ATI
MedSurge
EXAMS
Quiz 1 - 36
37 38 39
1. A nurse is admitting a patient with an immunodeficiency to the
medical unit. In planning the care of this patient, the nurse should
assess for what common sign of immunodeficiency?
a. Chronic diarrhea
2. A nurse is caring for a patient who has an immunodeficiency.
What assessment finding should prompt the nurse to consider the
possibility that the patient is developing an infection?
a. Persistent diarrhea
3. The nurse is applying standard precautions in the care of a patient
who has an immunodeficiency. What are key elements of standard
precautions? Select all that apply.
a. Using appropriate personal protective equipment
b. Using safe injection practices
c. Performing hand hygiene
4. A home health nurse is reinforcing health education with a
patient who is immunosuppressed and his family. What statement
best suggests that the patient has understood the nurse's
teaching?
a. “My family needs to understand that I'll probably
need lifelong treatment.”
, 5. The nurse is preparing to administer IVIG to a patient
who has an immunodeficiency. What nursing guideline
should the nurse apply?
a. Administer pretreatment medications as ordered 30
minutes prior to infusion.
6. A nurse has created a plan of care for an immunodeficient patient,
specifying that care providers take the patient's pulse and
respiratory rate for a full minute. What is the rationale for this
aspect of care?
a. These patients' blunted inflammatory responses can
cause subtle changes in status.
7. A nurse is providing health education regarding self-care to a
patient with an immunodeficiency. What teaching point should
the nurse emphasize?
a. The need for thorough oral hygiene
8. A patient's primary immunodeficiency disease is characterized by
the inability of white blood cells to initiate an inflammatory
response to infectious organisms. What is this patient's most likely
diagnosis?
a. Hyperimmunoglobulinemia E syndrome
9. A nurse is working with a patient who was diagnosed with HIV
several months earlier. The nurse should recognize that a patient
with HIV is considered to have AIDS at the point when the CD4+
T-lymphocyte cell count drops below what threshold?
a. 200 cells/mm3 of blood
10.A patient has been diagnosed with AIDS complicated by chronic
diarrhea. What nursing intervention would be appropriate for this
patient?
a. Obtain a stool culture to identify possible pathogens.
11.An 18-year-old pregnant female has tested positive for HIV and
asks the nurse if her baby is going to be born with HIV. What is
the nurse's best response?
a. “It's possible that your baby could contract HIV,
either before, during, or after delivery.”
12.Since the emergence of HIV/AIDS, there have been significant
changes in epidemiologic trends. Members of what group
currently have the greatest risk of contracting HIV?
MedSurge
EXAMS
Quiz 1 - 36
37 38 39
1. A nurse is admitting a patient with an immunodeficiency to the
medical unit. In planning the care of this patient, the nurse should
assess for what common sign of immunodeficiency?
a. Chronic diarrhea
2. A nurse is caring for a patient who has an immunodeficiency.
What assessment finding should prompt the nurse to consider the
possibility that the patient is developing an infection?
a. Persistent diarrhea
3. The nurse is applying standard precautions in the care of a patient
who has an immunodeficiency. What are key elements of standard
precautions? Select all that apply.
a. Using appropriate personal protective equipment
b. Using safe injection practices
c. Performing hand hygiene
4. A home health nurse is reinforcing health education with a
patient who is immunosuppressed and his family. What statement
best suggests that the patient has understood the nurse's
teaching?
a. “My family needs to understand that I'll probably
need lifelong treatment.”
, 5. The nurse is preparing to administer IVIG to a patient
who has an immunodeficiency. What nursing guideline
should the nurse apply?
a. Administer pretreatment medications as ordered 30
minutes prior to infusion.
6. A nurse has created a plan of care for an immunodeficient patient,
specifying that care providers take the patient's pulse and
respiratory rate for a full minute. What is the rationale for this
aspect of care?
a. These patients' blunted inflammatory responses can
cause subtle changes in status.
7. A nurse is providing health education regarding self-care to a
patient with an immunodeficiency. What teaching point should
the nurse emphasize?
a. The need for thorough oral hygiene
8. A patient's primary immunodeficiency disease is characterized by
the inability of white blood cells to initiate an inflammatory
response to infectious organisms. What is this patient's most likely
diagnosis?
a. Hyperimmunoglobulinemia E syndrome
9. A nurse is working with a patient who was diagnosed with HIV
several months earlier. The nurse should recognize that a patient
with HIV is considered to have AIDS at the point when the CD4+
T-lymphocyte cell count drops below what threshold?
a. 200 cells/mm3 of blood
10.A patient has been diagnosed with AIDS complicated by chronic
diarrhea. What nursing intervention would be appropriate for this
patient?
a. Obtain a stool culture to identify possible pathogens.
11.An 18-year-old pregnant female has tested positive for HIV and
asks the nurse if her baby is going to be born with HIV. What is
the nurse's best response?
a. “It's possible that your baby could contract HIV,
either before, during, or after delivery.”
12.Since the emergence of HIV/AIDS, there have been significant
changes in epidemiologic trends. Members of what group
currently have the greatest risk of contracting HIV?
