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Immunological Medications NCLEX Practice Quiz (20 items)

Nurses who insufficiency to by the NCLEX- RN exam delay fleeing colors usually takes distinct illustration experiences to emend their power to retort investigations. This exercitation experienceimony hopefully obtain aid you do it!
“Give yourself an raze superior investigation than the one you are perplexing to overpower and you obtain amplify the powers compulsory to overpower the pristine inaptitude.”–William J. Bennett


Topics or concepts embodyd in this exam are:
  • Immunological Medications such as nucleoside-nucleotide reckonerexhibition transcriptase inhibitors (NRTIs), Non-nucleopolicy reckonerexhibition transcriptase inhibitors (NNRTIs), antifungal, antiviral, antibiotics, and immunosuppressants medications.
  • Disease moods such as extraneous immunodeficiency syndrome,  pneumocystis carinii pneumoniacytomegalovirus retinitis, organ (liver, kidney, and hardihood) alienate, gonorrhea, E-coli infection and chlamydia trachomatous infection.


To construct the most out of this taunt, ensue the guidelines adown:
  • Read each investigation thriftfully and pick-out the best retort.
  • You are ardent one searching per investigation. Spend your term wisely!
  • Answers and rationales (if any) are ardent adown. Be believing to interpret them.
  • If you scarcity past clarifications, fascinate frequented them to the comments saveion.


Immunological Medications NCLEX Exercitation Taunt (20 items)|Exam Mode

In Exam Mode: All investigations are shown but the possessions, retorts, and rationales (if any) obtain merely be ardent succeeding you’ve refined the taunt.

Immunological Medications NCLEX Exercitation Taunt (20 items)

Congratulations - you enjoy perfectd Immunological Medications NCLEX Exercitation Taunt (20 items). You jawd %%SCORE%% out of %%TOTAL%%. Your enterprise has been trounced as %%RATING%%
Your retorts are highlighted adown.

Practice Mode

Practice Mode: This is an interfree rendering of the Text Mode. All investigations are ardent in a uncombined page and rectify retorts, rationales or explanations (if any) are presently shown succeeding you enjoy selected an retort. No term boundary for this exam.

Immunological Medications NCLEX Exercitation Taunt (20 items)

Congratulations - you enjoy perfectd Immunological Medications NCLEX Exercitation Taunt (20 items). You jawd %%SCORE%% out of %%TOTAL%%. Your enterprise has been trounced as %%RATING%%
Your retorts are highlighted adown.

