ATI RN
ATI Pathophysiology Test Bank Questions
Question 1 of 5
What type of immunity will the hepatitis B series provide a nursing student scheduled to receive it?
Correct Answer: A
Rationale: The correct answer is active immunity. The hepatitis B series immunization will provide active immunity, where the individual's immune system is stimulated to produce antibodies against the hepatitis B virus. This type of immunity is long-lasting and provides protection against future exposures. Passive immunity (choice
B) involves the transfer of pre-formed antibodies and is temporary. Innate immunity (choice
C) is the body's natural defense mechanisms, present at birth. Natural immunity (choice
D) refers to immunity acquired through normal life processes, such as recovering from an infection.
Question 2 of 5
A patient is receiving intravenous amphotericin. Which of the following assessments warrants the discontinuation of the antifungal agent?
Correct Answer: C
Rationale: Intravenous amphotericin can cause nephrotoxicity, leading to increased blood urea nitrogen levels. Elevated blood urea nitrogen (BUN) indicates impaired renal function, which is a known adverse effect of amphotericin.
Therefore, a BUN level of 60 mg/dL warrants the discontinuation of the antifungal agent. The other options, such as a sodium level of 138 mEq/L, hematocrit of 39%, and AST level of 10 Unit/L, are within normal ranges and not indicative of the need to discontinue amphotericin therapy.
Question 3 of 5
A nurse is providing education to a patient starting hormone replacement therapy (HRT) for menopausal symptoms. What should the nurse emphasize regarding the long-term risks associated with HRT?
Correct Answer: A
Rationale: HRT is associated with an increased risk of cardiovascular events, including heart attack and stroke, particularly with long-term use.
Question 4 of 5
In a 41-year-old male patient with a complex medical history diagnosed with secondary hypogonadism, which of the following health problems is the most likely etiology of his diagnosis?
Correct Answer: C
Rationale: The correct answer is C: An inflammatory process in the testicles. Secondary hypogonadism in males can be caused by various factors, including an inflammatory process in the testicles. Mumps (choice
B) can lead to orchitis but is less common in adults. Type 1 diabetes (choice
A) is not a common cause of secondary hypogonadism. Testicular trauma (choice
D) can cause primary hypogonadism but is less likely to cause secondary hypogonadism.
Question 5 of 5
A patient who is undergoing treatment for cytomegalovirus received his first dose of IV ganciclovir 3 days ago. When reviewing this patient's most recent blood work, what abnormality should the nurse most likely attribute to the use of this drug?
Correct Answer: C
Rationale: The correct answer is C: Platelet count 118,000/mm3 (low). Ganciclovir, used to treat cytomegalovirus, is known to cause bone marrow suppression, leading to decreased platelet count (thrombocytopenia). This condition can increase the risk of bleeding.
Choices A, B, and D are not typically associated with ganciclovir therapy. High hemoglobin levels (choice
A) are not commonly seen with ganciclovir treatment. INR elevation (choice
B) is associated with coagulation abnormalities, which are not a typical side effect of ganciclovir. Elevated leukocyte count (choice
D) is not a common consequence of ganciclovir use.