ATI RN
Hematological System Questions
Question 1 of 5
Which of the following sign is associated with anaemia?
Correct Answer: B
Rationale: The correct answer is B: Palmer pallor. This is because pallor, especially on the palms (Palmer pallor), is a common sign of anemia due to the decreased amount of hemoglobin in the blood, leading to reduced oxygen-carrying capacity. Insomnia (A) is not specifically associated with anemia. Fever (C) is not a typical symptom of anemia unless it is due to an underlying infection or inflammatory condition. Angina (D) is chest pain caused by reduced blood flow to the heart, not a direct sign of anemia. In summary, Palmer pallor is the most relevant sign to indicate anemia, while the other choices are not directly related to this condition.
Question 2 of 5
A patient is admitted to determine why red blood cells are being quickly destructed in the body. What finding should the nurse associate with this patient's health problem?
Correct Answer: A
Rationale: The correct answer is A: Jaundice. Jaundice is a yellowing of the skin and eyes due to an excess of bilirubin, a byproduct of red blood cell breakdown. In this case, rapid destruction of red blood cells leads to an increased production of bilirubin, causing jaundice. Bleeding (B) is not directly related to red blood cell destruction. Diarrhea (C) and cyanosis (D) are not typically associated with red blood cell destruction.
Question 3 of 5
The nurse is caring for a patient having a bone marrow biopsy. What nursing action is the most important following the biopsy?
Correct Answer: A
Rationale: The correct answer is A: Observe for bleeding. After a bone marrow biopsy, the most important nursing action is to monitor for bleeding, as the patient is at risk for hemorrhage due to the invasive nature of the procedure. Observing for bleeding includes assessing the dressing, vital signs, and the puncture site for any signs of hematoma or excessive bleeding. Encouraging oral fluids (B) helps prevent dehydration but is not the most critical post-biopsy action. Administering an analgesic (C) for pain is important for patient comfort but does not address the immediate risk of bleeding. Monitoring for infection (D) is important but is not the priority immediately following the biopsy.
Question 4 of 5
A patient is prescribed to receive 2 units of packed red blood cells. What approach should the nurse use to ensure that the correct blood will be provided to this patient?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Following the organization's verification process ensures accuracy in blood transfusion. 2. This process involves multiple checks to confirm the correct blood for the patient. 3. Checking the patient's arm band (A) and medical record order (B) are initial steps but may not guarantee accuracy. 4. Assuming correct blood was provided (D) is risky and can lead to serious consequences.
Question 5 of 5
A patient who underwent lymphangiography the day before asks the licensed practical nurse (LPN), “Why does my urine look blue?†What should the LPN respond to this patient's concern?
Correct Answer: D
Rationale: The correct answer is D because lymphangiography involves injecting a dye into the lymphatic system, which can cause the urine to appear blue temporarily. The LPN should reassure the patient that this is a normal and expected side effect of the procedure. Choice A is incorrect as it lacks explanation and may not address the patient's concern. Choice B is unnecessary as there is no urgent need to notify the RN and physician. Choice C is incorrect because blue urine does not necessarily indicate abnormal results, but rather a common side effect of the dye used in the procedure.