NGN CASE STUDY COMPREHENSIVE TEST
PAPER 2026 SOLVED SCENARIOS FULL
SOLUTION
◉ Immediately after the nurse administers an intradermal injection
of a suspected antigen during allergy testing, the patient complains
of itching at the site, weakness, and dizziness. Which action by the
nurse is most appropriate initially?
a. Elevate the arm above the shoulder
b. Administer subcutaneous epinephrine
c. Apply a warm compress to area
d. Apply a local anti-inflammatory cream to the site. Answer: b.
Administer subcutaneous epinephrine
Injection of subcutaneous epinephrine should be given at the first
sign of allergy.
p. 1967
◉ Which person is most at risk for a hypersensitivity reaction?
,a. 26-year-old receiving his second desensitization injection
b. 35-year-old starting back on birth control tablets
c. The 52-year-old started on a new series of Pyridium for cystitis
d. The 84-year-old receiving penicillin for an annually recurring
respiratory infection. Answer: d. The 84-year-old receiving penicillin
for an annually recurring respiratory infection
The 84-year-old with the deteriorated immune system is a prime
candidate for a delayed hypersensitivity reaction.
p. 1960, Box 54-4
◉ The nurse recommends to the busy mother of three that the
antihistamine fexofenadine (Allegra) would be more beneficial than
diphenhydramine (Benadryl) because Allegra:
a. is inexpensive.
b. contains a stimulant for an energy boost.
c. does not dry out the mucous membranes.
d. does not induce drowsiness.. Answer: d. does not induce
drowsiness.
Allegra does not induce drowsiness as does Benadryl.
, p. 1969
◉ The patient who had an asthma-like reaction to a desensitization
shot was medicated with a subcutaneous injection of epinephrine.
What effect should the nurse assure the anxious patient this will
have?
a. Cause vasodilation
b. Produce bronchodilation
c. Cause productive coughing
d. Reduction of pulse rate. Answer: b. Produce bronchodilation
The drug epinephrine is given in the case of anaphylaxis because it is
a quick-acting drug that produces bronchodilation and
vasoconstriction, which relieves respiratory distress. The drug can
be ordered to be repeated every 20 minutes. The patient may
experience an increase in heart rate.
p. 1970
◉ Health care facilities have reduced the incidence of serious latex
reactions by:
PAPER 2026 SOLVED SCENARIOS FULL
SOLUTION
◉ Immediately after the nurse administers an intradermal injection
of a suspected antigen during allergy testing, the patient complains
of itching at the site, weakness, and dizziness. Which action by the
nurse is most appropriate initially?
a. Elevate the arm above the shoulder
b. Administer subcutaneous epinephrine
c. Apply a warm compress to area
d. Apply a local anti-inflammatory cream to the site. Answer: b.
Administer subcutaneous epinephrine
Injection of subcutaneous epinephrine should be given at the first
sign of allergy.
p. 1967
◉ Which person is most at risk for a hypersensitivity reaction?
,a. 26-year-old receiving his second desensitization injection
b. 35-year-old starting back on birth control tablets
c. The 52-year-old started on a new series of Pyridium for cystitis
d. The 84-year-old receiving penicillin for an annually recurring
respiratory infection. Answer: d. The 84-year-old receiving penicillin
for an annually recurring respiratory infection
The 84-year-old with the deteriorated immune system is a prime
candidate for a delayed hypersensitivity reaction.
p. 1960, Box 54-4
◉ The nurse recommends to the busy mother of three that the
antihistamine fexofenadine (Allegra) would be more beneficial than
diphenhydramine (Benadryl) because Allegra:
a. is inexpensive.
b. contains a stimulant for an energy boost.
c. does not dry out the mucous membranes.
d. does not induce drowsiness.. Answer: d. does not induce
drowsiness.
Allegra does not induce drowsiness as does Benadryl.
, p. 1969
◉ The patient who had an asthma-like reaction to a desensitization
shot was medicated with a subcutaneous injection of epinephrine.
What effect should the nurse assure the anxious patient this will
have?
a. Cause vasodilation
b. Produce bronchodilation
c. Cause productive coughing
d. Reduction of pulse rate. Answer: b. Produce bronchodilation
The drug epinephrine is given in the case of anaphylaxis because it is
a quick-acting drug that produces bronchodilation and
vasoconstriction, which relieves respiratory distress. The drug can
be ordered to be repeated every 20 minutes. The patient may
experience an increase in heart rate.
p. 1970
◉ Health care facilities have reduced the incidence of serious latex
reactions by:
