ATI MEDICAL SURGICAL HEMATOLOGY AND INTEGUMENTARY TEST BANK EXAM QUESTIONS AND ANSWERS
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ATI MEDICAL SURGICAL
Institution
ATI MEDICAL SURGICAL
ATI MEDICAL SURGICAL HEMATOLOGY AND
INTEGUMENTARY TEST BANK EXAM QUESTIONS AND
ANSWERS
The nurse is concerned that a patient is demonstrating signs of red blood cell
production. What laboratory value did the nurse most likely use to make this decision? -
ANSWERS Bilirubin
The nurse notes t...
ATI MEDICAL SURGICAL HEMATOLOGY AND
INTEGUMENTARY TEST BAN K EXAM QUESTIONS AND
ANSWER S
The nurse is concerned that a patient is demonstrating signs of red blood cell
production. What laboratory value did the nurse most likely use to make this decision? -
ANSWERS Bilirubin
The nurse notes that a patients gaping wound is developing a blood clot. Which body
substance is responsible for this clot formation? - ANSWERS Platelets
A nurse is preparing to assist with a bone marrow biopsy. Which anatomical site should
the nurse anticipate will be used to obtain the specimen? - ANSWERS Posterior iliac
crest
The nurse is reviewing the parts of the complete blood count and differential with a
patient. Where should the nurse state that neutrophils, eosinophils, and basophils are
produced? - ANSWERS Red bone marrow
The nurse is explaining the role of red blood cells with oxygen transport in the body
with a nursing student. Which term should the nurse use to describe hemoglobin that
has given up its oxygen to the bodys cells? - ANSWERS Reduced
A patient is admitted to determine why red blood cells are being quickly destructed in
the body. What finding should the nurse associate with this patients health problem? -
ANSWERS Jaundice
A patient has an altered level of T and B cells. The nurse realizes that these cells are
members of which cell type? - ANSWERS Lymphocytes
A patient with a bleeding disorder is prescribed an infusion of plasma. What should the
nurse explain as being the purpose of this infusion? - ANSWERS contains clotting
factors
A patient with abdominal injuries from a motor vehicle crash is scheduled for surgery to
remove the spleen. What bodily function will be affected by the removal of this organ? -
ANSWERS Removal of old red blood cells from circulation
The nurse is documenting findings after completing data collection with a patient. What
term should the nurse use to document a large area of discoloration from hemorrhage
under the skin? - ANSWERS Ecchymosis
The nurse is assessing a patient with chronic lung disease. Which finding indicates
long-term hypoxia? - ANSWERS Clubbed fingertips
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The nurse is caring for a patient having a bone marrow biopsy. What nursing action is
the most important following the biopsy? - ANSWERS Observe for bleeding.
A patient has a bone marrow aspiration from the posterior iliac crest. Before the
procedure, the patients vital signs were: blood pressure 132/82 mm Hg and pulse 88
beats/min. One hour after the procedure, the blood pressure is 108/70 mm Hg and
pulse is 9 6 beats/min. Which assessment is the least important for the patient at this
time? - ANSWERS Check the patients most recent complete blood count report.
A patient who is taking warfarin (Coumadin) 5 mg daily has an international normalized
ratio (INR) of 2.5. It is time to administer the next dose of Coumadin. What should the
nurse do? - ANSWERS Administer the daily Coumadin as ordered.
The nurse is staying with a patient who has been started on a blood transfusion. Which
assessment should the nurse perform during a blood product infusion to detect a
reaction? - ANSWERS Vital signs
The nurse is monitoring a patient receiving a blood product and is concerned that the
blood is going to deteriorate before it is complete infused. What is the maximum time
that blood can hang during infusion before it begins to deteriorate? - ANSWERS 4 ho urs
A patient receiving blood begins complaining of severe chest pain and a feeling of
warmth. What should the nurse do first? - ANSWERS Discontinue the blood transfusion.
A patient is prescribed to receive 2 units of packed red blood cells. What approach
should the nurse use to ensure that the correct blood will be provided to this patient? -
ANSWERS Follow the organizations verification process.
A patient is being prepared to receive a prescribed blood transfusion. What is the best
way that the LPN can assist the health team to prevent a transfusion reaction? -
ANSWERS Assist the registered nurse (RN) to identify correctly the patient and the
blood product.
A patient receiving blood complains of dyspnea. The nurse auscultates the patients
lungs and finds crackles that were not present before the start of the transfusion. Which
type of reaction should the nurse suspect? - ANSWERS Circulatory overload
The nurse is caring for a patient who has a white blood cell (WBC) count of 8000/mm3.
