ATI LPN
Questions on the Immune System Questions
Question 1 of 5
The 'butterfly' rash often seen in some people with systemic lupus erythematosus is found on:
Correct Answer: C
Rationale: The correct answer is C: The face. The butterfly rash in systemic lupus erythematosus is a distinctive reddish rash that spreads across the cheeks and bridge of the nose, resembling the shape of a butterfly. This rash is a hallmark symptom of lupus and typically appears during periods of disease activity. The rash is not typically found on the back, legs, or neck. Therefore, the correct location for the butterfly rash in systemic lupus erythematosus is on the face.
Question 2 of 5
The nurse is caring for a child who is in sickle cell anemic crisis and has severe pain. The most effective nursing intervention for this child should be
Correct Answer: C
Rationale: The correct answer is C: Administering pain medication. In a sickle cell anemic crisis, pain management is a priority to alleviate the severe pain the child is experiencing. Administering pain medication promptly helps to provide relief and improve the child's comfort and well-being. Comfort measures like back rubs (Choice A) and diversional activities (Choice B) may help to some extent but are not as effective in managing the acute pain crisis. Preparing the child for painful procedures (Choice D) is not appropriate at this time as the immediate focus should be on addressing the existing pain.
Question 3 of 5
A child recently diagnosed with aplastic anemia is being prepared for discharge. When planning support for the family, which service should the nurse plan to include in the discharge plan?
Correct Answer: A
Rationale: The correct answer is A: Referrals to support groups and social services. This is important for a child with aplastic anemia as it provides emotional support and resources for the family to cope with the diagnosis. Support groups offer a sense of community and understanding, while social services can help with practical needs. Short-term support (B) may not be sufficient for ongoing needs. Genetic counseling (C) is not typically necessary for aplastic anemia, which is not typically genetic. Nutrition counseling (D) may be important but is not the priority for discharge planning in this case.
Question 4 of 5
A nurse working in labor and delivery is caring for a client with suspected disseminated intravascular coagulation (DIC). Which pregnancy complication does the nurse anticipate when reviewing the client’s chart?
Correct Answer: C
Rationale: The correct answer is C: Placental abruption. In DIC, excessive clotting can lead to the formation of small clots in the placenta, increasing the risk of placental abruption. This complication can cause severe bleeding, endangering both the mother and the baby. Gestational diabetes (choice A) is not directly related to DIC. Polyhydramnios (choice B) is excessive amniotic fluid and is not typically associated with DIC. Placenta previa (choice D) is when the placenta covers the cervix, which is not directly linked to DIC.
Question 5 of 5
A child is diagnosed with a Wilms tumor. Which nursing action is most appropriate prior to surgery?
Correct Answer: A
Rationale: The correct answer is A: Careful bathing and handling. Prior to surgery for a child with a Wilms tumor, it is important to ensure careful bathing and handling to prevent any potential injury to the tumor or surrounding tissues. This helps in maintaining the integrity of the tumor and reduces the risk of complications during surgery. Monitoring behavioral status (B) is important but not the priority before surgery. Maintenance of strict isolation (C) is unnecessary for Wilms tumor and may cause emotional distress. Administration of packed red-blood cells (D) is not indicated unless there is a specific medical indication, which is not typically the case for Wilms tumor.