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 should the nurse do first before starting a blood transfusion? Verify the provider’s order, consent form, and perform a two-nurse ID check of the blood and client How long should the nurse remain with the client after initiating a blood transfusion? For the first 15 minutes What is the appropriate gauge needle for a blood transfusion in an adult client? 18 to 20 gauge What solution should be used to prime the IV tubing for a blood transfusion? 0.9% normal saline A client receiving a transfusion reports itching and develops hives. What is the nurse’s first action? 2 Stop the transfusion immediately What is the maximum amount of time a unit of blood should hang during transfusion? No more than 4 hours How often should vital signs be taken during a blood transfusion? Before starting, 15 minutes after starting, every hour, and at the end What should the nurse do if the client develops chills and fever during a transfusion? Stop the transfusion and notify the provider Why is it important to check the blood product expiration date before administration? To ensure the blood is safe and viable for transfusion What lab value should be assessed before giving packed red blood cells? Hemoglobin level What must be confirmed with another nurse before administering blood? 3 Client’s name, medical record number, blood type, and unit number What should the nurse do with the blood bag and tubing after a suspected transfusion reaction? Send them to the lab for analysis What documentation is required after completing a blood transfusion? Volume infused, time started and ended, client response, and any adverse effects A client begins to complain of chest tightness and shortness of breath during a transfusion. What is the nurse’s priority? Stop the transfusion and assess the airway and breathing Can blood be administered through the same IV line as medications? No, it requires a separate line with only normal saline What is the purpose of staying with the client during the first 15 minutes of the transfusion? To monitor for signs of a transfusion reaction 4 What temperature would require the nurse to notify the provider before starting a transfusion? A temperature of 100°F (37.8°C) or higher If a client has a history of mild transfusion reactions, what may be given before transfusion? Antihistamines or antipyretics as prescribed