ATI RN
ATI SP 250 Exam 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has viral rhinitis and a history of herpes simplex virus type 1 (HSV-1) lesions. The nurse should assess which of the following areas of the body for the recurrence of HSV-1 lesions?
Correct Answer: C
Rationale: This is because HSV-1 typically causes oral herpes, which manifests as cold sores or fever blisters around the mouth or lips.
Question 2 of 5
A nurse is planning an educational program about basal cell carcinoma. Which of the following information should the nurse plan to include?
Correct Answer: B
Rationale: This is because basal cell carcinoma originates from the basal layer of the epidermis, which does not have access to blood vessels or lymphatics that can facilitate spreading to other organs. Basal cell carcinoma usually grows slowly and locally, and can be treated with surgery or radiation.
Question 3 of 5
A nurse in an emergency department is caring for a client who has deep partial- and full thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority intervention for this client during the resuscitation phase of injury?
Correct Answer: B
Rationale: This is because inhalation injury can cause airway edema, obstruction, and respiratory failure, which can be life-threatening. The nurse should monitor the client's respiratory status, administer oxygen, and prepare for intubation if needed.
Question 4 of 5
A nurse is talking with a client who has to come to the clinic for HIV testing. The nurse should explain that, after the laboratory has the enzyme-linked immunosorbent assay (ELISA) results, it will use which of the following tests to confirm the diagnosis?
Correct Answer: B
Rationale: This is because Western blot analysis detects specific antibodies to HIV antigens and has a high specificity and sensitivity for HIV infection. CD4+ T-cell count, quantitative RNA assay, and viral load test do not confirm the diagnosis but provide additional information about the disease progression.
Extract:
Diagnostic Results
January:
• Laboratory: CD4 cell count 200 cells/mm³ (Normal range: 600-1500 cells/mm³)
June:
• Laboratory: CD4 cell count 90 cells/mm³ (Normal range: 600-1500 cells/mm³)
• Chest x-ray: Bilateral white infiltrates consistent with pneumonia
Question 5 of 5
A nurse in a community health clinic is caring for a client who has a history of HIV. For each of the following assessment findings for the client, identify if the finding is consistent with HIV stage I or HIV stage III (AIDS). Each finding may support more than one disease process.
| Options | HIV stage I | HIV stage III |
|---|---|---|
| CD4 cell count 200 cells/mm3 (600-1500 cells/mm3) | ||
| Weight changes | ||
| Chest x-ray showing bilateral white infiltrates consistent with pneumonia | ||
| Skin condition | ||
| Latest CD4 cell count |
Correct Answer: A,C,E
Rationale: CD4 cell count 200 cells/mm³ is consistent with HIV stage II or III, as it indicates significant immunosuppression. Chest x-ray showing bilateral white infiltrates consistent with pneumonia is indicative of HIV stage III (AIDS), as opportunistic infections like pneumonia are common. Latest CD4 cell count (90 cells/mm³) is consistent with HIV stage III (AIDS), as it is below 200 cells/mm³, a threshold for AIDS diagnosis.