ATI LPN
ATI LPN Advanced Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is immunocompromised. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Hand hygiene is the most effective way to prevent infection transmission.
Question 2 of 5
The nurse knows that an autoimmune disease is defined as which of the following?
Correct Answer: C
Rationale: Autoimmune diseases occur when the immune system mistakenly targets its own tissues.
Question 3 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 4 of 5
The nurse is caring for a patient who reports enlarged, painful, and moveable preauricular lymph nodes, postauricular lymph nodes, and cervical lymph nodes. Which does the nurse infer from these findings?
Correct Answer: C
Rationale: Painful, movable lymph nodes are commonly associated with bacterial or viral infections.
Question 5 of 5
The nurse suspects the patient is having a blood transfusion reaction. What is the FIRST action the nurse should do?
Correct Answer: A
Rationale: The immediate priority is to halt the infusion to prevent further exposure to the offending blood product.