Text Mode

Text Mode: All investigations and retorts are ardent on a uncombined page for interpreting and retorting at your own tread. Be believing to grapple-behind a opportunity a pen and paper to transcribe down your retorts. 1. An HIV-decisive client who has been launched on very-much free antiretroviral therapy (HAART) came end for a ensue-up checkup. Which of the ensueing obtain be the most aidful in determining the acceptance to the therapy? A. Rapid HIV antigen experience. B. Western Blot dissectition. C. Viral inculpate experience. D. Innocent blood cell reckon. 2. A client delay extraneous immunodeficiency syndrome is prescribed delay Zidovudine (Azidothymidine). Which of the ensueing laboratory possessions should the nurse warner seasonliness on this medication? A. Throat swab gram stain. B. Complete command reckon. C. Random command sugar. D. Command uric pointed. 3. The client who is cosmical immunodeficiency bane serodecisive has been preface Saquinavir (Invirase). The value contributes medication disciplineions and advises the client to: A. Take the medication in the dawning anteriorly asceticisms. B. Emsubstantiality a low-fat nourishment. C. Weight form is abide-fored. D. Avoid life unprotected to sunlight. 4. Stavudine (Zerit) is prescribed to a client delay cosmical immunodeficiency bane seropositive. The value observes which of the ensueing most air-tight seasonliness the client is preface the medication? A. Orientation. B. Gag reflex. C. Appetite. D. Gait. 5. A value is evaluating a client who is HIV decisive who is prescribed delay Pentamidine (Pentam) IV for the texture of Pneumocystis carinii pneumonia. Which of the ensueing trounce succeeding the government is the most momentous to recruitment to the physician? A. Command presbelieving of 100/62 mm/Hg. B. Redness and pain at the standing of the refluence. C. Hasty perspiration and yearn. D. Unusual predilection or parching in the mouth. 6. A client is prescribed delay Pentamidine (Pentam) IV for the texture of Pneumocystis carinii pneumonia. Suddenly, the client amplifys a weather of 101.5°F. The value in commit knows that this indication would in-great-meaunquestioning manifest on which of the ensueing?  A. An overdosage of the medication. B. The scarcity for an added dosage. C. The client has amplifyed another contagion. D. The client is experiencing the sanitary pi of the medication. 7. Timeliness on Pentamidine (Pentam) refluence therapy. The value must prejudge doing which of the ensueing? A. Secure a 12-lead ECG. B. Observe for indications of retinal hurt. C. Discipthread the client on a low potassium nourishment. D. Discipthread the client on boundary flowing intake. 8. The value is warnering a post-renal alienateation client preface Cyclosporine (Neoral). The value observes an rise in one of the client’s life-containing indication and the client is repining of perspiration and muddiness. Which of the ensueing life-containing indication is most slight acceptiond?  A. Respiratory trounce. B. Pulse trounce. C. Temperature. D. Blood urgency. 9. A value is doing an trounce grounds seasonliness completing an advance for a resigned delay a truth of feedr alienate who is receiving cyclosporine (Sandimmune), Prednisone (Orasone), and Azathioprine (Imuran). Which of the ensueing notice obtain grant the value the most study? A. The client has a gentle non-tender mass in the shoulder. B. An acception cholesterol raze. C. Grade 1+ pitting edema in the feet. D. Swollen and pinkish gums illustrious. 10. A client is admitted to the inaptitude locality complaints of a inaptitude of feedly and upon auscultation, the value illustrious that the resigned has wheezes. An allergic reaction to penicillin was diagnosed. Which of the ensueing medications should the value abide-for to direct highest? A. Aminophylthread (Theophylline). B. Albuterol (Ventolin HFA). C. Methylprednisolone (Solu-Medrol). D. Pulmicort (Budesonide). 11. The value is assigned to thrift for a client delay cytomegalobane retinitis and extraneous immunodeficiency syndrome who is receiving foscarnet (Foscavir). The value thriftfully warners which of the ensueing laboratory experience during the texture delay this medication, save? A. Serum creatinine. B. Serum calcium. C. Serum magnesium. D. Serum sodium. 12. A client is of-late diagnosed delay HIV and a very-much antiretroviral therapy is launched. Succeeding the highest week of therapy, the resigned complains of muddinesss, dizziness, and nightmares. Which one of the ensueing anti-retroviral refuses is most slight associated delay these symptoms? A. Lamivudine. B. Efavirenz. C. Tenofovir. D. Saquinavir. 13. Sirolimus (Rapamune) is prescribed to a post-renal alienateation client. Upon the revisal of the chart, the value abide-fors which of the ensueing laboratory possessions? A. Elevated serum potassium. B. Decreased cholesterol raze. C. Elevated platelet reckon. D. Elevated triglyceride raze. 14. A post-kidney alienate client went to the sanity thrift address to ask the value touching vaccinations seasonliness on Tacrolimus (Prograf) a medication used to nullify organ exclusion. Which of the ensueing is an embezzle acceptance of the value?   A. “Do not to-leap due doses of vaccination for this can aid in your texture”. B. “You can enjoy feed vaccinations raze delayout the acclamation of the physician”. C. “Influenza can fall anytime, so a flu vaccine is a must.” D. “Do not accept any feed vaccinations seasonliness on this texture”. 15. A value is giving disciplineions to a client who is receiving Mycophenolate mofetil (CellCept) and Mycophenolic pointed (Myfortic) succeeding undergoing a hardihood alienate. The value tells the client to prejudge the ensueing policy possessions, save? A. Insomnia. B. Vomiting. C. Hypertension. D. Diarrhea. 16. Amikacin (Amikin) is ardent to a client delay E-coli contagion. The value advises the client to rumor which of the ensueing symptoms presently? A. Muscle affliction. B. Constipation. C. Fatigue. D. Hearing missing. 17. A client went to the inaptitude locality delay complaints of abdominal affliction, nausea, diarrhea and mucoid stools. Upon the consultation of the value, the client systematic that he is preface Cefixime (Suprax) for the texture of urinary deposit contagion. The value determines that the client is most slight disinclination from? A. Crohn’s distemper. B. Acute Gastroenteritis. C. Acute appendicitis. D. Pseudomembranous colitis. 18. Amphotericin B (Fungizone) IV is ardent to a client delay aspergillosis, a fungal contagion. In command to nullify its policy possessions, the value prejudge directing which of the ensueing earlier, save? A. Hydrocortisone. B. Ketoconazole. C. Diphenhydramine. D. Meperidine. 19. A value is giving disciplineions to a client preface Ciprofloxacin (Cipro) for the texture of gonorrhea. The value tells the client to? A. Rumor any truth of tendon problems. B. Resume daily training such as biking. C. Take an antacid 30 searchings earlier. D. Take it delay a yogurt as dissect of the texture. 20. Tetracycthread has been prescribed for a client delay Chlamydia trachomatis infection. Select the policy pi of the medication. Select all that devote? A. Glossitis. B. Tremors. C. Urinary quantity. D. Daub of the nails. E. Photosensitivity.

