NCLEX-PN
Immune System NCLEX Questions Questions
Extract:
Question 1 of 5
Which priority client problem should be included in the care plan for the client diagnosed with Guillain-Barré syndrome?
Correct Answer: D
Rationale: Ascending paralysis in Guillain-Barré syndrome risks respiratory muscle involvement, making ineffective breathing pattern the priority. Injury, anxiety, and nutrition are secondary.
Question 2 of 5
Which collaborative health-care team member should the nurse refer the client to in the late stages of myasthenia gravis?
Correct Answer: D
Rationale: Speech therapists address dysphagia and communication issues in late-stage myasthenia gravis. Other therapists are less relevant.
Question 3 of 5
The nurse is caring for a client with suspected fibromyalgia. Which diagnostic test confirms the diagnosis of fibromyalgia?
Correct Answer: A
Rationale: Fibromyalgia is diagnosed clinically, with no confirmatory test. ANA, MRI, and ESR are not diagnostic.
Question 4 of 5
The charge nurse observes the primary nurse interacting with a client. Which action by the primary nurse warrants immediate intervention by the charge nurse?
Correct Answer: C
Rationale: Administering medication without checking allergies risks allergic reactions, requiring immediate intervention. Diuretic explanation, glove use, and UAP assistance are appropriate.
Question 5 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.