Immunological HESI Exam Questions
And Verified Answers || Graded A+
\.Which action should the nurse take when caring for a client who is suspected as having the
Ebola virus? - Answer- Avoid contact with all body fluids and discharges
\.Which medication should the nurse anticipate being prescribed for a client with C. difficile-
associated disease (CDAD)? Select all that apply. - Answer- Metronidazole
Vancomycin
Fidaxomicin Ciprofloxacin
\.A nurse observes that an unlicensed assistive personnel (UAP) did not use a bag impervious to
liquid for contaminated linen from a client who is on contact precautions. What is the nurse's
best way to handle this situation? - Answer- Review transmission-based precautions with the
UAP
\.A client presents with a localized bacterial infection of mucous membranes. Which organism is
most likely responsible for this condition in the client? - Answer- Corynebacterium diphtheria
\.While assessing a client with acquired immunodeficiency syndrome, the nurse suspects that
the client has developed cryptosporidiosis. Which symptoms support the nurse's suspicion?
Select all that apply. - Answer- Weight loss
Diahrrea
\.The nurse is reviewing the laboratory reports of a client who has sustained a significant
reaction to the tuberculin skin test but has negative findings on bacteriologic studies. The
reports further reveal the absence of x-ray findings compatible with tuberculosis (TB) and
clinical evidence of TB. Which class of TB does the nurse suspect? - Answer- Class 2
,\.The nurse is caring for a client with human immunodeficiency virus (HIV) infection. Which
clinical manifestations in the client should be immediately reported to the primary healthcare
provider? - Answer- Blood in urine
\.Which throat manifestations are the key features for a client with acute viral pharyngitis?
Select all that apply - Answer- Scant or no tonsillar exudate
Slight erythema of the pharynx and tonsils
\.The nurse is providing induction therapy to a client to prevent rejection after an organ
transplant. Which medication will the nurse most likely administer? - Answer- Atgam
\.A client with acquired immunodeficiency syndrome (AIDS) reports painless, white, raised
lesions on the lateral aspect of the tongue. Which disease does the nurse suspect? - Answer-
Oral hairy leukoplakia
\.Which client may have a type II hypersensitivity reaction? - Answer- Goodpasture syndrome
\.During an assessment, a nurse suspects that a client is in the primary stage of syphilis. Which
findings support the nurse's conclusion? Select all that apply. - Answer- Ulcers on the hands
and lips
Firm and enlarged lymph nodes
\.Which antitubercular medications may increase a client's risk for gout? Select all that apply. -
Answer- Ethambutol
Pyrazinamide
, \.A registered nurse is evaluating a new nurse who is preparing to administer intravenous fluids
to a client. Which action made by the new nurse indicates the registered nurse needs to
intervene? - Answer- Shaving at insertion site
\.The nurse is reviewing the medication charts of four clients prescribed with cytokines. Which
client's medication chart indicates the nurse needs to intervene? - Answer- Anakinra
\.A client reports a cold and a whooping sound with the cough. Which organism is responsible
for this condition? - Answer- Bordetella pertussis
\.A client with Lyme disease presents with dyspnea, dizziness, and facial paralysis. Which
medication may be included in the prescription? - Answer- Ceftriaxone
\.Which leukocyte values should be assessed to determine the adequacy of a client's response
to inflammation? Select all that apply. - Answer- Monocytes
Neutrophils
Macrophages
\.In clients with Goodpasture syndrome, what is the pathophysiology of this syndrome? -
Answer- Auto-antibodies attack the glomerular basement membrane and neutrophils
\.A pregnant woman presents with a body temperature of 103 °F, cough, headache, muscle
aches, chest pain, severe joint pain and night sweats and is diagnosed with coccidioidomycosis.
