ATI Nursing Simulation: Skills Modules 3.0 Module: Virtual Scenario: Blood Transfusion Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

ATI Nursing Simulation: Skills Modules 3.0 Module: Virtual Scenario: Blood Transfusion Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the first nursing action before initiating a blood transfusion? Verify the provider's order and obtain informed consent from the patient. How long should a nurse stay with the patient at the start of a blood transfusion? At least 15 minutes to monitor for immediate reactions. What is the most important check when receiving a unit of blood from the blood bank? Confirming the patient's name, blood type, ID number, and expiration date of the blood. What type of tubing is required for a blood transfusion? A Y-tubing with a filter. What solution is used to prime blood transfusion tubing? 2 0.9% sodium chloride (normal saline). What is the maximum time a blood unit can hang during transfusion? 4 hours from the time it leaves the blood bank. What should the nurse do if a patient begins experiencing chills, fever, and back pain during a transfusion? Stop the transfusion immediately and notify the provider. What is the best method to identify the patient before giving blood? Two licensed personnel verify the patient’s ID band and blood bag label. What should the nurse assess before starting a transfusion? Baseline vital signs, including temperature, pulse, respirations, and blood pressure. What gauge IV catheter is preferred for blood transfusions in adults? 18 or 20 gauge catheter. 3 What must a nurse document after completing a blood transfusion? Volume transfused, time completed, patient response, and any adverse reactions. Why is normal saline the only fluid compatible with blood transfusions? Other fluids can cause red blood cell hemolysis or clotting. What is the appropriate action if a transfusion reaction is suspected? Stop the transfusion, maintain IV access with saline, notify the provider, and return blood to the lab. Why must the nurse not add medications to the same line as a blood transfusion? It can cause incompatibility and hemolysis. How often should vital signs be taken during a blood transfusion? Before starting, 15 minutes after starting, then every hour, and at completion. What is the primary purpose of a blood transfusion? To replace lost blood volume or improve oxygen-carrying capacity. 4 What is the risk if blood is transfused too rapidly? Fluid overload or heart failure, especially in older adults. What should be done if the IV site becomes red or swollen during transfusion? Stop the transfusion and assess for infiltration