Answers and Rationale

1. Answer: C. Viral inculpate experience. A viral inculpate experience aids contribute notice on the sanity foundation and how polite-behaved-mannered-mannered-behaved-behaved antiretroviral therapy (ART – texture delay HIV remedys) is powerful the bane.
  • Options A and B warners the intercourse of antibodies to HIV, so these experiences obtain furnish a decisive pi succeeding the resigned is defiled delay HIV raze if the refuse therapy is able.
  • Option D obtain be used to assess the contact of HIV on immune duty but obtain not frequentedly meabelieving the ableness of the remedys.
2. Answer: B. Perfect command reckon. Zidovudine may reduce the compute of a real kind of innocent command cell in the command and source anemia and muscle disorders.
  • Options A, C, and D are not cognate to the medication.
3. Answer: D. Avoid life unprotected to sunlight. Saquinavir (Invirase) is an antiviral remedy that nullifys cosmical immunodeficiency bane (HIV) from multiplying in the whole. This can source photosensitivity so the value should discipthread the client to relinquish sun snare.
  • Option A: The remedy is captured delay stay or delayin 2 hours succeeding eating a bountiful asceticism.
  • Option B: The remedy is best astounded delay a high-fat asceticism.
  • Option C: Weight missing instead is abide-fored.
4. Answer: D. Gait One of the most earnest policy possessions of Stavudine (Zerit) is peripheral neuropathy so the value should warner the client’s remove seasonliness preface this medication.
  • Options A, B, and C are not cognate to the use of the medication.
5. Answer: C. Hasty perspiration and yearn. Pentamidine can source calamitous hypoglycemia, so symptoms such as hasty perspiration and yearn are speaking of a low command sugar manifests a scarcity for veer in the texture.
  • Option A: A low command presbelieving may manifest the scarcity of a sinferior refluence.
  • Option B: Redness and Affliction is a indication for the value to institute a new IV thread.
  • Option D: Parching and strange predilection may fall at the rouse but do not scarcity for an present declaration of the physician.
6. Answer: C. The client has amplifyed another contagion. Pentamidine can source low innocent command cells or low platelets in your command, so the client is most slight amplifyed another contagion brought environing these policy possessions.
  • Options A, B, and D are impertinent exposition.
7. Answer: A. Do a 12-lead ECG. Pentamidine may source a mood that affects the hardihood rhythm (QT extension). QT extension can sometimes source earnest wild/irregular hardihoodbeat and other symptoms (such as stern dizziness, fainting) that scarcity an forcible medical study.
  • Options B and D are not cognate to the use of the medication.
  • Option C: Low razes of potassium in the command can acception the expose of QT extension.
8. Answer: D. Blood urgency. Hypertension is one of the policy possessions of preface cyclosporine (Neoral) and past the client is to-boot repining of perspiration and muddiness, the command presbelieving is the momentous indication to be warnered air-tight. 9. Answer: A. The client has a gentle non-tender mass in the shoulder. A client preface immunosuppressive medications are at expose for amplifyment of cancer. A gentle non-tender mass obtain manifest that the resigned has lymphoma.
  • Options B, C, and D are spiritless policy possessions of the immunosuppressive medications.
10. Answer: B. Albuterol (Ventolin HFA). Albuterol (Ventolin HFA) is the most expeditiously acting of the medications natant the choices.
  • Option A is not the highest thread texture for a bronchospasm.
  • Options C and D are corticosteroids that are used during allergic reaction but are not expeditiously acting.
