ATI LPN
ATI LPN Med Surg Haematology Questions
Extract:
Question 1 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.
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
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 4 of 5
A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?
Correct Answer: D
Rationale: A low platelet count (125,000/mm³) increases bleeding risk, making it the highest priority in leukemia patients. Low hematocrit, bone pain, and weight loss are concerning but less immediately life-threatening.
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.