ATI LPN
ATI LPN Advanced Med Surg Exam Questions
Extract:
Question 1 of 5
A patient is diagnosed with Hashimoto thyroiditis and asks what causes it. The nurse would respond that the destruction of thyroid cells in this condition is due to which of the following?
Correct Answer: B
Rationale: Hashimoto thyroiditis is an autoimmune disorder where autoantibodies target thyroid peroxidase (TPO) and thyroglobulin, leading to inflammation and destruction of thyroid cells.
Question 2 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 3 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 4 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 5 of 5
A patient is diagnosed with Hashimoto thyroiditis and asks what causes it. The nurse would respond that the destruction of thyroid cells in this condition is due to which of the following?
Correct Answer: B
Rationale: Hashimoto thyroiditis is an autoimmune disorder where autoantibodies target thyroid peroxidase (TPO) and thyroglobulin, leading to inflammation and destruction of thyroid cells.