ATI MEDSURG 2 NUR 265 Exam 4 study questions AND ANSWERS 2024\2
Study online at https://quizlet.com/_h7k2lu
The nurse working in the ED has triaged
a client who presented with chest pain,
sob, a productive cough and reports or
night sweats. The client has a health hx
of AIDS and recents labs show a low
CD4+ count. Which of the following ac- Initiate airborne precautions
tions should the nurse take next?
- Initiate airborne precautions
- Check the clients temp
- Assess the client for shingles
- Obtain a throat culture
The newly hired nurse is developing a
plan of care for a client who has ac-
quired AIDS and was just diagnosed with
PJP. Which of the following interventions
should the nurse preceptor question?
- Offering the client foods high in calories
Wearing a surgical mask when standing
and protein
within 3 ft of the client.
- Instructing the client to drink at least
2-3L of fluid throughout the day
- Wearing a surgical mask when stand-
ing within 3 ft of the client
- Auscultating the client's breath sounds
for crackles at least once per shift
The nurse is caring for a patient who has
AIDS and has just been diagnosed with
toxoplasmosis encephalitis. Which of the
following actions should the nurse take?
- Thicken the pt's liquids to honey consis-
Ask the client if they ingested under-
tency
cooked meat.
- Initiate airborne precautions for the next
72 hrs
- Ask the client if they ingested under-
cooked meat
- Monitor the client's level of orientation
The nurse working in a community health
center has instructed a group of clients
who have AIDS about ways to prevent
, ATI MEDSURG 2 NUR 265 Exam 4 study questions AND ANSWERS 2024\2
Study online at https://quizlet.com/_h7k2lu
infection. Which of the following state-
ments by a client indicated the need for
additional teaching?
- I should clean my toothbrush by run-
ning it through the dishwasher once a
I will notify my primary healthcare
week
provider if my temp is greater than 101
- I will avoid eating undercooked fruits
F
and veggies
- I will notify my provider if my temp is
greater than 101 F
- I will avoid drinking water that has been
standing for longer than an hour.
The nurse is admitting a client who has
AIDS and has developed an infection
caused by cryptosporidium. Which of the
following client statements is consistent
with the diagnosis?
- "I have lost 5 lbs this past week" "I have noticed that my speech has be-
- "I have developed a persistent dry come slurred"
cough"
- "I have noticed that my speech has
become slurred"
-"I have noticed that my food does not
taste the same"
The nurse is caring for a client who had
a heart transplant 10 years ago. Which
findings from the box below require fol-
low-up by the nurse? 2. Activity intolerance
1. Prolonged prothrombin time (PT) 3. Weight gain of 3 lbs
2. Activity intolerance 4. Shortness of breath
3. Weight gain of 3 lbs 5. Hypotension
4. Shortness of breath
5. Hypotension
6. Irritability
The nurse attended a conference about
kidney transplantations. Which of the fol-
lowing clients who had end-stage renal
disease (ESRD) does the nurse recog-
, ATI MEDSURG 2 NUR 265 Exam 4 study questions AND ANSWERS 2024\2
Study online at https://quizlet.com/_h7k2lu
nize as being a transplant candidate?
- a 35 yr old client who is reporting burn-
ing with urination and is receiving ab-
dominal radiation
- a 42 yr old client who is sobbing af-
A 35 yr old client who is reporting burning
ter receiving a new diagnosis of ovarian
with urination and is receiving abdominal
cancer
radiation
- a 24 yr old client who is receiving neck
radiation and is reporting xerostomia
- a 56 yr old client who is receiving chest
radiation and has developed changes in
taste.
The nurse is caring for a client who has
a liver transplant 48 hours ago. It is a
priority for the nurse to notify the PHCP
if the client has
- An increasing bilirubin level
- Scant amounts of serosanguinous An increasing bilirubin level
drainage from the incision
- A urine output that has decreased from
65 to 45mL/ Hr since surgery
- An increase in BP from 115/68 to
122/74
The nurse is caring for a client who had a
lung transplant 10 days ago. It is a priority
for the nurse to notify the PHCP if the
client has
- Only used the incentive spirometer
once since last evening Developed sputum that is yellow-tinged
- Developed sputum that is yellow-tinged
- A pain rating of 7/10 when taking a
deep-breath
- Refused high- frequency chest wall os-
cillation for the past 24 hrs.
