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ATI Immune Study Questions
Terms in this set (30)
A nurse is planning an education program about testicular cancer for a group of male adolescents. Which of the following information should the nurse include?
A. Testicular cancer is more common in men older than 65.
B. With early treatment, the survival is 50%
C. Examine your testicles immediately after showering.
D. Schedule a yearly ultrasound to screen for testicular cancer.
C. b/c it's easier to palpate
A nurse if caring for a client who has viral pneumonia and a history of COPD. Which of the following finding should the nurse report to the provider?
A. Consolidation in lower lobes by chest x ray
B. Left shift in the WBC differential
C. Oxygen sat 91%
D. Orthostatic hypotension
B. indicated that the pneumonia is of bacterial origin, rather than viral
A nurse is providing teaching for a client who has systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching?
A. "I should use a suncreen with an SPF of at least 15"
B. "Long-term immunosuppresive therapy could cure this disease"
C. " I should wear gloves when it is cold outside"
D. "SLE should not affect my lungs or breathing"
C. raynaud's syndrome commonly accompanies SLE and can cause painful vasoconstriction in the fingers when they are exposed to cols temps
A nurse in the emergency department is assessing a newly admitted client. Which of the following places the client at increased risk for contracting hepatitis B?
A. Residing in an institutional setting
B. Engaging in unprotected sexual intercourse
C. Working w/ hazardous chemical waste materials
D. Traveling to a foreign country
B. transmitted by sexual contact
A nurse is educating a client who is scheduled for a kidney transplant. Which of the following information regarding hyper-acute rejection should the nurse include in the teaching?
A. Hyperacute rejection can occur during the first few weeks after the transplant.
B. If hyperacute rejection occurs, the kidney can become enlarged.
C. The organ will need to be removed if hyeracute rejection occurs.
D. Immunosupressive therapy is given to reverse hyperacute rejection.
C. It's the only treatment
A nurse is providing teaching for a client who has rheumatoid arthritis and reports persistent pain. Which of the following responses by the nurse is appropriate?
A. "Take a cool bath in the evening."
B. "Exercise every other day"
C. "Use pillows to support your joints while in bed"
D. "Ask family members to help with household chores"
D. Gives the client an opportunity for rest
A nurse is caring for a client who has hodgkin's lymphoma. Which of the following fidnings should the nurse expect?
A. Overgrowth of B-lymphocyte plasma cells
B. Reed-Sternberg cells
C. Epstein-Barr virus
D. Overproduction of blast phase cells
B. are cancer cells specific to Hodgkin's lymphoma and are found in lymph nodes
A nurse is providing teaching for a client who has a new prescription of amoxicillin to treat a respiratory infection. Which of the following statements by the client indicates an understanding of these teachings?
A. "My birth control pills are less effective while I am on this medication"
B. " I must take this medication on an empty stomach"
C. "I should expect to have constipation while taking this medication"
D. "I will keep taking this medication until I feel better"
A. antibiotics accelerate the elimination of oral contraceptives, making them less effective
A nurse is caring for a client who has non-Hodgkin's lymphoma and is receiving chemotherapy. Which of the following is the priority assessment finding?
A. Loss of body hair
B. Report of anorexia
C. Mucositis of the oral cavity
D. Erythema at the IV insertion site
D. Greatest risk is injury to the tissue due to extravasation and infection
A nurse is providing teaching for a client who has Hodgkin's lymphoma and is undergoing external radiation treatment. Which of the following instructions should the nurse include?
A. Use an antibacterial soap to cleanse the skin.
B. wash the ink marking off when showering
C. Rub the skin with a towel when drying
D. Avoid direct sunlight exposure to the skin
D. it can be damaging to skin being exposed to additional radiation
A nurse is caring for a client who reports a skin change on her arm. Which of the following findings should the nurse report to the provider?
A. An asymmetrical papule that is pigmented
B. A patch of silvery-white scales with a red epidermal base
C. A collection of irregular dry papules that are black
D. An elevated red lesion that arises from a scar
A. indicates malignant melanoma
A nurse is planning an education program for a grp of high school teachers who will be taking students on a hike. Which of the following info should the nurse unclouded regarding Lyme disease?
A. "If bitten by a tick, you should get tested immediately"
B. "If you have a tick embedded in your skin, apply a lit match to remove it"
C. "You should wear dark-colored clothing to deter ticks from biting"
D. "If you develop pain and stiffness in your joints, you should see your doctor"
D. Stage 1 lyme disease, "bull's eye" rash, muscle and joint pain and stiffness
A nurse is providing discharge teaching for a client who is HIV-positive. Which of the following instructions should the nurse include int he teaching?
A. Clean bathroom surfaces with full-strength bleach
B. Discard beverages that have been unrefrigerated for 1 hour
C. Wash laundry soiled with a body fluid in warm water.
D. Work in the garden for exercise
B. b/c they can support bacteria
A nurse is reviewing the daily laboratory results for a female client who has acute leukemia. Which of the following values is an expected finding?
