NSG 320 EXAM 2
NSG 320 EXAM 2 /NSG320 Exam 2 Actual
Exam Newest 2025/2026 With Complete
100 Questions And Correct Answers
|Already Graded A+||Brand New Version!|
The nurse provides discharge instructions to a patient who has an immune deficiency involving
the T lymphocytes. Which screening should the nurse include in the teaching plan for this
patient?
a. Screening for allergies
b. Screening for malignancy
c. Antibody deficiency screening
d. Screening for autoimmune disorders
- Correct Answer :b. Screening for malignancy
Cell-mediated immunity is responsible for the recognition and destruction of cancer cells.
Allergic reactions, autoimmune disorders, and antibody deficiencies are mediated primarily by B
lymphocytes and humoral immunity.
A new mother expresses concern about her baby developing allergies and asks what the health
care provider meant by passive immunity. Which example should the nurse use to explain this
type of immunity?
a. Early immunization
b. Bone marrow donation
c. Breastfeeding her infant
d. Exposure to communicable diseases
- Correct Answer :c. breastfeeding her infant
Colostrum provides passive immunity through antibodies from the mother. These antibodies
protect the infant for a few months. However, memory cells are not retained, so the protection
is not permanent. Active immunity is acquired by being immunized with vaccinations or having
an infection. It requires that the infant has an immune response after exposure to an antigen.
Cell-mediated immunity is acquired through T lymphocytes and is a form of active immunity.
A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which
laboratory value?
a. IgE
A+ TEST BANK 1
, NSG 320 EXAM 2
b. IgA
c. Basophils
d. Neutrophils
- Correct Answer :a. IgE
Serum IgE is elevated in an allergic response (type 1 hypersensitivity disorders). The eosinophil
level will be elevated rather than neutrophil or basophil counts. IgA is located in body secretions
and would not be tested when evaluating a patient who has symptoms of atopic dermatitis.
An older adult patient who is having an annual check-up tells the nurse, I feel fine, and I dont
want to pay for all these unnecessary cancer screening tests! Which information should the
nurse plan to teach this patient?
a. Consequences of aging on cell-mediated immunity
b. Decrease in antibody production associated with aging
c. Impact of poor nutrition on immune function in older people
d. Incidence of cancer-stimulating infections in older individuals
- Correct Answer :a. Consequences of aging on cell-mediated immunity
The primary impact of aging on immune function is on T cells, which are important for immune
surveillance and tumor immunity. Antibody function is not affected as much by aging. Poor
nutrition can also contribute to decreased immunity, but there is no evidence that it is a
contributing factor for this patient. Although some types of cancer are associated with specific
infections, this patient does not have an active infection.
A patient who collects honey to earn supplemental income has developed a hypersensitivity to
bee stings. Which statement, if made by the patient, would indicate a need for additional
teaching?
a. I need to find another way to earn extra money.
b. I will get a prescription for epinephrine and learn to self-inject it.
c. I will plan to take oral antihistamines daily before going to work.
d. I should wear a Medic-Alert bracelet indicating my allergy to bee stings.
- Correct Answer :c. I will plan to take oral antihistamines daily before going to work.
Because the patient is at risk for bee stings and the severity of allergic reactions tends to
increase with added exposure to allergen, taking oral antihistamines will not adequately control
the patients hypersensitivity reaction. The other patient statements indicate a good
understanding of management of the problem.
Which teaching should the nurse provide about intradermal skin testing to a patient with
possible allergies?
A+ TEST BANK 2
, NSG 320 EXAM 2
a. Do not eat anything for about 6 hours before the testing.
b. Take an oral antihistamine about an hour before the testing.
c. Plan to wait in the clinic for 20 to 30 minutes after the testing.
d. Reaction to the testing will take about 48 to 72 hours to occur.
- Correct Answer :c. Plan to wait in the clinic for 20 to 30 minutes after the testing.
