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Practice Question

The nurse talks with a parent of a child client newly diagnosed with lymphoblastic leukemia. The parent asks, "If the white cell count is high, why do we need to be careful about infection?" Which answer is the best to provide to the parent?

Answer Choices:

Correct Answer:

"The white blood cells are immature and ineffective."

Rationale:

🟠In lymphoblastic leukemia, the bone marrow produces an excess of immature white blood cells (blasts) that cannot effectively fight infection.

🟠These abnormal cells crowd out normal white cells, red cells, and platelets, leading to immunosuppression, anemia, and bleeding tendencies.

🟠Despite the high white cell count, the client is functionally immunocompromised because the leukemic cells are nonfunctional.

🟠This puts the child at high risk for opportunistic infections, requiring strict infection prevention measures.

🟠Nursing priorities include neutropenic precautions, hand hygiene, and avoiding live vaccines during therapy.

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This question is from ati Custom PNC107 mental Health Final Exam DAY class which contains 70 questions.

More Questions from This Exam
The nurse observes an unlicensed assistive personnel (UAP) feeding a client. Which action by the UAP requires the nurse to intervene?

Answer Choices:

A. Allows ample time for chewing and swallowing.
B. Asks in which order the client would like to eat the food.
C. Offers fluids after the client finishes eating the meal.
D. Checks tray for the client's name, type of diet, and completeness.
 The nurse explains a cystoscopy to a client scheduled for the procedure later in the day. Which statement best describes the procedure?

Answer Choices:

A. "Sound waves will measure the urine volume in the bladder."
B. "A tube will be inserted into the bladder to let the urine drain freely."
C. "A small tubular lighted scope will inspect the inside of your bladder."
D. "An x-ray will be taken of the bladder after a contrast dye is inserted."
 The nurse teaches a community class about breast cancer. Which participant comments indicate additional teaching is required? Select all that apply.

Answer Choices:

A. "Because my sister had breast cancer, I will be sure to check my breasts every month."
B. "I have a lower risk of breast cancer since I am taking combined hormone replacement therapy."
C. "Continuing my 5 weekly gym sessions will help me prevent breast cancer."
D. "I will limit my alcohol intake to no more than 1 beverage a day."
E. "Since I didn't start having periods until I was 16, I have an increased risk for breast cancer."
The nurse obtains a health history for an adult client diagnosed with glaucoma. Which is the priority nursing action for this client's plan of care?

Answer Choices:

A. Ask the client if the eye drops are being administered as prescribed.
B. Instruct the client to wear proper sunglasses.
C. Ask the client if blurred vision or halos around lights is occurring.
D. Record the use of over-the-counter medications.
From Exam
ati Custom PNC107 mental Health Final Exam DAY class

70 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Mental Health
  • Answer Choices: 4
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