A nurse is caring for a client suspected of having infectious mononucleosis (IM) Which laboratory test is most indicative of IM?

White blood cell count with neutrophils predominance.

Elevated erythrocyte sedimentation rate (ESR)

Positive heterophile antibody test.

Decreased liver function test results.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A white blood cell count with neutrophils predominance is not indicative of infectious mononucleosis. IM is characterized by an increase in atypical lymphocytes, not neutrophils.

Choice B rationale:

An elevated erythrocyte sedimentation rate (ESR) is a non-specific indicator of inflammation and is not specific to IM. It can be elevated in various conditions.

Choice C rationale:

A positive heterophile antibody test is highly indicative of infectious mononucleosis. This test detects antibodies produced in response to EBV infection and is a hallmark diagnostic test for IM.

Choice D rationale:

Decreased liver function test results are not a primary indicator of infectious mononucleosis. IM primarily affects the lymphatic system and may lead to mild liver enzyme elevations, but decreased liver function is not a typical finding.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale:

Feeling tired is a general symptom and can be caused by various conditions. It is not specific to infectious mononucleosis.

Choice B rationale:

Having a slightly sore throat is a non-specific symptom and can be caused by many factors, not just infectious mononucleosis.

Choice C rationale:

Noticing swelling in the neck glands is a typical symptom of infectious mononucleosis. Enlarged lymph nodes, particularly in the neck, are a characteristic feature of the infection.

Choice D rationale:

Not experiencing changes in appetite is not a specific symptom of infectious mononucleosis. It does not provide relevant information in determining if the client has the infection.

A. "My skin and eyes have a yellowish tint.” B. "I have a constant headache and dizziness.” C. "I noticed some red spots on the roof of my mouth.” D. "I have difficulty swallowing due to a sore throat.”

Correct Answer is A

Explanation

Choice A rationale:

In a client with infectious mononucleosis experiencing hepatomegaly (enlarged liver) and jaundice, they are likely to report a yellowish tint in their skin and eyes. Jaundice is a condition characterized by the buildup of bilirubin, a yellow pigment formed from the breakdown of red blood cells, which results in a yellow discoloration of the skin and the whites of the eyes (sclera) This occurs when the liver is unable to process bilirubin effectively, leading to its accumulation in the bloodstream.

Choice B rationale:

Although headaches and dizziness can be associated with various medical conditions, they are not specific symptoms of infectious mononucleosis or related to hepatomegaly and jaundice.

Choice C rationale:

Red spots on the roof of the mouth (palate) are known as petechiae and are often seen in conditions like streptococcal pharyngitis (strep throat) While streptococcal pharyngitis may present similarly to infectious mononucleosis, petechiae are not typically associated with mononucleosis or related to hepatomegaly and jaundice.

Choice D rationale:

Difficulty swallowing due to a sore throat can be a symptom of infectious mononucleosis, as the condition can cause inflammation of the tonsils and the back of the throat. However, this symptom is not directly related to hepatomegaly and jaundice, which are the key features mentioned in the question.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client suspected of having infectious mononucleosis (IM) Which laboratory test is most indicative of IM?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with suspected infectious mononucleosis. Which statement by the client indicates the presence of typical symptoms?

Correct Answer is C

Explanation

A client with infectious mononucleosis is experiencing hepatomegaly and jaundice. What might the nurse expect the client to report?

Correct Answer is A

Explanation

A nurse is monitoring a client with infectious mononucleosis (IM) Which finding would the nurse expect to assess in the client's laboratory results?

A nurse is teaching a community health class about preventing the transmission of infectious mononucleosis. Which preventive measures should the nurse emphasize?

A nurse is providing education to a group of teenagers about infectious mononucleosis. Which statement made by a participant indicates a need for further teaching?

A nurse is caring for a client suspected of having infectious mononucleosis (IM) Which laboratory test is most indicative of IM?

A client diagnosed with infectious mononucleosis (IM) is experiencing a sore throat. Which statement by the client requires further intervention by the nurse?

A client with suspected infectious mononucleosis (IM) asks the nurse, "What is the treatment for this disease?" Which statement by the nurse is most appropriate?

(Select all that apply) : A client has been exposed to someone with measles. The nurse should implement which measures to prevent transmission? Select all that apply:

(Select all that apply): A nurse is caring for a patient with infectious mononucleosis. Which interventions should the nurse include in the patient's care plan? Select all that apply.