ATI LPN
ATI LPN Advanced Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is monitoring a patient who is receiving a blood transfusion. The nurse knows that which of the following symptoms may be caused by a transfusion reaction?
Correct Answer: D
Rationale: Fever and chills are hallmark signs of febrile or hemolytic transfusion reactions due to the immune system's response to foreign antigens.
Question 2 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 3 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 4 of 5
The licensed practical nurse/licensed vocational nurse (LPN/LVN) is watching a nursing student administer medications to a patient with HIV. Which action by the student requires correction by the nurse?
Correct Answer: C
Rationale: Recapping needles increases the risk of accidental needle sticks and is not recommended. The correct practice is to dispose of needles directly in a sharps container without recapping.
Question 5 of 5
The nurse is preparing to administer diphenhydramine (Benadryl) 50 mg intravenously to a patient with severe allergies. Available is diphenhydramine (Benadryl) 25 mg/1 mL. How many mL will the nurse administer?
Correct Answer: 2 mL
Rationale: The ordered dose is 50 mg, and the available concentration is 25 mg/mL. 50 mg ÷ 25 mg/mL = 2 mL.