ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving a unit of packed RBCs. About 15 min following the start of the transfusion, the nurse notes that the client is flushed and febrile, and reports chills. To help confirm that the client is having an acute hemolytic transfusion reaction, the nurse should observe for which of the following manifestations?
Correct Answer: D
Rationale: Hypotension is a key sign of an acute hemolytic transfusion reaction due to hemolysis causing shock. Jaw pain, urticaria, and distended neck veins are not typical of this reaction.
Question 2 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.
Question 3 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 4 of 5
What types of cells are present in Hodgkin's lymphoma?
Correct Answer: D
Rationale: Reed-Sternberg cells are large, abnormal B cells characteristic of Hodgkin's lymphoma, distinguishing it from other conditions. RBCs, Bence-Jones cells, and stem cells are not diagnostic for this disease.
Question 5 of 5
A nurse is caring for a client who is receiving a unit of packed RBCs. About 15 min following the start of the transfusion, the nurse notes that the client is flushed and febrile, and reports chills. To help confirm that the client is having an acute hemolytic transfusion reaction, the nurse should observe for which of the following manifestations?
Correct Answer: D
Rationale: Hypotension is a key sign of an acute hemolytic transfusion reaction due to hemolysis causing shock. Jaw pain, urticaria, and distended neck veins are not typical of this reaction.