Questions 50

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ATI RN Test Bank

ATI Nursing 1202 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a delayed hypersensitivity reaction. The nurse should expect which of the following manifestations?

Correct Answer: C

Rationale: Tissue damage at the site occurs in delayed hypersensitivity reactions, such as those seen in contact dermatitis.

Question 2 of 5

Which of the following is a characteristic feature of Guillain-Barre syndrome?

Correct Answer: C

Rationale: Muscle weakness starting in the legs and spreading to the upper body is a hallmark sign of Guillain-Barre syndrome, often following an infectious illness.

Question 3 of 5

A nurse is caring for a client who has a suspected diagnosis of myasthenia gravis. The provider prescribes a Tensilon test. Which of the following findings indicates a positive test?

Correct Answer: D

Rationale: Muscle contractions becoming progressively stronger after administration of Tensilon indicates a positive test for myasthenia gravis.

Question 4 of 5

A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?

Correct Answer: A

Rationale: SLE originates in connective tissue, which is affected by this autoimmune disease.

Question 5 of 5

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

Correct Answer: D

Rationale: CD4-T-cell count of 480 cells/mm3 is essential to monitor, as it indicates immune function and risk for opportunistic infections.

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