The nurse is caring for a client who had
a kidney transplant 2 week ago. Which
findings from the box below should the
nurse correlate to possible organ rejec-
Study online at https://quizlet.com/_h7k2lu
The nurse working in the ED has triaged
a client who presented with chest pain,
sob, a productive cough and reports or
night sweats. The client has a health hx
of AIDS and recents labs show a low
CD4+ count. Which of the following ac- Initiate airborne precautions
tions should the nurse take next?
- Initiate airborne precautions
- Check the clients temp
- Assess the client for shingles
- Obtain a throat culture
The newly hired nurse is developing a
plan of care for a client who has ac-
quired AIDS and was just diagnosed with
PJP. Which of the following interventions
should the nurse preceptor question?
- Offering the client foods high in calories
Wearing a surgical mask when standing
and protein
within 3 ft of the client.
- Instructing the client to drink at least
2-3L of fluid throughout the day
- Wearing a surgical mask when stand-
ing within 3 ft of the client
- Auscultating the client's breath sounds
for crackles at least once per shift
The nurse is caring for a patient who has
AIDS and has just been diagnosed with
toxoplasmosis encephalitis. Which of the
following actions should the nurse take?
- Thicken the pt's liquids to honey consis-
Ask the client if they ingested under-
tency
cooked meat.
- Initiate airborne precautions for the next
72 hrs
- Ask the client if they ingested under-
cooked meat
- Monitor the client's level of orientation
The nurse working in a community health
center has instructed a group of clients
who have AIDS about ways to prevent
, ATI MEDSURG 2 NUR 265 Exam 4 study questions AND ANSWERS 2024\2
Study online at https://quizlet.com/_h7k2lu
infection. Which of the following state-
ments by a client indicated the need for
additional teaching?
- I should clean my toothbrush by run-
ning it through the dishwasher once a
I will notify my primary healthcare
week
provider if my temp is greater than 101
- I will avoid eating undercooked fruits
F
and veggies
- I will notify my provider if my temp is
greater than 101 F
- I will avoid drinking water that has been
standing for longer than an hour.
The nurse is admitting a client who has
AIDS and has developed an infection
caused by cryptosporidium. Which of the
following client statements is consistent
with the diagnosis?
- "I have lost 5 lbs this past week" "I have noticed that my speech has be-
- "I have developed a persistent dry come slurred"
cough"
- "I have noticed that my speech has
become slurred"
-"I have noticed that my food does not
taste the same"
The nurse is caring for a client who had
a heart transplant 10 years ago. Which
findings from the box below require fol-
low-up by the nurse? 2. Activity intolerance
1. Prolonged prothrombin time (PT) 3. Weight gain of 3 lbs
2. Activity intolerance 4. Shortness of breath
3. Weight gain of 3 lbs 5. Hypotension
4. Shortness of breath
5. Hypotension
6. Irritability
The nurse attended a conference about
kidney transplantations. Which of the fol-
lowing clients who had end-stage renal
disease (ESRD) does the nurse recog-
, ATI MEDSURG 2 NUR 265 Exam 4 study questions AND ANSWERS 2024\2
Study online at https://quizlet.com/_h7k2lu
nize as being a transplant candidate?
- a 35 yr old client who is reporting burn-
ing with urination and is receiving ab-
dominal radiation
- a 42 yr old client who is sobbing af-
A 35 yr old client who is reporting burning
ter receiving a new diagnosis of ovarian
with urination and is receiving abdominal
cancer
radiation
- a 24 yr old client who is receiving neck
radiation and is reporting xerostomia
- a 56 yr old client who is receiving chest
radiation and has developed changes in
taste.
The nurse is caring for a client who has
a liver transplant 48 hours ago. It is a
priority for the nurse to notify the PHCP
if the client has
- An increasing bilirubin level
- Scant amounts of serosanguinous An increasing bilirubin level
drainage from the incision
- A urine output that has decreased from
65 to 45mL/ Hr since surgery
- An increase in BP from 115/68 to
122/74
The nurse is caring for a client who had a
lung transplant 10 days ago. It is a priority
for the nurse to notify the PHCP if the
client has
- Only used the incentive spirometer
once since last evening Developed sputum that is yellow-tinged
- Developed sputum that is yellow-tinged
- A pain rating of 7/10 when taking a
deep-breath
- Refused high- frequency chest wall os-
cillation for the past 24 hrs.
The nurse is caring for a client who had
a kidney transplant 2 week ago. Which
findings from the box below should the
nurse correlate to possible organ rejec-
