ATI LPN
Quiz Questions Hematologic System Questions
Question 1 of 5
A client with Wiskott-Aldrich syndrome (WAS) is admitted to the medical unit. The nurse caring for the client should prioritize which intervention?
Correct Answer: A
Rationale: The correct answer is A: Protective isolation. WAS is an immunodeficiency disorder, making the client highly susceptible to infections. Protective isolation helps prevent exposure to pathogens, reducing the risk of infections. Fresh-frozen plasma (B) is not a priority as it does not address the immediate risk of infection. Chest physiotherapy (C) and nutritional supplementation (D) are important but do not directly address the primary concern of preventing infections in an immunocompromised client like in WAS.
Question 2 of 5
A client with HIV will be receiving care in the home setting. What aspect of self-care should the nurse emphasize during discharge education?
Correct Answer: B
Rationale: The correct answer is B: Importance of personal hygiene. This is crucial for a client with HIV to prevent infections. Hygiene practices like regular handwashing can reduce the risk of opportunistic infections. Prophylactic antibiotics (A) may be prescribed, but emphasizing hygiene is more fundamental. Wasting syndrome (C) is important, but not as essential as hygiene. Adjusting antiretroviral dosages (D) should be managed by the healthcare provider, not the client.
Question 3 of 5
The clinic nurse instructs the mother of a child with sickle cell disease about the precipitating factors related to pain crisis. Which of the following, if identified by the mother as a precipitating factor, indicates the need for further instructions?
Correct Answer: C
Rationale: The correct answer is C: Fluid overload. In sickle cell disease, excess fluid can lead to increased blood viscosity and further sickling of red blood cells, potentially triggering a pain crisis. In contrast, infection, trauma, and stress are known triggers for pain crisis in sickle cell disease, but they do not necessarily indicate a need for further instructions as the mother may already be aware of these factors. Therefore, identifying fluid overload as a precipitating factor would require additional instructions to avoid exacerbating the child's condition.
Question 4 of 5
A client has a bone marrow biopsy done. Which nursing intervention is the priority post-procedure?
Correct Answer: A
Rationale: The correct answer is A. Applying pressure to the biopsy site is the priority post-procedure to prevent bleeding and ensure hemostasis. Inspecting the site for ecchymoses can be done after ensuring hemostasis. Sending the biopsy specimens to the laboratory is important but not as immediate as ensuring the client's safety. Teaching the client about avoiding vigorous activity is important for overall recovery but not as immediate as preventing bleeding post-procedure.
Question 5 of 5
A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?
Correct Answer: C
Rationale: The correct answer is C because staying with the patient and focusing on slow deep breathing for relaxation is the most effective response to address the patient's fear and anxiety before the bone marrow aspiration and biopsy. Deep breathing techniques can help the patient calm down, reduce anxiety, and promote relaxation, making the procedure more manageable. This response also shows empathy and support, which can enhance the patient's emotional well-being. The other choices are incorrect because: A: Warning the patient to stay very still may increase her anxiety and fear, leading to more discomfort during the procedure. B: While having family present can provide support, it may not directly address the patient's fear and anxiety or help her relax. D: Delaying the procedure may prolong the patient's distress and uncertainty, whereas addressing the fear and anxiety promptly is crucial for the patient's well-being.