ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory findings for a client admitted with multiple myeloma. The nurse should expect to see an increase in which of the following laboratory tests?
Correct Answer: B
Rationale: Multiple myeloma causes bone breakdown, releasing calcium into the bloodstream, leading to hypercalcemia. WBCs, neutrophils, and platelets are typically decreased due to bone marrow involvement.
Question 2 of 5
A nurse is caring for an adolescent who is having a sickle cell crisis. Which of the following nursing actions should the nurse take?
Correct Answer: B
Rationale: Blood transfusions manage anemia and reduce sickled cells during a sickle cell crisis, improving oxygen delivery. Fluid restriction, withholding pain relief, and exercise worsen the crisis.
Question 3 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 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 preparing to assist the physician with a bone marrow biopsy. Which of the following interventions is most important for the nurse to carry out before the procedure?
Correct Answer: D
Rationale: Administering an analgesic before a bone marrow biopsy ensures patient comfort and reduces pain, which is a priority. Other actions, like explaining to family or draping, are secondary.