ATI LPN
Hematologic System Questions Questions
Question 1 of 5
The nurse is evaluating care provided to a client with disseminated intravascular coagulation (DIC). Which observation indicates care has been successful for this client?
Correct Answer: D
Rationale: The correct answer is D because in DIC, excessive clotting can lead to bleeding. Therefore, the absence of bleeding indicates successful care. Option A is not specific to DIC management. Option B indicates poor oxygenation, not related to DIC. Option C is insufficient urine output, not a direct indicator of DIC management.
Question 2 of 5
A 4y/o child with leukemia is admitted to the healthcare facility because of pneumonia. Which of the following is the MOST likely cause of his current condition?
Correct Answer: B
Rationale: The correct answer is B: Leukopenia. Leukopenia refers to a decrease in white blood cells, which are essential for fighting infections. In leukemia, the bone marrow produces abnormal white blood cells, leading to a decrease in healthy white blood cells. This compromises the child's immune system, making them more susceptible to infections like pneumonia. A: Anemia is a decrease in red blood cells and would not directly cause pneumonia. C: Thrombocytopenia is a decrease in platelets and is not directly related to pneumonia. D: Eosinophilia is an increase in eosinophils and is not typically associated with pneumonia in this context.
Question 3 of 5
A school-aged client admitted to the hospital because of decreased urine output and periorbital edema is diagnosed with glomerulonephritis. Which of the following interventions should receive the highest priority?
Correct Answer: C
Rationale: The correct answer is C: Obtaining daily weight measurements. Daily weight measurements are crucial in monitoring fluid status in clients with glomerulonephritis, as sudden weight gain can indicate fluid retention and worsening of the condition. This intervention allows for early detection of fluid imbalances, guiding appropriate fluid management and treatment adjustments. Assessing vital signs every four hours (choice A) is important but not the highest priority in this scenario, as monitoring weight is more specific for fluid status changes. Monitoring intake and output every 12 hours (choice B) is also important, but not as immediate as obtaining daily weight measurements. Obtaining serum electrolyte levels daily (choice D) is essential, but weight measurements take precedence in assessing fluid status.
Question 4 of 5
A 12-year-old child has just been diagnosed with end-stage renal disease. The nurse gives the child instructions in which foods to avoid, including:
Correct Answer: A
Rationale: The correct answer is A: Apricots. Apricots are high in potassium, which can be harmful for a child with end-stage renal disease due to decreased kidney function. Excess potassium can lead to dangerous heart rhythm abnormalities. Cranberry juice (B), apples (C), and peach Italian ice (D) do not pose the same risk of high potassium levels. Therefore, avoiding apricots is crucial for the child's safety.
Question 5 of 5
A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?
Correct Answer: A
Rationale: The correct answer is A: Intubation setup. In a newborn with a diaphragmatic hernia, there is a risk of respiratory distress due to lung compression. Intubation may be necessary to assist with breathing. The nurse should ensure the intubation setup is prepared to provide immediate respiratory support if needed. Choice B (Appropriate bag and mask) may be used for initial respiratory support but intubation provides more secure airway management. Choice C (Sterile gauze and saline) is not directly related to managing a diaphragmatic hernia. Choice D (Soft arm restraints) is not necessary for this specific situation.