ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent who is having a sickle cell crisis. Which of the following nursing actions should the nurse take?
Correct Answer: B
Rationale: Blood transfusions manage anemia and reduce sickled cells during a sickle cell crisis, improving oxygen delivery. Fluid restriction, withholding pain relief, and exercise worsen the crisis.
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
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.
Question 4 of 5
The nurse is assisting in the development of a care plan for a patient with pernicious anemia. Which of the following would be the most common nursing diagnosis with this medical condition?
Correct Answer: A
Rationale: Pernicious anemia causes vitamin B12 deficiency, reducing oxygen transport and leading to tissue hypoxia, which results in activity intolerance. Airway clearance, infection risk, and chronic pain are less directly related.
Question 5 of 5
The nurse is caring for a patient who must undergo a splenectomy for treatment for idiopathic thrombocytopenic purpura (ITP). Which of the following statements best describes the rationale for the splenectomy?
Correct Answer: A
Rationale: In ITP, the spleen destroys platelets, leading to thrombocytopenia. Splenectomy reduces this destruction, increasing platelet counts. The spleen does not produce platelets or cause infections due to WBC loss in this context.