Week 8 NSG 6005 UPDATED ACTUAL Questions and CORRECT Answers
1. 536.A nurse is caring for a patient who has under- ANS: D Immunosuppressants
gone organ transplantation. Because the sequence
of amino acids in the major histocompatibility com- The MHC molecules from one
plex (MHC) molecules of the donor is different from individual are recognized as
that of the patient, the nurse will expect to admin- foreign by the immune system
ister which class of drugs? of another individual; there-
a. Antibiotics fore, when an attempt is made
b. Antihistamines to transplant organs between
c. Immune globulins individuals who are not identi-
d. Immunosuppressants cal twins, immune rejection of
the transplant is likely
2. 543.A nurse at an immunization clinic is providing d. Varicella virus vaccine
vaccines to children. The parent of a child waiting
to receive vaccines tells the nurse that the child has ANS: D The varicella vaccine
an immune deficiency disorder. The nurse under- should be avoided by individ-
stands which vaccine should not be administered to uals who are immunocompro-
this child? mised, which includes those
infected with the human im-
a. Diphtheria and tetanus toxoids and acellular per- munodeficiency virus (HIV) and
tussis (DTaP) vaccine those who have a congenital
b. Haemophilus influenzae type b (Hib) vaccine immunodeficiency
c. Polio injection
d. Varicella virus vaccine
3. The parent of a 2-month-old infant who has just a. "mild reactions, including a
received the first dose of DTaP asks the nurse about low-grade fever, are common."
expected reactions to the vaccine. The nurse will
respond by saying that: Mild reactions to the first dose
a. "mild reactions, including a low-grade fever, are of the DTaP vaccine are com-
common." mon and most often are man-
b. "most children do not experience any reaction." ifested by a low-grade fever,
, c. "seizures are common and may require anticon- fretfulness, drowsiness, and
vulsant medication." localreactions ofswelling and
d. "the most common reaction is a rash that devel- redness. At least 50% of chil-
ops into itchy vesicles." dren experience reactions.
4. The drug recommended as primary prevention of A. Alendronate (Fosamax)
osteoporosis in women over seventy years old is:
A. Alendronate (Fosamax)
B. Ibandronate (Boniva)
C. Calcium carbonate
D. Raloxifene (Evista)
5. A pregnant patient in her third trimester asks the b. "Aspirin may cause prema-
nurse whether she can take aspirin for headaches. ture closure of the ductus arte-
Which response by the nurse is correct? riosus in your baby."
a. "Aspirin is safe during the second and third
trimesters of pregnancy."
b. "Aspirin may cause premature closure of the duc-
tus arteriosus in your baby."
c. "Aspirin may induce premature labor and should
be avoided in the third trimester."
d. "You should use a first-generation nonsteroidal
anti-inflammatory medication."
6. An adolescent is brought to the emergency depart- a. Acetylcysteine [Mucomyst]
ment by a parent who reports that the patient took
a whole bottle of extended-release acetaminophen
tablets somewhere between 8 and 10 hours ago.
The nurse will anticipate administering which of the
following?
a. Acetylcysteine [Mucomyst]
b. Activated charcoal
2/8
1. 536.A nurse is caring for a patient who has under- ANS: D Immunosuppressants
gone organ transplantation. Because the sequence
of amino acids in the major histocompatibility com- The MHC molecules from one
plex (MHC) molecules of the donor is different from individual are recognized as
that of the patient, the nurse will expect to admin- foreign by the immune system
ister which class of drugs? of another individual; there-
a. Antibiotics fore, when an attempt is made
b. Antihistamines to transplant organs between
c. Immune globulins individuals who are not identi-
d. Immunosuppressants cal twins, immune rejection of
the transplant is likely
2. 543.A nurse at an immunization clinic is providing d. Varicella virus vaccine
vaccines to children. The parent of a child waiting
to receive vaccines tells the nurse that the child has ANS: D The varicella vaccine
an immune deficiency disorder. The nurse under- should be avoided by individ-
stands which vaccine should not be administered to uals who are immunocompro-
this child? mised, which includes those
infected with the human im-
a. Diphtheria and tetanus toxoids and acellular per- munodeficiency virus (HIV) and
tussis (DTaP) vaccine those who have a congenital
b. Haemophilus influenzae type b (Hib) vaccine immunodeficiency
c. Polio injection
d. Varicella virus vaccine
3. The parent of a 2-month-old infant who has just a. "mild reactions, including a
received the first dose of DTaP asks the nurse about low-grade fever, are common."
expected reactions to the vaccine. The nurse will
respond by saying that: Mild reactions to the first dose
a. "mild reactions, including a low-grade fever, are of the DTaP vaccine are com-
common." mon and most often are man-
b. "most children do not experience any reaction." ifested by a low-grade fever,
, c. "seizures are common and may require anticon- fretfulness, drowsiness, and
vulsant medication." localreactions ofswelling and
d. "the most common reaction is a rash that devel- redness. At least 50% of chil-
ops into itchy vesicles." dren experience reactions.
4. The drug recommended as primary prevention of A. Alendronate (Fosamax)
osteoporosis in women over seventy years old is:
A. Alendronate (Fosamax)
B. Ibandronate (Boniva)
C. Calcium carbonate
D. Raloxifene (Evista)
5. A pregnant patient in her third trimester asks the b. "Aspirin may cause prema-
nurse whether she can take aspirin for headaches. ture closure of the ductus arte-
Which response by the nurse is correct? riosus in your baby."
a. "Aspirin is safe during the second and third
trimesters of pregnancy."
b. "Aspirin may cause premature closure of the duc-
tus arteriosus in your baby."
c. "Aspirin may induce premature labor and should
be avoided in the third trimester."
d. "You should use a first-generation nonsteroidal
anti-inflammatory medication."
6. An adolescent is brought to the emergency depart- a. Acetylcysteine [Mucomyst]
ment by a parent who reports that the patient took
a whole bottle of extended-release acetaminophen
tablets somewhere between 8 and 10 hours ago.
The nurse will anticipate administering which of the
following?
a. Acetylcysteine [Mucomyst]
b. Activated charcoal
2/8
