ATI RN
ATI Hematologic System Questions
Question 1 of 4
Macrocytosis is a characteristic of all except:
Correct Answer: D
Rationale: Step-by-step rationale: 1. Macrocytosis refers to larger-than-normal red blood cells. 2. Systemic Lupus Erythematosus (SLE) is not typically associated with macrocytosis. 3. Anemia of myxedema, methotrexate-induced, and chronic alcoholism-induced liver disease can all lead to macrocytosis. 4. Therefore, the correct answer is D: SLE, as it is not commonly associated with macrocytosis.
Question 2 of 4
A patient with leukemia has developed stomatitis and is experiencing a nutritional deficit. An oral anesthetic has consequently been prescribed. What health education should the nurse provide to the patient?
Correct Answer: A
Rationale: The correct answer is A: Chew with care to avoid inadvertently biting the tongue. Stomatitis causes mouth sores, making it crucial for the patient to be cautious while chewing to prevent accidental injury to the mouth. This helps in reducing pain and promoting healing. Choice B is incorrect because using the oral anesthetic 1 hour prior to mealtime may not provide immediate relief during eating. Choice C is incorrect as brushing teeth before and after eating can irritate the mouth sores further. Choice D is incorrect as swallowing slowly and deliberately does not address the issue of preventing accidental biting of the tongue.
Question 3 of 4
An adult patient has presented to the health clinic with a complaint of a firm, painless cervical lymph node. The patient denies any recent infectious diseases. What is the nurse's most appropriate response to the patient's complaint?
Correct Answer: B
Rationale: The correct answer is B: Promptly refer the patient for medical assessment. A firm, painless cervical lymph node in an adult without recent infectious diseases raises concern for potential serious underlying conditions such as malignancy. Referring the patient for medical assessment allows for proper evaluation, diagnosis, and timely intervention if needed. Calling 911 (choice A) is not necessary as the patient is not in immediate life-threatening danger. Facilitating a radiograph (choice C) may not provide sufficient information for a definitive diagnosis. Encouraging the patient to track the size and wait a week (choice D) can delay necessary medical evaluation and potentially worsen the condition if it is indeed concerning.
Question 4 of 4
An older adult patient is undergoing diagnostic testing for chronic lymphocytic leukemia (CLL). What assessment finding is certain to be present if the patient has CLL?
Correct Answer: B
Rationale: The correct answer is B: Increased lymphocyte levels. In CLL, there is an overproduction of mature lymphocytes, leading to increased lymphocyte levels in the blood. This is a hallmark feature of CLL. A: Increased numbers of blast cells are typically seen in acute leukemias, not CLL. C: Intractable bone pain is not a typical finding in CLL. It may indicate bone involvement in other types of leukemia. D: Thrombocytopenia with no evidence of bleeding is not a specific finding in CLL. Thrombocytopenia may occur in CLL, but it is not a certain finding; bleeding manifestations are more common in acute leukemias.