ATI LPN
Questions on the Immune System Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The administration of prednisone to children with nephrotic syndrome creates the problem of:
Correct Answer: B
Rationale: The correct answer is B: Increased risk of infection. Prednisone is a corticosteroid that suppresses the immune system, leading to an increased susceptibility to infections in children with nephrotic syndrome. This is because prednisone inhibits the body's ability to fight off pathogens, making children more prone to developing infections. A: Intolerance of foods is not a common problem associated with prednisone administration in children with nephrotic syndrome. C: Decreased serum sodium is not a direct effect of prednisone administration in this context. D: Weight loss is not typically a problem with prednisone use; in fact, weight gain is more common due to fluid retention and increased appetite.
Question 5 of 5
An adolescent with a history of surgical repair for undescended testes (cryptorchidism) comes to the clinic for a sports physical. Anticipatory guidance for the parents and adolescent would focus on which of the following as most important?
Correct Answer: C
Rationale: The correct answer is C, technique for monthly testicular self-examinations. This is important because individuals with a history of cryptorchidism are at higher risk for testicular cancer. Monthly self-examinations can help in early detection and improve outcomes. Choice A is incorrect because sterility is not the main concern in this scenario. Choice B is incorrect as future plans are not directly related to the health issue at hand. Choice D is incorrect as psychosocial support, while important, is not the most crucial aspect in this situation.