ATI LPN
Hematologic System Assessment Questions Questions
Question 1 of 5
Which of the following is not a characteristic of inflammation?
Correct Answer: A
Rationale: The correct answer is A: inactivation of macrophages. Inflammation involves activation of macrophages to help phagocytize pathogens. Inactivation of macrophages would hinder the immune response. Increased vascular permeability, vasodilation, and pain are all typical characteristics of inflammation. Macrophages play a crucial role in the inflammatory response by engulfing and destroying pathogens, therefore, inactivation of macrophages is not a characteristic of inflammation.
Question 2 of 5
The nurse is aware that blood type O is considered the universal donor. This means all patients can receive blood type O. Knowing this, which of the following statements is correct. (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because a client with blood type B can receive blood type B and O. This is based on the compatibility rules for blood transfusions where individuals with blood type B can safely receive blood from donors with blood type B (as there are no antibodies against type B blood present in their system) and from universal donors with blood type O (since type O blood does not contain A or B antigens). Choice B is incorrect because individuals with blood type B should not receive blood type A due to the presence of A antigens. Choice C is incorrect because individuals with blood type B should not receive blood type AB as it contains both A and B antigens. Choice D is incorrect for the same reason as choice C.
Question 3 of 5
Which statement made by the nurse indicates an understanding of the clinical manifestations of anemia from acute blood loss?
Correct Answer: B
Rationale: The correct answer is B because feeling lightheaded and experiencing a drop in blood pressure upon standing are common clinical manifestations of anemia from acute blood loss. This indicates that the body is not able to adequately supply oxygen to tissues due to decreased red blood cell count. Option A is incorrect as focusing solely on high iron diet overlooks the immediate need for medical intervention. Options C and D are incomplete, thus cannot be evaluated.
Question 4 of 5
A nurse is assessing a client who has pericarditis. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Dyspnea with hiccups. Pericarditis is inflammation of the pericardium, leading to chest pain worsened by lying flat and relieved by sitting upright. Dyspnea (shortness of breath) may occur due to compression of the heart by fluid or inflammation. Hiccups can result from irritation of the diaphragm. Fever with chills (choice C) is more indicative of an infectious process. Tachycardia alone (choice D) is a nonspecific symptom and can occur in various conditions, but pericarditis typically presents with a combination of symptoms including chest pain and dyspnea.
Question 5 of 5
A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in the post-procedure plan of care?
Correct Answer: A
Rationale: The correct answer is A: Monitor for bleeding. After PTCA with stent placement, the nurse should anticipate monitoring the client for signs of bleeding at the catheter insertion site. This is crucial as bleeding is a common complication post-procedure. The nurse should assess the insertion site regularly for any signs of bleeding, such as swelling, hematoma, or active bleeding. Prompt identification and management of bleeding can prevent further complications. Summary of why other choices are incorrect: B: Administer beta blockers - Beta blockers are not typically administered immediately post-PTCA with stent placement. They may be part of the long-term management for cardiac conditions but are not a priority post-procedure. C: Increase fluid intake - While maintaining adequate hydration is important for overall health, increasing fluid intake is not a specific post-procedure intervention for PTCA with stent placement. D: Restrict all movement - Restricting all movement post-PTCA with stent placement is not necessary. Encouraging