MED-SURG ATI QUIZ: IMMUNE AND
INFECTIONS EXAM WITH CORRECT
ANSWERS 2025
A nurse is assisting with the care of a client who is 2 days postoperative.
Which of the following findings should alert the nurse that the client is
developing an infection?
A. Temperature 100 F
B. Erythema at the incision site
C. WBC count 9,000/mm3
D.Pain reported as a 6 on a 0 to 10 pain rating scale - CORRECT
ANSWERS- B. Erythema at the incision site
Rationale: Redness, or erythema, at the incision site is an initial
manifestation of a wound infection and requires intervention by the nurse. A
temperature of 37.8° C (100° F) is within the expected reference range and
does not indicate the client is developing an infection. This WBC count is
within the expected reference range and does not indicate the client is
developing an infection. The expected reference range for WBC count is
between 5,000 to 10,000/mm3. A pain level of 6 on a 0 to 10 scale for a
client who is 2 days postoperative without any other significant findings
does not indicate the client is developing an infection. The client should be
medicated for pain promptly.
A nurse is reinforcing teaching with a client who has tested positive for an
allergy to dust about how to reduce her exposure to the allergen. The nurse
should determine that the client understands how to reduce her exposure to
this allergen when she states which of the following?
E. "I will begin vacuuming once a week"
F. "Carpeting the entire house will be very expensive, but it will be worth it"
G. "I will install an electrostatic filter in my furnace"
H."Installing curtains on the windows will help control the dust in
the house" - CORRECT ANSWERS- C. "I will install an electrostatic
filter in my furnace"
Rationale: The nurse should instruct the client to install an electrostatic filter
in her furnace to control the amount of dust in the home environment. The
nurse should instruct the client to vacuum daily to decrease the amount of
dust in the client's environment. The nurse should instruct the client that
carpeting should be removed from as many rooms as possible, especially
from the bedroom or any other common areas where the client spends time.
Carpet accumulates large amounts of dust in the client's environment. The
nurse should instruct the client to remove curtains within the house
, and replace them with pull shades. Pull shades accumulate less dust than
curtains and can be easier to clean.
A nurse is reinforcing discharge teaching with the partner of a client who
has acquired immunodeficiency syndrome (AIDS). Which of the following
statements by the client's partner indicates the need for further teaching?
A. "I will dispose spoiled tissues in separate plastic bags"
B. "I'll clean up blood spills immediately with hot water"
C. I know that hand washing is an important preventive measure"
D."I will wash soiled clothes in hot water" - CORRECT ANSWERS- B. "I'll
clean up blood spills immediately with hot water"
Rationale: The client's partner should clean blood or potentially
contaminated body substances with a bleach solution and wear gloves when
coming into contact with blood products. The client's partner should use a
separate plastic bag to dispose soiled tissues. Any items that cannot be
disposed of in the toilet should be kept in a closed plastic bag until trash
disposal. The client's partner should implement measures such as hand
washing to prevent the spread of infection. The client's partner should wash
soiled clothes in hot water along with 1 cup of bleach to clean clothing.
A nurse is collecting data from a client who has an exacerbation of
herpes zoster. Which of the following manifestations of the client's skin
should the nurse expect to see?
E. Confluent, honey-colored, crusted lesions
F. Large tender nodule located on a hair follicle
G. Unilateral, localized, nodular skin lesions
H.A fluid-filled vesicular rash in the genital region - CORRECT
ANSWERS- C. Unilateral, localized, nodular skin lesions
Rationale: Herpes zoster, or shingles, results from the reactivation of a
dormant varicella virus. It is the acute, unilateral inflammation of the dorsal
root ganglion. The infection typically develops in adults and produces
localized vesicular lesions confined to a dermatome. It produces unilateral,
localized, nodular skin lesions. Confluent (gathered together), honey-
colored, crusted lesions are typically associated with impetigo. This
describes a furuncle or bacterial infection on a hair follicle. This
manifestation indicates genital herpes, which is caused by the herpes
simplex virus.
A nurse is reinforcing teaching with a female client who has a new diagnosis
of systemic lupus erythematosus (SLE) about factors that can trigger an
exacerbation of SLE. The nurse should determine that the client requires
further teaching when she identifies which of the following as a factor that
can exacerbate SLE?
