ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 of 5
A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 28
Rationale: Flow rate = (
Total volume × Drop factor) ÷ Time in minutes = (1000 mL × 10 gtt/mL) ÷ 360 min = 27.78 ≈ 28 gtt/min. This calculation ensures the correct infusion rate for the IV fluid.
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 assisting in the care of a client who is receiving a transfusion of packed red blood cells. The client develops itching and hives. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Stopping the transfusion is the priority to prevent further exposure to the allergen causing itching and hives, which indicate an allergic reaction. Other actions follow this step.
Question 4 of 5
The nurse is caring for a patient in sickle cell crisis. What is the rationale for providing warm compresses and blankets for this patient?
Correct Answer: D
Rationale: Warmth prevents vasoconstriction, improving circulation and reducing pain in sickle cell crisis by enhancing blood flow to areas affected by sickled cells. Other options are less accurate.
Question 5 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.