Questions 44

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ATI LPN Advanced Med Surg Exam Questions

Extract:

Physical Examination
1000:
Target
Reports flu-like symptoms of headache, body aches, sore throat, low- grade fever, shortness of breath, productive cough, Swollen lymph nodes, Dry skin with rash.
Weight loss of 6.8 kg (15 lb) over past 3 months with report of diarrheal and anorexia, difficulty eating due to oral ulcers


Question 1 of 5

A nurse is caring for a client who has HIV. Select words from the choices below to fill in each blank in the following sentence The client is at risk for developing __ and __.

Correct Answer: A,C

Rationale: The client presents with weight loss, anorexia, and difficulty eating due to oral ulcers, increasing the risk of malnutrition. Clients with HIV are at increased risk for opportunistic infections, including tuberculosis, especially with symptoms of cough and weight loss.

Extract:


Question 2 of 5

A patient is being given penicillin via intravenous infusion and develops signs and symptoms of an anaphylactic reaction. Which of the following should be the nurse's FIRST action?

Correct Answer: C

Rationale: Stopping the source of the allergen is the immediate priority to halt the progression of the reaction.

Question 3 of 5

A nurse is assigned care of a client who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this client?

Correct Answer: A

Rationale: HIV is transmitted through blood and body fluids, so standard precautions are sufficient for routine care.

Question 4 of 5

Serum sickness, which is a Type III Hypersensitivity Reaction, may occur in patients that have received which of the following medications?

Correct Answer: D

Rationale: Penicillin and sulfonamides are classic triggers for serum sickness, a delayed hypersensitivity reaction involving immune complex deposition.

Question 5 of 5

While admitting a client for a cardiac catheterization, the nurse asks the client about allergies. Which of the following client food allergies should the nurse report to the provider prior to the procedure?

Correct Answer: B

Rationale: Iodine-based contrast dyes used in cardiac catheterization may trigger reactions in clients allergic to shellfish.

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