ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 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.
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
A nurse is reviewing data for a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: DIC involves widespread clotting that consumes platelets and clotting factors, leading to both thrombosis and bleeding. Platelet production does not increase, sodium/fluid retention is unrelated, and clotting factors are depleted, not increased.
Question 4 of 5
A nurse is collecting data from a client who has anemia due to excess blood loss during surgery. The nurse should expect which of the following findings?
Correct Answer: C
Rationale: Anemia from blood loss reduces oxygen-carrying capacity, causing dyspnea on exertion due to tissue hypoxia. Abdominal pain, respiratory depression, and bradycardia are not typical findings.
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.