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1. The parents of a 4-year-old boy, who has sickle cell anemia disease, ask the
nurse what the best action is they can take to prevent him from having a
sickle-cell-crisis. How should the nurse respond?
A. Prevent outdoor activities
B. Try to avoid social interactions
C. Try to avoid stressful situations
D. Try not wear too many layers of clothing on a chilly day - ANSWER
✔ C. Try to avoid stressful situations
2. A nurse realizes a 22-year-old female patient was readmitted to hospital. The
woman was previously admitted because she suffered from interpersonal
violence. What should the nurse establish before asking if the woman is still
suffering from physical abuse?
A. Conduct a physical assessment before asking if the patient has
experienced any physical abuse
B. The nurse should determine if there is enough trust established
between them and the patient before investigating further
C. Determine if the patient still lives with their abuser
, D. Ensure the authorities have already been involved - ANSWER ✔ B.
The nurse should determine if there is enough trust established
between them and the patient before investigating further
3. A male patient is who has a history of anaphylaxis is instructed to inject his
EpiPen every time he suffers a severe allergic reaction. What action should
he take after successfully injecting the EpiPen?
A. The patient should immediately lie down and rest
B. The patient should continue to ambulate
C. The patient should seek follow-up care even if his symptoms subside
D. The patient should inject his second EpiPen about 12 hours later -
ANSWER ✔ C. The patient should seek follow-up care even if his
symptoms subside
4. A patient receives a blood transfusion and appears to be having a reaction.
What type of hypersensitivity reaction has the patient suffered from?
A. Type 1
B. Type 2
C. Type 3
D. Type 4 - ANSWER ✔ B. Type 2
Rationale: A blood transfusion is good example of a type 2 hypersensitivity
reaction. This is why a Type and Screen needs to be performed on a patient
prior to receiving the transfusion.
5. A 12-year-old male patient is admitted to the ED after suffering a bee sting
and he tells the triage nurse he "is really allergic to bees." The triage nurse
observes hives and facial swelling on the patient. What are some symptoms
, that would indicate this patient is experiencing anaphylaxis? Select all that
apply:
A. Dehydration
B. Widening of the throat
C. Bronchoconstriction
D. Increased cardiac output
E. Blood vessel dilation
F. Decreased cardiac output
G. Hypertension - ANSWER ✔ C. Bronchoconstriction
D. Increased cardiac output
E. Blood vessel dilation
Rationale: Symptoms also include swelling of the throat, increased heart
rate, low blood pressure (hypotension), and facial swelling. Hives (rash) and
facial swelling are likely to be earlier signs
6. A patient has a low WBC count. Which medication is the HCP most likely
to prescribe?
A. Neumega
B. Epogen
C. Mesnex
D. Neupogen - ANSWER ✔ D. Neupogen
7. Which population is at the highest risk for lupus?
, A. African American men
B. Caucasian women
C. Caucasian men
D. African American women - ANSWER ✔ D. African American
women
Rationale: this usually occurs during child-bearing years (20 - 40 years of
age)
8. A nurse administers penicillin to a patient who appears to be suffering from
a hypersensitivity reaction. What type of hypersensitivity reaction does the
nurse fear the patient has suffered from?
A. Type 1
B. Type 2
C. Type 3
D. Type 4 - ANSWER ✔ B. Type 2
9. A nurse conducts the CAGE questionnaire on a 40-year-old male patient
who is suspected of all alcoholism. The patient answers "yes" to all five of
the questions. What statement by the patients indicates he is in denial?
A. "I have been trying to quit but it is so difficult."
B. "Both of my parents were alcoholics and I think that had an impact on
me."
C. "I believe my family still cares for me despite my alcoholism."
D. "I know I can quit easily and at any time." - ANSWER ✔ D. "I know I
can quit easily and at any time."