ATI Immunization
Assessment,
Questions and answers. 100% accurate.
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which following
statements by the client indicates an understanding of the teaching?
A. "I will not eat fried foods."
B. "I will abstain from sexual intercourse."
C. "I will refrain from international travel."
D. "I will not order a salad in a restaurant." - Ans-B. "I will abstain from sexual intercourse."
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of
the following treatments should the infant receive?
A. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months
B. The hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen
C. Hepatitis B immune goblin and the hepatitis B vaccine within 12 hr of birth
D. The hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days - Ans-
C. Hepatitis B immune goblin and the hepatitis B vaccine within 12 hr of birth
A nurse is assisting in preparing a presentation at a community center about systemic lupus
erythematosus (SLE). The nurse should identify which of the following groups as having the highest risk
for developing this disorder?
A. Asian men
B. Caucasian women
C. Native American men
D. African American women - Ans-D. African American women
A nurse is caring for a client who is HIV-positive and is 1 day postoperative following an appendectomy.
Which of the following actions requires the nurse to wear a gown as personal protective equipment
(PPE)?
A. Talking with the client at the bedside
,B. Administering a medication by IV intermittent bolus
C. Changing a wound dressing
D. Administering an IM injection - Ans-C. Changing a wound dressing
A nurse is contributing to the plan of care for a client who has cirrhosis of the liver. Which of the
following interventions should the nurse include in the plan?
A. Implement fall precautions
B. Obtain a weekly weight
C. Initiate a low sodium diet
D. Measure abdominal girth daily
E. Administer enemas to manage constipation - Ans-A. Implement fall precautions
C. Initiate a low sodium diet
D. Measure abdominal girth daily
A nurse is assisting in the care of a client who is receiving a transfusion of packed red blood cells. The
client develops itching and hives. Which of the following actions should the nurse take first?
A. Obtain vital signs
B. Stop the transfusion
C. Notify the registered nurse
D. Administer diphenhydramine - Ans-B. Stop the transfusion
A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the
actions should the nurse take?
A. Instruct the client to empty his bladder
B. Place the client on his back
C. Assure the client that the procedure is painless
D. Have the client increase fluid intake after the procedure - Ans-A. Instruct the client to empty his
bladder
, A nurse is collecting data from a client who has AIDS. When checking the client's mouth, the nurse notes
a white, creamy covering on the tongue and buccal membranes. The nurse should recognize this is a
manifestations of which of the following conditions?
A. Xerostomia
B. Gingivitis
C. Candidiasis
D. Halitosis - Ans-C. Candidiasis
A nurse in a provider's office is collecting data from a client who has systemic lupus erythematosus
(SLE) and takes hydroxychloroquine to reduce skin inflammation. The nurse should identify that which
of the following is an adverse effect of this medication?
A. Mucosal ulcers
B. Blurred vision
C. Alopecia
D. Wrist pain - Ans-B. Blurred vision
A nurse is reinforcing discharge teaching with a client who has AIDS. Which of the following statements
should the nurse make regarding home infection control?
A. Soak sponges used for cleaning in a bleach solution after use
B. Disinfect blood spills with a hydrogen peroxide solution
C. Measure temperature weekly
D. Burn soiled dressings - Ans-A. Soak sponges used for cleaning in a bleach solution after use
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the
following instructions should the nurse include in the teaching?
A. Take temperature once a day
B. Wash the armpits and genitals with a gentle cleanser daily
C. Change the litter boxes while wearing gloves
D. Wash dishes in warm water - Ans-A. Take temperature once a day
Assessment,
Questions and answers. 100% accurate.
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which following
statements by the client indicates an understanding of the teaching?
A. "I will not eat fried foods."
B. "I will abstain from sexual intercourse."
C. "I will refrain from international travel."
D. "I will not order a salad in a restaurant." - Ans-B. "I will abstain from sexual intercourse."
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of
the following treatments should the infant receive?
A. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months
B. The hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen
C. Hepatitis B immune goblin and the hepatitis B vaccine within 12 hr of birth
D. The hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days - Ans-
C. Hepatitis B immune goblin and the hepatitis B vaccine within 12 hr of birth
A nurse is assisting in preparing a presentation at a community center about systemic lupus
erythematosus (SLE). The nurse should identify which of the following groups as having the highest risk
for developing this disorder?
A. Asian men
B. Caucasian women
C. Native American men
D. African American women - Ans-D. African American women
A nurse is caring for a client who is HIV-positive and is 1 day postoperative following an appendectomy.
Which of the following actions requires the nurse to wear a gown as personal protective equipment
(PPE)?
A. Talking with the client at the bedside
,B. Administering a medication by IV intermittent bolus
C. Changing a wound dressing
D. Administering an IM injection - Ans-C. Changing a wound dressing
A nurse is contributing to the plan of care for a client who has cirrhosis of the liver. Which of the
following interventions should the nurse include in the plan?
A. Implement fall precautions
B. Obtain a weekly weight
C. Initiate a low sodium diet
D. Measure abdominal girth daily
E. Administer enemas to manage constipation - Ans-A. Implement fall precautions
C. Initiate a low sodium diet
D. Measure abdominal girth daily
A nurse is assisting in the care of a client who is receiving a transfusion of packed red blood cells. The
client develops itching and hives. Which of the following actions should the nurse take first?
A. Obtain vital signs
B. Stop the transfusion
C. Notify the registered nurse
D. Administer diphenhydramine - Ans-B. Stop the transfusion
A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the
actions should the nurse take?
A. Instruct the client to empty his bladder
B. Place the client on his back
C. Assure the client that the procedure is painless
D. Have the client increase fluid intake after the procedure - Ans-A. Instruct the client to empty his
bladder
, A nurse is collecting data from a client who has AIDS. When checking the client's mouth, the nurse notes
a white, creamy covering on the tongue and buccal membranes. The nurse should recognize this is a
manifestations of which of the following conditions?
A. Xerostomia
B. Gingivitis
C. Candidiasis
D. Halitosis - Ans-C. Candidiasis
A nurse in a provider's office is collecting data from a client who has systemic lupus erythematosus
(SLE) and takes hydroxychloroquine to reduce skin inflammation. The nurse should identify that which
of the following is an adverse effect of this medication?
A. Mucosal ulcers
B. Blurred vision
C. Alopecia
D. Wrist pain - Ans-B. Blurred vision
A nurse is reinforcing discharge teaching with a client who has AIDS. Which of the following statements
should the nurse make regarding home infection control?
A. Soak sponges used for cleaning in a bleach solution after use
B. Disinfect blood spills with a hydrogen peroxide solution
C. Measure temperature weekly
D. Burn soiled dressings - Ans-A. Soak sponges used for cleaning in a bleach solution after use
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the
following instructions should the nurse include in the teaching?
A. Take temperature once a day
B. Wash the armpits and genitals with a gentle cleanser daily
C. Change the litter boxes while wearing gloves
D. Wash dishes in warm water - Ans-A. Take temperature once a day
