NCLEX-PN
Immune System NCLEX Questions Questions
Extract:
Question 1 of 5
Which ocular or facial signs/symptoms should the nurse expect to assess for the client diagnosed with myasthenia gravis?
Correct Answer: B
Rationale: Ptosis and diplopia are hallmark ocular symptoms of myasthenia gravis due to neuromuscular weakness. General weakness, respiratory issues, and weight loss are less specific.
Question 2 of 5
The client diagnosed with Multi Organ Dysfunction Syndrome (MODS) has renal, cardiovascular, and pulmonary dysfunction issues. Which statement by the nurse indicates an understanding of the client's prognosis?
Correct Answer: C
Rationale: MODS with three or more organ failures has a 70–80% mortality rate. Ventilator use, 2% recovery, and 80–90% recovery are inaccurate.
Question 3 of 5
The client diagnosed with RA has developed swan-neck fingers. Which referral is most appropriate for the client?
Correct Answer: B
Rationale: Occupational therapy addresses hand function and adaptive devices for swan-neck deformities. Physical therapy, counseling, and home health are less specific.
Question 4 of 5
The male client diagnosed with multiple sclerosis states he has been investigating alternative therapies to treat his disease. Which intervention is most appropriate by the nurse?
Correct Answer: A
Rationale: Encouraging safe alternative therapies supports autonomy if they align with medical treatment. Deferring to HCP, involving significant other, or suggesting investigational therapies are less appropriate.
Question 5 of 5
The nurse is assessing a 48-year-old client diagnosed with multiple sclerosis. Which clinical manifestation warrants immediate intervention?
Correct Answer: D
Rationale: Congested cough and dysphagia indicate potential airway and swallowing issues, requiring immediate intervention to prevent aspiration or respiratory distress. Neurological symptoms like speech issues, diplopia, scotomas, weakness, and spasticity are expected in MS but less acute.