1|Page
SAUNDERS NCLEX IMMUNE DISORDERS
ACTUAL EXAM 2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY
A GRADED |NEW AND REVISED
A client presents at the health care provider's office with complaints of a bulls-eye
rash on his upper leg. Which question should the nurse ask first?
1.
"Do you have any cats in your home?"
2.
"Have you been camping in the last month?"
3.
"Have you or close contacts had any flu-like symptoms within the last few weeks?"
4.
"Have you been in physical contact with anyone who has the same type of rash?" -
ANSWER- 2.
"Have you been camping in the last month?"
A client is diagnosed with scleroderma. Which intervention should the nurse
anticipate to be prescribed?
1.
Maintain bed rest as much as possible.
,2|Page
2.
Administer corticosteroids as prescribed for inflammation.
3.
Advise the client to remain supine for 1 to 2 hours after meals.
4.
Keep the room temperature warm during the day and cool at night. - ANSWER- 2.
Administer corticosteroids as prescribed for inflammation.
A client arrives at the health care clinic and tells the nurse that she was just bitten
by a tick and would like to be tested for Lyme disease. The client tells the nurse
that she removed the tick and flushed it down the toilet. Which actions are most
appropriate? Select all that apply.
1.
Tell the client that testing is not necessary unless arthralgia develops.
2.
Tell the client to avoid any woody, grassy areas that may contain ticks.
3.
Instruct the client to immediately start to take the antibiotics that are prescribed.
4.
Inform the client to plan to have a blood test 4 to 6 weeks after a bite to detect the
presence of the disease.
,3|Page
5.
Tell the client that if this happens again, to never remove the tick but vigorously
scrub the area with an antiseptic. - ANSWER- 2.
Tell the client to avoid any woody, grassy areas that may contain ticks.
3.
Instruct the client to immediately start to take the antibiotics that are prescribed.
4.
Inform the client to plan to have a blood test 4 to 6 weeks after a bite to detect the
presence of the disease.
The client with acquired immunodeficiency syndrome is diagnosed with cutaneous
Kaposi's sarcoma. Based on this diagnosis, the nurse understands that this has been
confirmed by which finding?
1.
Swelling in the genital area
2.
Swelling in the lower extremities
3.
Positive punch biopsy of the cutaneous lesions
4.
Appearance of reddish-blue lesions noted on the skin - ANSWER- 3.
, 4|Page
Positive punch biopsy of the cutaneous lesions
The nurse is conducting allergy skin testing on a client. Which postprocedure
interventions are most appropriate? Select all that apply.
1.
Record site, date, and time of the test.
2.
Give the client a list of potential allergens if identified.
3.
Estimate the size of the wheal and document the finding.
4.
Tell the client to return to have the site inspected only if there is a reaction.
5.
Have the client wait in the waiting room for at least 1 to 2 hours after injection. -
ANSWER- 1.
Record site, date, and time of the test.
2.
Give the client a list of potential allergens if identified.
The nurse is performing an assessment on a client who has been diagnosed with an
allergy to latex. In determining the client's risk factors, the nurse should question
the client about an allergy to which food item?
SAUNDERS NCLEX IMMUNE DISORDERS
ACTUAL EXAM 2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY
A GRADED |NEW AND REVISED
A client presents at the health care provider's office with complaints of a bulls-eye
rash on his upper leg. Which question should the nurse ask first?
1.
"Do you have any cats in your home?"
2.
"Have you been camping in the last month?"
3.
"Have you or close contacts had any flu-like symptoms within the last few weeks?"
4.
"Have you been in physical contact with anyone who has the same type of rash?" -
ANSWER- 2.
"Have you been camping in the last month?"
A client is diagnosed with scleroderma. Which intervention should the nurse
anticipate to be prescribed?
1.
Maintain bed rest as much as possible.
,2|Page
2.
Administer corticosteroids as prescribed for inflammation.
3.
Advise the client to remain supine for 1 to 2 hours after meals.
4.
Keep the room temperature warm during the day and cool at night. - ANSWER- 2.
Administer corticosteroids as prescribed for inflammation.
A client arrives at the health care clinic and tells the nurse that she was just bitten
by a tick and would like to be tested for Lyme disease. The client tells the nurse
that she removed the tick and flushed it down the toilet. Which actions are most
appropriate? Select all that apply.
1.
Tell the client that testing is not necessary unless arthralgia develops.
2.
Tell the client to avoid any woody, grassy areas that may contain ticks.
3.
Instruct the client to immediately start to take the antibiotics that are prescribed.
4.
Inform the client to plan to have a blood test 4 to 6 weeks after a bite to detect the
presence of the disease.
,3|Page
5.
Tell the client that if this happens again, to never remove the tick but vigorously
scrub the area with an antiseptic. - ANSWER- 2.
Tell the client to avoid any woody, grassy areas that may contain ticks.
3.
Instruct the client to immediately start to take the antibiotics that are prescribed.
4.
Inform the client to plan to have a blood test 4 to 6 weeks after a bite to detect the
presence of the disease.
The client with acquired immunodeficiency syndrome is diagnosed with cutaneous
Kaposi's sarcoma. Based on this diagnosis, the nurse understands that this has been
confirmed by which finding?
1.
Swelling in the genital area
2.
Swelling in the lower extremities
3.
Positive punch biopsy of the cutaneous lesions
4.
Appearance of reddish-blue lesions noted on the skin - ANSWER- 3.
, 4|Page
Positive punch biopsy of the cutaneous lesions
The nurse is conducting allergy skin testing on a client. Which postprocedure
interventions are most appropriate? Select all that apply.
1.
Record site, date, and time of the test.
2.
Give the client a list of potential allergens if identified.
3.
Estimate the size of the wheal and document the finding.
4.
Tell the client to return to have the site inspected only if there is a reaction.
5.
Have the client wait in the waiting room for at least 1 to 2 hours after injection. -
ANSWER- 1.
Record site, date, and time of the test.
2.
Give the client a list of potential allergens if identified.
The nurse is performing an assessment on a client who has been diagnosed with an
allergy to latex. In determining the client's risk factors, the nurse should question
the client about an allergy to which food item?