Which medication will the nurse most likely observe prescribed on the medication
administration record? - Answer- Amphotericin B
\.A client has received ABO-incompatible blood from a donor by mistake. Which type of
hypersensitivity reaction will occur in the client? - Answer- Type II
And Verified Answers || Graded A+
\.Which action should the nurse take when caring for a client who is suspected as having the
Ebola virus? - Answer- Avoid contact with all body fluids and discharges
\.Which medication should the nurse anticipate being prescribed for a client with C. difficile-
associated disease (CDAD)? Select all that apply. - Answer- Metronidazole
Vancomycin
Fidaxomicin Ciprofloxacin
\.A nurse observes that an unlicensed assistive personnel (UAP) did not use a bag impervious to
liquid for contaminated linen from a client who is on contact precautions. What is the nurse's
best way to handle this situation? - Answer- Review transmission-based precautions with the
UAP
\.A client presents with a localized bacterial infection of mucous membranes. Which organism is
most likely responsible for this condition in the client? - Answer- Corynebacterium diphtheria
\.While assessing a client with acquired immunodeficiency syndrome, the nurse suspects that
the client has developed cryptosporidiosis. Which symptoms support the nurse's suspicion?
Select all that apply. - Answer- Weight loss
Diahrrea
\.The nurse is reviewing the laboratory reports of a client who has sustained a significant
reaction to the tuberculin skin test but has negative findings on bacteriologic studies. The
reports further reveal the absence of x-ray findings compatible with tuberculosis (TB) and
clinical evidence of TB. Which class of TB does the nurse suspect? - Answer- Class 2
,\.The nurse is caring for a client with human immunodeficiency virus (HIV) infection. Which
clinical manifestations in the client should be immediately reported to the primary healthcare
provider? - Answer- Blood in urine
\.Which throat manifestations are the key features for a client with acute viral pharyngitis?
Select all that apply - Answer- Scant or no tonsillar exudate
Slight erythema of the pharynx and tonsils
\.The nurse is providing induction therapy to a client to prevent rejection after an organ
transplant. Which medication will the nurse most likely administer? - Answer- Atgam
\.A client with acquired immunodeficiency syndrome (AIDS) reports painless, white, raised
lesions on the lateral aspect of the tongue. Which disease does the nurse suspect? - Answer-
Oral hairy leukoplakia
\.Which client may have a type II hypersensitivity reaction? - Answer- Goodpasture syndrome
\.During an assessment, a nurse suspects that a client is in the primary stage of syphilis. Which
findings support the nurse's conclusion? Select all that apply. - Answer- Ulcers on the hands
and lips
Firm and enlarged lymph nodes
\.Which antitubercular medications may increase a client's risk for gout? Select all that apply. -
Answer- Ethambutol
Pyrazinamide
, \.A registered nurse is evaluating a new nurse who is preparing to administer intravenous fluids
to a client. Which action made by the new nurse indicates the registered nurse needs to
intervene? - Answer- Shaving at insertion site
\.The nurse is reviewing the medication charts of four clients prescribed with cytokines. Which
client's medication chart indicates the nurse needs to intervene? - Answer- Anakinra
\.A client reports a cold and a whooping sound with the cough. Which organism is responsible
for this condition? - Answer- Bordetella pertussis
\.A client with Lyme disease presents with dyspnea, dizziness, and facial paralysis. Which
medication may be included in the prescription? - Answer- Ceftriaxone
\.Which leukocyte values should be assessed to determine the adequacy of a client's response
to inflammation? Select all that apply. - Answer- Monocytes
Neutrophils
Macrophages
\.In clients with Goodpasture syndrome, what is the pathophysiology of this syndrome? -
Answer- Auto-antibodies attack the glomerular basement membrane and neutrophils
\.A pregnant woman presents with a body temperature of 103 °F, cough, headache, muscle
aches, chest pain, severe joint pain and night sweats and is diagnosed with coccidioidomycosis.
Which medication will the nurse most likely observe prescribed on the medication
administration record? - Answer- Amphotericin B
\.A client has received ABO-incompatible blood from a donor by mistake. Which type of
hypersensitivity reaction will occur in the client? - Answer- Type II