Allergic reactions usually occur within minutes after injection of an allergen, and the patient will
be monitored for at least 20 minutes for anaphylactic reactions after the testing. Medications
that might modify the response, such as antihistamines, should be avoided before allergy
testing. There is no reason to be NPO for skin testing. Results with intradermal testing occur
within minutes.
The nurse, who is reviewing a clinic patients medical record, notes that the patient missed the
previous appointment for weekly immunotherapy. Which action by the nurse is most
appropriate?
a. Schedule an additional dose that week.
b. Administer the usual dosage of the allergen.
c. Consult with the health care provider about giving a lower allergen dose.
d. Re-evaluate the patients sensitivity to the allergen with a repeat skin test
. - Correct Answer :c. Consult with the health care provider about giving a lower allergen dose.
Because there is an increased risk for adverse reactions after a patient misses a scheduled dose
of allergen, the nurse should check with the health care provider before administration of the
injection. A skin test is used to identify the allergen and would not be used at this time. An
additional dose for the week may increase the risk for a reaction.
While obtaining a health history from a patient, the nurse learns that the patient has a history of
allergic rhinitis and multiple food allergies. Which action by the nurse is most appropriate?
a. Encourage the patient to carry an epinephrine kit in case a type IV allergic reaction to latex
develops.
b. Advise the patient to use oil-based hand creams to decrease contact with natural proteins in
latex gloves.
c. Document the patients allergy history and be alert for any clinical manifestations of a type I
latex allergy.
d. Recommend that the patient use vinyl gloves instead of latex gloves in preventing blood-borne
pathogen contact.
- Correct Answer :c. Document the patients allergy history and be alert for any clinical
manifestations of a type I latex allergy.
A+ TEST BANK 3
, NSG 320 EXAM 2
The patients allergy history and occupation indicate a risk of developing a latex allergy. The nurse
should be prepared to manage any symptoms that may occur. Epinephrine is not an appropriate
treatment for contact dermatitis that is caused by a type IV allergic reaction to latex. Oil-based
creams will increase the exposure to latex from latex gloves. Vinyl gloves are appropriate to use
when exposure to body fluids is unlikely.
The nurse teaches a patient diagnosed with systemic lupus erythematosus (SLE) about
plasmapheresis. What instructions about plasmapheresis should the nurse include in the
teaching plan?
a. Plasmapheresis will eliminate eosinophils and basophils from blood.
b. Plasmapheresis will remove antibody-antigen complexes from circulation.
c. Plasmapheresis will prevent foreign antibodies from damaging various body tissues.
d. Plasmapheresis will decrease the damage to organs caused by attacking T lymphocytes.
- Correct Answer :b. Plasmapheresis will remove antibody-antigen complexes from circulation.
Plasmapheresis is used in SLE to remove antibodies, antibody-antigen complexes, and
complement from blood. T lymphocytes, foreign antibodies, eosinophils, and basophils do not
directly contribute to the tissue damage in SLE.
The nurse is caring for a patient undergoing plasmapheresis. The nurse should assess the patient
for which clinical manifestation?
a. Shortness of breath
b. High blood pressure
c. Transfusion reaction
d. Numbness and tingling
- Correct Answer :d. Numbness and tingling
Numbness and tingling may occur as the result of the hypocalcemia caused by the citrate used to
prevent coagulation. The other clinical manifestations are not associated with plasmapheresis.
Which statement by a patient would alert the nurse to a possible immunodeficiency disorder?
a. I take one baby aspirin every day to prevent stroke.
b. I usually eat eggs or meat for at least 2 meals a day.
c. I had my spleen removed many years ago after a car accident.
d. I had a chest x-ray 6 months ago when I had walking pneumonia.
- Correct Answer :c. I had my spleen removed many years ago after a car accident.
Splenectomy increases the risk for septicemia from bacterial infections. The patients protein
intake is good and should improve immune function. Daily aspirin use does not affect immune
function. A chest x-ray does not have enough radiation to suppress immune function.
