NCLEX Questions on Immune System

Question 1 of 5

The client is highly allergic to insect venom and is prescribed venom immunotherapy. Which statement is the scientific rationale for this treatment?

A. Immunotherapy is effective in preventing anaphylaxis following a future sting.B. Immunotherapy will prevent all future insect stings from harming the client.C. This therapy will cure the client from having any allergic reactions in the future.D. This therapy is experimental and should not be undertaken by the client.

Correct Answer: A

Rationale: Venom immunotherapy desensitizes the immune system, reducing anaphylaxis risk. It does not prevent stings, cure all allergies, or remain experimental.

Question 2 of 5

Which sign/symptom makes the nurse suspect the client has ankylosing spondylitis?

A. Low back pain at night relieved by activity in the morning.B. Ascending paralysis of the lower extremities up to the spinal cord.C. A deep ache and stiffness in the hip joints radiating down the legs.D. Difficulty changing from lying to sitting position, especially at night.

Correct Answer: A

Rationale: Nighttime low back pain relieved by morning activity is classic for ankylosing spondylitis. Paralysis, hip pain, and positional difficulty suggest other conditions.

Question 3 of 5

Which statement by the female client diagnosed with myasthenia gravis indicates the client needs more discharge teaching?

A. I will not have any menstrual cycles because of this disease.B. I should avoid people who have respiratory infections.C. I should not take a hot bath or swim in cold water.D. I will drink at least 2,500 mL of water a day.

Correct Answer: A

Rationale: Myasthenia gravis does not affect menstrual cycles, indicating a need for teaching. Avoiding infections, temperature extremes, and hydration are correct.

Question 4 of 5

The nurse in the holding area of the operating room is assessing the client prior to surgery. Which information warrants immediate intervention by the nurse?

A. The client is able to mark the correct site for the surgery.B. The client can only tell the nurse about the surgery in lay terms.C. The client is allergic to iodine and does not have an allergy bracelet.D. The client has signed a consent form for surgery and anesthesia.

Correct Answer: C

Rationale: Missing an allergy bracelet for iodine risks exposure during surgery, requiring immediate intervention. Site marking, lay terms, and consent are appropriate.

Question 5 of 5

The client with early-stage RA is being discharged from the outpatient clinic. Which discharge instruction should the nurse teach regarding the use of nonsteroidal anti-inflammatory drugs (NSAIDs)?

A. Take with an over-the-counter medication for the stomach.B. Drink a full glass of water with each pill.C. If a dose is missed, double the medication at the next dosing time.D. Avoid taking the NSAID on an empty stomach.

Correct Answer: D

Rationale: Taking NSAIDs with food prevents gastric irritation. OTC stomach meds are not routine, water volume is secondary, and doubling doses is dangerous.

NCLEX Questions on Immune System | Nurselytic

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