ATI RN Adult Medical Surgical GI Bleed
Nurse Esther listens to liebermans abdomen. Which of the following sounds is an expected finding for
Lieberman? - Answer--C
She's feeling lightheaded and dizzy. Her skin is pale. Priority action? - Answer--Measure Ms. Leibermans
vital signs
She's feeling worse. Nurse Esther starts oxygen at 2L/min. Priority action? - Answer--lower the head of
the bed
Preparing to administer a unit of packed RBC's. What should she do prior to administering the blood? -
Answer--Ask Ms. Lieberman if she has experienced a reaction with any previous blood transfusions
Identify correct sequence of actions after nurse Esther performs hand hygiene and applies gloves. -
Answer--(1)Spike and prime the y-set tubing with the 0.9% sodium chloride solution. (2)Attach the
tubing to the IV catheter and begin to infuse the 0.9% sodium chloride solution. (3) gently rotate the bag
of packed RBC's. (4) attach the packed RBC's bag to the y- tube setting. (5) turn off the 0.9% sodium
chloride solution. (6) infuse the packed RBC's .
Patient is restless, her face is flushed, and she reports having a headache. Which of the following is an
appropriate action for nurse Esther to take? - Answer--Stop the blood transfusion.
Preparing to administer 4 mg of morphine IV bolus. Which of the following actions should she take? -
Answer--Infuse morphine at a rate of 1 mg/min.
Nurse Esther listens to liebermans abdomen. Which of the following sounds is an expected finding for
Lieberman? - Answer--C
She's feeling lightheaded and dizzy. Her skin is pale. Priority action? - Answer--Measure Ms. Leibermans
vital signs
She's feeling worse. Nurse Esther starts oxygen at 2L/min. Priority action? - Answer--lower the head of
the bed
Preparing to administer a unit of packed RBC's. What should she do prior to administering the blood? -
Answer--Ask Ms. Lieberman if she has experienced a reaction with any previous blood transfusions
Identify correct sequence of actions after nurse Esther performs hand hygiene and applies gloves. -
Answer--(1)Spike and prime the y-set tubing with the 0.9% sodium chloride solution. (2)Attach the
tubing to the IV catheter and begin to infuse the 0.9% sodium chloride solution. (3) gently rotate the bag
of packed RBC's. (4) attach the packed RBC's bag to the y- tube setting. (5) turn off the 0.9% sodium
chloride solution. (6) infuse the packed RBC's .
Patient is restless, her face is flushed, and she reports having a headache. Which of the following is an
appropriate action for nurse Esther to take? - Answer--Stop the blood transfusion.
Preparing to administer 4 mg of morphine IV bolus. Which of the following actions should she take? -
Answer--Infuse morphine at a rate of 1 mg/min.
