ATI RN
Hematological System Questions
Question 1 of 5
A patient diagnosed with acute myelogenous leukemia has just been admitted to the oncology unit. When writing this patient's care plan, what potential complication should the nurse address?
Correct Answer: B
Rationale: The correct answer is B: Hemorrhage. In acute myelogenous leukemia, there is a high risk of bleeding due to low platelet count and abnormal clotting factors. The nurse should address this potential complication by closely monitoring the patient for signs of bleeding, providing platelet transfusions if necessary, and taking precautions to prevent injury. Pancreatitis (A), Arteritis (C), and Liver dysfunction (D) are not commonly associated with acute myelogenous leukemia.
Question 2 of 5
A patient has been found to have an indolent neoplasm. The nurse should recognize what implication of this condition?
Correct Answer: A
Rationale: The correct answer is A because an indolent neoplasm typically grows slowly and has a low potential for spreading aggressively or becoming malignant. This implies that the patient is at a significant risk of malignancy as the neoplasm may progress over time. Choice B is incorrect because an indolent neoplasm does not necessarily indicate myeloid leukemia. Choice C is incorrect because it does not specify the type of leukemia associated with an indolent neoplasm. Choice D is incorrect because hemophilia is not directly related to the characteristics of an indolent neoplasm.
Question 3 of 5
A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding. Which of the following drugs should the nurse expect to administer to the client?
Correct Answer: D
Rationale: The correct answer is D: Vitamin K. Vitamin K is the antidote for warfarin, an anticoagulant medication that can cause bleeding. It promotes the production of clotting factors in the liver, helping to stop the bleeding. Filgrastim (A) is a medication used to increase white blood cell production, not relevant in this situation. Deferoxamine (B) is used to treat iron toxicity, not applicable here. Protamine (C) is the antidote for heparin, another anticoagulant, not warfarin.
Question 4 of 5
A nurse should assess a client who has a megaloblastic anemia for indications of which of the following vitamin deficiencies?
Correct Answer: C
Rationale: Rationale: Megaloblastic anemia is commonly caused by a deficiency in Vitamin B12, which is essential for red blood cell production. A nurse should assess for symptoms like fatigue, weakness, pale skin, and neurological changes, as these are indicative of a Vitamin B12 deficiency. Vitamin C (A) deficiency leads to scurvy, Vitamin K (B) deficiency results in impaired blood clotting, and Vitamin D (D) deficiency causes issues like weak bones and muscle weakness, not megaloblastic anemia.
Question 5 of 5
A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug?
Correct Answer: D
Rationale: The correct answer is D: Dietary modifications. Warfarin is an anticoagulant that works by inhibiting blood clotting factors, affected by vitamin K in the diet. Clients on warfarin need consistent intake of vitamin K-rich foods to maintain stable blood levels. A nurse should educate the client to have a steady intake of vitamin K-containing foods and avoid drastic dietary changes. Sleep, fluid, and driving modifications are not directly related to the effectiveness of warfarin.