ATI RN
ATI Hematologic System Test Questions
Question 1 of 5
C6PD reflect false normal report in:
Correct Answer: D
Rationale: The correct answer is D because individuals with G6PD deficiency can have normal enzyme levels shortly after a hemolytic episode due to the body replenishing the enzyme. Choice A, iron deficiency anemia, is unrelated to G6PD deficiency. Choice B, hypoplastic anemia, does not affect enzyme levels. Choice C, hairy cell leukemia, is not typically associated with false-normal G6PD levels. Therefore, the correct answer is D as it reflects the transient nature of G6PD levels post-hemolysis.
Question 2 of 5
A 77-year-old male is admitted to a unit with a suspected diagnosis of acute myeloid leukemia (AML). When planning this patient's care, the nurse should be aware of what epidemiologic fact?
Correct Answer: C
Rationale: The correct answer is C: Five-year survival for patients over 75 years old is less than 2%. This is because older age is a significant negative prognostic factor in acute myeloid leukemia (AML). As individuals age, their overall health and ability to tolerate aggressive treatments decline, leading to poorer outcomes. The survival rate of less than 2% for patients over 75 years old reflects the challenges of treating AML in this age group. Choice A is incorrect because early diagnosis does not necessarily guarantee good outcomes in AML, especially in older adults where other factors play a significant role. Choice B is incorrect as the five-year survival rate of 50% does not apply to older adults with AML. Choice D is incorrect as survival rates in AML are influenced by various factors beyond just the patient's pre-illness health status.
Question 3 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. The main goal of care for a patient with Hodgkin lymphoma is to achieve a cure whenever possible. This is because Hodgkin lymphoma is a potentially curable cancer with appropriate treatment. Achieving a cure means eradicating the cancer cells completely and preventing its recurrence in the future. This is the most desirable outcome for the patient's long-term health and well-being. Incorrect choices: B: Enhancing quality of life - While improving the patient's quality of life is important, the primary goal in treating Hodgkin lymphoma is to cure the disease. C: Controlling symptoms - Symptom management is important in providing comfort to the patient, but the main goal is to cure the disease. D: Palliation - Palliative care focuses on relieving symptoms and improving quality of life in patients with advanced or incurable diseases. For Hodgkin lymphoma, the main goal is to aim for a cure rather than palliation.
Question 4 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 5 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, chemotherapy drugs can affect liver function, leading to fluid imbalance. By monitoring hepatic function, the nurse can assess the liver's ability to regulate fluid balance. A: Monitoring electrolyte levels is important but not directly related to fluid imbalance in leukemia treatment. C: Measuring weight daily is important for fluid status assessment but does not target hepatic function specifically. D: Measuring and recording intake and output is crucial for fluid balance monitoring but does not focus on hepatic function assessment.