ATI LPN
Questions on Immune System Questions
Question 1 of 5
A child with nephrotic syndrome is severely edematous. The primary health-care provider has placed the child on bed rest. An important nursing intervention for this child should be to
Correct Answer: A
Rationale: The correct answer is A: Reposition the child every two hours. In nephrotic syndrome, edema is common due to protein loss. Bed rest helps reduce fluid retention. Repositioning every two hours prevents pressure ulcers. Monitoring blood pressure frequently (B) is not necessary unless indicated. Encouraging fluids (C) can exacerbate edema. Limiting visitors (D) is not directly related to managing edema.
Question 2 of 5
The nurse is preparing to ambulate a school-age client who had an appendectomy. In addition to pharmacological pain management, the nurse can use which nonpharmacological pain-management strategy for this client?
Correct Answer: C
Rationale: The correct answer is C: A pillow on the abdomen. Placing a pillow on the abdomen can provide support and gentle pressure, which can help reduce pain and discomfort during ambulation post-appendectomy without the risk of thermal injury or exacerbating inflammation. Heating pads (choice A) and warm, moist packs (choice B) can increase blood flow and potentially worsen inflammation. Ice packs (choice D) are not recommended post-appendectomy due to the risk of vasoconstriction and delayed healing.
Question 3 of 5
The nurse is providing nutritional guidance to the parents of a toddler. Which comment by the parent would prompt the nurse to provide additional education?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Leaving meat red in the center indicates undercooked meat, which can lead to foodborne illnesses. 2. Red juices are not a reliable indicator of meat doneness, as harmful bacteria can still be present. 3. Properly cooked meat should reach a safe internal temperature to kill bacteria and prevent foodborne illnesses. Summary: - Choice A is correct as raw oysters can contain harmful bacteria. - Choice C is correct as proper handwashing is essential to prevent the spread of bacteria. - Choice D is correct as using separate utensils for raw meat and other foods reduces the risk of cross-contamination.
Question 4 of 5
Which comments indicate that the mother of a toddler needs further teaching about dental care?
Correct Answer: C
Rationale: Step 1: Permanent teeth typically start coming in around age 6-7, so waiting until then for a dental checkup is incorrect. Step 2: Dental care for toddlers should start early to prevent cavities and establish good oral hygiene habits. Step 3: Regular dental checkups are essential to monitor oral health and detect any issues early. Step 4: Choices A, B, and D all demonstrate understanding of dental care practices for toddlers, making them correct. Summary: Choice C is incorrect as it shows a lack of understanding of the importance of early dental care for toddlers. Choices A, B, and D are correct as they demonstrate appropriate dental care practices for toddlers.
Question 5 of 5
The nurse should recognize that congestive heart failure (CHF) is which of the following?
Correct Answer: B
Rationale: The correct answer is B because congestive heart failure (CHF) is typically a consequence of an underlying cardiac defect, such as hypertension or coronary artery disease, leading to impaired cardiac function. This choice accurately reflects the cause-and-effect relationship between CHF and an existing cardiac issue. Choice A is incorrect because CHF itself is not a disease related to cardiac defects but a condition resulting from them. Choice C is incorrect as CHF is not primarily an inherited disorder. Choice D is incorrect as CHF is not a result of diminished workload but rather an inability of the heart to effectively pump blood.