ATI LPN
ATI LPN Advanced Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who just returned to the unit following surgery and notes the client has a history of anaphylaxis in response to penicillin. The client's postoperative prescriptions include a dose of cephalexin. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Cephalexin is a cephalosporin, and there is a risk of cross-reactivity in clients with a history of anaphylaxis to penicillin.
Question 2 of 5
Which of the following conditions are classified as autoimmune diseases? (Select All that Apply.)
Correct Answer: A,B,E
Rationale: Pernicious anemia, Type 1 diabetes, and SLE are autoimmune conditions involving immune attacks on intrinsic factor, pancreatic beta cells, and multiple tissues, respectively.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving packed red blood cells. During the infusion, the client states, 'My heart is racing.' The nurse notes that the client's face has become flushed. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first action is to stop the infusion to halt exposure to the potential allergen.
Question 4 of 5
The nurse knows that Type IV Hypersensitivity Reaction involves which of the following?
Correct Answer: B
Rationale: Type IV hypersensitivity is a delayed response mediated by T-lymphocytes, not antibodies.
Question 5 of 5
The nurse is caring for a patient who asks what ankylosing spondylitis is. Which of the following responses from the nurse is most appropriate?
Correct Answer: C
Rationale: Ankylosing spondylitis is an autoimmune disorder characterized by inflammation of the axial skeleton.