ATI Virtual Scenario Blood Transfusion Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

ATI Virtual Scenario Blood Transfusion Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the first action a nurse should take when receiving a unit of blood from the blood bank? Verify the client’s name, identification number, and blood type with another licensed nurse. Before initiating a blood transfusion, what must the nurse ensure is in place to prevent reaction or error? A signed informed consent form and a current type and crossmatch. What size IV catheter is generally recommended for administering packed red blood cells? An 18- or 20-gauge catheter. How long should the nurse remain with the client after starting the blood transfusion? For the first 15 minutes. What is the maximum time allowed for a blood transfusion to be completed after removal from the blood bank? 2 4 hours. What should the nurse do if the client develops chills, fever, and back pain during a transfusion? Stop the transfusion immediately and notify the provider. What solution is used to prime the IV tubing for a blood transfusion? 0.9% sodium chloride (normal saline). What is the appropriate nursing action if a client receiving blood suddenly reports itching and hives? Stop the transfusion and notify the provider—suspect a mild allergic reaction. What component of the blood transfusion set helps prevent clots or debris from entering the client’s circulation? The in-line filter. How often should the nurse check vital signs during a blood transfusion? 3 Before the transfusion, 15 minutes after it begins, every 30–60 minutes, and after completion. What is the nurse’s priority if a client develops a fever and dark urine during a transfusion? Stop the transfusion and send the remaining blood and tubing to the lab. Why is a double-check of blood products required before administration? To prevent mismatched blood, which can cause fatal transfusion reactions. If a blood transfusion must be delayed, how should the blood be stored? Return it to the blood bank; never store in a unit refrigerator. What must be verified by two licensed nurses before administering blood? Client identity, blood type, Rh factor, expiration date, and unit number. What is a common sign of a hemolytic transfusion reaction? Sudden onset of lower back pain. 4 What is the purpose of checking the expiration date on the blood bag? To ensure the blood is still safe and viable for transfusion. What should the nurse do after completing a blood