01
Choose one
1 point
A patient reports nausea after taking the first dose of an antibiotic, with no rash, itching, swelling, or breathing difficulty. Which interpretation and response are best?
Free Practice Quiz Question List
4 Drug Allergies and Hypersensitivity Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Drug Allergies and Hypersensitivity, test your knowledge, and prepare for your next test or exam.
20 questions
02
Choose one
1 point
Minutes after receiving a medication, a patient develops hoarseness, wheezing, widespread hives, and light-headedness. Which medication should be given promptly as first-line treatment for suspected anaphylaxis?
- A
Give an antihistamine first because hives are present.
- B
Wait to see whether the hives spread before treating.
- C
Give intramuscular epinephrine promptly under the emergency protocol or order.
- D
Give an antihistamine and withhold epinephrine unless the patient loses consciousness.
03
Choose one
1 point
A patient with suspected anaphylaxis is receiving emergency care. Which positioning approach is appropriate if tolerated?
- A
Lay the patient down with legs elevated if tolerated, adapting the position if breathing difficulty or vomiting makes that unsafe.
- B
Keep the patient standing so circulation is maintained.
- C
Place the patient face down regardless of symptoms.
- D
Sit the patient upright in every case, including when breathing is comfortable.
04
Choose all
1 point
A patient develops signs of suspected anaphylaxis during medication administration. Which actions are appropriate? Select all that apply.
- A
Stop the medication.
- B
Activate the emergency response.
- C
Give an antihistamine first and wait to see if it works before giving epinephrine.
- D
Give intramuscular epinephrine promptly under the applicable protocol or order.
- E
Support airway and breathing, provide oxygen, and monitor the patient.
05
Choose all
1 point
When documenting a suspected medication reaction, which details should be recorded? Select all that apply.
- A
The suspected drug.
- B
A permanent allergy label based on nausea alone, without clarifying the reaction.
- C
When the symptoms occurred in relation to the drug.
- D
The symptoms the patient experienced.
- E
The actions taken.
06
True or false
1 point
Anaphylaxis can involve breathing or circulation problems even when skin symptoms are absent.
- A
True
- B
False
07
True or false
1 point
A nurse should withhold indicated epinephrine for suspected anaphylaxis if the patient has a history of heart disease, because epinephrine can cause cardiac effects.
- A
True
- B
False
08
Written response
1 point
Which route is recommended for prompt epinephrine treatment of suspected anaphylaxis?
09
Fill in the blank
1 point
For isolated skin symptoms during a suspected mild medication reaction, a prescribed may help.
10
Fill in the blank
1 point
When tolerated during suspected anaphylaxis, position the patient lying down with legs .
11
Open ended
1 point
A patient develops hoarseness and wheezing shortly after receiving a medication but has no hives or other skin symptoms. Explain how this presentation should be treated and outline the priority response.
12
Choose one
1 point
During an IV medication infusion, a patient develops a few itchy hives but has no swelling, wheezing, throat symptoms, dizziness, or abnormal vital signs. What should the nurse do first?
- A
Stop the infusion and assess airway, breathing, circulation, and vital signs.
- B
Continue the infusion while waiting to see if symptoms resolve.
- C
Restart the medication immediately after asking whether the patient feels better.
- D
Give an antihistamine without assessing the patient.
13
Choose one
1 point
A patient develops a few itchy hives during an IV medication infusion. The infusion is stopped, the patient is assessed, and the symptoms begin to settle. What should the nurse do about restarting the medication?
- A
Do not restart unless specifically directed; continue observation and follow the facility reaction protocol.
- B
Restart the infusion at a slower rate as soon as the hives fade.
- C
Restart the medication if the patient says the itching is tolerable.
- D
Discontinue observation once the infusion has been stopped.
14
Choose one
1 point
A patient reports nausea after the first dose of an antibiotic, with no rash, itching, swelling, or breathing difficulty. Which interpretation and response are most appropriate?
- A
Treat the nausea as proof of an allergy and permanently label the patient allergic.
- B
Consider nausea alone more consistent with a side effect; assess, document, and clarify the reaction without labeling an allergy based on this symptom alone.
- C
Assume anaphylaxis and give epinephrine immediately.
- D
Ignore the symptom because it is not an allergic reaction.
15
True or false
1 point
Anaphylaxis may involve breathing or circulation problems even when the patient has no skin symptoms.
- A
True
- B
False
16
Choose one
1 point
During an IV medication infusion, a patient develops a few itchy hives but has no swelling, wheezing, throat symptoms, dizziness, or abnormal vital signs. What is the best initial response?
- A
Continue the infusion while watching only the hives.
- B
Give an antihistamine and restart the infusion as soon as the itching eases.
- C
Stop the infusion, assess airway, breathing, circulation, and vital signs, notify the prescriber, and observe for progression.
- D
Activate an emergency response and give epinephrine immediately in every case of isolated hives, regardless of other findings.
17
Written response
1 point
When documenting a suspected medication reaction, what temporal detail should be recorded along with the drug, symptoms, and actions taken?
18
Choose one
1 point
A patient with suspected anaphylaxis has hives, wheezing, and light-headedness. A colleague proposes giving an antihistamine first. Which response is most appropriate?
- A
Yes. Hives indicate that an antihistamine should be given before any other treatment.
- B
No. Give intramuscular epinephrine promptly; an antihistamine may help skin symptoms but must not delay it.
- C
Yes. An antihistamine treats airway and circulation problems as effectively as epinephrine.
- D
No. Give an antihistamine only, because epinephrine is not used when hives are present.
19
Written response
1 point
If tolerated, what position is recommended for a patient receiving emergency care for suspected anaphylaxis?
20
Written response
1 point
A patient develops itching and localized swelling after taking a medication. What general reaction category do these signs suggest?