ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 of 5
A nurse is collecting data on a client who is to receive a blood transfusion. Which of the following data is the nurse's priority before the transfusion begins?
Correct Answer: B
Rationale: Monitoring the baseline temperature is critical before a transfusion because a fever may indicate an infection or signal the onset of a transfusion reaction, such as a febrile non-hemolytic reaction. Skin color, hemoglobin level, and fluid intake are important but secondary to detecting immediate transfusion-related complications.
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 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.
Question 4 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 5 of 5
A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?
Correct Answer: C
Rationale: Pernicious anemia results from a lack of intrinsic factor, impairing vitamin B12 absorption, which is absent after a total gastrectomy. Vitamin B12 supplementation is essential for treatment.