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 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 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
The nurse knows that pernicious anemia is caused by which of the following?
Correct Answer: B
Rationale: Pernicious anemia results from the loss of intrinsic factor, essential for vitamin B12 absorption in the intestine.
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.