SURG CARDIOVASCULAR & HEMATOLOGY EXAM
ATI MED SURG IMMUNE & INFECTION, ATI MED SURG ONCOLOGY,
ATI MED SURG CARDIOVASCULAR & HEMATOLOGY EXAM
NEWEST 2025/2026 ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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A human immunodeficiency virus (HIV) - positive client is admitted to the hospital
with lung infection. which isolation category should the nurse implement to
prevent transmission of the HIV virus?
A. Protective isolation
B. Droplet precautions
C. Standard precautions
D. Contact precautions
C. Standard precautions - standard precautions
Implemented with every client, prevent the spread of infection transmitted by
direct or indirect contact with infectious blood or bodily fluids. since this is the
mode of transmission of HIV, this is appropriate isolation precaution.
A nurse checks the morning laboratory results for a client admitted with status
asthmaticus. the nurse knows that which result, if elevated on the white blood cell
(WBCC) differential, would suggest an allergic basis for the client's illness?
A. Neutrophils
B. Lymphocytes
C. Monocytes
D. Eosinophils
D. Eosinophils
Typical with asthma, especially when the disorder is associated with a
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SURG CARDIOVASCULAR & HEMATOLOGY EXAM
hypersensitivity reaction. Eosinophils can also be elevated with several
autoimmune disorders
A client with an acute exacerbation of rheumatoid arthritis has an erythrocyte
sedimentation rate (ESR) of 65 mm/hr. based on this finding, the nurse anticipates
that the client's affected joints will require which of the following?
A. Assistive devices
B. Heat or cold therapy
C. Gentle massage
D. Active ROM exercises
B. Heat or cold therapy
Elevated ESR indicates an acute inflammatory process. The client will most likely
need thermal interventions to control inflammation, as well as activity
limitations to rest inflamed joints
A nurse is reinforcing teaching for a client who has frequent allergic reactions
about how his symptom develop. the nurse should explain that histamine release
causes which of the following?
A. Increased mucous secretion
B. Bronchial dilation
C. Tachycardia
D. Vertigo
A. Increased mucous secretion
Histamine is the neurotransmitter the body produces during an allergic reaction.
with extreme cases, histamine levels are high enough to cause anaphylactic
shock. increase mucus secretion is a common manifestation of histamine
release.
A client admitted to the hospital with active pulmonary tuberculosis (TB) is placed
on airborne precautions, prescribed medication and scheduled for a chest xray.
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SURG CARDIOVASCULAR & HEMATOLOGY EXAM
While transporting the client to the radiology department the nurse should do
which of the following?
A. Have the client wear a mask
B. Wear a mask and gown for protection from the clients infection
C. Ask the radiology staff to do a portable chest xray in the clients room
D. Take no special precautions
A. Have the client wear a mask
This intervention protects anyone who may come in contact with the client,
including the nurse.
Which of the following explanations should the nurse offer to an
immunosuppressed client concerned about acquiring pneumocystis carinii
pneumonia (PCP)
A. "PCP is sexually transmitted from person to person"
B. "You were most likely exposed to a contaminated surface, such as a drinking
glass"
C. "PCP results from an impaired immune system"
D. "You may have contracted PCP from a family pet"
C. "PCP results from an impaired immune system"
The organism that causes PCP exists as part of the normal flora of the lungs. It
becomes aggressive pathogen when the immune system is compromised.
A nurse is assessing a client who has an exacerbation of herpes zoster. the nurse
should observe the client's skin for which of the following?
A. Confluent, honey-colored, crusted lesions
B. Papules, vesicles, pustules and crusts
C. Unilateral, localized, nodular skin lesions
D. Fluid-filled vesicular rash in the genital region
C. Unilateral, localized, nodular skin lesions
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SURG CARDIOVASCULAR & HEMATOLOGY EXAM
A nurse in the health clinic is evaluating the effectiveness of naproxen (naprosyn)
following a client's exacerbation of rheumatoid arthritis, which comment by the
client requires further intervention with the nurse?
A. "I signed up for a swimming class, starting tomorrow"
B. "I've been buying an acid reducer to help with the indigestion I've had"
C. "I've lost 2 pounds since my last appointment 2 weeks ago"
D. "The naprosyn goes down easier when I crush it and put it in applesauce"
B. "I've been buying an acid reducer to help with the indigestion I've had"
NSAIDs like naprosyn can cause serious adverse GI reactions such as ulcerations,
bleeding, perforation.
A nurse is teaching a female client newly diagnosed with systemic lupus
erythematosus (SLE) about factors that might trigger an exacerbation of SLE. The
nurse determines that the client needs more teaching when she identifies which
of the following as a factor?
A. Exercise
B. Pregnancy
C. Infection
D. Sunlight
A. Exercise
SLE is a chronic autoimmune disease that develops when the immune system
becomes hyperactive and attacks normal body tissue. This attack may result in
generalized inflammation and the symptoms associated with the specific
involved tissues. most clients with SLE can follow an exercise program to
increase the aerobic capacity of cells and improve immune function, and the
client should develop such a program with her provider's assistance.
When assessing a client with Kaposi's sarcoma, the nurse would expect to see
which of the following?
A. A nonproductive cough with fever and shortness of breath
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