ATI LPN
Questions About the Immune System Questions
Question 1 of 5
A child with hemophilia plans on participating in a bicycling club. The nurse should recommend the child
Correct Answer: B
Rationale: The correct answer is B - Wear kneepads, elbow pads, and a helmet while bicycling. This recommendation is crucial for the safety of the child with hemophilia as it helps prevent injuries and potential bleeding episodes in case of falls. Kneepads and elbow pads provide extra protection to vulnerable joints, while a helmet protects the head from trauma. This allows the child to engage in physical activities like bicycling while minimizing the risk of bleeding complications. Choice A is incorrect because swimming may also pose a risk of injury, and protective gear is still necessary. Choice C is incorrect as it limits the child's participation and does not address safety concerns. Choice D is incorrect as it unnecessarily restricts the child's social engagement and physical activity without providing an alternative solution.
Question 2 of 5
The nurse is caring for a child with disseminated intravascular coagulation (DIC). Which is a priority intervention for this child?
Correct Answer: B
Rationale: The correct answer is B: Maintenance of skin integrity. In DIC, widespread clotting leads to depletion of clotting factors and platelets, causing bleeding. Maintaining skin integrity helps prevent skin breakdown and potential bleeding complications. Frequent ambulation (A) is not a priority as it may increase the risk of bleeding. Radiograph procedures (C) are not a priority in the immediate care of DIC. Monitoring fluid restriction (D) is not the priority as maintaining skin integrity takes precedence in DIC management.
Question 3 of 5
A nurse is caring for a child who is postoperative following surgical removal of a Wilms’ tumor. Which of the following assessments is an indication to continue NPO status?
Correct Answer: C
Rationale: The correct answer is C: Absent bowel sounds. Following surgical removal of a Wilms' tumor, absent bowel sounds indicate potential postoperative ileus, which can lead to complications if oral intake is resumed prematurely. Absence of bowel sounds may suggest a lack of peristalsis and require continued NPO status to prevent complications. A: Abdominal girth 1 cm larger than yesterday may indicate fluid retention or bloating, but it does not specifically warrant continued NPO status. B: Report of pain at the operative site is expected postoperatively and does not necessarily require NPO status. D: Passing of flatus every 30 min indicates bowel function and is a positive sign for resuming oral intake.
Question 4 of 5
A child with a brain tumor is admitted to the pediatric intensive care unit (PICU) after brain surgery to remove the tumor. Which postoperative order would the nurse question?
Correct Answer: B
Rationale: The correct answer is B: Sodium levels every 24 hours. The nurse would question this order because monitoring sodium levels every 24 hours is not usually necessary postoperatively for a child with a brain tumor. Brain surgery and tumor removal may not specifically impact sodium levels, making this monitoring less relevant. Antibiotics are commonly prescribed after brain surgery to prevent infection (A), anticonvulsants may be needed to prevent seizures (C), and monitoring intake and output is essential for assessing hydration status and kidney function (D). Monitoring sodium levels every 24 hours is not a standard postoperative practice for this situation.
Question 5 of 5
A child is being treated for strep throat. The nurse tells the parent to report any abrupt onset of midabdominal pain along with malaise, irritability and fever. The nurse is teaching the parent signs of:
Correct Answer: B
Rationale: The correct answer is B: Acute post-streptococcal glomerulonephritis. This condition is a possible complication of strep throat caused by an immune response to the streptococcal infection affecting the glomeruli of the kidneys. The signs mentioned by the nurse (abrupt onset of midabdominal pain, malaise, irritability, and fever) are indicative of this condition. Sodium retention (choice A) is not associated with these specific signs. Hemolytic-uremic syndrome (choice C) typically presents with bloody diarrhea and kidney injury, not midabdominal pain. Renal insufficiency (choice D) may present with various symptoms but does not typically include midabdominal pain as a prominent sign.