MSN Exam for Immunologic Problems

Practice Mode

Welcome to your MSN Exam for Immunologic Problems! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 19 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Consider the most critical adverse effect of pentamidine that demands immediate physician attention.

1 / 19

1. Nurse Ashley is monitoring an HIV-positive patient undergoing IV pentamidine (Pentam) treatment for Pneumocystis carinii pneumonia. Which piece of information should Nurse Ashley urgently communicate to the attending physician?

💡 Hint

Think about which symptom could signify a severe adverse effect of the medication that may require prompt medical attention.

2 / 19

2. Nurse Riley is conducting a home visit to assess a patient with chronic hepatitis C, who has been on interferon alfa-2a (Roferon-A) injections for the past month. Which piece of information gathered during the interview and physical assessment is most crucial to relay to the physician?

💡 Hint

Consider which lab finding is not typical of SLE itself but indicates a potentially serious complication affecting another organ system.

3 / 19

3. Nurse Olivia is caring for Ms. Davis, a 32-year-old woman who has been hospitalized for an acute flare-up of systemic lupus erythematosus (SLE), particularly affecting her joints. Olivia reviews the initial lab results to guide treatment and identify potential complications. Which of the following lab findings should most concern her?

💡 Hint

Think about which medication is directly related to the acute condition for which the patient is hospitalized. Prioritizing this medication could be crucial for immediate patient outcomes.

4 / 19

4. Nurse Morgan is responsible for an HIV-positive patient who is hospitalized due to Pneumocystis carinii pneumonia. The patient has multiple medications scheduled for 10:00 AM. Which of the following actions should Nurse Morgan prioritize to administer at the scheduled time?

💡 Hint

Consider which nurse would have the most experience and knowledge related to the medical unit and the patient's specific needs, while also taking into account workload and fatigue.

5 / 19

5. A patient who has recently undergone a kidney transplant is admitted to the medical unit due to signs of acute rejection. The patient is on IV cyclosporine (Sandimmune) and methylprednisolone (Solu-Medrol). Which team member is most suitable to be assigned to this patient's care?

💡 Hint

Consider which task focuses on basic care and can comfortably be executed by an LPN as part of routine care.

6 / 19

6. Nurse Williams has formulated a nursing diagnosis of "Imbalanced Nutrition: Less Than Body Requirements" for a hospitalized patient with AIDS who is experiencing anorexia and nausea. Which nursing intervention is most suitable to assign to an LPN caring for this patient?

💡 Hint

Consider the urgency of the situation and the importance of informed consent. The nurse should take the initiative, but remember to respect the patient’s rights.

7 / 19

7. Nurse Olivia experiences a needle stick injury post-administering an intramuscular (IM) injection to a patient whose HIV status is unknown. What is the most appropriate course of action for Nurse Olivia to determine the patient's HIV status?

💡 Hint

Consider that immunocompromised patients may not react to the skin test even if they have tuberculosis. What other diagnostic measures could be beneficial?

8 / 19

8. Nurse Amelia is caring for a patient diagnosed with acquired immunodeficiency syndrome (AIDS) who has just received a negative result for a tuberculosis (TB) skin test. What should be Nurse Amelia's subsequent course of action?

💡 Hint

Focus on the test that directly measures the amount of HIV in the blood, which would be the most telling sign of the efficacy of the ART regimen.

9 / 19

9. Nurse Taylor is evaluating an HIV-positive patient who has recently commenced antiretroviral therapy (ART) and has returned for a follow-up visit at the clinic. Which diagnostic test would be most informative in assessing the patient's response to the ART regimen?

💡 Hint

Focus on the symptom that could potentially indicate a serious side effect related to the medications being used for RA treatment.

10 / 19

10. Nurse Taylor is caring for a patient diagnosed with rheumatoid arthritis (RA), who is currently on prednisone (Deltasone) and naproxen (Alleve) for inflammation and joint pain management. Which of the following symptoms would most strongly suggest a need to reevaluate the current therapy?

💡 Hint

Consider which factor would most directly impact the effectiveness of the antiretroviral therapy regimen.

11 / 19

11. Nurse Laura is performing an assessment and gathering the health history of an HIV-positive patient who is contemplating the initiation of a multi-drug antiretroviral therapy. Which piece of information from the patient's history should raise the most concern for Nurse Laura?

