ATI LPN
ATI LPN Med Surg Haematology Questions
Question 1 of 5
A nurse is collecting data from a client who has anemia due to excess blood loss during surgery. The nurse should expect which of the following findings?
Correct Answer: C
Rationale: Anemia from blood loss reduces oxygen-carrying capacity, causing dyspnea on exertion due to tissue hypoxia. Abdominal pain, respiratory depression, and bradycardia are not typical findings.
Question 2 of 5
The nurse is triaging several patients in an urgent care center. One patient states that he has hemophilia and is bleeding, with no apparent signs of bleeding. Which priority action by the nurse is most appropriate at this time?
Correct Answer: B
Rationale: Hemophilia patients are at risk for internal bleeding, which may not be visible. Immediate placement in an exam room and physician notification ensure rapid assessment to prevent complications.
Question 3 of 5
A nurse is calculating a client's fluid intake over the past 8 hr. The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of soda. The client's water pitcher had 800 mL and 200 mL remain. The client also had IV fluids infusing at 40 mL/hr via an IV pump. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: 1610
Rationale:
Total intake = Coffee (8 oz × 30 mL = 240 mL) + Juice (3 oz × 30 mL = 90 mL) + Soda (12 oz × 30 mL = 360 mL) + Water (800 mL - 200 mL = 600 mL) + IV fluids (40 mL/hr × 8 hrs = 320 mL) = 1610 mL.
Question 4 of 5
A nurse is assisting with the care of a client who is receiving a blood transfusion. The nurse should monitor for which of the following findings as an indication the client is having an acute hemolytic reaction?
Correct Answer: D
Rationale: Low back pain is a hallmark of acute hemolytic reaction due to the breakdown of red blood cells and hemoglobin release, which can stress the kidneys. Pulmonary congestion is linked to fluid overload, urticaria to allergic reactions, and vomiting is less specific to hemolytic reactions.
Question 5 of 5
The nurse is caring for the patient who is 1-day status post splenectomy. The patient complains of pain of a 3 on inspiration. What would be the most appropriate priority nursing intervention for this patient?
Correct Answer: C
Rationale: Pain management with opioids, combined with encouraging deep breathing, coughing, and ambulation, prevents post-operative complications like atelectasis and pneumonia. Nebulizers, heat/cold packs, and imaging are not indicated for mild pain.