ATI RN
The Hematologic System ATI Questions
Question 1 of 5
Henoch Schonlein purpura is not associated with:
Correct Answer: A
Rationale: Henoch Schonlein purpura is characterized by palpable purpura, abdominal pain, arthritis, and acute diffuse glomerulonephritis. Thrombocytopenia is not typically associated with Henoch Schonlein purpura, making choice A correct. Thrombocytopenia is more commonly seen in conditions like immune thrombocytopenic purpura. Choices B, C, and D are incorrect as palpable purpura, intussusception, and acute diffuse glomerulonephritis are commonly associated with Henoch Schonlein purpura.
Question 2 of 5
Plat. Transfusion is not indicated in:
Correct Answer: D
Rationale: Plat. transfusion is not indicated in immunogenic thrombocytopenia (ITP) because it is an autoimmune disorder where the body destroys its own platelets. Transfusing platelets won't solve the underlying issue of platelet destruction. In aplastic anemia (A), platelet transfusion can help due to low platelet production. In uremia with bleeding (B) and DIC (C), platelet transfusion is necessary to manage bleeding due to decreased platelet function or consumption.
Question 3 of 5
Peripheral bl. Picture is most useful in:
Correct Answer: D
Rationale: The correct answer is D: CML. Peripheral blood picture is most useful in CML because it typically shows increased white blood cell count with left shift, basophilia, and presence of the Philadelphia chromosome. In contrast, A (NHL) primarily involves lymph nodes, B (multiple myeloma) shows monoclonal protein in serum/bone marrow, and C (myelodysplastic syndrome) presents with cytopenias and dysplastic changes in blood cells. Therefore, based on the specific findings seen in CML on peripheral blood, it is the most appropriate choice.
Question 4 of 5
A patient with advanced leukemia is responding poorly to treatment. The nurse finds the patient tearful and trying to express his feelings, but he is clearly having difficulty. What is the nurse's most appropriate action?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and support. By asking if the patient would like the nurse to sit with him, it shows willingness to provide comfort and assistance. This action allows the patient to feel supported while expressing his feelings. Choice A is incorrect because leaving the patient alone may make him feel abandoned. Choice B is not the most immediate action needed in this situation. Choice D is incorrect because it assumes understanding without actively offering support.
Question 5 of 5
An emergency department nurse is triaging a 77-year-old man who presents with uncharacteristic fatigue as well as back and rib pain. The patient denies any recent injuries. The nurse should recognize the need for this patient to be assessed for what health problem?
Correct Answer: C
Rationale: The correct answer is C: Multiple Myeloma. In this case, the patient's age, symptoms of fatigue, back, and rib pain without recent injuries are indicative of multiple myeloma. This condition is a type of cancer that affects plasma cells in the bone marrow, leading to bone pain and fatigue. Hodgkin disease and Non-Hodgkin Lymphoma typically present with lymph node enlargement rather than back and rib pain. Acute Thrombocytopenia would present with symptoms related to low platelet levels such as bleeding tendencies, not back and rib pain.