ATI MEDICAL SURGICAL HEMATOLOGY AND INTEGUMENTARY TEST BANK EXAM QUESTIONS AND ANSWERS

ATI MEDICAL SURGICAL HEMATOLOGY AND INTEGUMENTARY TEST BANK EXAM QUESTIONS AND ANSWERS The nurse is concerned that a patient is demonstrating signs of red blood cell production. What laboratory value did the nurse most likely use to make this decision? - ANSWERS Bilirubin The nurse notes that a patients gaping wound is developing a blood clot. Which body substance is responsible for this clot formation? - ANSWERS Platelets A nurse is preparing to assist with a bone marrow biopsy. Which anatomical site should the nurse anticipate will be used to obtain the specimen? - ANSWERS Posterior iliac crest The nurse is reviewing the parts of the complete blood count and differential with a patient. Where should the nurse state that neutrophils, eosinophils, and basophils are produced? - ANSWERS Red bone marrow The nurse is explaining the role of red blood cells with oxygen transport in the body with a nursing student. Which term should the nurse use to describe hemoglobin that has given up its oxygen to the bodys cells? - ANSWERS Reduced A patient is admitted to determine why red blood cells are being quickly destructed in the body. What finding should the nurse associate with this patients health problem? - ANSWERS Jaundice A patient has an altered level of T and B cells. The nurse realizes that these cells are members of which cell type? - ANSWERS Lymphocytes A patient with a bleeding disorder is prescribed an infusion of plasma. What should the nurse explain as being the purpose of this infusion? - ANSWERS contains clotting factors A patient with abdominal injuries from a motor vehicle crash is scheduled for surgery to remove the spleen. What bodily function will be affected by the removal of this organ? - ANSWERS Removal of old red blood cells from circulation The nurse is documenting findings after completing data collection with a patient. What term should the nurse use to document a large area of discoloration from hemorrhage under the skin? - ANSWERS Ecchymosis The nurse is assessing a patient with chronic lung disease. Which finding indicates long-term hypoxia? - ANSWERS Clubbed fingertips The nurse is caring for a patient having a bone marrow biopsy. What nursing action is the most important following the biopsy? - ANSWERS Observe for bleeding. A patient has a bone marrow aspiration from the posterior iliac crest. Before the procedure, the patients vital signs were: blood pressure 132/82 mm Hg and pulse 88 beats/min. One hour after the procedure, the blood pressure is 108/70 mm Hg and pulse is 96 beats/min. Which assessment is the least important for the patient at this time? - ANSWERS Check the patients most recent complete blood count report. A patient who is taking warfarin (Coumadin) 5 mg daily has an international normalized ratio (INR) of 2.5. It is time to administer the next dose of Coumadin. What should the nurse do? - ANSWERS Administer the daily Coumadin as ordered. The nurse is staying with a patient who has been started on a blood transfusion. Which assessment should the nurse perform during a blood product infusion to detect a reaction? - ANSWERS Vital signs The nurse is monitoring a patient receiving a blood product and is concerned that the blood is going to deteriorate before it is complete infused. What is the maximum time that blood can hang during infusion before it begins to deteriorate? - ANSWERS 4 hours A patient receiving blood begins complaining of severe chest pain and a feeling of warmth. What should the nurse do first? - ANSWERS Discontinue the blood transfusion. A patient is prescribed to receive 2 units of packed red blood cells. What approach should the nurse use to ensure that the correct blood will be provided to this patient? - ANSWERS Follow the organizations verification process. A patient is being prepared to receive a prescribed blood transfusion. What is the best way that the LPN can assist the health team to prevent a transfusion reaction? - ANSWERS Assist the registered nurse (RN) to identify correctly the patient and the blood product. A patient receiving blood complains of dyspnea. The nurse auscultates the patients lungs and finds crackles that were not present before the start of the transfusion. Which type of reaction should the nurse suspect? - ANSWERS Circulatory overload The nurse is caring for a patient who has a white blood cell (WBC) count of 8000/mm3. What concern should the nurse have about this finding? - ANSWERS There is no concern; this is a normal finding. the nurse is reviewing the results of a patients arterial blood gas analysis. What should the nurse recognize as being a normal blood pH? - ANSWERS 7.38 An older adult patient is receiving a transfusion of packed red blood cells after being injured in a car accident. On assessment, the nurse notes a new finding of bounding pulse, crackles, and increasing dyspnea. What should the nurse do first, after stopping the transfusion? - ANSWERS Raise the head of the bed. A patient who underwent lymphangiography the day before asks the licensed practical nurse (LPN), Why does my urine look blue? What should the LPN respond to this patients concern? - ANSWERS the dye used in the procedure may cause bluish skin and urine for 2 days. . A patient is prescribed a transfusion of washed packed red blood cells. What should the nurse realize as being the rationale for the using this type of blood? - ANSWERS Reduces the risk of a febrile reaction A patient reports severe abdominal cramping and diarrhea. Assessment reveals a temperature of 102F (38.8C) and pulse of 82 beats/min. Results of a complete blood count reveal lower than normal segmented and banded neutrophils and higher than normal lymphocytes. Which type of infection does the nurse suspect this patient is most likely experiencing? - ANSWERS Viral The nurse is reviewing the activated partial thromboplastin time for a patient receiving heparin. Which value indicates that the medication is within the therapeutic range? - ANSWERS 1.5 to 2.0 times normal