What concern should the nurse have about this finding? - ANSWERS There is no
concern; this is a normal finding.
the nurse is reviewing the results of a patients arterial blood gas analysis. What should
the nurse recognize as being a normal blood pH? - ANSWERS 7.38
An older adult patient is receiving a transfusion of packed red blood cells after being
injured in a car accident. On assessment, the nurse notes a new finding of bounding
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pulse, crackles, and increasing dyspnea. What should the nurse do first, after stopping
the transfusion? - ANSWERS Raise the head of the bed.
A patient who underwent lymphangiography the day before asks the licensed practical
nurse (LPN), Why does my urine look blue? What should the LPN respond to this
patients concern? - ANSWERS the dye used in the procedure may cause bluish skin
and urine for 2 days.
. A patient is prescribed a transfusion of washed packed red blood cells. What should
the nurse realize as being the rationale for the using this type of blood? - ANSWERS
Reduces the risk of a febrile reaction
A patient reports severe abdominal cramping and diarrhea. Assessment reveals a
temperature of 102F (38.8C) and pulse of 82 beats/min. Results of a complete blood
count reveal lower than normal segmented and banded neutrophils and higher than
normal lympho cytes. Which type of infection does the nurse suspect this patient is most
likely experiencing? - ANSWERS Viral
The nurse is reviewing the activated partial thromboplastin time for a patient receiving
heparin. Which value indicates that the medication is within the therapeutic range? -
ANSWERS 1.5 to 2.0 times normal
The nurse is assisting with the preparation of a blood transfusion for a patient. Which
type of fluid should the nurse select to transfuse with the blood? - ANSWERS 0.9%
normal saline
A female patients hematocrit level is 50% and oxygen saturation is 98% on room air.
What should the nurse suspect as being the cause for this patients hematocrit level? -
ANSWERS Dehydration
A patient has a platelet count of 75,000 /mm3. What action should the nurse take to
support this patient?. - ANSWERS Restrict blood draws.
The nurse is assisting with the collection of data from a patient with a hematologic
disorder. On which body system should the nurse expect to focus when collecting this
data? - ANSWERS All body systems
The nurse is evaluating laboratory values for a group of patients. Which values should
the nurse identify as being within normal limits? (Select all that apply.) - ANSWERS -An
adult female with Hct = 40%
-An adult female with RBC = 5 million/mm3
The nurse is reviewing the contents of blood plasma prior to participating in a seminar
for nursing students. What should the nurse include as proteins in the plasma? (Select
all that apply.) - ANSWERS -Albumin
-Globulin
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-Fibrinogen
A patient with a bleeding disorder is considering surgery to have the spleen removed.
What should the nurse explain as being functions of the spleen in a healthy adult?
(Select all that apply.) - ANSWERS -Storage of platelets
-Formation of bilirubin
-Production of lymphocytes and monocytes
-Phagocytosis of worn blood cells and platelets
A patient with type O+ blood is to receive 4 units of packed red blood cells. Which type
of blood should the nurse expect to see prepared for this patient? (Select all that apply.)
- ANSWERS -Type O+
-Type O -
While receiving a unit of packed red blood cells, the patient begins to experience hives
around the neck and upper chest. What actions should the nurse perform because of
this reaction? (Select all that apply.) - ANSWERS -Stop the transfusion.
-Notify the health care provider (HCP).
-Administer prescribed antihistamines.
- Restart the infusion and carefully monitor.
A patient receiving a unit of packed red blood cells as treatment for anemia begins to
vomit and experience extreme gastrointestinal cramping. What should the nurse do?
(Select all that apply.) - ANSWERS -Stop the transfusion.
-Prepare to provide cardiopulmonary resuscitation (CPR) if necessary
- Stay with the patient and call for help.
The nurse is caring for a patient with anemia. Which blood component is deficient in
this patient? - ANSWERS Red blood cells (RBCs)
A patient is diagnosed with anemia and asks the nurse what nutrients are important for
RBC formation. The nurse bases an answer on the understanding that which nutrients
are essential for production of healthy red cells? - ANSWERS Iron, folic acid, and
vitamin B12
. A patient with iron -deficiency anemia has been taking oral iron supplements. Which
test should the nurse review to determine the effectiveness of this intervention? -
ANSWERS WBC and platelet counts
The nurse is assisting in the development of a care plan for a patient with anemia.
Which nursing diagnosis is most common in a patient with anemia? - ANSWERS
Activity Intolerance related to tissue hypoxia
The nurse is providing dietary teaching to an individual with iron -deficiency anemia.
Which patient statement indicates that teaching has been effective? - ANSWERS Im
going to drink orange juice for breakfast and increase red meats in my diet. Powered by TCPDF (www.tcpdf.org)
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