocytosis
B. Cellular infiltration
C. Vascular permeability
D. Stimulation of nerve fiber - ✔✔C. Vascular permeability
A client has an injury to the left leg. Which phagocytes will help the client in the early stage of
inflammation?
A. Platelets
B. Eosinophils
C. Neutrophils
D. Macrophages - ✔✔C. Neutrophils
How should the nurse describe the role of chemotaxis in inflammation to a coworker?
A. It releases histamine at the site of injury.
B. It leads to vascular changes at the site of injury.
C. It initiates the clotting cascade at the site of injury.
D. It causes migration of leukocytes to the site of injury - ✔✔D. It causes migration of
leukocytes to the site of injury.
A client has activated the complement system during an inflammatory response to an injury.
When planning care, which information should the nurse remember about which substance
activates complement?
A. Histamine
B. Antibodies
C. Leukotrienes
D. Prostaglandins - ✔✔B. Antibodies
Which complication will the nurse monitor for in a client who has been prescribed long-term
antibiotic therapy?
A. Increased risk of bleeding
B. Increased risk of hypertension
C. Increased risk of hypoglycemia
D. Increased risk of Candida albicans infection - ✔✔D. Increased risk of Candida albicans
infection
A child with ill-fitting shoes developed a small blister that burst, releasing clear watery fluid.
How should the school nurse document this type of exudate?
A. Serous
B. Purulent
C. Fibrinous
D. Hemorrhagic - ✔✔A. Serous
White Blood Cell Count A=3500/ml3 B=10400/ml3 C=12100/ml3 D=4100/ml3
Which client's white blood cell count indicates leukocytosis? - ✔✔Client C
The nurse is caring for a client with swelling and pain at the site of a wound. Which other
physiological changes does the nurse expect to find? Select all that apply.
Increased redness
Increased blood flow
Decreased local temperature
Decreased hemoglobin levels
Increased blood glucose levels - ✔✔Increased redness
,Increased blood flow
A client's laboratory results indicate an increase in tumor necrosis factor α, interleukin 6, and
prostaglandin. Which condition does the nurse expect to find in the client?
A. Cachexia
B. Hemophilia
C. Chemotaxis
D. Gram-positive bacterial infection - ✔✔A. Cachexia
After reviewing the history of a client with recurrent infection, the nurse finds that the client has
impaired adaptive immunity. Which finding supports the nurse's conclusion?
A. The client has a T cell deficiency.
B. The client has a low platelet count.
C. The client has a low neutrophil count.
D. The client has an erythrocyte deficiency - ✔✔A. The client has a T cell deficiency.
Which information from the staff indicates effective teaching by the nurse for the first line of
defenses against disease? Select all that apply.
Intact skin
Phagocytes
T lymphocytes
B lymphocytes
Mucous membranes
Low skin temperature - ✔✔Intact skin
Mucous membranes
Low skin temperature
, A client has an inflammatory response. Upon assessment, the nurse finds edema in the client's
foot. What caused the edema?
A. Leukocytosis
B. Cellular infiltration
C. Vascular permeability
D. Stimulation of nerve fiber - ✔✔C. Vascular permeability
A client has an injury to the left leg. Which phagocytes will help the client in the early stage of
inflammation?
A. Platelets
B. Eosinophils
C. Neutrophils
D. Macrophages - ✔✔C. Neutrophils
How should the nurse describe the role of chemotaxis in inflammation to a coworker?
A. It releases histamine at the site of injury.
B. It leads to vascular changes at the site of injury.
C. It initiates the clotting cascade at the site of injury.
D. It causes migration of leukocytes to the site of injury - ✔✔D. It causes migration of
leukocytes to the site of injury.
A client has activated the complement system during an inflammatory response to an injury.
When planning care, which information should the nurse remember about which substance
activates complement?
A. Histamine
B. Antibodies
C. Leukotrienes
D. Prostaglandins - ✔✔B. Antibodies
