Exam (Verified with 100% Correct Answers) – Complete
Practice Questions and Rationales
Introduction:
This document provides a full collection of ATI-style Medical-Surgical
Nursing exam questions focused on the immune and infectious
systems, all verified with 100% correct answers. It includes detailed
rationales for each response, covering topics such as autoimmune
diseases (SLE, RA, scleroderma), HIV/AIDS, allergic reactions,
tuberculosis, and infection control precautions. The file also contains
60+ fundamental immunology review questions on immunity types,
white blood cell functions, hypersensitivity reactions, vaccines, and
common infectious diseases. This is a comprehensive and accurate
study guide for nursing students preparing for ATI or NCLEX exams.
Exam Questions and Answers
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 --- correct
answer ---C. Unilateral, localized, nodular skin lesions
,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" --- correct answer ---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 --- correct answer ---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
B. Lesions on the retina that produce blurred vision
C. Insidious onset of progressive dementia
D. Reddish-purple skin lesions --- correct answer ---D. Reddish-
purple skin lesions
KS is commonly associated with AIDS
A nurse is preparing to administer a Mantoux skin test to a client.
The nurse should inform the client that the purpose of mantoux
skin test using purified protein derivative (PPD) is to do which of
the following?
A. Identify clients who lack immunity to tuberculosis
, B. Find out if a client has active tuberculosis
C. Decrease hypersensitivity to purified protein derivative
D. Identify clients who have been infected with mycobacterium
tuberculosis --- correct answer ---D. Identify clients who have been
infected with mycobacterium tuberculosis
A nurse is preparing the family of an infant with acquired immune
deficiency syndrome (AIDS) for discharge. which statement by the
child's parent should alert the nurse to a need for further
instruction?
A. "I'll use disposable diapers, discarding them in separate plastic
bags"
B. "I'll clean up blood spills immediately with hot soapy water"
C. "I know that handwashing is an important preventive measure"
D. "Anybody changing the baby's diapers must wear gloves" ---
correct answer ---B. "I'll clean up blood spills immediately with hot
soapy water"
When planning to reinforce teaching for a client who is HIV-
positive, the nurse should explain to the client that the virus can be
transmitted
A. As soon as the client develops manifestations
B. To anyone having contact with the clients blood
C. Via the respiratory route through droplets