ATI MED SURG IMMUNE & INFECTION, ATI MED
SURG ONCOLOGY, ATI MED SURG
CARDIOVASCULAR Questions Correct Answers,
and Detailed Explanations for Computer Science
Students||Already Graded A+
1. A nurse is caring for a client with systemic lupus erythematosus
(SLE). Which finding should the nurse expect?
A. Hyperpigmented skin lesions
B. Butterfly-shaped rash on the face
C. Increased platelet count
D. Bradycardia
Answer: B
Rationale: SLE commonly presents with a malar (butterfly) rash
across the cheeks and nose due to autoimmune inflammation.
2. A client with HIV has a CD4 count of 180 cells/mm³. Which
action is the nurse’s priority?
A. Administer influenza vaccine
B. Encourage increased protein intake
C. Initiate prophylaxis for opportunistic infections
D. Discontinue antiretroviral therapy
Answer: C
Rationale: A CD4 count below 200 places the client at high risk for
opportunistic infections, requiring prophylactic medications.
, 3. Which laboratory value indicates effectiveness of antiretroviral
therapy?
A. Increased viral load
B. Decreased CD4 count
C. Decreased viral load
D. Elevated white blood cell count
Answer: C
Rationale: Effective ART suppresses HIV replication, resulting in a
decreased viral load.
4. A nurse is teaching a client with rheumatoid arthritis about
medication therapy. Which drug is classified as a biologic
DMARD?
A. Ibuprofen
B. Methotrexate
C. Etanercept
D. Prednisone
Answer: C
Rationale: Etanercept is a biologic DMARD that inhibits tumor
necrosis factor (TNF), reducing inflammation.
5. Which precaution is most appropriate for a client with active
tuberculosis?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
,Answer: C
Rationale: Tuberculosis is transmitted via airborne particles and
requires a negative-pressure room and N95 respirator.
6. A nurse is caring for a neutropenic client. Which intervention is
most important?
A. Encourage fresh fruits and vegetables
B. Limit visitors with infections
C. Perform hourly vital signs
D. Administer live vaccines
Answer: B
Rationale: Neutropenic clients are highly susceptible to infection;
exposure to ill visitors must be avoided.
7. Which finding indicates tumor lysis syndrome?
A. Hypocalcemia
B. Hypernatremia
C. Hypokalemia
D. Decreased uric acid
Answer: A
Rationale: Tumor lysis syndrome causes electrolyte imbalances
including hypocalcemia due to rapid cell breakdown.
8. A client receiving chemotherapy reports oral ulcers. Which
action should the nurse take?
A. Encourage alcohol-based mouthwash
B. Provide soft-bristled toothbrush
, C. Recommend acidic foods
D. Discontinue oral care
Answer: B
Rationale: Gentle oral care helps prevent mucositis while
minimizing trauma to inflamed tissues.
9. A nurse is monitoring a client receiving radiation therapy. Which
adverse effect is expected?
A. Alopecia at distant sites
B. Skin erythema at treatment site
C. Systemic immunosuppression
D. Acute renal failure
Answer: B
Rationale: Radiation affects localized tissue, commonly causing skin
redness and irritation at the treatment site.
10. Which assessment finding suggests superior vena cava
syndrome?
A. Lower extremity edema
B. Facial swelling and dyspnea
C. Abdominal distention
D. Hypotension
Answer: B
Rationale: Compression of the superior vena cava causes venous
congestion in the head, neck, and upper extremities.
SURG ONCOLOGY, ATI MED SURG
CARDIOVASCULAR Questions Correct Answers,
and Detailed Explanations for Computer Science
Students||Already Graded A+
1. A nurse is caring for a client with systemic lupus erythematosus
(SLE). Which finding should the nurse expect?
A. Hyperpigmented skin lesions
B. Butterfly-shaped rash on the face
C. Increased platelet count
D. Bradycardia
Answer: B
Rationale: SLE commonly presents with a malar (butterfly) rash
across the cheeks and nose due to autoimmune inflammation.
2. A client with HIV has a CD4 count of 180 cells/mm³. Which
action is the nurse’s priority?
A. Administer influenza vaccine
B. Encourage increased protein intake
C. Initiate prophylaxis for opportunistic infections
D. Discontinue antiretroviral therapy
Answer: C
Rationale: A CD4 count below 200 places the client at high risk for
opportunistic infections, requiring prophylactic medications.
, 3. Which laboratory value indicates effectiveness of antiretroviral
therapy?
A. Increased viral load
B. Decreased CD4 count
C. Decreased viral load
D. Elevated white blood cell count
Answer: C
Rationale: Effective ART suppresses HIV replication, resulting in a
decreased viral load.
4. A nurse is teaching a client with rheumatoid arthritis about
medication therapy. Which drug is classified as a biologic
DMARD?
A. Ibuprofen
B. Methotrexate
C. Etanercept
D. Prednisone
Answer: C
Rationale: Etanercept is a biologic DMARD that inhibits tumor
necrosis factor (TNF), reducing inflammation.
5. Which precaution is most appropriate for a client with active
tuberculosis?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
,Answer: C
Rationale: Tuberculosis is transmitted via airborne particles and
requires a negative-pressure room and N95 respirator.
6. A nurse is caring for a neutropenic client. Which intervention is
most important?
A. Encourage fresh fruits and vegetables
B. Limit visitors with infections
C. Perform hourly vital signs
D. Administer live vaccines
Answer: B
Rationale: Neutropenic clients are highly susceptible to infection;
exposure to ill visitors must be avoided.
7. Which finding indicates tumor lysis syndrome?
A. Hypocalcemia
B. Hypernatremia
C. Hypokalemia
D. Decreased uric acid
Answer: A
Rationale: Tumor lysis syndrome causes electrolyte imbalances
including hypocalcemia due to rapid cell breakdown.
8. A client receiving chemotherapy reports oral ulcers. Which
action should the nurse take?
A. Encourage alcohol-based mouthwash
B. Provide soft-bristled toothbrush
, C. Recommend acidic foods
D. Discontinue oral care
Answer: B
Rationale: Gentle oral care helps prevent mucositis while
minimizing trauma to inflamed tissues.
9. A nurse is monitoring a client receiving radiation therapy. Which
adverse effect is expected?
A. Alopecia at distant sites
B. Skin erythema at treatment site
C. Systemic immunosuppression
D. Acute renal failure
Answer: B
Rationale: Radiation affects localized tissue, commonly causing skin
redness and irritation at the treatment site.
10. Which assessment finding suggests superior vena cava
syndrome?
A. Lower extremity edema
B. Facial swelling and dyspnea
C. Abdominal distention
D. Hypotension
Answer: B
Rationale: Compression of the superior vena cava causes venous
congestion in the head, neck, and upper extremities.
