ATI Medical-Surgical Practice Test: Immune and
Infectious
1. A nurse is collecting data from a client who has had systemic
scleroderma for 5 years. In addition to skin changes, which of the
following findings should the nurse expect?
A. Excessive salivation
B. Finger contractures
C. Periorbital edema
D. Alopecia: B. Finger contractures
Scleroderma is a chronic disease that can cause thickening, hardening or tightening of the skin, blood
vessels and internal organs. There are 2 types: localized scleroderma, which mainly attects the skin,
and systemic scleroderma which may attect many internal organs. The symptoms include skin
changes, Raynaud's disease, arthritis, muscle weakness, and dry mucous membranes. With
scleroderma, the body produces and deposits too much collagen, causing thickening and hardening.
in addition to the clients skin and subcutaneous tissues becoming increasing hard and rigid, the
extremities stitten and lose mobility. Contractures develop with advanced systemic scleroderma unless
clients follow a regimen of range of motion and muscle strengthening exercises
2. A nurse is caring for a client who is HIV-positive is reinforcing
teaching about the earliest manifestations of AIDS. The nurse explains
that they include which of the following?
A. Persistent fever, swollen glands, diarrhea, weight loss, and fatigue
B. Elevated WBC count
C. Increased blood pressure, tachycardia, dyspnea and edema
D. Influenza-like symptoms including fatigue, sore throat, muscle
pain, headache and swollen glands: A. Persistent fever, swollen glands, diarrhea,
weight loss, and fatigue
3. A client diagnosed with systemic lupus erythematosus (SLE) is
concerned about skin lesions on the face and neck. the client
asks the nurse, "what should I do about these spots?" which of
the following nursing responses is appropriate?
A. "Keep the lesions covered with a light sterile dressing when
going out-doors"
B. "There is not much you can do. The lesions will go away when
your disease is in remission"
, ATI Medical-Surgical Practice Test: Immune and
Infectious
C. "Apply moisturizer after bathing the lesions with warm water"
, ATI Medical-Surgical Practice Test: Immune and
Infectious
D. "Apply antibiotic cream twice a day until scabs form on the lesions":
C. "Apply moisturizer after bathing the lesions with warm water"
4. A client who tests positive for the human immmunodeficiency
virus (HIV) asks the nurse, " should i tell my partner that I am an
HIV positive/" which of the following is appropriate nursing
response?
A. "That is your decision alone"
B. "I would if I were you"
C. "You aren't sure what to say to your partner?"
D. "We are required by law to notify your partner": C. "You aren't sure what to
say to your partner?"
5. A nurse has prepared a sign to hang outside of the room of a
client who is on contact precautions because of a confirmed MRSA
infection. Which sign, if prepared by the nurse, would indicate a
knowledge deficit?: Graphic 4: isolation mask is not necessary with contact
precautions
6. A client with reactive airway disease is tested and found to have an
allergy to dust mites. The nurse determines that the client
understands how to reduce her exposure to this allergen when
she states which of the following?
A. "I'll run a room humidifier in my bedroom every night"
B. "Carpeting the entire house will be very expensive, but it will be
worth it"
C. "Washing all the bed linens in hot water every week will be time-
consum-ing"
D. "I'll apply insect repellent sparingly to any exposed parts when
I'm out-doors": C. "Washing all the bed linens in hot water every week will be time-
consuming"
Dust mites are vulnerable to high temperatures and because a client may spend up to 1/3 of the day
in bed, actions to reduce exposure in bedroom are essential
7. A client has been diagnosed with Raynaud's disease, when
reinforcing teach-
Infectious
1. A nurse is collecting data from a client who has had systemic
scleroderma for 5 years. In addition to skin changes, which of the
following findings should the nurse expect?
A. Excessive salivation
B. Finger contractures
C. Periorbital edema
D. Alopecia: B. Finger contractures
Scleroderma is a chronic disease that can cause thickening, hardening or tightening of the skin, blood
vessels and internal organs. There are 2 types: localized scleroderma, which mainly attects the skin,
and systemic scleroderma which may attect many internal organs. The symptoms include skin
changes, Raynaud's disease, arthritis, muscle weakness, and dry mucous membranes. With
scleroderma, the body produces and deposits too much collagen, causing thickening and hardening.
in addition to the clients skin and subcutaneous tissues becoming increasing hard and rigid, the
extremities stitten and lose mobility. Contractures develop with advanced systemic scleroderma unless
clients follow a regimen of range of motion and muscle strengthening exercises
2. A nurse is caring for a client who is HIV-positive is reinforcing
teaching about the earliest manifestations of AIDS. The nurse explains
that they include which of the following?
A. Persistent fever, swollen glands, diarrhea, weight loss, and fatigue
B. Elevated WBC count
C. Increased blood pressure, tachycardia, dyspnea and edema
D. Influenza-like symptoms including fatigue, sore throat, muscle
pain, headache and swollen glands: A. Persistent fever, swollen glands, diarrhea,
weight loss, and fatigue
3. A client diagnosed with systemic lupus erythematosus (SLE) is
concerned about skin lesions on the face and neck. the client
asks the nurse, "what should I do about these spots?" which of
the following nursing responses is appropriate?
A. "Keep the lesions covered with a light sterile dressing when
going out-doors"
B. "There is not much you can do. The lesions will go away when
your disease is in remission"
, ATI Medical-Surgical Practice Test: Immune and
Infectious
C. "Apply moisturizer after bathing the lesions with warm water"
, ATI Medical-Surgical Practice Test: Immune and
Infectious
D. "Apply antibiotic cream twice a day until scabs form on the lesions":
C. "Apply moisturizer after bathing the lesions with warm water"
4. A client who tests positive for the human immmunodeficiency
virus (HIV) asks the nurse, " should i tell my partner that I am an
HIV positive/" which of the following is appropriate nursing
response?
A. "That is your decision alone"
B. "I would if I were you"
C. "You aren't sure what to say to your partner?"
D. "We are required by law to notify your partner": C. "You aren't sure what to
say to your partner?"
5. A nurse has prepared a sign to hang outside of the room of a
client who is on contact precautions because of a confirmed MRSA
infection. Which sign, if prepared by the nurse, would indicate a
knowledge deficit?: Graphic 4: isolation mask is not necessary with contact
precautions
6. A client with reactive airway disease is tested and found to have an
allergy to dust mites. The nurse determines that the client
understands how to reduce her exposure to this allergen when
she states which of the following?
A. "I'll run a room humidifier in my bedroom every night"
B. "Carpeting the entire house will be very expensive, but it will be
worth it"
C. "Washing all the bed linens in hot water every week will be time-
consum-ing"
D. "I'll apply insect repellent sparingly to any exposed parts when
I'm out-doors": C. "Washing all the bed linens in hot water every week will be time-
consuming"
Dust mites are vulnerable to high temperatures and because a client may spend up to 1/3 of the day
in bed, actions to reduce exposure in bedroom are essential
7. A client has been diagnosed with Raynaud's disease, when
reinforcing teach-
