RN Targeted Medical Surgical Immune Online Practice 2023

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Last updated 2:22 AM on 2/1/26
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30 Terms

1
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A nurse in a provider's office is caring for a client.

Drag one condition and one client finding to fill in each blank in the following sentence.

The nurse is reviewing the client's electronic medical record before scheduling vaccines. The nurse should identify the client is at risk for developing a reaction to ______ due to ______.

The nurse is reviewing the client's electronic medical record before scheduling vaccines. The nurse should identify the client is at risk for developing a reaction to Hepatitis B vaccine due to Allergy history.

2
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A nurse in a provider's office is caring for a client.

The nurse is providing teaching to the client about self-care. Select the 4 statements the nurse should include in the teaching.

"You should have less joint swelling 4 to 6 weeks after starting the medication."

"Acupuncture is a complementary therapy that can help to decrease pain."

"Applying cold packs to affected joints can provide relief from pain and swelling."

"Taking a hot shower after waking up can help alleviate morning stiffness."

3
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A nurse in a provider's office is caring for a client.

Drag words from the choices below to fill in each blank in the following sentence.

The nurse is reviewing the client's electronic medical record. The client is at risk for developing _____ and _____.

The nurse is reviewing the client's electronic medical record. The client is at risk for developing pericarditis and nephritis.

4
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A nurse is caring for a client who is admitted with enlarged lymph nodes and a fever. To confirm a diagnosis of bacterial pharyngitis, the nurse should anticipate which of the following diagnostic tests?

Throat culture

5
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A nurse is caring for a client who has neutropenia. Which of the following actions should the nurse take?

Provide the client with individually wrapped paper cups and plastic utensils.

6
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A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? (Select all that apply.)

Decreased urine output

Butterfly rash

Joint inflammation

7
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A nurse is caring for a client who has viral pneumonia. Which of the following findings should the nurse report to the provider immediately?

Left shift in WBC differential

8
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A nurse is planning an education program about testicular cancer for a group of male adolescents. Which of the following information should the nurse include?

Examine the testicles immediately after showering.

9
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A nurse is assessing a client who is taking clindamycin to treat acute pelvic inflammatory disease. The nurse should report which of the following findings to the provider immediately?

Watery diarrhea

10
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A nurse is planning discharge teaching for a client who is receiving chemotherapy and has bone marrow suppression. Which of the following instructions should the nurse plan to include in the teaching?

"Bathe with an antimicrobial soap twice per day."

11
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A nurse is reviewing the laboratory results for a client who has acute leukemia. Which of the following results should the nurse expect?

Increased WBC count

12
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A nurse is caring for four clients. Which of the following clients is at the greatest risk for developing pneumonia?

An older adult client who has dysphagia

13
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A nurse is providing teaching to a client who has rheumatoid arthritis and reports persistent pain. Which of the following responses should the nurse make?

"Ask a friend or a family member to help with household chores."

14
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A nurse is providing teaching to a client who has systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching?

"I should wear gloves when it is cold outside."

15
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A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following client statements indicates an understanding of the teaching?

"I will avoid being in large crowds while taking this medication."

16
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A nurse is educating a client who is scheduled for a kidney transplant. Which of the following information about hyperacute rejection should the nurse include in the teaching?

The organ will need to be removed if hyperacute rejection occurs.

17
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A nurse is providing teaching to a client who has Hodgkin's lymphoma and is undergoing external radiation treatment. Which of the following instructions should the nurse include?

Avoid direct sun exposure to the skin.

18
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A nurse is planning an education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse include regarding Lyme disease?

"If you develop pain and stiffness in your joints, you should see your doctor."

19
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A nurse is caring for a client who has an elevated prostate-specific antigen level. The nurse should anticipate that the client will undergo which of the following diagnostic tests?

Digital rectal examination

20
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A nurse is providing teaching to a client who has an allergy to peanuts. Which of the following instructions is the priority to include in the teaching?

Carry an emergency anaphylaxis kit.

21
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A nurse is providing teaching to a group of clients regarding skin cancer prevention. Which of the following risk factors should the nurse include in the teaching?

Light skin pigmentation

22
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A nurse is caring for a client who has HIV. Which of the following laboratory findings should suggest to the nurse that medication therapy is effective?

Decrease in viral load

23
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A nurse is assessing a client who has HIV. Which of the following findings should cause the nurse to suspect that the client's diagnosis has progressed to AIDS?

Small, purple-colored skin lesions

24
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A nurse is caring for a client who reports a skin change. Which of the following findings should the nurse report to the provider?

An asymmetrical papule that is pigmented

25
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A nurse is planning care for a client who has leukemia and a platelet count of 48,000/mm^3 (150,000 to 400,000/mm^3). Which of the following interventions should the nurse include in the plan?

Test the client's urine and stool for occult blood.

26
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A nurse is reviewing the laboratory report for a client who has Hodgkin's lymphoma. Which of the following findings should the nurse expect?

Reed-Sternberg cells

27
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A nurse in an emergency department is assessing a newly admitted client. Which of the following actions places the client at an increased risk for contracting hepatitis B?

Engaging in unprotected sexual intercourse

28
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A nurse is caring for a client who has non-Hodgkin's lymphoma and is receiving chemotherapy. Which of the following is the priority assessment finding?

Erythema at the IV insertion site

29
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A nurse is providing discharge teaching to a client who has HIV. Which of the following statements by the client indicates an understanding of the teaching?

"I should discard open beverages that have been unrefrigerated for 1 hr."

30
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A nurse is caring for a male client.

The nurse is reviewing the client's assessment findings. Which of the following findings are indicators of colorectal cancer and should be reported to the provider?

Select all that apply.

Recent stool patterns

Occult blood results

Report of abdominal cramping

Change in weight