ATI LPN
ATI LPN Comprehensive Predictor 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has urticaria and is wheezing. Which of the following types of transfusion reactions should the nurse suspect?
Correct Answer: A
Rationale: An anaphylactic reaction is correct. Symptoms such as urticaria (hives) and wheezing indicate a severe allergic reaction, which can progress to anaphylaxis. This reaction is caused by a hypersensitivity to plasma proteins in the transfused blood and requires immediate intervention, including stopping the transfusion and administering epinephrine.
Question 2 of 5
A nurse is monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has urticaria and is wheezing. Which of the following types of transfusion reactions should the nurse suspect?
Correct Answer: A
Rationale: An anaphylactic reaction is correct. Symptoms such as urticaria (hives) and wheezing indicate a severe allergic reaction, which can progress to anaphylaxis. This reaction is caused by a hypersensitivity to plasma proteins in the transfused blood and requires immediate intervention, including stopping the transfusion and administering epinephrine.
Question 3 of 5
A nurse is reinforcing teaching with a client who is scheduled for a lumbar puncture. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Lying flat for 4 to 6 hours after a lumbar puncture prevents cerebrospinal fluid leakage and reduces headache risk.
Question 4 of 5
A nurse is reinforcing teaching with a client who is scheduled for an exercise stress test. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Wearing comfortable shoes ensures safety and ease during the physical activity required for an exercise stress test.
Question 5 of 5
A nurse is reinforcing teaching with a client who is scheduled for a PET scan. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoiding strenuous exercise for 24 hours before a PET scan prevents false positives from muscle uptake of the tracer.