ATI LPN
Questions on the Immune System Questions
Question 1 of 5
A 4-year-old preschooler with a low platelet count received intravenous immunoglobulin (IVIG). What part of routine health maintenance would the nurse explain to the parents should be delayed?
Correct Answer: A
Rationale: The correct answer is A: The administration of live-virus vaccines should be delayed. IVIG can interfere with the efficacy of live-virus vaccines by neutralizing the live viruses in the vaccine. The preschooler's immune system may not be able to mount a proper response to the vaccine due to the IVIG. Live-virus vaccines should be postponed for at least 3 months after receiving IVIG to ensure the child's immune system can respond effectively. Incorrect choices: B: Yearly routine dental examination - This is not affected by IVIG treatment and should not be delayed. C: Assessing the child's blood pressure - This is an important aspect of routine health maintenance and should not be delayed. D: Checking the child's visual acuity - This is also an important part of routine health maintenance and should not be delayed.
Question 2 of 5
A child recently diagnosed with aplastic anemia is being prepared for discharge. When planning support for the family, which service should the nurse plan to include in the discharge plan?
Correct Answer: A
Rationale: The correct answer is A: Referrals to support groups and social services. This is important for a child with aplastic anemia as it provides emotional support and resources for the family to cope with the diagnosis. Support groups offer a sense of community and understanding, while social services can help with practical needs. Short-term support (B) may not be sufficient for ongoing needs. Genetic counseling (C) is not typically necessary for aplastic anemia, which is not typically genetic. Nutrition counseling (D) may be important but is not the priority for discharge planning in this case.
Question 3 of 5
A nurse working in labor and delivery is caring for a client with suspected disseminated intravascular coagulation (DIC). Which pregnancy complication does the nurse anticipate when reviewing the client’s chart?
Correct Answer: C
Rationale: The correct answer is C: Placental abruption. In DIC, excessive clotting can lead to the formation of small clots in the placenta, increasing the risk of placental abruption. This complication can cause severe bleeding, endangering both the mother and the baby. Gestational diabetes (choice A) is not directly related to DIC. Polyhydramnios (choice B) is excessive amniotic fluid and is not typically associated with DIC. Placenta previa (choice D) is when the placenta covers the cervix, which is not directly linked to DIC.
Question 4 of 5
A child is diagnosed with a Wilms tumor. Which nursing action is most appropriate prior to surgery?
Correct Answer: A
Rationale: The correct answer is A: Careful bathing and handling. Prior to surgery for a child with a Wilms tumor, it is important to ensure careful bathing and handling to prevent any potential injury to the tumor or surrounding tissues. This helps in maintaining the integrity of the tumor and reduces the risk of complications during surgery. Monitoring behavioral status (B) is important but not the priority before surgery. Maintenance of strict isolation (C) is unnecessary for Wilms tumor and may cause emotional distress. Administration of packed red-blood cells (D) is not indicated unless there is a specific medical indication, which is not typically the case for Wilms tumor.
Question 5 of 5
Which of the following would the nurse expect to assess as the MOST common presenting manifestation of Wilms’ Tumor?
Correct Answer: D
Rationale: The correct answer is D: Abdominal mass. In Wilms' Tumor, the most common presenting manifestation is an abdominal mass due to the tumor in the kidney. This mass is usually painless and firm. Hematuria (A) is less common in Wilms' Tumor and may not be present initially. Pain on voiding (B) is not a typical symptom of Wilms' Tumor. Nausea and vomiting (C) are also less common presenting symptoms compared to the characteristic abdominal mass. Therefore, the nurse would expect to assess an abdominal mass as the most common presenting manifestation of Wilms' Tumor.