ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is to receive one unit of packed RBCs. Within which of the following time spans must the nurse complete the infusion?
Correct Answer: D
Rationale: A unit of packed RBCs must be transfused within 4 hours to minimize the risk of bacterial contamination and ensure patient safety. Longer durations increase infection risk, and 2 hours is unnecessarily restrictive.
Question 2 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 3 of 5
The nurse is caring for the patient who is 1-day status post splenectomy. The patient complains of pain of a 3 on inspiration. What would be the most appropriate priority nursing intervention for this patient?
Correct Answer: C
Rationale: Pain management with opioids, combined with encouraging deep breathing, coughing, and ambulation, prevents post-operative complications like atelectasis and pneumonia. Nebulizers, heat/cold packs, and imaging are not indicated for mild pain.
Question 4 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 5 of 5
The nurse is reviewing laboratory values for a patient with thrombocytopenia associated with ITP. Which result would concern the nurse the most?
Correct Answer: C
Rationale: A platelet count of 50,000/mm³ is significantly low, increasing bleeding risk, which is the primary concern in ITP. RBC, hemoglobin, and WBC values are within normal limits.