NUR 436 - WEEK 9 BURNS AND
PEDS ICU 2025 QUESTIONS
While checking a blood product prior to administration, the nurse notices that the birth date on
the blood bag and requisition do not match the birth date on the patient's identification bracelet.
Which is the correct action for the nurse to take? - CORRECT ANSWER>>>>Return the blood
to the blood bank.
The nurse is preparing to administer a unit of blood to a patient in the emergency department and
discovers that he is not wearing an identification bracelet. What should the nurse do? -
CORRECT ANSWER>>>>Return the unit to the blood bank.
An adult patient is prescribed to receive a unit of packed red blood cells. Which size intravenous
catheter does the patient need to safely receive this blood? - CORRECT ANSWER>>>>18-
gauge
While checking a blood product prior to administration, the nurse is called away to assist with
another procedure. What should the nurse do with the blood product? - CORRECT
ANSWER>>>>Return it to the blood bank until it can be administered.
While checking a blood bag prior to infusion, the nurse notes that the patient's blood type is A+
and the donor's blood type is O+. Which action would the nurse take? - CORRECT
ANSWER>>>>Administer the blood.
A patient prescribed to receive two units of packed red blood cells is to receive a dose of
intravenous medication between the two units. How would the nurse administer the medication?
- CORRECT ANSWER>>>>Through another IV line
The nurse is preparing equipment to administer a unit of blood to a patient. Which type of fluid
would the nurse piggyback with the blood transfusion? - CORRECT ANSWER>>>>0.9%
normal saline
A patient is to receive one unit of packed red blood cells over 2 hours. Which rate is the usual
flow rate for the first 15 minutes of a blood transfusion? - CORRECT ANSWER>>>>2 mL/min
A patient is to receive 3 units of packed red blood cells over 8 hours. What will the nurse do to
maintain the patency of the patient's IV access line after each of the first two units of blood has
transfused? - CORRECT ANSWER>>>>Infuse 0.9% normal saline at the KVO rate.
A patient received two 300-mL units of packed red blood cells, and the line was flushed with 25
mL of solution between the units. What is the total amount of fluid the nurse will document
having provided to the patient? - CORRECT ANSWER>>>>625 mL
A patient receiving a unit of blood complains of feeling cold and begins to have shaking chills.
What is the nurse's first action? - CORRECT ANSWER>>>>Stop the transfusion.
, A patient has a blood transfusion reaction, and the transfusion is stopped. What should the nurse
do with the remaining blood and transfusion administration set? - CORRECT
ANSWER>>>>Return both to the blood bank.
A patient receiving a unit of blood begins to show signs of a transfusion reaction. How
frequently should the nurse monitor the patient's vital signs after stopping the transfusion? -
CORRECT ANSWER>>>>Every 15 minutes
A patient experiencing a blood transfusion reaction is prescribed to receive epinephrine. What is
the purpose of this medication when given for this indication? - CORRECT ANSWER>>>>To
relieve respiratory distress
It is determined that a patient who received a blood transfusion received an infection from the
blood. Whom should the nurse notify of this infection? - CORRECT ANSWER>>>>Blood bank
and infection control department
What do the most life-threatening transfusion reactions result from? - CORRECT
ANSWER>>>>Incorrect identification of patients
When do adverse reactions from blood transfusions usually occur? - CORRECT
ANSWER>>>>Within the first 15 minutes of the transfusion
The nurse is transfusing a large amount of blood to a trauma patient. The nurse knows to observe
the patient for: - CORRECT ANSWER>>>>Hypotension and cardiac dysrhythmias
Which transfusion reaction results from administering ABO incompatible blood? - CORRECT
ANSWER>>>>Hemolytic reaction
A febrile transfusion reaction typically occurs when the patient's antibodies react to transfused: -
CORRECT ANSWER>>>>WBCs
The nurse is preparing to administer a unit of packed red blood cells to a patient with a history of
anemia. Which is the best question the nurse should ask the patient before explaining the
procedure? - CORRECT ANSWER>>>>"Have you ever had a blood transfusion before?"
Identify the transfusion reactions that result in immediate cessation of the transfusion. (Select all
that apply.)
