ATI LPN
Hematologic System Questions Questions
Question 1 of 5
A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?
Correct Answer: A
Rationale: The correct answer is A: Intubation setup. In a newborn with a diaphragmatic hernia, there is a risk of respiratory distress due to lung compression. Intubation may be necessary to assist with breathing. The nurse should ensure the intubation setup is prepared to provide immediate respiratory support if needed. Choice B (Appropriate bag and mask) may be used for initial respiratory support but intubation provides more secure airway management. Choice C (Sterile gauze and saline) is not directly related to managing a diaphragmatic hernia. Choice D (Soft arm restraints) is not necessary for this specific situation.
Question 2 of 5
What is the primary purpose of a transitional object?
Correct Answer: C
Rationale: The primary purpose of a transitional object is to decrease anxiety in the toddler. The object provides comfort and security when the child is separated from their caregiver, reducing feelings of distress. It serves as a source of emotional support and helps the child manage their emotions independently. The other choices are incorrect because they focus on the parent's feelings (A), behavior modification (D), or simply keeping the child quiet (B), rather than addressing the emotional needs of the child.
Question 3 of 5
A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki disease. On assessment of the child, the nurse expects to note which clinical manifestation of the acute stage of the disease?
Correct Answer: C
Rationale: The correct answer is C: Conjunctival hyperemia. In Kawasaki disease, conjunctival hyperemia is a common clinical manifestation during the acute stage due to the inflammation of blood vessels. This is typically seen as redness in the eyes. Cracked lips (A) are more characteristic of conditions like dry weather or vitamin deficiencies. A normal appearance (B) would not be expected in a child with acute Kawasaki disease as they typically exhibit symptoms. Desquamation of the skin (D) is more commonly seen in the subacute stage of the disease rather than the acute stage.
Question 4 of 5
The physician suggests that surgery be performed for patent ductus arteriosus (PDA) to prevent which of the following complications?
Correct Answer: D
Rationale: The correct answer is D: Pulmonary vascular congestion. In a patient with a patent ductus arteriosus (PDA), the persistent opening between the aorta and pulmonary artery can lead to increased blood flow to the lungs, resulting in pulmonary vascular congestion. Surgical closure of the PDA can prevent this complication by restoring normal blood flow patterns. A: Hypoxemia is not directly related to PDA but can occur as a consequence of the increased pulmonary blood flow. B: Right-to-left shunt of blood is not a common complication of PDA. C: Decreased workload on the left side of the heart is not a primary reason for surgical closure of PDA.
Question 5 of 5
Which of the following would the nurse perform to help alleviate a child’s joint pain associated with rheumatic fever?
Correct Answer: D
Rationale: The correct answer is D because using a bed cradle helps alleviate joint pain by avoiding pressure from bed linens. This reduces stress on the joints, promoting comfort and preventing further inflammation. Maintaining joints in an extended position (A) may worsen pain. Applying traction (B) can potentially aggravate the joints. Supporting alignment with pillows (C) may not directly address joint pain relief. Thus, D is the most suitable choice for alleviating joint pain in rheumatic fever.