NUR 265 – EXAM 4 | Questions and Answers |
2025 Update | 100% Correct – Galen.
NUR 265 Exam 4 Practice Questions
Anaphylaxis & Hypersensitivity Reactions
1. A nurse is caring for a client with a suspected anaphylactic reaction. Which
action should the nurse take first?
• A) Administer diphenhydramine
• B) Position the client supine
• C) Perform a rapid respiratory assessment
• D) Prepare for endotracheal intubation
2. A client develops swelling of the eyes, anxiety, shortness of breath, and
dizziness five minutes after receiving a routine immunization. Which action should
the nurse take first?
• A) Elevate the client's feet and legs
• B) Prepare to administer diphenhydramine
• C) Perform a respiratory assessment
• D) Obtain a full set of vital signs
3. A client presents to the ED with stridor, dyspnea, and bronchospasm after a bee
sting. After notifying the provider, which action should the nurse take next?
, • A) Administer an albuterol nebulizer treatment
• B) Initiate oxygen via a nonrebreather mask
• C) Remove the bee stinger from the site
• D) Prepare to administer a corticosteroid
4. A newly hired nurse is learning about anaphylaxis. Which statement indicates a
need for further education?
• A) "The client may present with widespread hives and hypoxia."
• B) "The client may present with swollen lips and tongue."
• C) "The client may report new-onset abdominal cramping with
hyperreflexia."
• D) "The client may have audible wheezes and cyanosis."
5. A nurse notices a large red wheal on a client's arm, coughing, and expiratory
wheezing after the first injection of an immunotherapy program. Which
intervention should the nurse implement first?
• A) Administer IM epinephrine per protocol
• B) Apply a cold compress to the injection site
• C) Document the findings and continue monitoring
• D) Administer oral diphenhydramine
6. Theon was stung by a bee and exhibits redness and edema in the hand and
forearm. The nurse's actions would be based on which scientific rationale?
• A) The client is experiencing a local inflammatory response.
• B) Hypersensitivity is possible; the client may need an anti-sting kit.
• C) The sting is harmless and requires no intervention.
• D) The client should immediately receive a corticosteroid injection.
, 7. Which client statement indicates successful teaching about allergy symptom
control?
• A) "I should use scented candles to mask odors."
• B) "I should avoid any type of sprays, powders, and perfumes."
• C) "I can keep my windows open during pollen season."
• D) "I only need to take my antihistamine when symptoms are severe."
8. For a client diagnosed with allergic rhinitis, which nursing intervention is most
appropriate?
• A) Encouraging the use of nasal saline sprays
• B) Encouraging the use of oral decongestants daily
• C) Restricting fluid intake to reduce nasal secretions
• D) Avoiding all outdoor activities
9. Which interventions should the nurse discuss with a client requesting
information for allergy symptom control? (Select all that apply.)
• A) Cover the mattress with a hypoallergenic cover
• B) Wear a mask when cleaning
• C) Avoid using sprays, powders, and perfumes
• D) Keep pets in the bedroom for comfort
• E) Use a HEPA filter in the home
Immunologic Disorders: SLE, RA, HIV/AIDS
10. Which clinical manifestation would cause the nurse to suspect systemic lupus
erythematosus (SLE)?
• A) Joint edema and tenderness
2025 Update | 100% Correct – Galen.
NUR 265 Exam 4 Practice Questions
Anaphylaxis & Hypersensitivity Reactions
1. A nurse is caring for a client with a suspected anaphylactic reaction. Which
action should the nurse take first?
• A) Administer diphenhydramine
• B) Position the client supine
• C) Perform a rapid respiratory assessment
• D) Prepare for endotracheal intubation
2. A client develops swelling of the eyes, anxiety, shortness of breath, and
dizziness five minutes after receiving a routine immunization. Which action should
the nurse take first?
• A) Elevate the client's feet and legs
• B) Prepare to administer diphenhydramine
• C) Perform a respiratory assessment
• D) Obtain a full set of vital signs
3. A client presents to the ED with stridor, dyspnea, and bronchospasm after a bee
sting. After notifying the provider, which action should the nurse take next?
, • A) Administer an albuterol nebulizer treatment
• B) Initiate oxygen via a nonrebreather mask
• C) Remove the bee stinger from the site
• D) Prepare to administer a corticosteroid
4. A newly hired nurse is learning about anaphylaxis. Which statement indicates a
need for further education?
• A) "The client may present with widespread hives and hypoxia."
• B) "The client may present with swollen lips and tongue."
• C) "The client may report new-onset abdominal cramping with
hyperreflexia."
• D) "The client may have audible wheezes and cyanosis."
5. A nurse notices a large red wheal on a client's arm, coughing, and expiratory
wheezing after the first injection of an immunotherapy program. Which
intervention should the nurse implement first?
• A) Administer IM epinephrine per protocol
• B) Apply a cold compress to the injection site
• C) Document the findings and continue monitoring
• D) Administer oral diphenhydramine
6. Theon was stung by a bee and exhibits redness and edema in the hand and
forearm. The nurse's actions would be based on which scientific rationale?
• A) The client is experiencing a local inflammatory response.
• B) Hypersensitivity is possible; the client may need an anti-sting kit.
• C) The sting is harmless and requires no intervention.
• D) The client should immediately receive a corticosteroid injection.
, 7. Which client statement indicates successful teaching about allergy symptom
control?
• A) "I should use scented candles to mask odors."
• B) "I should avoid any type of sprays, powders, and perfumes."
• C) "I can keep my windows open during pollen season."
• D) "I only need to take my antihistamine when symptoms are severe."
8. For a client diagnosed with allergic rhinitis, which nursing intervention is most
appropriate?
• A) Encouraging the use of nasal saline sprays
• B) Encouraging the use of oral decongestants daily
• C) Restricting fluid intake to reduce nasal secretions
• D) Avoiding all outdoor activities
9. Which interventions should the nurse discuss with a client requesting
information for allergy symptom control? (Select all that apply.)
• A) Cover the mattress with a hypoallergenic cover
• B) Wear a mask when cleaning
• C) Avoid using sprays, powders, and perfumes
• D) Keep pets in the bedroom for comfort
• E) Use a HEPA filter in the home
Immunologic Disorders: SLE, RA, HIV/AIDS
10. Which clinical manifestation would cause the nurse to suspect systemic lupus
erythematosus (SLE)?
• A) Joint edema and tenderness
