ATI Hematology Questions with correct Answers
A nurse is assessing a client who is receiving one unit of packed RBCs
to treat intraoperative blood loss. The client reports chills and back pain,
and the client's blood pressure is 80/64 mm Hg. Which of the following
actions should the nurse take first?
A. Inform the provider
B. Stop the infusion of blood
C. Notify the laboratory
D. Obtain a urine specimen Correct Answer-A. Stop the infusion of
blood
The client is experiencing an acute intravascular hemolytic transfusion
reaction. The greatest risk to this client is injury from receiving
additional blood; therefore, the first action the nurse should take it to
stop the infusion of blood.
A nurse is caring for a client who is receiving a unit of packed red blood
cells. Fifteen minutes following the start of the transfusion, the nurse
notes that the client is febrile, with chills and red-tinged urine. Which of
the following transfusion reactions should the nurse suspect?
A. Febrile
B. Allergic
C. Acute pain
D. Hemolytic Correct Answer-D. Hemolytic
,A nurse is teaching a client who has septic shock about the development
of disseminated intravascular coagulation (DIC). Which of the following
statements should the nurse make?
A. "DIC is controllable with lifelong heparin usage."
B. "DIC is characterized by an elevated platelet count."
C. "DIC is caused by abnormal coagulation involving fibrinogen."
D. "DIC is a genetic disorder involving a vitamin K deficiency." Correct
Answer-C. "DIC is caused by abnormal coagulation involving
fibrinogen."
A nurse is assessing a client who has disseminated intravascular
coagulation (DIC). Which of the following findings should the nurse
expect?
A. Excessive thrombosis and bleeding
B. Progressive increase in platelet production
C. Immediate sodium and fluid retention
D. Increased clotting factors Correct Answer-A. Excessive thrombosis
and bleedingThe nurse should expect excessive thrombosis and bleeding
of mucous membranes because both DIC impairs both coagulation and
anticoagulation pathways.
A nurse is reviewing the PT, aPTT, and INR laboratory values for a
client who is experiencing an acute episode of disseminated
, intravascular coagulation (DIC). Which of the following laboratory
results should the nurse expect?
A. The laboratory values are within the expected reference range.
B. The laboratory values are prolonged.
C. The laboratory values are decreased.
D. The laboratory values are the same as the previous test values Correct
Answer-B. The laboratory values are prolonged.
A nurse is selecting a qualified staff member to double check a blood
label with a client ID bracelet prior to infusing a unit of blood. The nurse
should identify that which of the following persons is qualified?
A. Oncology nurse
B. Assistive personnel
C. Senior nursing student
D. Phlebotomist Correct Answer-A. Oncology nurse
The nurse should ask another nurse or a provider to double check the
blood label and client ID prior to an infusion.
A nurse receives a unit of packed RBCs from a blood bank and notes
that the time is 1130. The nurse should begin the infusion at which of the
following times?
A nurse is assessing a client who is receiving one unit of packed RBCs
to treat intraoperative blood loss. The client reports chills and back pain,
and the client's blood pressure is 80/64 mm Hg. Which of the following
actions should the nurse take first?
A. Inform the provider
B. Stop the infusion of blood
C. Notify the laboratory
D. Obtain a urine specimen Correct Answer-A. Stop the infusion of
blood
The client is experiencing an acute intravascular hemolytic transfusion
reaction. The greatest risk to this client is injury from receiving
additional blood; therefore, the first action the nurse should take it to
stop the infusion of blood.
A nurse is caring for a client who is receiving a unit of packed red blood
cells. Fifteen minutes following the start of the transfusion, the nurse
notes that the client is febrile, with chills and red-tinged urine. Which of
the following transfusion reactions should the nurse suspect?
A. Febrile
B. Allergic
C. Acute pain
D. Hemolytic Correct Answer-D. Hemolytic
,A nurse is teaching a client who has septic shock about the development
of disseminated intravascular coagulation (DIC). Which of the following
statements should the nurse make?
A. "DIC is controllable with lifelong heparin usage."
B. "DIC is characterized by an elevated platelet count."
C. "DIC is caused by abnormal coagulation involving fibrinogen."
D. "DIC is a genetic disorder involving a vitamin K deficiency." Correct
Answer-C. "DIC is caused by abnormal coagulation involving
fibrinogen."
A nurse is assessing a client who has disseminated intravascular
coagulation (DIC). Which of the following findings should the nurse
expect?
A. Excessive thrombosis and bleeding
B. Progressive increase in platelet production
C. Immediate sodium and fluid retention
D. Increased clotting factors Correct Answer-A. Excessive thrombosis
and bleedingThe nurse should expect excessive thrombosis and bleeding
of mucous membranes because both DIC impairs both coagulation and
anticoagulation pathways.
A nurse is reviewing the PT, aPTT, and INR laboratory values for a
client who is experiencing an acute episode of disseminated
, intravascular coagulation (DIC). Which of the following laboratory
results should the nurse expect?
A. The laboratory values are within the expected reference range.
B. The laboratory values are prolonged.
C. The laboratory values are decreased.
D. The laboratory values are the same as the previous test values Correct
Answer-B. The laboratory values are prolonged.
A nurse is selecting a qualified staff member to double check a blood
label with a client ID bracelet prior to infusing a unit of blood. The nurse
should identify that which of the following persons is qualified?
A. Oncology nurse
B. Assistive personnel
C. Senior nursing student
D. Phlebotomist Correct Answer-A. Oncology nurse
The nurse should ask another nurse or a provider to double check the
blood label and client ID prior to an infusion.
A nurse receives a unit of packed RBCs from a blood bank and notes
that the time is 1130. The nurse should begin the infusion at which of the
following times?
