ATI RN
ATI Hematologic System Test Questions
Question 1 of 5
A 77-year-old male is admitted to a unit with a suspected diagnosis of acute myeloid leukemia (AML). When planning this patient's care, the nurse should be aware of what epidemiologic fact?
Correct Answer: C
Rationale: The correct answer is C: Five-year survival for patients over 75 years old is less than 2%. This is because older age is a significant negative prognostic factor in acute myeloid leukemia (AML). As individuals age, their overall health and ability to tolerate aggressive treatments decline, leading to poorer outcomes. The survival rate of less than 2% for patients over 75 years old reflects the challenges of treating AML in this age group. Choice A is incorrect because early diagnosis does not necessarily guarantee good outcomes in AML, especially in older adults where other factors play a significant role. Choice B is incorrect as the five-year survival rate of 50% does not apply to older adults with AML. Choice D is incorrect as survival rates in AML are influenced by various factors beyond just the patient's pre-illness health status.
Question 2 of 5
A nurse is caring for a patient who has been diagnosed with leukemia. The nurse's most recent assessment reveals the presence of ecchymoses on the patient's sacral area and petechiae in her forearms. In addition to informing the patient's primary care provider, the nurse should perform what action?
Correct Answer: B
Rationale: Rationale: 1. Ecchymoses and petechiae indicate potential thrombocytopenia in leukemia. 2. Checking platelet levels will confirm if thrombocytopenia is present. 3. Low platelet levels increase bleeding risk, warranting intervention. 4. Initiating VTE prevention, isolation, or ambulation are not directly related to managing thrombocytopenia in leukemia. Summary: - A: VTE measures are not indicated with the given symptoms. - C: Protective isolation is unnecessary for thrombocytopenia. - D: Ambulation does not directly address thrombocytopenia.
Question 3 of 5
An oncology nurse recognizes a patient's risk for fluid imbalance while the patient is undergoing treatment for leukemia. What relevant assessments should the nurse include in the patient's plan of care? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Monitoring the patient's hepatic function. In leukemia treatment, chemotherapy drugs can affect liver function, leading to fluid imbalance. By monitoring hepatic function, the nurse can assess the liver's ability to regulate fluid balance. A: Monitoring electrolyte levels is important but not directly related to fluid imbalance in leukemia treatment. C: Measuring weight daily is important for fluid status assessment but does not target hepatic function specifically. D: Measuring and recording intake and output is crucial for fluid balance monitoring but does not focus on hepatic function assessment.
Question 4 of 5
A nurse is caring for a client who has hemophilia A and is about to begin taking desmopressin to prevent bleeding. The nurse should monitor the client for which of the following adverse reactions?
Correct Answer: B
Rationale: The correct answer is B: Edema. Desmopressin is a synthetic form of vasopressin that can cause fluid retention, leading to edema. This is a common adverse reaction associated with desmopressin use. Weight loss (choice A) is not a typical adverse reaction of desmopressin. Polyuria (choice C) is actually a desired effect of desmopressin, as it helps to concentrate urine. Bradycardia (choice D) is not directly associated with desmopressin use. Monitoring for edema is important to ensure the client's safety and adjust treatment as needed.
Question 5 of 5
A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81 mg daily, including this morning. The nurse should identify that this places the client at risk for which of the following complications?
Correct Answer: A
Rationale: Rationale: Aspirin is an antiplatelet medication that inhibits platelet aggregation, increasing the risk of uncontrolled bleeding during surgical procedures. By taking aspirin, the client's blood clotting ability is impaired, leading to potential excessive bleeding during and after surgery. This can result in complications such as prolonged bleeding, hematoma formation, and delayed wound healing. Therefore, the correct answer is A: Uncontrolled bleeding. Summary: - B: Myocardial infarction is not directly related to taking aspirin; it is actually used to prevent heart attacks. - C: Respiratory depression is not a common complication associated with aspirin use. - D: Decreased renal perfusion is not a typical risk of taking aspirin; it primarily affects the cardiovascular system.