ATI Medical-Surgical Practice Test:
Immune and Infectious
A purchaser admitted to the sanatorium with active pulmonary tuberculosis (TB) is located
on airborne precautions, prescribed medicine and scheduled for a chest xray. While
transporting the customer to the radiology branch the nurse have to do which of the
subsequent?
A. Have the client put on a masks
B. Wear a masks and gown for safety from the clients infection
C. Ask the radiology team of workers to do a portable chest xray inside the clients room
D. Take no unique precautions - ANS-A. Have the customer wear a mask
This intervention protects absolutely everyone who may additionally are available in touch
with the client, which include the nurse.
A consumer recognized with systemic lupus erythematosus (SLE) is concerned
approximately skin lesions on the face and neck. The consumer asks the nurse, "what
should I do about these spots?" which of the subsequent nursing responses is suitable?
A. "Keep the lesions protected with a mild sterile dressing while going outside"
B. "There isn't much you could do. The lesions will go away when your disorder is in
remission"
C. "Apply moisturizer after bathing the lesions with heat water"
D. "Apply antibiotic cream two times a day till scabs shape on the lesions" - ANS-C. "Apply
moisturizer after bathing the lesions with warm water"
A client has been recognized with Raynaud's sickness, when reinforcing coaching with the
client, the nurse must consist of records approximately which of the following?
A. Protecting towards cold with layers of garb
B. Starting a regular workout program of two-mile walks daily
C. Increasing niacin and pyridoxine in the weight-reduction plan
D. Elevating the hands above heart degree in the course of an acute attack - ANS-A.
Protecting towards cold with layers of clothing
Extreme cold can cause tissue damage, and clients with Raynaud's are prone to greater
frequent assaults in the course of cold climate.
A consumer is worried about the possibility of contracting lyme disorder after being bitten by
using a tick. The nurse have to study the patron for the common early manifestations of lyme
ailment, consisting of which of the following?
A. A diffuse maculopapular rash
B. Stiff, swollen, painful joints
C. Double vision
D. A modern, round rash - ANS-D. A innovative, round rash
, Early Lyme sickness is characterised by way of fever, flu-like manifestations, and erythema
migrans, a awesome modern circular rash that develops often at the chunk website.
A customer receives instructions about behaviors that growth the danger of developing
Hepatitis A. Which statement through the purchaser indicated to the nurse an correct
information of the information?
A. "I might not donate blood anymore"
B. "I'll get a booster shot of immune serum globulin every yr"
C. "I'll stop ingesting uncooked clams even though I enjoy them"
D. "I won't contact every other drop of alcohol" - ANS-C. "I'll stop eating uncooked clams
even though I experience them"
Hep A is transmitted via fecal-oral direction via intake of contaminated culmination,
vegetables, water, milk, uncooked shellfish. Those who eat raw or steamed shellfish are at
an accelerated threat
A customer reviews bilateral pain and swelling in her finger joints, with stiffness within the
morning. The finger joints are erythematous and warm to touch. The customers tells the
nurse she has a protracted family records of arthritis. To help diagnose this client's situation,
the nurse anticipates an order for which laboratory take a look at?
A. C-Reactive protein (CRP)
B. Rheumatoid thing (RF)
C. WBC rely
D. Erythrocyte sedimentation price (ESR) - ANS-B. Rheumatoid factor (RF)
Likely RA; RF is discovered within the serum of most customers who've RA
A consumer who checks high quality for the human immmunodeficiency virus (HIV) asks the
nurse, " ought to i tell my partner that I am an HIV tremendous/" which of the following is
appropriate nursing response?
A. "That is your choice on my own"
B. "I could if I have been you"
C. "You aren't certain what to say in your associate?"
D. "We are required with the aid of law to notify your partner" - ANS-C. "You are not certain
what to say for your partner?"
A client with an acute exacerbation of rheumatoid arthritis has an erythrocyte sedimentation
rate (ESR) of sixty five mm/hr. Based on this locating, the nurse anticipates that the patron's
affected joints will require which of the subsequent?
A. Assistive gadgets
B. Heat or bloodless remedy
C. Gentle rubdown
D. Active ROM sporting events - ANS-B. Heat or cold therapy
Elevated ESR indicates an acute inflammatory method. The patron will maximum in all
likelihood want thermal interventions to control inflammation, in addition to hobby obstacles
to relaxation inflamed joints
Immune and Infectious
A purchaser admitted to the sanatorium with active pulmonary tuberculosis (TB) is located
on airborne precautions, prescribed medicine and scheduled for a chest xray. While
transporting the customer to the radiology branch the nurse have to do which of the
subsequent?
