NUR 301 Exam #1 – Study Questions and Review Guide
A patient is admitted to the emergency department suffering a severe MVC. The patient has lost
25% of their blood volume at the scene. You anticipate that the healthcare provider is to order a
number of blood products. Which of the following blood products require ABO compatibility?
A) Packed Red Blood Cells (PRBC's)
B) Platelets
C) Fresh Frozen Plasma (FFP)
D) Albumin
E) Lactated Ringers (LR) - correct answer ✔✔ A and C
Page 6 and 7 of Blood Component Transfusion PowerPoint
A patient is wheeled into the emergency room as a Trauma Alert Red after suffering multiple
gunshot wounds to the abdomen. The patient is alert to person time but not place. The
patient's admitting vital signs are as follows: 80/40, HR: 130, RR: 28 and shallow, Temp: 99.5.
The patient has a history of cirrhosis, COPD, and osteoarthritis of the left knee. Other labs
received include: WBC: 15,000, platelets: 70,000, AST: 243, ALT: 345, INR: 5.0 and an Albumin of
3.6
The HCP orders bolus NS. The nurse expects which of the following blood products to be
ordered? (Select all that Apply)
A) Packed Red Blood Cells (PRBC's)
B) Platelets
C) Fresh Frozen Plasma (FFP)
, D) Albumin
E) D51/2NS - correct answer ✔✔ A and C
The patient has obviously lost a significant amount of blood (aeb decreased BP and
tachycardia). The health care provider would order PRBC's to replace the blood lost, and Fresh
frozen plasma. The patient's history of cirrhosis warrants a transfusion fresh frozen plasma . This
is because the liver produces prothrombin and clotting factors meaning the patient would be at
risk for bleeding out (INR: 5.0). The patient's platelet level is not low enough to warrant a
transfusion.
Page 7 of Blood Component Transfusion Powerpoint (Indications: Bleeding caused by
deficienccy in clotting factors (i.e. cirrhosis))
You are beginning a transfusion of Packed Red Blood Cells. You inform the patient that you're
staying with them for the first 15 minutes to monitor them. Vital signs before the transfusion
are as follows: 118/75, 75 HR, 18 RR, and 98.5 temperature. As you begin to chart in the room
(approximately 5 minutes later), the patient begins to say they "don't feel right," and reports
chills. The patient then vomits, and reports a headache. The patient is still alert and oriented
(Although extremely anxious) with a flushed face, and denies flank pain but reports generalized
muscle pain. The patient has the following vital signs: 135/90, 100, 24 RR, and 101.5
temperature. The next best Nursing action entails:
A) Stop the infusion, and begin a new IV to bolus IV colloids, the patient is experiencing an
Acute Hemolytic Reaction as a result of being transfused the wrong blood.
B) Stop the infusion, and administer Tylenol. The - correct answer ✔✔ B
The signs and symptoms are those of a Febrile Non-hemolytic Reaction. Key symptoms are the
muscle pain. the sudden fever and vomiting.
A patient is admitted to the emergency department suffering a severe MVC. The patient has lost
25% of their blood volume at the scene. You anticipate that the healthcare provider is to order a
number of blood products. Which of the following blood products require ABO compatibility?
A) Packed Red Blood Cells (PRBC's)
B) Platelets
C) Fresh Frozen Plasma (FFP)
D) Albumin
E) Lactated Ringers (LR) - correct answer ✔✔ A and C
Page 6 and 7 of Blood Component Transfusion PowerPoint
A patient is wheeled into the emergency room as a Trauma Alert Red after suffering multiple
gunshot wounds to the abdomen. The patient is alert to person time but not place. The
patient's admitting vital signs are as follows: 80/40, HR: 130, RR: 28 and shallow, Temp: 99.5.
The patient has a history of cirrhosis, COPD, and osteoarthritis of the left knee. Other labs
received include: WBC: 15,000, platelets: 70,000, AST: 243, ALT: 345, INR: 5.0 and an Albumin of
3.6
The HCP orders bolus NS. The nurse expects which of the following blood products to be
ordered? (Select all that Apply)
A) Packed Red Blood Cells (PRBC's)
B) Platelets
C) Fresh Frozen Plasma (FFP)
, D) Albumin
E) D51/2NS - correct answer ✔✔ A and C
The patient has obviously lost a significant amount of blood (aeb decreased BP and
tachycardia). The health care provider would order PRBC's to replace the blood lost, and Fresh
frozen plasma. The patient's history of cirrhosis warrants a transfusion fresh frozen plasma . This
is because the liver produces prothrombin and clotting factors meaning the patient would be at
risk for bleeding out (INR: 5.0). The patient's platelet level is not low enough to warrant a
transfusion.
Page 7 of Blood Component Transfusion Powerpoint (Indications: Bleeding caused by
deficienccy in clotting factors (i.e. cirrhosis))
You are beginning a transfusion of Packed Red Blood Cells. You inform the patient that you're
staying with them for the first 15 minutes to monitor them. Vital signs before the transfusion
are as follows: 118/75, 75 HR, 18 RR, and 98.5 temperature. As you begin to chart in the room
(approximately 5 minutes later), the patient begins to say they "don't feel right," and reports
chills. The patient then vomits, and reports a headache. The patient is still alert and oriented
(Although extremely anxious) with a flushed face, and denies flank pain but reports generalized
muscle pain. The patient has the following vital signs: 135/90, 100, 24 RR, and 101.5
temperature. The next best Nursing action entails:
A) Stop the infusion, and begin a new IV to bolus IV colloids, the patient is experiencing an
Acute Hemolytic Reaction as a result of being transfused the wrong blood.
B) Stop the infusion, and administer Tylenol. The - correct answer ✔✔ B
The signs and symptoms are those of a Febrile Non-hemolytic Reaction. Key symptoms are the
muscle pain. the sudden fever and vomiting.
