NCLEX-PN
Immune System NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with myasthenia gravis is admitted with an acute exacerbation. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Turning/coughing, Fowler’s position, pulse oximetry, and meal timing address respiratory risk and medication efficacy in myasthenia gravis. Serum anticholinesterase levels are not routinely monitored.
Question 2 of 5
The nurse is developing a care plan for a client diagnosed with allergic rhinitis. Which independent problem has priority?
Correct Answer: A
Rationale: Ineffective breathing pattern is a priority in allergic rhinitis due to potential airway obstruction. Knowledge, anaphylaxis risk, and coping are secondary.
Question 3 of 5
The nurse is caring for clients on a medical floor. Which client should the nurse assess first?
Correct Answer: C
Rationale: Antineoplastic drugs (e.g., methotrexate) pose risks like toxicity, requiring immediate assessment. Mild pain, rashes, and scleroderma are less acute.
Question 4 of 5
The client in the HCP's office is complaining of allergic rhinitis. Which assessment question is important for the nurse to ask the client?
Correct Answer: A
Rationale: Seasonal patterns help identify allergic rhinitis triggers. Medications, family history, and client beliefs are secondary.
Question 5 of 5
The client diagnosed with RA is being seen in the outpatient clinic. Which preventive care should the nurse include in the regularly scheduled clinic visits?
Correct Answer: C
Rationale: Flu and pneumonia vaccines prevent infections, critical in RA due to immunosuppression. X-rays, ESR, and joint assessments are diagnostic, not preventive.