ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 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 2 of 5
A nurse is calculating a client's fluid intake over the past 8 hr. The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of soda. The client's water pitcher had 800 mL and 200 mL remain. The client also had IV fluids infusing at 40 mL/hr via an IV pump. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: 1610
Rationale:
Total intake = Coffee (8 oz × 30 mL = 240 mL) + Juice (3 oz × 30 mL = 90 mL) + Soda (12 oz × 30 mL = 360 mL) + Water (800 mL - 200 mL = 600 mL) + IV fluids (40 mL/hr × 8 hrs = 320 mL) = 1610 mL.
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 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.
Question 5 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.