ATI RN
Nursing Process Test Bank Questions
Question 1 of 5
Which of the following is an important preventive factor that the nurse should teach a client with rhinitis?
Correct Answer: D
Rationale: The correct answer is D: To wash hands frequently. This is important in rhinitis prevention as it helps reduce the spread of viruses and bacteria that can trigger or exacerbate symptoms. Washing hands removes potential allergens and irritants, reducing the risk of rhinitis flare-ups. Choice A is incorrect as blowing the nose is necessary to clear mucus and alleviate symptoms. Choice B is irrelevant to rhinitis prevention. Choice C is not directly related to preventing rhinitis.
Question 2 of 5
Immunity to a disease after recovery is possible because the first exposure to the pathogen has stimulated the formation of which of the following?
Correct Answer: C
Rationale: The correct answer is C: Memory cells. After recovery from a disease, memory cells are formed as part of the adaptive immune response. These memory cells "remember" the pathogen and can mount a quicker and stronger immune response upon re-exposure. This results in immunity to the disease. Antigens (choice A) are substances that trigger the immune response but do not provide immunity on their own. Complement (choice B) is a group of proteins that enhance the immune response but do not directly lead to immunity. Natural killer cells (choice D) are part of the innate immune system and are not responsible for the specific memory response needed for immunity.
Question 3 of 5
A 45-year-old patient has a long- standing history of allergies to pollen. Which of the following actions indicates that the patient does not understand how to control this disease?
Correct Answer: C
Rationale: The correct answer is C. Driving in the car with the windows open exposes the patient to pollen, worsening allergies. Staying indoors on dry, windy days (A) reduces exposure. Refusing to walk outside in spring (B) also minimizes exposure. Working in the garden on sunny days (D) increases pollen exposure. Therefore, choice C is the only action that goes against controlling pollen allergies.
Question 4 of 5
Which of the following diets would the nurse include in the plan of care for a person with AIDS?
Correct Answer: A
Rationale: The correct answer is A: A high-protein, high-calorie diet divided into six small meals. For a person with AIDS, this diet is beneficial to maintain muscle mass, support immune function, and provide energy. High-protein helps in tissue repair, while high-calorie intake helps combat weight loss common in AIDS. Dividing into small frequent meals aids in digestion and absorption. Choice B is incorrect because a low-fat diet may not provide enough calories for the increased energy needs of a person with AIDS. Choice C is incorrect because a high-carbohydrate, fat-restricted diet may not provide sufficient protein for muscle maintenance. Choice D is incorrect because a high-fat diet may lead to weight gain and can be harder to digest for someone with compromised immunity.
Question 5 of 5
Which immunoglobulin is specific to an allergic response?
Correct Answer: B
Rationale: The correct answer is B: IgE. IgE is specific to allergic responses as it binds to mast cells and basophils, triggering the release of histamine and other inflammatory mediators. IgA is more involved in mucosal immunity, IgG is involved in long-term immunity and opsonization, and IgM is the primary antibody in the primary immune response. IgB is not a known immunoglobulin. Therefore, IgE is the specific immunoglobulin associated with allergic responses due to its role in mediating hypersensitivity reactions.