Medical-Surgical: Immune and Infectious Quiz///ATI ADULT
MEDICAL SURGICAL NGN TEST BANK 2024 WITH QUESTIONS
WITH DETAILED 100% CORRECT ANSWERS / ATI ADULT MED
SURG WITH NGN LATEST UPDATE 2024/A+ GRADE ASSURED
A nurse is caring for a client who has human immunodeficiency
virus (HIV). The client asks the nurse, "Should I tell my partner
that I am HIV positive?" Which of the following statements
should the nurse give?
a. "This is your decision alone."
b. "I would if I were you."
c. "It sounds like you are unsure what to say to your partner."
d. 'Your provider is required by law to notify your partner." -
ANSWER-c. "It sounds like you are unsure what to say to your
partner."
Rationale - This response uses the therapeutic communication
tools of clarifying and restatement. It identifies that the client is
unsure about if or how to approach the issue of being HIV
positive with his partner, a common concern of clients due to
fear of rejection. This response shows that the nurse is open to
,further communication with the client and encourages his
expression of feelings.
A nurse is assessing a client who has Kaposi's sarcoma. Which
of the following findings should the nurse expect?
a. A nonproductive cough, fever, and shortness of breath
b. lesions of the retina that produce blurred vision.
c. Onset of progressive dementia.
d. Reddish-purple skin lesions. - ANSWER-d. Reddish-purple skin
lesions
Rationale - Kaposi's sarcoma is commonly associated with AIDS
and manifests as hyper-pigmentated multi centric lesions that
can be firm, flat, raised, or nodular. Following biopsy, the
lesions are treated with radiation and/or chemotherapy.
A nurse is caring for a client who had radioallergosorbent
(RAST) testing completed due to seasonal allergies. The nurse
should anticipate an elevation in which of the following
laboratory tests?
a. IgM
b. IgA
, c. IgG
d. IgE - ANSWER-d. IgE
Rationale - RAST testing involves measuring the quantity of IgE
present in serum after exposure to specific antigens selected on
a basis of the client's symptom history. An elevated IgE
indicates a positive response and is common among clients who
have a history of allergic manifestations, anaphylaxis, and
asthma.
A nurse is caring for a client who is 2 days postoperative. Which
of the following findings should alert the nurse that the client is
developing an infection?
a. Temperature 37.8 C (100 F)
b. Erythema at the incision site
c. WBC count 9,000/mm^3
d. Pain reported as 6 on a scale of 0 to 10. - ANSWER-b.
Erythema at the incision site.
Rationale - Redness, or erythema, at the incision site is an initial
sign of a wound infection and requires intervention by the
nurse.
MEDICAL SURGICAL NGN TEST BANK 2024 WITH QUESTIONS
WITH DETAILED 100% CORRECT ANSWERS / ATI ADULT MED
SURG WITH NGN LATEST UPDATE 2024/A+ GRADE ASSURED
A nurse is caring for a client who has human immunodeficiency
virus (HIV). The client asks the nurse, "Should I tell my partner
that I am HIV positive?" Which of the following statements
should the nurse give?
a. "This is your decision alone."
b. "I would if I were you."
c. "It sounds like you are unsure what to say to your partner."
d. 'Your provider is required by law to notify your partner." -
ANSWER-c. "It sounds like you are unsure what to say to your
partner."
Rationale - This response uses the therapeutic communication
tools of clarifying and restatement. It identifies that the client is
unsure about if or how to approach the issue of being HIV
positive with his partner, a common concern of clients due to
fear of rejection. This response shows that the nurse is open to
,further communication with the client and encourages his
expression of feelings.
A nurse is assessing a client who has Kaposi's sarcoma. Which
of the following findings should the nurse expect?
a. A nonproductive cough, fever, and shortness of breath
b. lesions of the retina that produce blurred vision.
c. Onset of progressive dementia.
d. Reddish-purple skin lesions. - ANSWER-d. Reddish-purple skin
lesions
Rationale - Kaposi's sarcoma is commonly associated with AIDS
and manifests as hyper-pigmentated multi centric lesions that
can be firm, flat, raised, or nodular. Following biopsy, the
lesions are treated with radiation and/or chemotherapy.
A nurse is caring for a client who had radioallergosorbent
(RAST) testing completed due to seasonal allergies. The nurse
should anticipate an elevation in which of the following
laboratory tests?
a. IgM
b. IgA
, c. IgG
d. IgE - ANSWER-d. IgE
Rationale - RAST testing involves measuring the quantity of IgE
present in serum after exposure to specific antigens selected on
a basis of the client's symptom history. An elevated IgE
indicates a positive response and is common among clients who
have a history of allergic manifestations, anaphylaxis, and
asthma.
A nurse is caring for a client who is 2 days postoperative. Which
of the following findings should alert the nurse that the client is
developing an infection?
a. Temperature 37.8 C (100 F)
b. Erythema at the incision site
c. WBC count 9,000/mm^3
d. Pain reported as 6 on a scale of 0 to 10. - ANSWER-b.
Erythema at the incision site.
Rationale - Redness, or erythema, at the incision site is an initial
sign of a wound infection and requires intervention by the
nurse.
