ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?
Correct Answer: D
Rationale: A low platelet count (125,000/mm³) increases bleeding risk, making it the highest priority in leukemia patients. Low hematocrit, bone pain, and weight loss are concerning but less immediately life-threatening.
Question 3 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 4 of 5
The nurse is caring for a patient receiving treatment for a hemolytic reaction from a mismatched blood transfusion. The nurse understands that this the incompatible blood is causing what?
Correct Answer: D
Rationale: A hemolytic reaction involves the immune system destroying incompatible RBCs, leading to hemolysis. Malformed RBCs, B12 deficiency, and immature RBCs are unrelated to this reaction.
Question 5 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.