A+ TEST BANK 4
NSG 320 EXAM 2 /NSG320 Exam 2 Actual
Exam Newest 2025/2026 With Complete
100 Questions And Correct Answers
|Already Graded A+||Brand New Version!|
The nurse provides discharge instructions to a patient who has an immune deficiency involving
the T lymphocytes. Which screening should the nurse include in the teaching plan for this
patient?
a. Screening for allergies
b. Screening for malignancy
c. Antibody deficiency screening
d. Screening for autoimmune disorders
- Correct Answer :b. Screening for malignancy
Cell-mediated immunity is responsible for the recognition and destruction of cancer cells.
Allergic reactions, autoimmune disorders, and antibody deficiencies are mediated primarily by B
lymphocytes and humoral immunity.
A new mother expresses concern about her baby developing allergies and asks what the health
care provider meant by passive immunity. Which example should the nurse use to explain this
type of immunity?
a. Early immunization
b. Bone marrow donation
c. Breastfeeding her infant
d. Exposure to communicable diseases
- Correct Answer :c. breastfeeding her infant
Colostrum provides passive immunity through antibodies from the mother. These antibodies
protect the infant for a few months. However, memory cells are not retained, so the protection
is not permanent. Active immunity is acquired by being immunized with vaccinations or having
an infection. It requires that the infant has an immune response after exposure to an antigen.
Cell-mediated immunity is acquired through T lymphocytes and is a form of active immunity.
A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which
laboratory value?
a. IgE
A+ TEST BANK 1
, NSG 320 EXAM 2
b. IgA
c. Basophils
d. Neutrophils
- Correct Answer :a. IgE
Serum IgE is elevated in an allergic response (type 1 hypersensitivity disorders). The eosinophil
level will be elevated rather than neutrophil or basophil counts. IgA is located in body secretions
and would not be tested when evaluating a patient who has symptoms of atopic dermatitis.
An older adult patient who is having an annual check-up tells the nurse, I feel fine, and I dont
want to pay for all these unnecessary cancer screening tests! Which information should the
nurse plan to teach this patient?
a. Consequences of aging on cell-mediated immunity
b. Decrease in antibody production associated with aging
c. Impact of poor nutrition on immune function in older people
d. Incidence of cancer-stimulating infections in older individuals
- Correct Answer :a. Consequences of aging on cell-mediated immunity
The primary impact of aging on immune function is on T cells, which are important for immune
surveillance and tumor immunity. Antibody function is not affected as much by aging. Poor
nutrition can also contribute to decreased immunity, but there is no evidence that it is a
contributing factor for this patient. Although some types of cancer are associated with specific
infections, this patient does not have an active infection.
A patient who collects honey to earn supplemental income has developed a hypersensitivity to
bee stings. Which statement, if made by the patient, would indicate a need for additional
teaching?
a. I need to find another way to earn extra money.
b. I will get a prescription for epinephrine and learn to self-inject it.
c. I will plan to take oral antihistamines daily before going to work.
d. I should wear a Medic-Alert bracelet indicating my allergy to bee stings.
- Correct Answer :c. I will plan to take oral antihistamines daily before going to work.
Because the patient is at risk for bee stings and the severity of allergic reactions tends to
increase with added exposure to allergen, taking oral antihistamines will not adequately control
the patients hypersensitivity reaction. The other patient statements indicate a good
understanding of management of the problem.
Which teaching should the nurse provide about intradermal skin testing to a patient with
possible allergies?
A+ TEST BANK 2
, NSG 320 EXAM 2
a. Do not eat anything for about 6 hours before the testing.
b. Take an oral antihistamine about an hour before the testing.
c. Plan to wait in the clinic for 20 to 30 minutes after the testing.
d. Reaction to the testing will take about 48 to 72 hours to occur.
- Correct Answer :c. Plan to wait in the clinic for 20 to 30 minutes after the testing.
