ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who is receiving a blood transfusion. The nurse should monitor for which of the following findings as an indication the client is having an acute hemolytic reaction?
Correct Answer: D
Rationale: Low back pain is a hallmark of acute hemolytic reaction due to the breakdown of red blood cells and hemoglobin release, which can stress the kidneys. Pulmonary congestion is linked to fluid overload, urticaria to allergic reactions, and vomiting is less specific to hemolytic reactions.
Question 2 of 5
The nurse is preparing to assist the physician with a bone marrow biopsy. Which of the following interventions is most important for the nurse to carry out before the procedure?
Correct Answer: D
Rationale: Administering an analgesic before a bone marrow biopsy ensures patient comfort and reduces pain, which is a priority. Other actions, like explaining to family or draping, are secondary.
Question 3 of 5
A nurse is assisting with the discharge of a child who has sickle cell anemia and is recovering from an acute sickle cell crisis. Which of the following instructions should the nurse reinforce with the child's parents?
Correct Answer: D
Rationale: Increased fluid intake reduces blood viscosity, preventing sickling and future crises in sickle cell anemia. High-protein diets, temperature monitoring, and activity restrictions are less critical for crisis prevention.
Question 4 of 5
A nurse is reviewing data for a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: DIC involves widespread clotting that consumes platelets and clotting factors, leading to both thrombosis and bleeding. Platelet production does not increase, sodium/fluid retention is unrelated, and clotting factors are depleted, not increased.
Question 5 of 5
A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?
Correct Answer: D
Rationale: A low platelet count (125,000/mm³) increases bleeding risk, making it the highest priority in leukemia patients. Low hematocrit, bone pain, and weight loss are concerning but less immediately life-threatening.