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, shortly after hemolysis, because G6PD deficiency leads to a false-normal result due to the presence of reticulocytes in the blood following hemolysis. This is because reticulocytes have normal enzyme activity, masking the underlying deficiency. Iron deficiency anemia (A), hypoplastic anemia (B), and hairy cell leukemia (C) do not involve the same mechanism of false-normal reports in C6PD deficiency as seen in 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 risk factor for poorer outcomes in acute myeloid leukemia (AML) due to factors such as frailty, comorbidities, and reduced tolerance to aggressive treatments. Older adults are less likely to tolerate intensive chemotherapy and have lower overall survival rates compared to younger patients. Choice A is incorrect because early diagnosis alone does not guarantee good outcomes in AML, especially in older adults. Choice B is incorrect because the five-year survival rate for older adults with AML is much lower than 50%. Choice D is incorrect because while pre-illness health may influence survival rates, age is a more significant factor in predicting outcomes in older patients with AML.
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. 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 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: Step-by-step rationale for why answer B is correct: 1. Petechiae and ecchymoses indicate potential thrombocytopenia in a leukemia patient. 2. Checking the patient's platelet level will confirm thrombocytopenia and guide treatment. 3. Low platelet levels can lead to bleeding complications, hence the importance of monitoring. 4. Prompt intervention based on platelet level results can prevent worsening complications. Summary of why other choices are incorrect: A: Initiating measures to prevent VTE is not directly related to the patient's current presentation of ecchymoses and petechiae. C: Placing the patient on protective isolation is not indicated for thrombocytopenia. D: Ambulating the patient may be beneficial for circulation but does not address the underlying issue of potential 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, 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.