I. Exercise
J. Pregnancy
INFECTIONS EXAM WITH CORRECT
ANSWERS 2025
A nurse is assisting with the care of a client who is 2 days postoperative.
Which of the following findings should alert the nurse that the client is
developing an infection?
A. Temperature 100 F
B. Erythema at the incision site
C. WBC count 9,000/mm3
D.Pain reported as a 6 on a 0 to 10 pain rating scale - CORRECT
ANSWERS- B. Erythema at the incision site
Rationale: Redness, or erythema, at the incision site is an initial
manifestation of a wound infection and requires intervention by the nurse. A
temperature of 37.8° C (100° F) is within the expected reference range and
does not indicate the client is developing an infection. This WBC count is
within the expected reference range and does not indicate the client is
developing an infection. The expected reference range for WBC count is
between 5,000 to 10,000/mm3. A pain level of 6 on a 0 to 10 scale for a
client who is 2 days postoperative without any other significant findings
does not indicate the client is developing an infection. The client should be
medicated for pain promptly.
A nurse is reinforcing teaching with a client who has tested positive for an
allergy to dust about how to reduce her exposure to the allergen. The nurse
should determine that the client understands how to reduce her exposure to
this allergen when she states which of the following?
E. "I will begin vacuuming once a week"
F. "Carpeting the entire house will be very expensive, but it will be worth it"
G. "I will install an electrostatic filter in my furnace"
H."Installing curtains on the windows will help control the dust in
the house" - CORRECT ANSWERS- C. "I will install an electrostatic
filter in my furnace"
Rationale: The nurse should instruct the client to install an electrostatic filter
in her furnace to control the amount of dust in the home environment. The
nurse should instruct the client to vacuum daily to decrease the amount of
dust in the client's environment. The nurse should instruct the client that
carpeting should be removed from as many rooms as possible, especially
from the bedroom or any other common areas where the client spends time.
Carpet accumulates large amounts of dust in the client's environment. The
nurse should instruct the client to remove curtains within the house
, and replace them with pull shades. Pull shades accumulate less dust than
curtains and can be easier to clean.
A nurse is reinforcing discharge teaching with the partner of a client who
has acquired immunodeficiency syndrome (AIDS). Which of the following
statements by the client's partner indicates the need for further teaching?
A. "I will dispose spoiled tissues in separate plastic bags"
B. "I'll clean up blood spills immediately with hot water"
C. I know that hand washing is an important preventive measure"
D."I will wash soiled clothes in hot water" - CORRECT ANSWERS- B. "I'll
clean up blood spills immediately with hot water"
Rationale: The client's partner should clean blood or potentially
contaminated body substances with a bleach solution and wear gloves when
coming into contact with blood products. The client's partner should use a
separate plastic bag to dispose soiled tissues. Any items that cannot be
disposed of in the toilet should be kept in a closed plastic bag until trash
disposal. The client's partner should implement measures such as hand
washing to prevent the spread of infection. The client's partner should wash
soiled clothes in hot water along with 1 cup of bleach to clean clothing.
A nurse is collecting data from a client who has an exacerbation of
herpes zoster. Which of the following manifestations of the client's skin
should the nurse expect to see?
E. Confluent, honey-colored, crusted lesions
F. Large tender nodule located on a hair follicle
G. Unilateral, localized, nodular skin lesions
H.A fluid-filled vesicular rash in the genital region - CORRECT
ANSWERS- C. Unilateral, localized, nodular skin lesions
Rationale: Herpes zoster, or shingles, results from the reactivation of a
dormant varicella virus. It is the acute, unilateral inflammation of the dorsal
root ganglion. The infection typically develops in adults and produces
localized vesicular lesions confined to a dermatome. It produces unilateral,
localized, nodular skin lesions. Confluent (gathered together), honey-
colored, crusted lesions are typically associated with impetigo. This
describes a furuncle or bacterial infection on a hair follicle. This
manifestation indicates genital herpes, which is caused by the herpes
simplex virus.
A nurse is reinforcing teaching with a female client who has a new diagnosis
of systemic lupus erythematosus (SLE) about factors that can trigger an
exacerbation of SLE. The nurse should determine that the client requires
further teaching when she identifies which of the following as a factor that
can exacerbate SLE?
I. Exercise
J. Pregnancy
