PN2 NCLEX EXAM EXPERT QUESTIONS AND ANSWERS INCLUDING RATIONALES GUARANTEED PASS

PN2 NCLEX EXAM 3 2023 -2024 EXPERT QUESTIONS AND ANSWERS INCLUDING RATIONALES GUARANTEED PASS 1. Which condition or health problem demonstrates inflammation without invasion? a. Allergic rhinitis b. Viral hepatitis c. Osteoarthritis d. Cellulitis e. None of above C. Osteoarthritis Osteoarthritis is a "wear and tear" disorder that mechanically caus es tissue damage. All the other disorders represent invasion by non -self proteins such as pollens, viruses, and bacteria A patient has a deep puncture wound on his foot from stepping on a nail. When the nurse prepares to give him a tetanus toxoid vaccinati on, he says he does not need another tetanus shot because he had a tetanus shot just 1 year ago. What is the nurse's best response? A. "You need this vaccination because the strain of tetanus changes every year." B. "i will check with the doctor. You pro bably do not need another vaccination now." C. "Because antibody production slows down as you age, it is better to take this vaccination as a booster to the one you had a year ago." D. "Tetanus is a more serious disease among younger people because it ca n be spread to others by sexual transmission, so it is best to take this vaccination now." C. "Because antibody production slows down as you age, it is better to take this vaccination as a booster to the one you had a year ago. "When people have been "boosting" their tetanus antibodies on a regularly scheduled basis, they should have sufficient circulating antibodies to mount a defense against exposure to tetanus. If this client's medical records substantiate that he did indeed r eceive a tetanus toxoid booster 1 year ago, he does not need another one now. A patient is undergoing plasmapheresis for treatment of systemic lupus erythematosus. The nurse explains that plasmapheresis is used in her treatment to A. remove T lymphocytes in her blood that are producing anti -nuclear antibodies B. remove normal particles in her blood that are being damaged by autoantibodies. C. exchange her plasma that contains antinuclear antibodies with a substitute fluid. D. replace viral -damaged cellu lar components of her blood with replacement whole blood. C. exchange her plasma that contains antinuclear antibodies with a substitute fluid. Exchange her plasma that contains antinuclear antibodies with a substitute fluid. Plasmapheresis is used to remove antibodies from the bloodstream, thereby preventing them from attacking their targets. Which intervention should the nurse discuss with a patient who has an allergic disorder and is requesting information for allergy sympto m control? (Select all that apply.) A. Instructing the client to refrain from using air conditioning or humidifiers in the house B Instructing the client to use curtains instead of pull shades over windows C Instructing the client to cover the mattress with a hypoallergenic cover D Instructing the client to wear a mask when cleaning E Instructing the client to avoid using sprays, powders, and perfumes F Instructing the client to change detergents frequently C,D,E Using hypoallergenic covers and cosmet ics will help reduce the chance of n allergic attack, wearing mask while cleaning will help decrease the amount of dust entering the lungs, and avoiding sprays, powders, and perfumes will help decrease the chance of an allergic attack. The client should us e air conditioning and humidifiers. Drapes, curtains, blinds, and carpets should be removed. The client should not change detergents or soaps After the first injection of an immunotherapy program, the nurse notices a large, red wheal on the client's arm, c oughing, and expiratory wheezing. Which intervention should the nurse implement first? A. Notifying the health care provider immediately B. Administering I.M. epinephrine per protocol C. Beginning oxygen by way of nasal cannula D. Starting an I.V. line for medication administration B. Administering I.M. epinephrine per protocol Immediately on noticing the client's sign and symptoms, the nurse would determine that the client is experiencing anaphylaxis to the injection. The first action is to give 0.2 to 0.5 ml of epinephrine I.M. Notifying the health care provider, beginning oxygen administration, and starting an I.V. line follow after the initial injection of epinephrine is administered. A client is prescribed prednisone for treatment of a type I reacti on. The nurse plans to monitor the client for which adverse effects? Select all that apply. A. Fluid retention B. Gastric distress C. Hypotension D. Infection E. Osteoporosis A. Fluid retention B. Gastric distress D. Infection E. Osteoporosis Rational e Hypertension is an adverse effect of prednisone. The client receives infliximab (Remicade), an immunosuppressant medication. What is the priority information for the nurse to teach the client about this medication? A. The client should get adequate exer cise. B. The client should drink plenty of fluids. C. The client should eat plenty of fruits and vegetables. D. The client should avoid crowds. D. The client should avoid crowds. Avoiding crowds is important to avoid exposure to infection.