A. Have the client put on a masks
B. Wear a masks and gown for safety from the clients infection
C. Ask the radiology team of workers to do a portable chest xray inside the clients room
D. Take no unique precautions - ANS-A. Have the customer wear a mask
This intervention protects absolutely everyone who may additionally are available in touch
with the client, which include the nurse.
A consumer recognized with systemic lupus erythematosus (SLE) is concerned
approximately skin lesions on the face and neck. The consumer asks the nurse, "what
should I do about these spots?" which of the subsequent nursing responses is suitable?
A. "Keep the lesions protected with a mild sterile dressing while going outside"
B. "There isn't much you could do. The lesions will go away when your disorder is in
remission"
C. "Apply moisturizer after bathing the lesions with heat water"
D. "Apply antibiotic cream two times a day till scabs shape on the lesions" - ANS-C. "Apply
moisturizer after bathing the lesions with warm water"
A client has been recognized with Raynaud's sickness, when reinforcing coaching with the
client, the nurse must consist of records approximately which of the following?
A. Protecting towards cold with layers of garb
B. Starting a regular workout program of two-mile walks daily
C. Increasing niacin and pyridoxine in the weight-reduction plan
D. Elevating the hands above heart degree in the course of an acute attack - ANS-A.
Protecting towards cold with layers of clothing
Extreme cold can cause tissue damage, and clients with Raynaud's are prone to greater
frequent assaults in the course of cold climate.
A consumer is worried about the possibility of contracting lyme disorder after being bitten by
using a tick. The nurse have to study the patron for the common early manifestations of lyme
ailment, consisting of which of the following?
A. A diffuse maculopapular rash
B. Stiff, swollen, painful joints
C. Double vision
D. A modern, round rash - ANS-D. A innovative, round rash
, Early Lyme sickness is characterised by way of fever, flu-like manifestations, and erythema
migrans, a awesome modern circular rash that develops often at the chunk website.
A customer receives instructions about behaviors that growth the danger of developing
Hepatitis A. Which statement through the purchaser indicated to the nurse an correct
information of the information?
A. "I might not donate blood anymore"
B. "I'll get a booster shot of immune serum globulin every yr"
C. "I'll stop ingesting uncooked clams even though I enjoy them"
D. "I won't contact every other drop of alcohol" - ANS-C. "I'll stop eating uncooked clams
even though I experience them"
Hep A is transmitted via fecal-oral direction via intake of contaminated culmination,
vegetables, water, milk, uncooked shellfish. Those who eat raw or steamed shellfish are at
an accelerated threat
A customer reviews bilateral pain and swelling in her finger joints, with stiffness within the
morning. The finger joints are erythematous and warm to touch. The customers tells the
nurse she has a protracted family records of arthritis. To help diagnose this client's situation,
the nurse anticipates an order for which laboratory take a look at?
A. C-Reactive protein (CRP)
B. Rheumatoid thing (RF)
C. WBC rely
D. Erythrocyte sedimentation price (ESR) - ANS-B. Rheumatoid factor (RF)
Likely RA; RF is discovered within the serum of most customers who've RA
A consumer who checks high quality for the human immmunodeficiency virus (HIV) asks the
nurse, " ought to i tell my partner that I am an HIV tremendous/" which of the following is
appropriate nursing response?
A. "That is your choice on my own"
B. "I could if I have been you"
C. "You aren't certain what to say in your associate?"
D. "We are required with the aid of law to notify your partner" - ANS-C. "You are not certain
what to say for your partner?"
A client with an acute exacerbation of rheumatoid arthritis has an erythrocyte sedimentation
rate (ESR) of sixty five mm/hr. Based on this locating, the nurse anticipates that the patron's
affected joints will require which of the subsequent?
A. Assistive gadgets
B. Heat or bloodless remedy
C. Gentle rubdown
D. Active ROM sporting events - ANS-B. Heat or cold therapy
Elevated ESR indicates an acute inflammatory method. The patron will maximum in all
likelihood want thermal interventions to control inflammation, in addition to hobby obstacles
to relaxation inflamed joints
