ATI LPN
ATI LPN Med Surg Haematology Questions
Question 1 of 5
A nurse is reinforcing teaching with a client has a new diagnosis of aplastic anemia. When discussing the pathology of this disease, which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Aplastic anemia is characterized by the failure of bone marrow to produce adequate red blood cells (RBCs), white blood cells, and platelets, leading to pancytopenia. It is not related to liver function, iron deficiency, or increased RBC destruction, which are characteristics of other conditions like hemolytic anemia.
Question 2 of 5
The nurse is caring for a patient with a platelet count of <20,000/mm3 (150,000-400000). Which of the following precautions should the nurse take in providing care for this patient?
Correct Answer: B
Rationale: With a low platelet count, the patient is at high risk for bleeding. Using a soft toothbrush minimizes the risk of gum injury and bleeding, which is a critical safety measure for thrombocytopenic patients. Reporting fever, while important, does not address bleeding risk directly. Hot liquids and straight razors increase the risk of burns or cuts, which could lead to uncontrollable bleeding.
Question 3 of 5
A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 28
Rationale: Flow rate = (
Total volume × Drop factor) ÷ Time in minutes = (1000 mL × 10 gtt/mL) ÷ 360 min = 27.78 ≈ 28 gtt/min. This calculation ensures the correct infusion rate for the IV fluid.
Question 4 of 5
A nurse is collecting data on a client who is to receive a blood transfusion. Which of the following data is the nurse's priority before the transfusion begins?
Correct Answer: B
Rationale: Monitoring the baseline temperature is critical before a transfusion because a fever may indicate an infection or signal the onset of a transfusion reaction, such as a febrile non-hemolytic reaction. Skin color, hemoglobin level, and fluid intake are important but secondary to detecting immediate transfusion-related complications.
Question 5 of 5
A nurse is reinforcing teaching with a client who is to have a bone marrow aspiration and biopsy. The nurse should tell the client that, in addition to the iliac crest, a common site for this procedure is which of the following?
Correct Answer: C
Rationale: The sternum is a common site for bone marrow aspiration in adults due to its accessibility to marrow. The iliac crest is another primary site. The hip is not a precise term for aspiration sites, and the cervical spine and humerus are not typically used due to safety and accessibility concerns.