VERIFIED 2026/2027 MEDSURGE EXAM QUESTIONS
WITH ACCURATE ANSWERE
Lewis chapter 14
Lewis chapter 14
A 19-year-old male being tested for multiple allergies develops localized redness
and swelling in reaction to a patch skin test. Which intervention by the nurse would
have the highest priority?
A. Notify the primary care provider
B. Apply a topical antiinflammatory cream
C. Remove the patch and extract from the skin
D. Administer oral diphenhydramine (Benadryl)
The nurse is teaching a 24-year-old female patient who has a latex allergy about
preventing and treating allergic reactions. Which statement, if made by the
patient, indicates a need for further teaching?
A. "My dentist should be told about my latex allergy."
B. "I should avoid foods such as bananas, avocados, and kiwi."
C. "I will use vinyl gloves for activities such as housekeeping."
D. "Because my reactions are not severe, I will not need an EpiPen."
A 34-year-old female patient who has systemic lupus erythematosus is receiving
plasmapheresis to treat an acute attack. What symptoms will the nurse monitor to
determine if the patient develops complications related to the procedure?
A. Hypotension, paresthesias, and dizziness
B. Polyuria, decreased reflexes, and lethargy
C. Intense thirst, flushed skin, and weight gain
D. Abdominal cramping, diarrhea, and leg weakness
A 58-year-old man who is waiting for a kidney transplant asks the nurse to explain
the difference between a negative and positive cross match. Which statement by
the nurse would be the most accurate response?
A. "A negative cross match means that both the donor and recipient are Rh
negative, and the transplant is safe."
B. "A negative cross match means that no preformed antibodies are present and
the transplant would be safe."
C. "A positive cross match means the blood type is the same between donor and
recipient, and the transplant is safe."
D. "A positive cross match means that both the donor and the recipient have
antigens that are similar, and the transplant would be safe."
Which patient is at highest risk for developing graft-versus-host disease?
A. A 65-year-old man who received an autologous blood transfusion
B. A 40-year-old man who received a kidney transplant from a living donor
C. A 65-year-old woman who received a pancreas and kidney from a deceased
donor
D. A 40-year-old woman who received a bone marrow transplant from a close
relative
D. A 40-year-old woman who received a bone marrow transplant from a close relative
Which statement 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."
.
When caring for a patient with a known latex allergy, the nurse would monitor the
patient closely for a cross-sensitivity to which foods (select all that apply)?
A. Grapes
B. Oranges
, VERIFIED 2026/2027 MEDSURGE EXAM QUESTIONS
WITH ACCURATE ANSWERE
Lewis chapter 14
C. Bananas
D. Potatoes
E. Tomatoes
water chestnuts, guava, hazelnuts, potatoes, peaches, grapes, and apricots.
Ten days after receiving a bone marrow transplant, a patient develops 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 attacking the host tissue.
A patient's low hemoglobin and hematocrit have necessitated a transfusion of
packed red blood cells (RBCs). Shortly after the first unit of RBCs starts to infuse,
the patient develops signs and symptoms of a transfusion reaction. Which type of
hypersensitivity reaction has the patient experienced?
A. Type I
B. Type II
C. Type III
D. Type IV
A patient has begun immunotherapy for the treatment of intractable
environmental allergies. When administering the patient's immunotherapy, what is
the nurse's priority action?
A. Monitor the patient's fluid balance.
B. Assess the patient's need for analgesia.
C. Monitor for signs and symptoms of an adverse reaction.
D. Assess the patient for changes in level of consciousness.
A healthy 65-year-old man who lives at home is at the clinic requesting a "flu shot."
When assessing the patient, what other vaccinations should the nurse ask the
patient about receiving (select all that apply)?
A. Shingles
B. Pneumonia
C. Meningococcal
D. Haemophilus influenzae type b (Hib)
E. Measles, mumps, and rubella (MMR)
On initial assessment of an older patient, the nurse knows to look for certain types
of diseases because which immunologic response increases with age?
A. Autoimmune response
B. Cell-mediated immunity
C. Hypersensitivity response
D. Humoral immune response
A 21-year-old student had taken amoxicillin once as a child for an ear infection.
She is given an injection of Penicillin V and develops a systemic anaphylactic
reaction. What manifestations would be seen first?
A. Dyspnea
B. Dilated pupils
C. Itching and edema
D. Wheal-and-flare reaction
.
The patient with an allergy to bee stings was just stung by a bee. After
administering oxygen, removing the stinger, and administering epinephrine, the
nurse notices the patient is hypotensive. What should be the nurse's first action?