Allergic reactions usually occur within minutes after injection of an allergen, and the patient will
be monitored for at least 20 minutes for anaphylactic reactions after the testing. Medications
that might modify the response, such as antihistamines, should be avoided before allergy
testing. There is no reason to be NPO for skin testing. Results with intradermal testing occur
within minutes.
The nurse, who is reviewing a clinic patients medical record, notes that the patient missed the
previous appointment for weekly immunotherapy. Which action by the nurse is most
appropriate?
a. Schedule an additional dose that week.
b. Administer the usual dosage of the allergen.
c. Consult with the health care provider about giving a lower allergen dose.
d. Re-evaluate the patients sensitivity to the allergen with a repeat skin test
. - Correct Answer :c. Consult with the health care provider about giving a lower allergen dose.
Because there is an increased risk for adverse reactions after a patient misses a scheduled dose
of allergen, the nurse should check with the health care provider before administration of the
injection. A skin test is used to identify the allergen and would not be used at this time. An
additional dose for the week may increase the risk for a reaction.
While obtaining a health history from a patient, the nurse learns that the patient has a history of
allergic rhinitis and multiple food allergies. Which action by the nurse is most appropriate?
a. Encourage the patient to carry an epinephrine kit in case a type IV allergic reaction to latex
develops.
b. Advise the patient to use oil-based hand creams to decrease contact with natural proteins in
latex gloves.
c. Document the patients allergy history and be alert for any clinical manifestations of a type I
latex allergy.
d. Recommend that the patient use vinyl gloves instead of latex gloves in preventing blood-borne
pathogen contact.
- Correct Answer :c. Document the patients allergy history and be alert for any clinical
manifestations of a type I latex allergy.
A+ TEST BANK 3
, NSG 320 EXAM 2
The patients allergy history and occupation indicate a risk of developing a latex allergy. The nurse
should be prepared to manage any symptoms that may occur. Epinephrine is not an appropriate
treatment for contact dermatitis that is caused by a type IV allergic reaction to latex. Oil-based
creams will increase the exposure to latex from latex gloves. Vinyl gloves are appropriate to use
when exposure to body fluids is unlikely.
The nurse teaches a patient diagnosed with systemic lupus erythematosus (SLE) about
plasmapheresis. What instructions about plasmapheresis should the nurse include in the
teaching plan?
a. Plasmapheresis will eliminate eosinophils and basophils from blood.
b. Plasmapheresis will remove antibody-antigen complexes from circulation.
c. Plasmapheresis will prevent foreign antibodies from damaging various body tissues.
d. Plasmapheresis will decrease the damage to organs caused by attacking T lymphocytes.
- Correct Answer :b. Plasmapheresis will remove antibody-antigen complexes from circulation.
Plasmapheresis is used in SLE to remove antibodies, antibody-antigen complexes, and
complement from blood. T lymphocytes, foreign antibodies, eosinophils, and basophils do not
directly contribute to the tissue damage in SLE.
The nurse is caring for a patient undergoing plasmapheresis. The nurse should assess the patient
for which clinical manifestation?
a. Shortness of breath
b. High blood pressure
c. Transfusion reaction
d. Numbness and tingling
- Correct Answer :d. Numbness and tingling
Numbness and tingling may occur as the result of the hypocalcemia caused by the citrate used to
prevent coagulation. The other clinical manifestations are not associated with plasmapheresis.
Which statement by a patient would alert the nurse to a possible immunodeficiency disorder?
a. I take one baby aspirin every day to prevent stroke.
b. I usually eat eggs or meat for at least 2 meals a day.
c. I had my spleen removed many years ago after a car accident.
d. I had a chest x-ray 6 months ago when I had walking pneumonia.
- Correct Answer :c. I had my spleen removed many years ago after a car accident.
Splenectomy increases the risk for septicemia from bacterial infections. The patients protein
intake is good and should improve immune function. Daily aspirin use does not affect immune
function. A chest x-ray does not have enough radiation to suppress immune function.
A+ TEST BANK 4
