ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 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 2 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.
Question 3 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 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 assessing a patient in a family practice clinic. The patient had extensive testing to rule out Hodgkin disease. Which of the following characteristics would indicate Hodgkin disease?
Correct Answer: A
Rationale: Reed-Sternberg cells are the hallmark of Hodgkin disease, confirming its diagnosis. Cyanosis, thirst/hunger, and the Philadelphia chromosome (linked to CML) are unrelated.