ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 of 5
A nurse is calculating a client's fluid intake over the past 8 hr. The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of soda. The client's water pitcher had 800 mL and 200 mL remain. The client also had IV fluids infusing at 40 mL/hr via an IV pump. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: 1610
Rationale:
Total intake = Coffee (8 oz × 30 mL = 240 mL) + Juice (3 oz × 30 mL = 90 mL) + Soda (12 oz × 30 mL = 360 mL) + Water (800 mL - 200 mL = 600 mL) + IV fluids (40 mL/hr × 8 hrs = 320 mL) = 1610 mL.
Question 2 of 5
The nurse is caring for a patient in sickle cell crisis. What is the rationale for providing warm compresses and blankets for this patient?
Correct Answer: D
Rationale: Warmth prevents vasoconstriction, improving circulation and reducing pain in sickle cell crisis by enhancing blood flow to areas affected by sickled cells. Other options are less accurate.
Question 3 of 5
The home care nurse is providing teaching to the family of a patient with multiple myeloma. Which nursing diagnosis should guide the nurse for this teaching?
Correct Answer: C
Rationale: Multiple myeloma weakens bones through osteolytic lesions, increasing fracture risk. Teaching about injury prevention is critical. Airway clearance, perfusion, and bleeding are less relevant.
Question 4 of 5
The nurse is caring for a patient with a platelet count of <20,000/mm3 (150,000-400000). Which of the following precautions should the nurse take in providing care for this patient?
Correct Answer: B
Rationale: With a low platelet count, the patient is at high risk for bleeding. Using a soft toothbrush minimizes the risk of gum injury and bleeding, which is a critical safety measure for thrombocytopenic patients. Reporting fever, while important, does not address bleeding risk directly. Hot liquids and straight razors increase the risk of burns or cuts, which could lead to uncontrollable bleeding.
Question 5 of 5
The nurse is teaching the parent of a child with hemophilia. Which of the following statements by the parent demonstrates understanding about preventing bleeding episodes?
Correct Answer: B
Rationale: Avoiding contact sports reduces trauma and bleeding risk in hemophilia due to clotting factor deficiency. Beards, dietary restrictions, and hospital proximity are not directly related to bleeding prevention.