ATI LPN
ATI LPN Advanced Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse suspects the patient is having a blood transfusion reaction. What is the FIRST action the nurse should do?
Correct Answer: A
Rationale: The immediate priority is to halt the infusion to prevent further exposure to the offending blood product.
Question 2 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 3 of 5
Which of the following is a common nursing diagnosis that the nurse will include in the plan of care for a patient with systemic lupus erythematosus (SLE)?
Correct Answer: B
Rationale: Persistent fatigue is a hallmark symptom of SLE due to inflammation, anemia, and immune system dysregulation.
Question 4 of 5
A nurse is assisting with planning an immunization clinic for older adult clients. Which of the following information should the nurse plan to include about influenza?
Correct Answer: C
Rationale: The vaccine is updated annually to match circulating virus strains.
Question 5 of 5
The nurse is reviewing the CD4 count results of a patient with AIDS. What can the nurse expect to find?
Correct Answer: B
Rationale: A CD4 count of 100/μL is indicative of advanced AIDS, where patients are highly susceptible to opportunistic infections.