A. WBC 21,00
B. hgb 14
C. hct 40%
D. Platelets 170,00
A. typically have an elevated WBC
A nurse is caring for a client who is admitted with enlarged lymph nodes and a fever. To confirm a diagnosis of bacterial pharyngitis, the nurse should anticipate which of the following diagnostic tests?
A. Indirect laryngoscopy
B. chest x ray
C. throat culture
D. monospot test
A nurse id providing teaching for a group of clients regarding prevention of skin cancer. Which of the following risk factors should the nurse include in the teaching?
A. Light skin pigmentation
C. history of frostbite
D. Immunodeficiency disorder
A nurse is caring for a pt who has an elevated prostate-specific antigen level. The nurse should anticipate that the client will undergo which of the following diagnostic tests?
A. Palpation of testes and lymph nodes
B. Human chorionic gonadotropin level
C. Digital rectal examination
D. Pelvic ultrasound
C. determines size and consistency of the prostate
A nurse is providing teaching for a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following should the nurse include in the teaching?
A. Avoid crowds
B. Expect symptoms to subside in 1 to 2 weeks
C. Increase intake of vitamin D
D. Anticipate constipation
A. can decrease WBC and platelet levels, thus increasing risk for infection
A nurse is caring for a client who is receiving chemotherapy and has laboratory data revealing bone marrow suppression. The nurse should include which of the following instructions in the teaching?
A. take aspirin for minor aches and pains
B. Rinse the toothbrush with warm water and after each use
C. Avoid eating fresh fruit and vegetables
D. Wear clothing that will minimize sun exposure
C. they can contain bacteria
A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? (Select all that apply)
-Decreased urine output
-decreased urine output
A nurse is performing a breast examination on a client. Which of the following should the nurse report to the provider?
A. Asymmetrical breast size
B. Breast tissue with an orange-peel appearance
C. Presence of Montgomery's tubercles on the aureola
D. Moveable mass in the left-lower breast quadrant
B. d/t lymph channels indicates advanced breast cancer
A nurse is assessing a client who has HIV. Which of the following findings should cause the nurse to suspect that the client's diagnosis has progressed to AIDS?
A. Small purple-colored skin lesions
B. Fever and diarrhea lasting longer than 1 month
C. Persistent, generalized lymphadenopathy
D. CD4 T-cells decreased to 750
A. means acquired Kaposi's sarcoma, which is an AIDS-defining illness.
A nurse is providing care for four clients. Which of the following clients is at the greatest risk for pneumonia?
A. A school-age child who has a history of allergies and asthma
B. A young adult client living in a college dormitory
C. A middle-age adult using an incentive spirometer following surgery
D. An older adult client transferred from a long-term care facility who has dysphagia
A nurse is providing education for the parent of a child about administration guidelines for the human papilloma virus (HPV) vaccine. Which of the following info should the nurse include?
A. One dose should be given at birth and another at 5 years
B. The vaccine does not protect males
C. The vaccine protects against chlamydia
D. Three doses should be given starting at age 11 or 12
D. second given 1 to 2 months after 1st dose and third given 6 months after 1st dose
A nurse is caring for client who has a new prescirption for clindamycin to treat acute pelvic inflammatory disease. The nurse should monitor for and report which of the following finding immediately to the provider?
A. Watery diarrhea
A. greatest risk is pseudomembranous colitis, immediately discontinue the medicstion
A nurse is caring for a client who has HIV. Which of the following laboratory findings should suggest to the nurse that medication therapy is effective?
A. WBC 3,500
B. Lymphocyte 1,500
C. Decreased viral load
D. Low CD4/CD8 ratio
A nurse is providing teaching for a client who has an allergy to peanuts. Which if the following instructions is the priority to include in the teaching?
A. Inform other health care professionals of the allergy
B. Wear a medical identification tag
C. Carry an emergency anaphylaxis kit
D. Read food labels
C. greatest risk to client is injury from an anaphylactic reaction
A nurse is caring for a client who has neutropenia. Which of the following findings indicates a need for intervention?
A. The client's granddaughter is visiting and telling him about her first day of kindergarten.
B. The client has a grilled ham and cheese sandwich, a banana, and yogurt on his lunch tray
C. The client's family brings in a silk flower arrangement
D. the client's assistive personnel places paper cups and plastic utensils in his room.
A. no no he gas immunocompromised status
A nurse is providing teachings for a client who is scheduled for a Pap test. The nurse should instruct the client that she is being tested for which of the following?
A. Uterine cancer
B. Cervical cancer
C. Ovarian cyst
A nurse is caring for a client who has leukemia and a platelet count of 48.000. Which of the following actions should the nurse take?
A. Provide a diet low in vit K
B. Place the client on contact precautions
C. Admin SQ epoetin alfa
D. test urine and stool for occult blood
D. Thrombocytopenic is at risk for occult bleeding
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