NCLEX Immune System Questions

Extract:

Question 1 of 5

The wife of a client diagnosed with myasthenia gravis is crying and shares with the nurse she just doesn't know what to do. Which response is the best action by the nurse?

Correct Answer: D

Rationale: Allowing the wife to ventilate feelings is therapeutic, addressing immediate emotional distress. Foundation discussion, support groups, and counseling are secondary.

Question 2 of 5

The client newly diagnosed with multiple sclerosis (MS) states, 'I don't understand how I got multiple sclerosis. Is it genetic?' On which statement should the nurse base the response?

A. Genetics may play a role in susceptibility to MS, but the disease may be caused by a virus. B. There is no evidence suggesting there is any chromosomal involvement in developing MS. C. Multiple sclerosis is caused by a recessive gene, so both parents had to have the gene for the client to get MS. D. Multiple sclerosis is caused by an autosomal dominant gene on the Y chromosome, so only fathers can pass it on.

Correct Answer: A

Rationale: MS has a genetic susceptibility component (e.g., HLA genes), but environmental factors like viral infections may trigger it. There is chromosomal involvement, MS is not purely recessive or dominant, and it is not Y-linked.

Question 3 of 5

The client recently diagnosed with rheumatoid arthritis is prescribed aspirin, a nonsteroidal anti-inflammatory medication. Which comment by the client warrants immediate intervention by the nurse?

A. I always take the aspirin with food. B. If I have dark stools, I will call my HCP. C. Aspirin will not cure my arthritis. D. I am having some ringing in my ears.

Correct Answer: D

Rationale: Ringing in the ears (tinnitus) indicates aspirin toxicity, requiring immediate intervention. Taking with food, reporting dark stools, and understanding no cure are correct.

Question 4 of 5

The nurse in the emergency department is allergic to latex. Which intervention should the nurse implement regarding the use of nonsterile gloves?

A. Use only sterile, nonlatex gloves for any procedure requiring gloves. B. Do not use gloves when starting an IV or performing a procedure. C. Keep a pair of nonsterile, nonlatex gloves in the pocket of the uniform. D. Wear white cotton gloves at all times to protect the hands.

Correct Answer: C

Rationale: Carrying nonsterile, nonlatex gloves ensures safe practice for a latex-allergic nurse. Sterile gloves are unnecessary, avoiding gloves risks infection, and cotton gloves are inadequate.

Question 5 of 5

The client with RA has nontender, movable nodules in the subcutaneous tissue over the elbows and shoulders. Which statement is the scientific rationale for the nodules?

A. The nodules indicate a rapidly progressive destruction of the affected tissue. B. The nodules are small amounts of synovial fluid that have become crystallized. C. The nodules are lymph nodes which have proliferated to try to fight the disease. D. The nodules present a favorable prognosis and mean the client is better.

Correct Answer: B

Rationale: RA nodules are granulomas, sometimes containing synovial fluid, due to chronic inflammation. They do not indicate rapid destruction, lymph node proliferation, or better prognosis.

NCLEX Immune System Questions | Nurselytic

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