💡 Hint

Think about which factor could have a direct impact on the safety and effectiveness of methotrexate therapy, especially considering future planning.

12 / 19

12. Nurse Davis is conducting an assessment for Sarah, a 24-year-old patient with rheumatoid arthritis (RA). Sarah is contemplating the use of methotrexate (Rheumatrex) for her treatment. Which piece of information from Sarah is most critical for Nurse Davis to relay to the physician?

💡 Hint

Focus on the finding that could potentially indicate a significant issue related to immune function or the transplanted organ.

13 / 19

13. Nurse Avery is conducting an admission assessment for a patient with a history of liver transplant. The patient is on cyclosporine (Sandimmune), prednisone (Deltasone), and mycophenolate (CellCept) to manage immune function. Which of the following assessment findings is most concerning and should be immediately reported to the healthcare provider?

💡 Hint

Consider how the medication nystatin (Mycostatin) works and what might interfere with its effectiveness in treating Candida albicans infection.

14 / 19

14. Nurse Jordan is mentoring a student nurse, who is assigned to care for an HIV-positive patient suffering from severe esophagitis due to Candida albicans. Which action by the student nurse necessitates immediate intervention from Nurse Jordan?

💡 Hint

When dealing with a potential anaphylactic reaction, consider which medication would be the most rapid and effective in reversing the symptoms.

15 / 19

15. Nurse Sarah is conducting a skin test for allergies on Mark, a 35-year-old patient. Minutes after administering an intradermal injection of allergen, Mark starts to feel anxious, short of breath, and dizzy. Nurse Sarah also observes reddened blotches appearing on his face and arms. She has an emergency cart ready with various therapeutic options. What should be Nurse Sarah's initial intervention?

💡 Hint

Consider which task could be completed by personnel with less clinical training but still contribute to reducing HIV transmission.

16 / 19

16. Nurse Taylor is the nurse manager at a local public health department. She is tasked with creating a plan to lower the rates of HIV infection within the community. Of the following actions, which is most appropriately delegated to the health assistants working under her supervision?

💡 Hint

Consider which task requires some clinical judgment but does not involve complex decision-making or extensive patient education.

17 / 19

17. Nurse Carter is working in an AIDS hospice facility, supervising a team that includes LPNs and nursing assistants. Which of the following tasks is most appropriately delegated to an LPN under Nurse Carter's supervision?

💡 Hint

Consider which health issue poses the greatest potential risk of transmission to patients or staff.

18 / 19

18. Nurse Michelle works as an employee health nurse at a local hospital. Today, she is conducting a health assessment for Mr. Roberts, a newly hired nursing assistant. While reviewing his health history and test results, she comes across information that may require additional nursing action before he can begin patient care. Which information is of most concern?

💡 Hint

Consider the impact of immunizations in patients who are receiving corticosteroids like prednisone.

19 / 19

19. Nurse Emma is caring for Lisa, an 18-year-old college student experiencing an exacerbation of systemic lupus erythematosus (SLE). Lisa has been on prednisone (Deltasone) 20 mg daily for the past 4 hours. Among the medical orders received, which one should Nurse Emma question?

Exam Mode

Welcome to your MSN Exam for Immunologic Problems! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 19 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 28 minutes and 30 seconds.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 28 minutes and 30 seconds in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 19

1. Nurse Amelia is caring for a patient diagnosed with acquired immunodeficiency syndrome (AIDS) who has just received a negative result for a tuberculosis (TB) skin test. What should be Nurse Amelia's subsequent course of action?

2 / 19

2. Nurse Carter is working in an AIDS hospice facility, supervising a team that includes LPNs and nursing assistants. Which of the following tasks is most appropriately delegated to an LPN under Nurse Carter's supervision?

3 / 19

3. Nurse Olivia experiences a needle stick injury post-administering an intramuscular (IM) injection to a patient whose HIV status is unknown. What is the most appropriate course of action for Nurse Olivia to determine the patient's HIV status?

4 / 19

4. Nurse Taylor is evaluating an HIV-positive patient who has recently commenced antiretroviral therapy (ART) and has returned for a follow-up visit at the clinic. Which diagnostic test would be most informative in assessing the patient's response to the ART regimen?

