NSG 330 Ch 36- Management Immune
Deficiency Disorder Exam Questions &
Answers | Complete Practice Test |
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, A nurse is assessing a client with Kaposi's sarcoma. Deep purple cutaneous lesions
What initial sign does the nurse know to look for during Explanation:
assessment? Localized cutaneous lesions may be the first manifestation of this HIV-related
malignancy, which appears in 90% of clients as immune function deteriorates.
Other symptoms develop over time as the lesions increase in size and spread to
other locations.
A client is prescribed antihistamines, and asks the nurse alcohol.
about administration and adverse effects. The nurse Explanation:
should advise the client to avoid: The nurse should advise a client taking antihistamines not to take it with alcohol
or other central nervous system depressants because additive sedative effects
can occur.
A nurse educator is preparing to discuss AIDS
immunodeficiency disorders with a group of fellow Explanation:
nurses. What would the nurse identify as the most AIDS, the most common secondary disorder, is perhaps the best-known
common secondary immunodeficiency disorder? secondary immunodeficiency disorder. It results from infection with the human
immunodeficiency virus (HIV). DAF refers to lysis of erythrocytes due to lack of
decay-accelerating factor (DAF) on erythrocytes. CVID is a disorder that
encompasses various defects ranging from IgA deficiency (in which only the
plasma cells that produce IgA are absent) to severe hypogammaglobulinemia (in
which there is a general lack of immunoglobulins in the blood). Severe combined
immunodeficiency disease (SCID) is a disorder in which both B and T cells are
missing.
The nurse is caring for a young client who has “I can take my child to the beach, as long as we play in the sand rather than
agammaglobulinemia. The nurse is teaching the family swim in the water.”
how to avoid infection at home. Which statement by the Explanation:
family indicates that additional teaching is needed? Parents should verbalize ways to plan for regular exercise and activity that does
not pose a risk of infections. Immunocompromised clients should avoid touching
sand or soil because of the high level of bacteria and increased risk of diseases
such as toxoplasmosis.
A nursing student assists a registered nurse to admit a Severe infections
client with a primary immunodeficiency. The nurse Autoimmunity
explains to the student that primary immunodeficiencies Cancer
predispose people to three conditions. Which of the Explanation:
following three are those conditions? Primary immunodeficiencies represent inborn errors of immune function that
predispose people to frequent and severe infections, autoimmunity, and cancer.
A client is to receive intravenous immunoglobulin (IVIG). 10:30 to 11:00 a.m.
The infusion is started at 10 a.m. The nurse would be Explanation:
alert for signs and symptoms of an anaphylactic reaction When administering IVIG, anaphylactic reactions typically occur 30 to 60 minutes
during which time frame? after the start of the infusion. Therefore, the time frame would be 10:30 to 11:00
a.m.
The nurse completes a history and physical assessment Pneumocystis pneumonia
on a client with acquired immune deficiency syndrome Explanation:
(AIDS) who was admitted to the hospital with respiratory Pneumocystic pneumonia (PCP) is one of the first and most common
complications. The nurse knows to assess for what opportunistic infections associated with AIDS. It may be present despite the
common infection (80% occurrence) in persons with absence of crackles. If untreated, PCP progresses to cause significant
AIDS? pulmonary impairment and respiratory failure.
A client with severe combined immunodeficiency is to Immunosuppressive agents
receive a hematopoietic stem cell transplant. What would Explanation:
the nurse expect to be started? For a client undergoing a hematopoietic stem cell transplant,
immunosuppression is started to ensure engraftment of depleted bone marrow.
Antibiotic therapy may or may not be indicated. Chest physiotherapy would be
appropriate for clients with ataxia-telangiectasis who have chronic lung disease.
Anticoagulation would not be used.
A client who is HIV positive has been prescribed To avoid resistance to the drugs
antiretroviral drugs. The nurse explains the action of Explanation:
each antiretroviral drug and develops a schedule for the For clients with an established HIV status, the nurse explains the action of each
client's self-administration, including strong emphasis antiretroviral drug and develops a schedule for the client's self-administration.
about rigidly adhering to the dosage, time and frequency This includes strong precautions about rigidly adhering to the dosage, time, and
of the administration of the drugs. Why is it important to frequency of drug administration to avoid resistance. Adhering rigidly to the
adhere to the schedule of drug dosing developed for this developed schedule is not to preclude overdosing, or to maintain appropriate
client? blood levels, or to get the most benefit from the drugs.
Deficiency Disorder Exam Questions &
Answers | Complete Practice Test |
Latest 2026–2027
** Expert-Verified Explanation
** All Questions with Verified Answer
** Guaranteed Pass
** 100% Correct Answers | Graded A+
, A nurse is assessing a client with Kaposi's sarcoma. Deep purple cutaneous lesions
What initial sign does the nurse know to look for during Explanation:
assessment? Localized cutaneous lesions may be the first manifestation of this HIV-related
malignancy, which appears in 90% of clients as immune function deteriorates.
Other symptoms develop over time as the lesions increase in size and spread to
other locations.
A client is prescribed antihistamines, and asks the nurse alcohol.
about administration and adverse effects. The nurse Explanation:
should advise the client to avoid: The nurse should advise a client taking antihistamines not to take it with alcohol
or other central nervous system depressants because additive sedative effects
can occur.
A nurse educator is preparing to discuss AIDS
immunodeficiency disorders with a group of fellow Explanation:
nurses. What would the nurse identify as the most AIDS, the most common secondary disorder, is perhaps the best-known
common secondary immunodeficiency disorder? secondary immunodeficiency disorder. It results from infection with the human
immunodeficiency virus (HIV). DAF refers to lysis of erythrocytes due to lack of
decay-accelerating factor (DAF) on erythrocytes. CVID is a disorder that
encompasses various defects ranging from IgA deficiency (in which only the
plasma cells that produce IgA are absent) to severe hypogammaglobulinemia (in
which there is a general lack of immunoglobulins in the blood). Severe combined
immunodeficiency disease (SCID) is a disorder in which both B and T cells are
missing.
The nurse is caring for a young client who has “I can take my child to the beach, as long as we play in the sand rather than
agammaglobulinemia. The nurse is teaching the family swim in the water.”
how to avoid infection at home. Which statement by the Explanation:
family indicates that additional teaching is needed? Parents should verbalize ways to plan for regular exercise and activity that does
not pose a risk of infections. Immunocompromised clients should avoid touching
sand or soil because of the high level of bacteria and increased risk of diseases
such as toxoplasmosis.
A nursing student assists a registered nurse to admit a Severe infections
client with a primary immunodeficiency. The nurse Autoimmunity
explains to the student that primary immunodeficiencies Cancer
predispose people to three conditions. Which of the Explanation:
following three are those conditions? Primary immunodeficiencies represent inborn errors of immune function that
predispose people to frequent and severe infections, autoimmunity, and cancer.
A client is to receive intravenous immunoglobulin (IVIG). 10:30 to 11:00 a.m.
The infusion is started at 10 a.m. The nurse would be Explanation:
alert for signs and symptoms of an anaphylactic reaction When administering IVIG, anaphylactic reactions typically occur 30 to 60 minutes
during which time frame? after the start of the infusion. Therefore, the time frame would be 10:30 to 11:00
a.m.
The nurse completes a history and physical assessment Pneumocystis pneumonia
on a client with acquired immune deficiency syndrome Explanation:
(AIDS) who was admitted to the hospital with respiratory Pneumocystic pneumonia (PCP) is one of the first and most common
complications. The nurse knows to assess for what opportunistic infections associated with AIDS. It may be present despite the
common infection (80% occurrence) in persons with absence of crackles. If untreated, PCP progresses to cause significant
AIDS? pulmonary impairment and respiratory failure.
A client with severe combined immunodeficiency is to Immunosuppressive agents
receive a hematopoietic stem cell transplant. What would Explanation:
the nurse expect to be started? For a client undergoing a hematopoietic stem cell transplant,
immunosuppression is started to ensure engraftment of depleted bone marrow.
Antibiotic therapy may or may not be indicated. Chest physiotherapy would be
appropriate for clients with ataxia-telangiectasis who have chronic lung disease.
Anticoagulation would not be used.
A client who is HIV positive has been prescribed To avoid resistance to the drugs
antiretroviral drugs. The nurse explains the action of Explanation:
each antiretroviral drug and develops a schedule for the For clients with an established HIV status, the nurse explains the action of each
client's self-administration, including strong emphasis antiretroviral drug and develops a schedule for the client's self-administration.
about rigidly adhering to the dosage, time and frequency This includes strong precautions about rigidly adhering to the dosage, time, and
of the administration of the drugs. Why is it important to frequency of drug administration to avoid resistance. Adhering rigidly to the
adhere to the schedule of drug dosing developed for this developed schedule is not to preclude overdosing, or to maintain appropriate
client? blood levels, or to get the most benefit from the drugs.
