A nurse is collecting data from a client who has manifestations of aplastic
anemia. Which of the following findings should the nurse expect?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
C. Jaundice with an enlarged liver
D. Petechiae and ecchymosis ,,correct answer,,,,..D. Petechiae and ecchymosis
A nurse is reinforcing teaching with a client who has anemia and a new
prescription for epoetin alfa. Which of the following pieces of information
should the nurse include in the teaching?
A. Hospitalization is required when administering each treatment
B. The maximum effect of the medication will occur in 6 months
C. Hypertension is a common adverse effect of this medication
D. Blood transfusions are needed with each treatment ,,correct answer,,,,..C.
Hypertension is a common adverse effect of this medication
A nurse is collecting data from a client who is receiving a unit of whole blood.
Which of the following findings should the nurse identify as a manifestation of
a hemolytic transfusion reaction?
A. Bradycardia
B. Paresthesia
C. Hypertension
D. Low back pain ,,correct answer,,,,..D. Low back pain
A nurse is reinforcing teaching with a client who has iron-deficiency anemia.
The nurse should encourage the client to increase her consumption of which
of the following foods?
A. Lentils
B. Avocados
C. Cabbage
D. Broccoli ,,correct answer,,,,..A. Lentils
,Med-Surge Quiz- week 5 ATI Exam Questions & Answers 100% CORRECT
A nurse is monitoring a client who is receiving a unit of packed red blood cells
(RBCs) following surgery. The client reports itching and has hives 30 minutes
after the infusion begins. Which of the following actions should the nurse take
first?
A. Maintain the IV access with 0.9% sodium chloride
B. Stop the infusion of blood
C. Send the blood container and tubing to the blood bank
D. Obtain a urine sample ,,correct answer,,,,..B. Stop the infusion of blood
A nurse is preparing to administer packed RBC to a client who is anemic.
Which of the following actions should the nurse take? (Select all that apply)
A. Insert a 23 gauge angiocatheter with an IV adapter
B. Check to determine the packed RBC's are less than 1 week old
C. Administer the packed RBC's over a 6-hour period
D. Seek verification from 2 RNs to compare the packed RBCs label against the
medical record
E. Prime the transfusion tubing with 0.9% sodium chloride ,,correct
answer,,,,..B, D, E
A nurse is assisting with preparing an in-service presentation about the basic
of hematology. The nurse should suggest explaining that which of the
following factors provides a stimulus for the production of RBCs?
A. Venous stasis
B. Thrombocytopenia
C. Inflammation
D. Tissue hypoxia ,,correct answer,,,,..D. Tissue hypoxia
A nurse is caring for a client who has a platelet count of 50,000. After
discontinuing the client's peripheral IV site, which of the following actions
should the nurse take?
A. Apply warm compress
B. Apply pressure to the catheter removal site for 10 minutes
C. Place the affected arm in a dependent position
D. Clean the insertion site with alcohol ,,correct answer,,,,..B. Apply pressure to
the catheter removal site for 10 minutes
A nurse is caring for a client who has acute lymphocytic leukemia and reports
a fever, chills, fatigue, and pallor over the past week. When checking the
, Med-Surge Quiz- week 5 ATI Exam Questions & Answers 100% CORRECT
client's laboratory results, which of the following values should the nurse
identify as contributing to the client's fatigue and pallor?
A. Magnesium 2.0 mEq/L
B. Hgb 6.5 g/DL
C. WBC count 9.6/33
D. Creatinine 0.8 mg/DL ,,correct answer,,,,..B. Hgb 6.5 g/DL
A nurse is reviewing the laboratory data of a client who reports
manifestations that suggest systemic lupus erythematosus (SLE). The nurse
should expect an increase in which of the following parameters for a client
who has SLE?
A. Platelet count
B. RBC count
C. Hct
D. Erythrocyte sedimentation rate (ESR) ,,correct answer,,,,..D. Erythrocyte
sedimentation rate (ESR)
A nurse is reinforcing teaching with a client who has pernicious anemia. The
nurse should encourage the client to increase his consumption of which of the
following foods?
A. Eggs
B. Squash
C. Kale
D. Tofu ,,correct answer,,,,..A. Eggs
A nurse is checking laboratory values for an adult client who has sickle cell
anemia and is in crisis. For which of the following complications should the
nurse monitor?
A. Hypokalemia
B. Lead poisoning
C. Hypercalcemia
D. Elevated bilirubin ,,correct answer,,,,..D. Elevated bilirubin
A nurse is collecting data about the hematologic system of an older adult
client. The nurse should report which of the following findings to the provider
as a possible indication of a hematologic disorder?
A. Pallor
B. Jaundice
C. Absence of hair on the legs