ATI PN ACTUAL EXAM PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
● decrease RBC . Answer: anemia
● WBC . Answer: 5,000-10,000
● elevated WBC . Answer: infection
● decreased WBC . Answer: immunosuppression
● Iron . Answer: females 60-160 mcg
males 80-180
● elevated iron . Answer: hemochromatosis, iron excess
liver disorder, magaloblastic anemia
● decreased iron . Answer: anemia or hemorrhage
● platelets . Answer: 150,000-4000,000
,● increased platelets . Answer: malignancy or polycythemia vera
● decreased platelets . Answer: autoimmune disease
bone marrow suppression or enlarged spleen
● Hbg . Answer: females 12-16
males 14-18
● decrease Hgb and Hct . Answer: anemia
● Hct . Answer: females 37%-47%
males 42-52%
● anemia in children
S & SX: . Answer: pallor, brittle spoon shaped nails
irritability, muscle weakness
systolic heart murmur, enlarged heart, HF
● iron supplements . Answer: give 1 hr before or 2 hr after antacid to
prevent malabsorpt
N/D and constipation common at start of therapy
,use straw for liquid iron to prevent staining of teeth
● aPTT . Answer: 1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy
● increased aPTT . Answer: hemophilia
disseminated intravascular coagulation DIC
liver disease
● PT . Answer: 11-12.5 seconds, 85-100%
● increased PT time . Answer: evidence of deficiency or clotting
● decreaed PT time . Answer: evidence of vit K excess= bleed out
● acute hemolytic blood transfusion reactions . Answer: **low back
pain, TACHYcardia, HYPOtension
● febrile reactions . Answer: 30 min-6 hr after transfusion
-chills, fever, flushing, headache
use WBC filter, administer antipyretics
, ● mild allergic reactions . Answer: during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl
● anaphylactic shock . Answer: wheezing, dyspnea, cyanosis,
hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids
and vasopressor
● fluid overload . Answer: HYPERtension,
jugular vein distention, peripheral edema
orthopnea, crackles at base of lungs
sudden anxiety
● sepsis and septic shock . Answer: -fever, N/V, abdominal pain, chills
HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)
● if disseminated intravascular coagulation (DIC) . Answer: admin
heparin in early stage
-blood products and clotting factors in late stage
● PICA . Answer: eating things like soil, chalk, for at least 1 month
WITH ANSWERS GRADED A+
● decrease RBC . Answer: anemia
● WBC . Answer: 5,000-10,000
● elevated WBC . Answer: infection
● decreased WBC . Answer: immunosuppression
● Iron . Answer: females 60-160 mcg
males 80-180
● elevated iron . Answer: hemochromatosis, iron excess
liver disorder, magaloblastic anemia
● decreased iron . Answer: anemia or hemorrhage
● platelets . Answer: 150,000-4000,000
,● increased platelets . Answer: malignancy or polycythemia vera
● decreased platelets . Answer: autoimmune disease
bone marrow suppression or enlarged spleen
● Hbg . Answer: females 12-16
males 14-18
● decrease Hgb and Hct . Answer: anemia
● Hct . Answer: females 37%-47%
males 42-52%
● anemia in children
S & SX: . Answer: pallor, brittle spoon shaped nails
irritability, muscle weakness
systolic heart murmur, enlarged heart, HF
● iron supplements . Answer: give 1 hr before or 2 hr after antacid to
prevent malabsorpt
N/D and constipation common at start of therapy
,use straw for liquid iron to prevent staining of teeth
● aPTT . Answer: 1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy
● increased aPTT . Answer: hemophilia
disseminated intravascular coagulation DIC
liver disease
● PT . Answer: 11-12.5 seconds, 85-100%
● increased PT time . Answer: evidence of deficiency or clotting
● decreaed PT time . Answer: evidence of vit K excess= bleed out
● acute hemolytic blood transfusion reactions . Answer: **low back
pain, TACHYcardia, HYPOtension
● febrile reactions . Answer: 30 min-6 hr after transfusion
-chills, fever, flushing, headache
use WBC filter, administer antipyretics
, ● mild allergic reactions . Answer: during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl
● anaphylactic shock . Answer: wheezing, dyspnea, cyanosis,
hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids
and vasopressor
● fluid overload . Answer: HYPERtension,
jugular vein distention, peripheral edema
orthopnea, crackles at base of lungs
sudden anxiety
● sepsis and septic shock . Answer: -fever, N/V, abdominal pain, chills
HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)
● if disseminated intravascular coagulation (DIC) . Answer: admin
heparin in early stage
-blood products and clotting factors in late stage
● PICA . Answer: eating things like soil, chalk, for at least 1 month