11. Answer: D. Serum sodium. Renal dilution is the elder toxicity emsubstantiality in Foscarnet (Foscavir); This remedy to-boot may source reduced razes of calcium, magnesium, phosphorous, and potassium. 12. Answer: B. Efavirenz. Efavirenz is a non-nucleopolicy reckonerexhibition transcriptase inhibitor. Policy possessions emsubstantiality foolhardy, dizziness, confusion, muddiness, and nightmares.
  • Options A and C: Lamivudine and Tenofovir policy possessions embodys muddiness, dizziness, sea-sickness, diarrhea, or perplexity inert.
  • Option D: Saquinavir can source muddiness, sea-sickness, diarrhea, and photosensitivity.
13. Answer: D. Elevated triglyceride raze. Sirolimus (Rapamune) raises cholesterol and triglyceride razes. This medication to-boot sources a reduce in potassium and platelet reckon. 14. Answer: D. “Do not accept any feed vaccinations seasonliness on this texture”. Tacrolimus may inferior your whole’s hindrance and the vaccine may not achievement as polite-behaved-mannered-mannered-behaved-behaved or the client may get the contagion the vaccine is meant to nullify. 15. Answer: A. Insomnia. These medications can source diarrhea, vomiting, sepsis, end affliction, neutropenia and hypertension. 16. Answer: D. Hearing missing. Amikacin is an aminoglycoside. Policy possessions of this medication embodys ototoxicity (Hearing missing), laziness, disorientation, gastrointestinal effeminacy, palpitations, command presbelieving veers and nephrotoxicity.
  • Options A, B, and C are not cognate delay the medication.
17. Answer: D. Pseudomembranous colitis. Pseudomembranous colitis to-boot designated antibiotic-associated colitis or C. difficile colitis, is the inflammation of the colon associated delay an overgrowth of the bacterium Clostridium difficile. This overgrowth of C. difficile is most frequently cognate to new antibiotic use such as ampicillin, clindamycin, fluoroquinolones, and cephalosporins.
  • Options A, B, and C may enjoy the symptoms of the client but are not slight due to this mood.
18. Answer: B. Ketoconazole. Azole antifungals (eg, ketoconazole) reduces the ableness of amphotericin b.
  • Options A and C: Fever, contradiction, chills, flushing, missing of want, dizziness, sea-sickness, vomiting, muddiness, lack of inspiration, or wild feedly may betide 1 to 3 hours succeeding the refluence is launched. Medications such as acetaminophen, diphenhydramine, corticosteroids such as hydrocortisone) may be compulsory to nullify these policy possessions.
  • Option D: Meperidine (25 to 50 mg IV) has been shown in some resigneds to reduce the protraction of contradiction chills and heat that may consort the refluence of amphotericin B.
19. Answer: A. Rumor any truth of tendon problems. Ciprofloxacin may source protuberance or discerption of a tendon (the fiber that connects bones to muscles in the whole), in-particular in the Achilles’ tendon of the heel. This can fall during texture or up to distinct months succeeding the client plug preface ciprofloxacin
  • Option B: This medication can source dizziness so relinquish any life that requires life until the client is believing to fulfil such activities safely.
  • Option C: Take ciprofloxacin at last 2 hours anteriorly or 6 hours succeeding preface an antacid.
  • Option D: Eating dairy products such as yogurt obtain deteriotrounce the ableness of ciprofloxacin.
20. Answer: A. Glossitis., D. Daub of the nails., E. Photosensitivity. Side possessions of tetracycthread emsubstantiality glossitis, daub of the nails, photosensitivity,  anorexia, nausea, vomiting, diarrhea, ponderous unbound stools, stomatitis, afflictive throat, sombre hairy language,dysphagia,and hoarseness.

See Also

You may to-boot relish these tauntzes: Nursing Pharmacology
Questions cognate to directing medication safely are dissect of the NCLEX-RN. Prepare for these nursing pharmacology investigations delay these tauntzes: Dosage Calculations
This set of NCLEX exercitation investigations embodys not merely dosage calculations but to-boot metric conversions. Better get your calculators interprety!


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