ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A nurse is completing a focused assessment addressing a client's immune function. What should the nurse prioritize in the physical assessment?
Correct Answer: A
Rationale: Palpating lymph nodes assesses immune function, as swelling or tenderness indicates active immune response to pathogens.
Question 2 of 5
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4 T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?
Correct Answer: A
Rationale: A low CD4 count in AIDS increases susceptibility to opportunistic infections like candidiasis, a fungal infection causing oral thrush, due to a weakened immune system.
Question 3 of 5
What intervention should the nurse identify as a priority for a client with a nursing diagnosis of ineffective airway clearance related to HIV related pneumonia?
Correct Answer: A
Rationale: Coughing and deep breathing mobilize secretions, and hydration thins them, directly addressing airway clearance in pneumonia, making it the priority intervention.
Question 4 of 5
A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for muscle pain is critical, as colchicine can cause rhabdomyolysis, a serious condition requiring prompt reporting.
Question 5 of 5
A client who abused intravenous drugs was diagnosed with the human Immunodeficiency virus (HIV) several years ago. The nurse explains that the diagnostic criterion for acquired immunodeficiency syndrome (AIDS) has been met when the client:
Correct Answer: B
Rationale: A CD4+ T cell count below 200 cells/mm defines AIDS, indicating severe immune suppression and susceptibility to opportunistic infections.