ATI: ALTERATIONS IN IMMUNITY AND INFLAMMATORY FUNCTION
ASSESSMENT EXAM 2025 WITH 100% CORRECT ANSWERS
1. Which is the priority nursing assessment for the nurse caring for someone
experiencing an anaphylactic reaction?
Monitoring respiratory status
Assessing skin for a rash
A full head-to-toe assessment
Assessing bowel sounds
2. A nurse is monitoring a patient with influenza who begins to show signs
of respiratory distress. What should be the nurse's immediate priority
based on the patient's condition?
Administer an antiviral medication immediately.
Prepare the patient for discharge.
Encourage the patient to drink more fluids.
Assess the patient's oxygen saturation levels and respiratory
effort.
3. If a nurse observes a significant drop in a client's CD4-T-cell count, what
immediate action should the nurse consider to prevent opportunistic
infections?
Implement infection control measures and educate the client on
prevention strategies.
Increase the client's physical activity level.
Reduce the frequency of medication administration.
Schedule routine blood tests without any additional interventions.
,4. The nurse is assessing a client with acute sinusitis. What is the primary
cause of this condition?
protozoal infection caused by a contaminated water source
viral infection transmitted via respiratory droplets
fungal infection from spores in the air
bacterial infection transmitted by contaminated hands
5. If a nurse encounters a client who is hesitant to disclose their HIV status
due to fear of social stigma, what intervention should the nurse
prioritize?
Encourage the client to ignore their fears and focus on treatment.
Provide a safe and confidential environment for the client to
discuss their concerns.
Reassure the client that stigma does not exist in healthcare
settings.
Suggest the client avoid discussing their status with anyone.
6. Describe why viruses need a host to replicate, in contrast to bacteria.
Bacteria can replicate independently and do not require a host.
Bacteria require a host to survive and replicate.
Viruses can replicate independently in any environment.
Viruses need a host to replicate because they lack the cellular
machinery necessary for reproduction and rely on the host's
cells to reproduce.
7. What is a common complication that nurses should monitor for in older
adult clients with influenza?
Pneumonia
Anemia
, Heart failure
Dehydration
8. If a patient develops inflammation of the meninges, what symptoms might
the nurse expect to observe in this patient?
Symptoms such as severe headache, fever, and neck stiffness.
Decreased heart rate and blood pressure.
Increased appetite and energy levels.
Improved cognitive function and memory.
9. What is one environmental factor that can trigger a flare-up in systemic
lupus erythematosus (SLE)?
Air pollution
High humidity
Cold weather
Sun exposure
10. Why is routine testing, such as CBC and sputum culture, important for
clients with active TB?
Routine testing is only performed once a year.
Routine testing helps monitor the patient's health status and
detect any complications or active infections.
Routine testing is only necessary for patients with chronic
diseases.
Routine testing is irrelevant for patients with infectious diseases.
11. What diagnostic test is commonly used to assess for meningitis
symptoms such as fever and stiff neck?
ASSESSMENT EXAM 2025 WITH 100% CORRECT ANSWERS
1. Which is the priority nursing assessment for the nurse caring for someone
experiencing an anaphylactic reaction?
Monitoring respiratory status
Assessing skin for a rash
A full head-to-toe assessment
Assessing bowel sounds
2. A nurse is monitoring a patient with influenza who begins to show signs
of respiratory distress. What should be the nurse's immediate priority
based on the patient's condition?
Administer an antiviral medication immediately.
Prepare the patient for discharge.
Encourage the patient to drink more fluids.
Assess the patient's oxygen saturation levels and respiratory
effort.
3. If a nurse observes a significant drop in a client's CD4-T-cell count, what
immediate action should the nurse consider to prevent opportunistic
infections?
Implement infection control measures and educate the client on
prevention strategies.
Increase the client's physical activity level.
Reduce the frequency of medication administration.
Schedule routine blood tests without any additional interventions.
,4. The nurse is assessing a client with acute sinusitis. What is the primary
cause of this condition?
protozoal infection caused by a contaminated water source
viral infection transmitted via respiratory droplets
fungal infection from spores in the air
bacterial infection transmitted by contaminated hands
5. If a nurse encounters a client who is hesitant to disclose their HIV status
due to fear of social stigma, what intervention should the nurse
prioritize?
Encourage the client to ignore their fears and focus on treatment.
Provide a safe and confidential environment for the client to
discuss their concerns.
Reassure the client that stigma does not exist in healthcare
settings.
Suggest the client avoid discussing their status with anyone.
6. Describe why viruses need a host to replicate, in contrast to bacteria.
Bacteria can replicate independently and do not require a host.
Bacteria require a host to survive and replicate.
Viruses can replicate independently in any environment.
Viruses need a host to replicate because they lack the cellular
machinery necessary for reproduction and rely on the host's
cells to reproduce.
7. What is a common complication that nurses should monitor for in older
adult clients with influenza?
Pneumonia
Anemia
, Heart failure
Dehydration
8. If a patient develops inflammation of the meninges, what symptoms might
the nurse expect to observe in this patient?
Symptoms such as severe headache, fever, and neck stiffness.
Decreased heart rate and blood pressure.
Increased appetite and energy levels.
Improved cognitive function and memory.
9. What is one environmental factor that can trigger a flare-up in systemic
lupus erythematosus (SLE)?
Air pollution
High humidity
Cold weather
Sun exposure
10. Why is routine testing, such as CBC and sputum culture, important for
clients with active TB?
Routine testing is only performed once a year.
Routine testing helps monitor the patient's health status and
detect any complications or active infections.
Routine testing is only necessary for patients with chronic
diseases.
Routine testing is irrelevant for patients with infectious diseases.
11. What diagnostic test is commonly used to assess for meningitis
symptoms such as fever and stiff neck?
