ATI LPN
Immune System Practice Questions Questions
Question 1 of 5
The child is admitted to the hospital after being diagnosed with retinoblastoma. Which assessment finding does the nurse anticipate for this child?
Correct Answer: C
Rationale: The correct answer is C: A white pupil. Retinoblastoma is a malignant tumor of the retina that can present as a white pupil in flash photography, known as leukocoria. This is due to the tumor blocking the normal red reflex from the retina. A red reflex (choice A) is a normal finding and not expected in retinoblastoma. Yellow sclera (choice B) and blue-tinged sclera (choice D) are not typically associated with retinoblastoma.
Question 2 of 5
A nurse is assisting with the admission of a toddler who has nephrotic syndrome. Which of the following objective data should the nurse anticipate collecting from the child?
Correct Answer: A
Rationale: The correct answer is A: Elevated blood pressure. In nephrotic syndrome, there is a loss of protein in the urine, leading to hypoalbuminemia and fluid retention, which can result in elevated blood pressure. This is due to the body's attempt to maintain fluid balance. Option B is incorrect because in nephrotic syndrome, serum cholesterol and fat levels are typically elevated, not lower than normal. Option C is incorrect as 3+ to 4+ protein in the urine is indicative of proteinuria, a common finding in nephrotic syndrome. Option D is incorrect as thin limbs with loose skin are not typically associated with nephrotic syndrome.
Question 3 of 5
The nurse admitting and assessing a teenage boy with suspected testicular torsion (twisted testicle) will most likely find which of the following manifestations in addition to possible nausea and vomiting and acute testicular pain?
Correct Answer: B
Rationale: The correct answer is B: Cremasteric reflex depressed or absent. Testicular torsion causes twisting of the spermatic cord, cutting off blood supply to the testicle, leading to severe pain, nausea, and vomiting. The cremasteric reflex, which causes the testicle to elevate when the inner thigh is stroked, is typically absent in cases of testicular torsion due to the severe pain and ischemia. Choices A, C, and D are incorrect as relief of pain with elevation of the testicle, pain or discomfort upon urination, and presence of white blood cells and bacteria in the urine are not typical manifestations of testicular torsion.
Question 4 of 5
A school-age client is recovering after abdominal surgery. The nurse is planning care for the return of bowel function. Which intervention should be included in the client’s plan of care?
Correct Answer: D
Rationale: The correct answer is D - Ambulate 3-4 times a day. Ambulation helps stimulate peristalsis and aids in the return of bowel function after abdominal surgery. Walking promotes movement in the abdomen, preventing complications like ileus. Fowler's position (choice A) may help with breathing but does not directly impact bowel function. Choosing a low-fat diet (choice B) is important for overall health but does not directly promote bowel function. Having a commode at the bedside (choice C) is convenient but does not actively facilitate the return of bowel function like ambulation does.
Question 5 of 5
The mother of an infant born prematurely at 32 weeks expresses the desire to breastfeed her child. The nurse correctly responds with which statement when the mother asks how long she should breastfeed her baby?
Correct Answer: D
Rationale: The correct answer is D: "Breast milk should be the only food for the first 6 months." This is based on the WHO recommendation that exclusive breastfeeding for the first 6 months of life provides optimal nutrition and protection for infants. Breast milk contains essential nutrients and antibodies crucial for the premature infant's growth and immune system development. Other choices are incorrect because: A: Introducing solid foods too early can be harmful to a premature infant's digestive system. B: While some mothers breastfeed for 2 years, it is not a specific guideline for premature infants. C: Breastfeeding for at least a month is not sufficient; exclusive breastfeeding for 6 months is recommended for all infants, including premature ones.