WITH ACCURATE ANSWERE
Lewis chapter 14
Lewis chapter 14
A 19-year-old male being tested for multiple allergies develops localized redness
and swelling in reaction to a patch skin test. Which intervention by the nurse would
have the highest priority?
A. Notify the primary care provider
B. Apply a topical antiinflammatory cream
C. Remove the patch and extract from the skin
D. Administer oral diphenhydramine (Benadryl)
The nurse is teaching a 24-year-old female patient who has a latex allergy about
preventing and treating allergic reactions. Which statement, if made by the
patient, indicates a need for further teaching?
A. "My dentist should be told about my latex allergy."
B. "I should avoid foods such as bananas, avocados, and kiwi."
C. "I will use vinyl gloves for activities such as housekeeping."
D. "Because my reactions are not severe, I will not need an EpiPen."
A 34-year-old female patient who has systemic lupus erythematosus is receiving
plasmapheresis to treat an acute attack. What symptoms will the nurse monitor to
determine if the patient develops complications related to the procedure?
A. Hypotension, paresthesias, and dizziness
B. Polyuria, decreased reflexes, and lethargy
C. Intense thirst, flushed skin, and weight gain
D. Abdominal cramping, diarrhea, and leg weakness
A 58-year-old man who is waiting for a kidney transplant asks the nurse to explain
the difference between a negative and positive cross match. Which statement by
the nurse would be the most accurate response?
A. "A negative cross match means that both the donor and recipient are Rh
negative, and the transplant is safe."
B. "A negative cross match means that no preformed antibodies are present and
the transplant would be safe."
C. "A positive cross match means the blood type is the same between donor and
recipient, and the transplant is safe."
D. "A positive cross match means that both the donor and the recipient have
antigens that are similar, and the transplant would be safe."
Which patient is at highest risk for developing graft-versus-host disease?
A. A 65-year-old man who received an autologous blood transfusion
B. A 40-year-old man who received a kidney transplant from a living donor
C. A 65-year-old woman who received a pancreas and kidney from a deceased
donor
D. A 40-year-old woman who received a bone marrow transplant from a close
relative
D. A 40-year-old woman who received a bone marrow transplant from a close relative
Which statement 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."
.
When caring for a patient with a known latex allergy, the nurse would monitor the
patient closely for a cross-sensitivity to which foods (select all that apply)?
A. Grapes
B. Oranges
, VERIFIED 2026/2027 MEDSURGE EXAM QUESTIONS
WITH ACCURATE ANSWERE
Lewis chapter 14
C. Bananas
D. Potatoes
E. Tomatoes
water chestnuts, guava, hazelnuts, potatoes, peaches, grapes, and apricots.
Ten days after receiving a bone marrow transplant, a patient develops 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 attacking the host tissue.
A patient's low hemoglobin and hematocrit have necessitated a transfusion of
packed red blood cells (RBCs). Shortly after the first unit of RBCs starts to infuse,
the patient develops signs and symptoms of a transfusion reaction. Which type of
hypersensitivity reaction has the patient experienced?
A. Type I
B. Type II
C. Type III
D. Type IV
A patient has begun immunotherapy for the treatment of intractable
environmental allergies. When administering the patient's immunotherapy, what is
the nurse's priority action?
A. Monitor the patient's fluid balance.
B. Assess the patient's need for analgesia.
C. Monitor for signs and symptoms of an adverse reaction.
D. Assess the patient for changes in level of consciousness.
A healthy 65-year-old man who lives at home is at the clinic requesting a "flu shot."
When assessing the patient, what other vaccinations should the nurse ask the
patient about receiving (select all that apply)?
A. Shingles
B. Pneumonia
C. Meningococcal
D. Haemophilus influenzae type b (Hib)
E. Measles, mumps, and rubella (MMR)
On initial assessment of an older patient, the nurse knows to look for certain types
of diseases because which immunologic response increases with age?
A. Autoimmune response
B. Cell-mediated immunity
C. Hypersensitivity response
D. Humoral immune response
A 21-year-old student had taken amoxicillin once as a child for an ear infection.
She is given an injection of Penicillin V and develops a systemic anaphylactic
reaction. What manifestations would be seen first?
A. Dyspnea
B. Dilated pupils
C. Itching and edema
D. Wheal-and-flare reaction
.
The patient with an allergy to bee stings was just stung by a bee. After
administering oxygen, removing the stinger, and administering epinephrine, the
nurse notices the patient is hypotensive. What should be the nurse's first action?