Hemolytic reaction
Allergic reaction
GVHD
Non-hemolytic reaction
Circulatory overload
Hyperkalemia
Hypocalcemia
PEDS ICU 2025 QUESTIONS
While checking a blood product prior to administration, the nurse notices that the birth date on
the blood bag and requisition do not match the birth date on the patient's identification bracelet.
Which is the correct action for the nurse to take? - CORRECT ANSWER>>>>Return the blood
to the blood bank.
The nurse is preparing to administer a unit of blood to a patient in the emergency department and
discovers that he is not wearing an identification bracelet. What should the nurse do? -
CORRECT ANSWER>>>>Return the unit to the blood bank.
An adult patient is prescribed to receive a unit of packed red blood cells. Which size intravenous
catheter does the patient need to safely receive this blood? - CORRECT ANSWER>>>>18-
gauge
While checking a blood product prior to administration, the nurse is called away to assist with
another procedure. What should the nurse do with the blood product? - CORRECT
ANSWER>>>>Return it to the blood bank until it can be administered.
While checking a blood bag prior to infusion, the nurse notes that the patient's blood type is A+
and the donor's blood type is O+. Which action would the nurse take? - CORRECT
ANSWER>>>>Administer the blood.
A patient prescribed to receive two units of packed red blood cells is to receive a dose of
intravenous medication between the two units. How would the nurse administer the medication?
- CORRECT ANSWER>>>>Through another IV line
The nurse is preparing equipment to administer a unit of blood to a patient. Which type of fluid
would the nurse piggyback with the blood transfusion? - CORRECT ANSWER>>>>0.9%
normal saline
A patient is to receive one unit of packed red blood cells over 2 hours. Which rate is the usual
flow rate for the first 15 minutes of a blood transfusion? - CORRECT ANSWER>>>>2 mL/min
A patient is to receive 3 units of packed red blood cells over 8 hours. What will the nurse do to
maintain the patency of the patient's IV access line after each of the first two units of blood has
transfused? - CORRECT ANSWER>>>>Infuse 0.9% normal saline at the KVO rate.
A patient received two 300-mL units of packed red blood cells, and the line was flushed with 25
mL of solution between the units. What is the total amount of fluid the nurse will document
having provided to the patient? - CORRECT ANSWER>>>>625 mL
A patient receiving a unit of blood complains of feeling cold and begins to have shaking chills.
What is the nurse's first action? - CORRECT ANSWER>>>>Stop the transfusion.
, A patient has a blood transfusion reaction, and the transfusion is stopped. What should the nurse
do with the remaining blood and transfusion administration set? - CORRECT
ANSWER>>>>Return both to the blood bank.
A patient receiving a unit of blood begins to show signs of a transfusion reaction. How
frequently should the nurse monitor the patient's vital signs after stopping the transfusion? -
CORRECT ANSWER>>>>Every 15 minutes
A patient experiencing a blood transfusion reaction is prescribed to receive epinephrine. What is
the purpose of this medication when given for this indication? - CORRECT ANSWER>>>>To
relieve respiratory distress
It is determined that a patient who received a blood transfusion received an infection from the
blood. Whom should the nurse notify of this infection? - CORRECT ANSWER>>>>Blood bank
and infection control department
What do the most life-threatening transfusion reactions result from? - CORRECT
ANSWER>>>>Incorrect identification of patients
When do adverse reactions from blood transfusions usually occur? - CORRECT
ANSWER>>>>Within the first 15 minutes of the transfusion
The nurse is transfusing a large amount of blood to a trauma patient. The nurse knows to observe
the patient for: - CORRECT ANSWER>>>>Hypotension and cardiac dysrhythmias
Which transfusion reaction results from administering ABO incompatible blood? - CORRECT
ANSWER>>>>Hemolytic reaction
A febrile transfusion reaction typically occurs when the patient's antibodies react to transfused: -
CORRECT ANSWER>>>>WBCs
The nurse is preparing to administer a unit of packed red blood cells to a patient with a history of
anemia. Which is the best question the nurse should ask the patient before explaining the
procedure? - CORRECT ANSWER>>>>"Have you ever had a blood transfusion before?"
Identify the transfusion reactions that result in immediate cessation of the transfusion. (Select all
that apply.)
Hemolytic reaction
Allergic reaction
GVHD
Non-hemolytic reaction
Circulatory overload
Hyperkalemia
Hypocalcemia
