ATI RN
ATI Hematologic System Questions
Question 1 of 5
Sickle cell an. Is not complicated by:
Correct Answer: B
Rationale: The correct answer is B: pancreatitis. Sickle cell anemia does not typically manifest with pancreatitis. The pathophysiology of sickle cell anemia involves sickle-shaped red blood cells leading to vaso-occlusive crises, resulting in complications such as papillary necrosis, osteomyelitis, and congestive heart failure. Pancreatitis is not a common complication of sickle cell anemia due to the absence of significant involvement of the pancreas in the disease process. Therefore, option B is the correct choice, as it does not align with the typical complications seen 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. This can result in symptoms like excessive thirst, fatigue, confusion, and kidney issues. Hyperproteinemia (B) is not typically associated with multiple myeloma. Elevated serum viscosity (C) is more related to conditions like Waldenström macroglobulinemia, not multiple myeloma. Elevated RBC count (D) is not a common finding in multiple myeloma and is more suggestive of polycythemia vera.
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 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 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 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 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: 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.