ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 of 5
The nurse is assisting in the development of a care plan for a patient with pernicious anemia. Which of the following would be the most common nursing diagnosis with this medical condition?
Correct Answer: A
Rationale: Pernicious anemia causes vitamin B12 deficiency, reducing oxygen transport and leading to tissue hypoxia, which results in activity intolerance. Airway clearance, infection risk, and chronic pain are less directly related.
Question 2 of 5
A nurse is collecting data on a client who is to receive a blood transfusion. Which of the following data is the nurse's priority before the transfusion begins?
Correct Answer: B
Rationale: Monitoring the baseline temperature is critical before a transfusion because a fever may indicate an infection or signal the onset of a transfusion reaction, such as a febrile non-hemolytic reaction. Skin color, hemoglobin level, and fluid intake are important but secondary to detecting immediate transfusion-related complications.
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
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 5 of 5
The nurse is caring for the patient who is 1-day status post splenectomy. The patient complains of pain of a 3 on inspiration. What would be the most appropriate priority nursing intervention for this patient?
Correct Answer: C
Rationale: Pain management with opioids, combined with encouraging deep breathing, coughing, and ambulation, prevents post-operative complications like atelectasis and pneumonia. Nebulizers, heat/cold packs, and imaging are not indicated for mild pain.