ATI RN
ATI Hematologic System Questions
Question 1 of 5
Sickle cell an. Is not complicated by:
Correct Answer: B
Rationale: Step-by-step rationale for choice B (pancreatitis) being correct: 1. Sickle cell anemia primarily affects red blood cells, leading to vaso-occlusive crises. 2. Pancreatitis is not a known complication of sickle cell anemia. 3. Complications of sickle cell anemia commonly involve organs affected by sickling, such as the bones (osteomyelitis), kidneys (papillary necrosis), and heart (CHF). Summary: A: Papillary necrosis - Correct, as it can affect the kidneys in sickle cell anemia. B: Pancreatitis - Correct, as it is not a typical complication of sickle cell anemia. C: Osteomyelitis - Incorrect, as it can affect the bones in sickle cell anemia. D: CHF - Incorrect, as it can affect the heart in sickle cell anemia.
Question 2 of 5
An oncology nurse is caring for a patient with multiple myeloma who is experiencing bone destruction. When reviewing the patient's most recent blood tests, the nurse should anticipate what imbalance?
Correct Answer: A
Rationale: The correct answer is A: Hypercalcemia. In multiple myeloma, bone destruction releases calcium into the bloodstream, leading to hypercalcemia. Elevated serum viscosity (C) is not typically associated with multiple myeloma. Hyperproteinemia (B) may be present due to increased production of abnormal proteins, but it does not directly cause bone destruction. Elevated RBC count (D) is not a common finding in multiple myeloma and is not directly related to bone destruction.
Question 3 of 5
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 inflammation in the mouth, making it painful to eat. By chewing carefully, the patient can prevent accidentally biting the tongue or cheek, which can worsen the pain. Using the oral anesthetic before meals (choice B) may provide some relief, but the key is to prevent further injury. Brushing teeth before and after eating (choice C) and swallowing slowly (choice D) do not directly address the issue of preventing accidental bites and are not as essential for managing stomatitis.
Question 4 of 5
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 concerns for potential underlying serious conditions such as malignancy. Referring the patient for medical assessment allows for further evaluation, including physical examination, laboratory tests, and imaging studies if necessary, to determine the cause of the lymphadenopathy. This prompt referral is crucial for timely diagnosis and appropriate management. Summary: A: Calling 911 is not warranted as the patient is stable and does not have an emergency medical condition. C: Facilitating a radiograph may not provide sufficient information for evaluating the lymph node and delays definitive assessment. D: Encouraging the patient to wait and track the lymph node size can lead to delayed diagnosis and potentially worsening of the underlying condition.
Question 5 of 5
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: Step-by-step rationale: 1. CLL is characterized by the proliferation of abnormal lymphocytes. 2. Increased lymphocyte levels are a hallmark of CLL due to the accumulation of these abnormal cells. 3. Lymphocytosis is a key diagnostic feature in CLL. 4. Other choices are incorrect because blast cells are characteristic of acute leukemia, bone pain is more common in multiple myeloma, and thrombocytopenia with no bleeding is not a specific finding in CLL. Summary: Increased lymphocyte levels are certain to be present in a patient with CLL due to the abnormal proliferation of lymphocytes. Other choices are incorrect as they do not align with the characteristic features of CLL.