ATI RN
ATI Hematologic System Test Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following laboratory values should indicate to the nurse that the therapy is effective?
Correct Answer: C
Rationale: The correct answer is C: Hgb (hemoglobin). Epoetin is a medication used to stimulate red blood cell production, which should increase hemoglobin levels. Higher hemoglobin levels indicate improved oxygen-carrying capacity and overall effectiveness of the therapy. PT (A), WBC (B), and Platelets (D) are not directly affected by epoetin therapy, so an increase in these values would not be indicative of the medication's effectiveness.
Question 5 of 5
A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Epoetin is a medication used to stimulate red blood cell production in patients with renal failure. One of the potential adverse effects of epoetin therapy is an increase in blood pressure due to the rapid rise in red blood cell count. This can lead to hypertension. Monitoring for hypertension is crucial to prevent any complications. The other choices, muscle pain, edema, and dry mouth, are not directly associated with epoetin therapy in renal failure patients. Muscle pain could be a general issue but not specific to this medication. Edema is more commonly associated with fluid retention in renal failure, and dry mouth is not a typical adverse effect of epoetin therapy.