ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is caring for a patient with a platelet count of <20,000/mm3 (150,000-400000). Which of the following precautions should the nurse take in providing care for this patient?
Correct Answer: B
Rationale: With a low platelet count, the patient is at high risk for bleeding. Using a soft toothbrush minimizes the risk of gum injury and bleeding, which is a critical safety measure for thrombocytopenic patients. Reporting fever, while important, does not address bleeding risk directly. Hot liquids and straight razors increase the risk of burns or cuts, which could lead to uncontrollable bleeding.
Question 3 of 5
The nurse is teaching the parent of a child with hemophilia. Which of the following statements by the parent demonstrates understanding about preventing bleeding episodes?
Correct Answer: B
Rationale: Avoiding contact sports reduces trauma and bleeding risk in hemophilia due to clotting factor deficiency. Beards, dietary restrictions, and hospital proximity are not directly related to bleeding prevention.
Question 4 of 5
The nurse is reviewing laboratory values for a patient with thrombocytopenia associated with ITP. Which result would concern the nurse the most?
Correct Answer: C
Rationale: A platelet count of 50,000/mm³ is significantly low, increasing bleeding risk, which is the primary concern in ITP. RBC, hemoglobin, and WBC values are within normal limits.
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.