ATI RN
ATI Hematologic System Test Questions
Question 1 of 5
A nurse is caring for a patient with Hodgkin lymphoma at the oncology clinic. The nurse should be aware of what main goal of care?
Correct Answer: A
Rationale: The correct answer is A: Cure of the disease. In Hodgkin lymphoma, the main goal of care is to achieve a cure whenever possible. This is because Hodgkin lymphoma is a potentially curable cancer with appropriate treatment. Curative intent focuses on eradicating the cancer completely, leading to long-term remission or cure. Enhancing quality of life (B) is important but not the main goal in Hodgkin lymphoma as the primary aim is to eliminate the disease. Controlling symptoms (C) is important for comfort but not the main goal in curable cases. Palliation (D) is more relevant in advanced or incurable cases, not the main goal in Hodgkin lymphoma.
Question 2 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, the patient may undergo chemotherapy which can affect liver function, leading to fluid imbalance. By monitoring hepatic function, the nurse can assess the liver's ability to maintain fluid balance. A: Monitoring electrolyte levels is important for fluid balance but may not directly assess the liver's role in maintaining balance. C: Measuring weight daily is crucial for monitoring fluid status but does not directly assess liver function. D: Measuring and recording intake and output is essential for assessing fluid balance but does not directly evaluate hepatic function.
Question 3 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 medication that can cause fluid retention, leading to edema. Hemophilia A clients are at risk for bleeding, so desmopressin is given to improve clotting. Weight loss (A), polyuria (C), and bradycardia (D) are not common adverse reactions of desmopressin. Weight loss and polyuria are more associated with diabetes insipidus, a condition that desmopressin is used to treat. Bradycardia is not a typical adverse reaction of desmopressin.
Question 4 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: The correct answer is A: Uncontrolled bleeding. Aspirin is an antiplatelet medication that inhibits platelet aggregation, leading to decreased clotting ability. This places the client at risk for uncontrolled bleeding during and after surgery. Myocardial infarction (B) is not directly associated with aspirin use. Respiratory depression (C) is not a common complication of aspirin. Decreased renal perfusion (D) is not a typical complication of aspirin use.
Question 5 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 the production of red blood cells, which contain hemoglobin. Therefore, an increase in hemoglobin level indicates that the therapy is effective in treating anemia. Incorrect choices: A: PT (prothrombin time) is a measure of blood clotting time and is not directly related to epoetin therapy. B: WBC (white blood cell count) is not affected by epoetin therapy, as it primarily targets red blood cell production. D: Platelets are involved in blood clotting and are not directly influenced by epoetin therapy for anemia. In summary, the increase in hemoglobin level is the most relevant indicator of the effectiveness of epoetin therapy for treating anemia.