ATI RN
The Hematologic System ATI Questions
Question 1 of 5
According to the FAB classification, the L2 stage is characterized by:
Correct Answer: C
Rationale: The correct answer is C because according to the FAB classification, the L2 stage is characterized by large homogenous blasts with scanty nucleoli and a higher nucleus to cytoplasm ratio. This is because in the L2 stage, the blasts are more immature and have a larger size compared to other stages. Choice A is incorrect because it describes blasts with prominent nucleoli, which is not characteristic of the L2 stage. Choice B is incorrect because it describes small homogenous blasts with scanty nucleoli, which does not align with the characteristics of the L2 stage. Choice D is incorrect because it describes large blasts with basophilic vacuolated cytoplasm, which is not a feature of the L2 stage.
Question 2 of 5
A patient has an altered level of T and B cells. The nurse realizes that these cells are members of which cell type?
Correct Answer: C
Rationale: The correct answer is C: Lymphocytes. T and B cells are subtypes of lymphocytes, which are crucial components of the immune system. T cells are involved in cell-mediated immunity, while B cells are responsible for producing antibodies. Platelets (A), eosinophils (B), and red blood cells (D) do not have the same functions or roles as T and B cells in the immune system. Platelets are involved in blood clotting, eosinophils are a type of white blood cell involved in allergic reactions, and red blood cells are responsible for oxygen transport.
Question 3 of 5
A patient has a bone marrow aspiration from the posterior iliac crest. Before the procedure, the patient's vital signs were: blood pressure 132/82 mm Hg and pulse 88 beats/min. One hour after the procedure, the blood pressure is 108/70 mm Hg and pulse is 96 beats/min. Which assessment is the least important for the patient at this time?
Correct Answer: B
Rationale: The correct answer is B because the patient's vital signs have changed post-procedure, indicating a potential complication. Checking the complete blood count report is the least important at this time as it does not immediately impact the patient's current condition. A: Observing the puncture site is important to assess for bleeding or infection. C: Asking about lightheadedness or dizziness is crucial to monitor for signs of hypovolemia or shock. D: Determining medications taken before the procedure is essential to identify any potential interactions or adverse effects. In summary, monitoring vital signs, assessing the puncture site, and checking for symptoms of hypovolemia or shock are more critical post-procedure than reviewing the complete blood count report.
Question 4 of 5
A patient is being prepared to receive a prescribed blood transfusion. What is the best way that the LPN can assist the health team to prevent a transfusion reaction?
Correct Answer: D
Rationale: The correct answer is D: Assist the registered nurse (RN) to identify correctly the patient and the blood product. This is crucial to prevent transfusion reactions as it ensures the right blood is given to the right patient. Misidentification can lead to severe complications. Monitoring vital signs (A) is important but doesn't directly prevent transfusion reactions. Warming blood (B) may improve patient comfort but doesn't prevent reactions. Administering diphenhydramine (C) is not a standard pre-transfusion medication and should not be given without specific orders. Identifying the patient and blood product correctly is the best way to prevent transfusion reactions.
Question 5 of 5
A patient is prescribed a transfusion of washed packed red blood cells. What should the nurse realize as being the rationale for the using this type of blood?
Correct Answer: C
Rationale: The correct answer is C because washing packed red blood cells reduces the risk of a febrile reaction by removing white blood cells, plasma proteins, and other substances that could lead to an immune response. Choice A is incorrect as hypothermia is not a primary concern with washed packed red blood cells. Choice B is incorrect as the process does not cleanse blood cells of impurities. Choice D is incorrect as the main purpose of washing blood cells is to reduce the risk of adverse reactions, not to remove harmful particles.