ATI LPN
Immune System Questions Questions
Question 1 of 5
Experiencing an acute exacerbation of rheumatoid arthritis- anticipate the clients joints will require which treatment?
Correct Answer: B
Rationale: The correct answer is B: Heat paraffin therapy applied to the client's hands. Heat therapy helps to improve blood circulation, reduce joint stiffness, and alleviate pain associated with rheumatoid arthritis exacerbation. Elevated ESR indicates acute inflammation, making heat therapy beneficial in this scenario. Assistive devices are not typically needed for rheumatoid arthritis unless there is severe loss of range of motion. Cold packs are more suitable for acute injuries with swelling, not for chronic conditions like rheumatoid arthritis. Surgical joint replacement is considered for severe cases of joint damage, not for acute exacerbations.
Question 2 of 5
Another name for platelets is:
Correct Answer: A
Rationale: Platelets are also known as thrombocytes. This is the correct answer because thrombocytes are responsible for blood clotting. Platelets play a crucial role in preventing excessive bleeding. Lymphocytes, erythrocytes, and leucocytes are different types of blood cells with distinct functions unrelated to blood clotting.
Question 3 of 5
Systemic lupus erythematosus is:
Correct Answer: D
Rationale: The correct answer is D: An autoimmune condition. Systemic lupus erythematosus is an autoimmune disease where the immune system mistakenly attacks healthy tissues in the body. This condition is not infectious (choice A), not harmless (choice B), and not always associated with HIV (choice C). Lupus is characterized by inflammation and damage to various organs, joints, and skin. It is important to differentiate autoimmune diseases like lupus from infectious diseases and understand their underlying mechanisms for proper diagnosis and treatment.
Question 4 of 5
A school-age child with hemophilia falls on the playground and goes to the school nurse with superficial bleeding above the elbow. What is the most appropriate action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Apply pressure for at least 15 minutes. This is the most appropriate action as it helps control bleeding by promoting clot formation. Applying pressure directly on the wound site can help stop the bleeding effectively. Warm, moist compresses (choice A) may not provide enough direct pressure to stop bleeding. Keeping the affected extremity in a dependent position (choice C) can increase bleeding due to gravity. Beginning passive range of motion (choice D) could exacerbate bleeding if a clot has not formed yet. Therefore, applying pressure for at least 15 minutes is the best initial action to control bleeding in this situation.
Question 5 of 5
When completing the child’s admission assessment, which of the following components of the abdominal assessment should the nurse avoid?
Correct Answer: B
Rationale: The correct answer is B: Palpation. During a child's admission assessment, the nurse should avoid palpation of the abdomen because it can potentially cause discomfort or pain to the child, especially if there is an underlying abdominal issue. Instead, the nurse should prioritize other components such as inspection, auscultation, and percussion. Inspection allows the nurse to visually assess the abdomen for any abnormalities or distension. Auscultation helps in listening for bowel sounds, which can provide valuable information about gastrointestinal function. Percussion can assist in identifying areas of tenderness or abnormal fluid accumulation. Palpation should be performed cautiously and only if necessary, after obtaining consent and ensuring the child is comfortable.