ATI RN PHARMACOLOGY PROCTORED TEST BANK ACTUAL EXAM WITH 250 QUESTIONS AND ANSWERS WITH RATIONALES (ALREADY GRADED A+) BRANDNEW!!!
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Course
ATI RN PHARMACOLOGY
Institution
ATI RN PHARMACOLOGY
ATI RN PHARMACOLOGY PROCTORED TEST BANK
ACTUAL EXAM WITH 250 QUESTIONS AND
ANSWERS WITH RATIONALES (ALREADY GRADED
A+) BRANDNEW!!!
A nurse is preparing to administer a transfusion of 300 mL of pooled
platelets for a client who has severe thrombocytopenia. The
nurse should plan to adminis...
A nurse is preparing to administer a transfusion of 300 mL of pooled
platelets for a client who has severe thrombocytopenia. The
nurse should plan to administer the transfusion over which of the following
time frames?
A.Within 30 min/unit
B.Within 60 min/unit
C.Within 2 hr/unit
D.Within 4 hr/unit - ANSWER-A. Platelets are fragile and should be
administered
quickly to reduce the risk of clumping. The nurse should
administer the platelets within 15 to 30 min/unit
A nurse is transfusing a unit of packed red blood cells (PRBCs) for a client
who has anemia due to
chemotherapy. The client reports a sudden headache and chills. The
client's temperature is 2° F higher
,2|Page
than her baseline. In addition to notifying the provider, which of
the following actions should the nurse take? (Select all that apply.)
A.Stop the transfusion.
B.Place the client in an upright position with feet down.
C.Remove the blood bag and tubing from the IV catheter.
D.Obtain a urine specimen.
E.Infuse dextrose 5% in
water through the IV - ANSWER-A. The nurse should stop the transfusion
for a rise in temperature of 2° F and reports of chills and fever. The client
can
be having a hemolytic reaction to the blood or a febrile reaction
C. The nurse should avoid infusing more
PRBCs into the client's vein, and should remove the
blood bag and tubing from the client's IV catheter.
D. Obtaining a urine specimen to check for hemolysis is
standard procedure when the client has a reaction to a blood transfusio
A nurse is preparing to transfuse a unit of packed red blood cells (PRBCs)
for a client who has severe
,3|Page
anemia. Which of the following interventions will prevent an acute hemolytic
reaction?
A.Ensure that the client has
a patent IV line before
obtaining blood product
from the refrigerator.
B.Obtain help fr
om another nurse to confirm the correct
client and blood product.
C.Take a complete set of vital signs before beginning transfusion and
periodically during the transfusion.
D.Stay with the client for the first 15 to 30 min of the transfusion -
ANSWER-B. Identifying and matching the correct blood product with the
correct client will prevent an acute hemolytic reaction from occurring
because this reaction is caused by ABO or Rh incompatibility
A nurse is caring for a hospitalized client who has an activated partial
thromboplastin time (aPTT) greater than 1.5 times the expected reference
range. Which of the following blood products should
the nurse prepare to transfuse?
A.Whole blood
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B.Platelets
C.Fresh frozen plasma
D.Packed red blood cells - ANSWER-C. Fresh frozen plasma is indicated
for a
client who has an elevated aPTT because it replaces
coagulation factors and can help prevent bleeding.
A nurse is assessing a client during transfusion of a unit of whole blood.
The client develops a cough, shortness of breath, elevated blood pressure,
and distended neck veins. The nurse should
anticipate a prescription for which of the following medications?
A.Epinephrine
B.Lorazepam
C.Furosemide
D.Diphenhydramine - ANSWER-C. Furosemide, a loop diuretic, may be
prescribed
to relieve manifestations of circulatory overload
A nurse is providing instructions to a client who has a prescription for
amoxicillin and clarithromycin to
treat a peptic ulcer. Which of the following information should the
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