ATI LPN
Questions on the Immune System Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Which of the following would the nurse expect to assess as the MOST common presenting manifestation of Wilms’ Tumor?
Correct Answer: D
Rationale: The correct answer is D: Abdominal mass. In Wilms' Tumor, the most common presenting manifestation is an abdominal mass due to the tumor in the kidney. This mass is usually painless and firm. Hematuria (A) is less common in Wilms' Tumor and may not be present initially. Pain on voiding (B) is not a typical symptom of Wilms' Tumor. Nausea and vomiting (C) are also less common presenting symptoms compared to the characteristic abdominal mass. Therefore, the nurse would expect to assess an abdominal mass as the most common presenting manifestation of Wilms' Tumor.
Question 5 of 5
The administration of prednisone to children with nephrotic syndrome creates the problem of:
Correct Answer: B
Rationale: The correct answer is B: Increased risk of infection. Prednisone is a corticosteroid that suppresses the immune system, leading to an increased susceptibility to infections in children with nephrotic syndrome. This is because prednisone inhibits the body's ability to fight off pathogens, making children more prone to developing infections. A: Intolerance of foods is not a common problem associated with prednisone administration in children with nephrotic syndrome. C: Decreased serum sodium is not a direct effect of prednisone administration in this context. D: Weight loss is not typically a problem with prednisone use; in fact, weight gain is more common due to fluid retention and increased appetite.