ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 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 2 of 5
A nurse is assisting in planning care for a client who has advanced multiple myeloma. When planning care the nurse should recognize that the client is at risk for which of the following complications?
Correct Answer: B
Rationale: Multiple myeloma causes bone demineralization and osteolytic lesions, increasing the risk of pathologic fractures. Myxedema, retinopathy, and GI bleeding are not typical complications.
Question 3 of 5
A nurse is reinforcing teaching with a client who is to have a bone marrow aspiration and biopsy. The nurse should tell the client that, in addition to the iliac crest, a common site for this procedure is which of the following?
Correct Answer: C
Rationale: The sternum is a common site for bone marrow aspiration in adults due to its accessibility to marrow. The iliac crest is another primary site. The hip is not a precise term for aspiration sites, and the cervical spine and humerus are not typically used due to safety and accessibility concerns.
Question 4 of 5
The nurse is triaging several patients in an urgent care center. One patient states that he has hemophilia and is bleeding, with no apparent signs of bleeding. Which priority action by the nurse is most appropriate at this time?
Correct Answer: B
Rationale: Hemophilia patients are at risk for internal bleeding, which may not be visible. Immediate placement in an exam room and physician notification ensure rapid assessment to prevent complications.
Question 5 of 5
The nurse is reviewing laboratory values for a female patient and notes a hemoglobin level of 8.2 g/100 mL (12-16) and a hematocrit level of 21% (37% -47%). These levels are found in patients with which condition?
Correct Answer: B
Rationale: Low hemoglobin and hematocrit indicate anemia, which can result from blood loss, iron deficiency, or chronic disease. Thyroid disease, bronchitis, and hemochromatosis do not directly cause these findings.