ATI RN Targeted Medical Surgical Immune Online Practice 2019

A nurse is providing teaching to a client who is scheduled for a Papanicolaou (pap) test. The nurse should inform the client that the Pap test is used to screen for which of the following? A. uterine cancer B. cervical cancer C. ovarian cysts Fibroids - ANSWER B. Cervical cancer the nurse should inform the client that a pap test is used to screen for cervical cancer A nurse is planning on education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse include regarding Lyme Disease? A. If bitten by a tick, you should be tested immediately. B. If you have a tick embedded in your skin, apply a lit match to remove it C. You should wear dark colored clothing to deter ticks from biting D. If you develop pain and stiffness in your joints, you should see your doctor - ANSWER D. If you develop pain and stiffness in your joints, you should see your doctor The nurse should inform the group that manifestations of stage 1 Lyme disease include influenza-like manifestations, a "bull's-eye" rash, muscle and joint pain, and stiffness. The nurse should instruct the group to report these findings to a provider. A nurse is reviewing the daily laboratory results for a female client who has acute leukemia. Which of the following values is an expected finding? A. WBC count 21000 B. Hgb 14 C. Hct 40% D. Platelets 170,000 - ANSWER A. WBC count 21000 The nurse should expect a client who has acute leukemia to have an elevated WBC count A nurse is providing teaching to a client who has systemic lupus erythematosus. Which of the following statements by the client indicates an understanding of the teaching? A.. I should use a sunscreen with a SPF of at least 15 B. Long-term immunosuppressive therapy could cure this disease C. I should wear gloves when it is cold outside D. SLE should not affect my lungs or breathing - ANSWER C. I should wear gloves when it is cold outside Raynaud's phenomenon commonly accompanies SLE and can cause painful vasoconstriction in the client's fingers when exposed to cold temperatures A nurse is reviewing the laboratory report for a client who has hodgkin's lymphoma. Which of the following findings should the nurse expect? A. overgrowth of B-lymphocyte plasma cells B. Reed-Sternberg cells C. Epstein-Barr virus D. Overproduction of blast phase cells - ANSWER B. Reed sternberg cells The nurse should expect to find Reed-Sternberg cells, which are cancer cells specific to a client who has Hodgkin's lymphoma, in the client's lymph nodes. A nurse is providing teaching to a client who takes an oral contraceptive and has a new prescription for amoxicillin. Which of the following statements by the client indicates an understanding of the teaching? A. I will use a backup method of birth control while I am taking this medication B. I should take this medication on an empty stomach C. I should expect to have constipation while taking this medication D. I will keep taking this medication until I feel better - ANSWER A. I will use a backup method of birth control while I am taking this medication The nurse should inform the client that antibiotics accelerate the elimination of oral contraceptives, making them less effective. A nurse is caring for a client who has viral pneumonia. Which of the following findings should the nurse report to the provider immediately? A. Negative blood culture B. Left shift in WBC differential C. Oxygen saturation 93% D. Crackles heard on auscultation - ANSWER B. Left shift in WBC differential When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is a left shift in the client's WBC differential, which indicates that the pneumonia is of bacterial origin, rather than viral. The left shift can be a manifestation of sepsis, and the nurse should report this finding to the provider. A nurse is caring for a client who has neutropenia. Which of the following findings indicates a need for intervention? A. The client's grandchild is visiting and telling the client about the first day of kindergarten B. The client has a grilled ham and cheese sandwich, a banana, and yogurt on their lunch tray C. The client's family brings in a silk flower arrangement D. The client's assistive personnel places paper cups and plastic utensils in the client's room - ANSWER A. The client's grandchild is visiting and telling the client about the first day of kindergarten The nurse should limit the client's visitors to healthy adults. A visit from a child who is attending school can place the client at risk for infection due to the client's immunocompromised status. A nurse is providing teaching to a client who has Hodkin's lymphoma and is undergoing external radiation treatment. Which of the following instructions should the nurse include? A. Use an antibacterial soap to cleanse the skin B. Wash the ink marking off when showering C. Rub the skin with a towel when drying D. Avoid direct sun exposure to the skin - ANSWER D. Avoid direct sun exposure to the skin The nurse should instruct the client to avoid sun exposure because the client's skin is sensitive to sunburn due to the external radiation. A nurse is providing teaching to a group of clients regarding skin cancer prevention. Which of the following risk factors should the nurse include in the teaching? A. Light skin pigmentation B. Psoriasis C. History of frostbite D. Immunodeficiency disorder - ANSWER A. Light skin pigmentation The nurse should inform the clients that light skin pigmentation is a risk factor for the development of skin cancer A nursing is educating a client who is scheduled for a kidney transplant. Which of the following information about hyperacute rejection should the nurse include in the teaching? A. Hyperacute rejection can occur during the first few weeks after the transplant B. If hyperacute rejection occurs, the kidney can become enlarged C. The organ will need to be removed if hyperacute rejection occurs D. Immunosuppressive therapy is given to reverse hyperacute rejection - ANSWER C. The organ will need to be removed if hyperacute rejection occurs Removing the transplanted organ is the only treatment for hyperacute rejection, due to the widespread clotting cascade that leads to ischemic necrosis of the transplant kidney A nurse is caring for a client who reports a skin change. Which of the following findings should the nurse report to the provider? A. an asymmetrical papule that is pigmented B. A patch of silvery-white scales with a red epidermal base C. A collection of irregular, dry papules that are black D. An elevated red lesion that arises from a scar - ANSWER A. An asymmetrical papule that is pigmented The nurse should identify an asymmetrical papule that is pigmented as an indication of malignant melanoma. The nurse should report the client's skin change to the provider.