ATI LPN
Immune System Exam Questions Questions
Question 1 of 5
In caring for a 4-year-old child with a diagnosis of suspected child abuse, which is the best nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Provide the child with play situations that allow for disclosure. This intervention is crucial as it provides a safe and non-threatening environment for the child to express their feelings and disclose any abuse they may have experienced. By engaging the child in play situations, the child may feel more comfortable opening up about the abuse. A: Avoid touching the child - This is incorrect as it does not address the child's emotional needs or provide an opportunity for the child to communicate about the abuse. C: Discourage the child from remembering the incident - This is incorrect as it can hinder the child's healing process and prevent them from receiving appropriate support and intervention. D: Deny the suspected perpetrator visiting rights to the child - While this may be necessary for the child's safety, it does not directly address the child's emotional needs or provide a supportive environment for disclosure.
Question 2 of 5
The nurse notices that a child is increasingly apprehensive and has tachycardia after heart surgery. The chest tube drainage is now $8 \mathrm{ml} / \mathrm{kg} / \mathrm{hr}$. Which of the following should be the nurse’s initial intervention?
Correct Answer: B
Rationale: The correct initial intervention is to notify the practitioner of the child's increased apprehension, tachycardia, and increased chest tube drainage. This is important because these signs could indicate a potential complication post-heart surgery that requires immediate medical attention. Applying warming blankets (choice A) may not address the underlying issue, giving additional pain medication (choice C) without practitioner approval could mask symptoms, and encouraging coughing and deep breathing (choice D) may not be appropriate in this situation. It is crucial to involve the practitioner promptly for further evaluation and management.
Question 3 of 5
What condition can result from the bone demineralization associated with immobility?
Correct Answer: A
Rationale: The correct answer is A: Osteoporosis. Immobility leads to decreased weight-bearing stress on bones, causing bone demineralization and increased risk of osteoporosis. Osteoporosis is characterized by decreased bone density and increased fracture risk. Pooling of blood (B) is more related to circulatory issues. Urinary retention (C) is a result of bladder dysfunction. Susceptibility to infection (D) is not directly related to bone demineralization from immobility.
Question 4 of 5
Which of the following pairs is mismatched?
Correct Answer: B
Rationale: Correct Answer: B (erythroid progenitor: megakaryocyte) Rationale: Erythroid progenitors differentiate into red blood cells, not megakaryocytes. Megakaryocytes arise from megakaryocyte-erythroid progenitors. The mismatch lies in the differentiation pathway. Summary: A: Monocyte progenitor differentiates into macrophages. C: Myeloid progenitor gives rise to neutrophils. D: Lymphoid progenitor differentiates into natural killer cells.
Question 5 of 5
What should be monitored when a patient is taking NSAIDs? (Select ONE that does not apply)
Correct Answer: A
Rationale: The correct answer is A: Gloves only. Monitoring gloves is not relevant when a patient is taking NSAIDs. - B: CNS adverse effects should be monitored due to potential risks such as headaches or dizziness. - C: Cardiac adverse effects should be monitored as NSAIDs can increase the risk of heart attacks or stroke. - D: Renal adverse effects should be monitored because NSAIDs can lead to kidney damage. In summary, monitoring gloves is not necessary when a patient is taking NSAIDs, whereas monitoring CNS, cardiac, and renal adverse effects is essential for patient safety.