5 / 19

5. Nurse Riley is conducting a home visit to assess a patient with chronic hepatitis C, who has been on interferon alfa-2a (Roferon-A) injections for the past month. Which piece of information gathered during the interview and physical assessment is most crucial to relay to the physician?

6 / 19

6. A patient who has recently undergone a kidney transplant is admitted to the medical unit due to signs of acute rejection. The patient is on IV cyclosporine (Sandimmune) and methylprednisolone (Solu-Medrol). Which team member is most suitable to be assigned to this patient's care?

7 / 19

7. Nurse Taylor is caring for a patient diagnosed with rheumatoid arthritis (RA), who is currently on prednisone (Deltasone) and naproxen (Alleve) for inflammation and joint pain management. Which of the following symptoms would most strongly suggest a need to reevaluate the current therapy?

8 / 19

8. Nurse Olivia is caring for Ms. Davis, a 32-year-old woman who has been hospitalized for an acute flare-up of systemic lupus erythematosus (SLE), particularly affecting her joints. Olivia reviews the initial lab results to guide treatment and identify potential complications. Which of the following lab findings should most concern her?

9 / 19

9. Nurse Laura is performing an assessment and gathering the health history of an HIV-positive patient who is contemplating the initiation of a multi-drug antiretroviral therapy. Which piece of information from the patient's history should raise the most concern for Nurse Laura?

10 / 19

10. Nurse Ashley is monitoring an HIV-positive patient undergoing IV pentamidine (Pentam) treatment for Pneumocystis carinii pneumonia. Which piece of information should Nurse Ashley urgently communicate to the attending physician?

11 / 19

11. Nurse Jordan is mentoring a student nurse, who is assigned to care for an HIV-positive patient suffering from severe esophagitis due to Candida albicans. Which action by the student nurse necessitates immediate intervention from Nurse Jordan?

12 / 19

12. Nurse Taylor is the nurse manager at a local public health department. She is tasked with creating a plan to lower the rates of HIV infection within the community. Of the following actions, which is most appropriately delegated to the health assistants working under her supervision?

13 / 19

13. Nurse Davis is conducting an assessment for Sarah, a 24-year-old patient with rheumatoid arthritis (RA). Sarah is contemplating the use of methotrexate (Rheumatrex) for her treatment. Which piece of information from Sarah is most critical for Nurse Davis to relay to the physician?

14 / 19

14. Nurse Michelle works as an employee health nurse at a local hospital. Today, she is conducting a health assessment for Mr. Roberts, a newly hired nursing assistant. While reviewing his health history and test results, she comes across information that may require additional nursing action before he can begin patient care. Which information is of most concern?

15 / 19

15. Nurse Morgan is responsible for an HIV-positive patient who is hospitalized due to Pneumocystis carinii pneumonia. The patient has multiple medications scheduled for 10:00 AM. Which of the following actions should Nurse Morgan prioritize to administer at the scheduled time?

16 / 19

16. Nurse Sarah is conducting a skin test for allergies on Mark, a 35-year-old patient. Minutes after administering an intradermal injection of allergen, Mark starts to feel anxious, short of breath, and dizzy. Nurse Sarah also observes reddened blotches appearing on his face and arms. She has an emergency cart ready with various therapeutic options. What should be Nurse Sarah's initial intervention?

17 / 19

17. Nurse Avery is conducting an admission assessment for a patient with a history of liver transplant. The patient is on cyclosporine (Sandimmune), prednisone (Deltasone), and mycophenolate (CellCept) to manage immune function. Which of the following assessment findings is most concerning and should be immediately reported to the healthcare provider?

18 / 19

18. Nurse Emma is caring for Lisa, an 18-year-old college student experiencing an exacerbation of systemic lupus erythematosus (SLE). Lisa has been on prednisone (Deltasone) 20 mg daily for the past 4 hours. Among the medical orders received, which one should Nurse Emma question?

19 / 19

19. Nurse Williams has formulated a nursing diagnosis of "Imbalanced Nutrition: Less Than Body Requirements" for a hospitalized patient with AIDS who is experiencing anorexia and nausea. Which nursing intervention is most suitable to assign to an LPN caring for this patient?