ATI LPN
Immune System Practice Questions Questions
Question 1 of 5
Reinforcing teaching with a client who has recent diagnosis of raynaud's disease about preventing onset of manifestations- indicates an understanding of teaching?
Correct Answer: B
Rationale: Step 1: Raynaud's disease is a condition where blood flow to fingers and toes is reduced in response to cold or stress, causing numbness and discoloration. Step 2: Smoking can worsen Raynaud's symptoms by constricting blood vessels, so not smoking is crucial for prevention. Step 3: Therefore, advising the client not to smoke shows understanding of preventing Raynaud's manifestations. Step 4: Option A is incorrect as purine restriction is for gout not Raynaud's. Option C is dangerous as mild symptoms should not be ignored. Option D is incorrect as cold water worsens Raynaud's symptoms.
Question 2 of 5
The most common type of leukaemia in adults over 55 is:
Correct Answer: D
Rationale: The correct answer is D: Chronic lymphocytic leukaemia (CLL). CLL is the most common type of leukaemia in adults over 55, characterized by the slow accumulation of abnormal lymphocytes in the blood and bone marrow. This type of leukaemia typically progresses slowly and may not require immediate treatment. Rationale: 1. Age group: CLL predominantly affects older adults, making it the most common type of leukaemia in individuals over 55. 2. Chronic nature: CLL is a chronic leukaemia, characterized by a slow progression of the disease. 3. Lymphocytic origin: CLL involves abnormal lymphocytes, which are a type of white blood cell. Summary: A: Acute lymphatic leukaemia (ALL) is more common in children and young adults. B: Acute myeloid leukaemia (AML) is more common in older adults but not the most common in individuals over 55. C: Chronic myeloid
Question 3 of 5
Irritable bowel syndrome is most common in:
Correct Answer: D
Rationale: The correct answer is D: Women. Irritable bowel syndrome (IBS) is most common in women, with about twice as many women affected compared to men. This is due to hormonal fluctuations, as well as differences in gut motility and sensitivity to stress between genders. Women are also more likely to seek medical help for their symptoms. Choices A, B, and C are incorrect because IBS is not more common in older white males, children, or young black women compared to women in general.
Question 4 of 5
What is the best way for the nurse to detect fluid retention in a child with nephrotic syndrome who has not yet been toilet-trained?
Correct Answer: A
Rationale: The correct answer is A: Weigh the child daily. Daily weight monitoring is essential in detecting fluid retention in a child with nephrotic syndrome as it is a sensitive indicator of changes in fluid status. Fluid retention can lead to weight gain, indicating a worsening condition. Checking urine for blood (B) is more relevant for detecting renal issues, not fluid retention. Measuring abdominal girth weekly (C) may not be as sensitive or specific as daily weight monitoring. Counting the number of wet diapers (D) is more relevant for assessing hydration status rather than fluid retention. In summary, daily weight monitoring is the most accurate and sensitive method for detecting fluid retention in this scenario.
Question 5 of 5
The nurse should expect to administer this drug for a sickle cell pain crisis:
Correct Answer: A
Rationale: The correct answer is A: Morphine sulfate. Morphine is the preferred analgesic for severe pain in sickle cell crisis due to its potent pain-relieving effects. It works by binding to opioid receptors in the brain, reducing pain perception. Meperidine (B) is not recommended due to its toxic metabolite accumulation in renal impairment. Acetaminophen (C) and Ibuprofen (D) are not sufficient for managing severe pain in a sickle cell crisis.