EXAM 2 – MEDICAL-SURGICAL NURSING ATI HEMATOLOGY QUESTIONS AND
ANSWERS
A nurse is caring for a client who has suspected anemia. Which of the following laboratory test results
should the nurse expect?
a - Iron 90 mcg/dL
b - RBC 6.5 mill/uL
c - WBC 4800 mm3
d - Hgb 10 g/dL - (answers)d - Hgb 10 g/dL
A nurse is caring for a client who is receiving warfarin for anticoagulation therapy. Which of the following
laboratory test results indicates to the nurse that the client needs an increase in the dosage?
a - aPTT 38 seconds
b - INR 1.1
c - PT 22 seconds
d - D-dimer negative - (answers)b - INR 1.1
A nurse is providing teaching for a client who is scheduled for a bone marrow biopsy of the iliac crest.
Which of the following statements made by the client indicates an understanding of the teaching?
a - The test will be performed while I am lying flat on my back
b - I will need to stay in bed for about an hour after the test
c - This test will determine which antibiotic I should take for the treatment
d - I will receive general anesthesia before the test - (answers)b - I will need to stay in bed for about an
hour after the test
A nurse is preparing to administer pot RBCs To a client who Has Hgb of 8 g/dL. Which of the following
actions should the nurse plan to take during the first 15 minutes of the transfusion?
a - Obtain consent from the client for the transfusion
, b - Assessed for a cute hemolytic reaction
c - Explain the transfusion procedure to the client
d - Obtain blood cultures specimens to send the lab - (answers)b - Assessed for a cute hemolytic reaction
A nurse is caring for a client to is receiving a blood transfusion. Which of the following actions should the
nurse expect if an allergic transfusion reaction is suspected? (Select all that apply)
a - Stop at transfusion
b - Monitor for hypertension
c - Maintain an IV infusion with 0.9% sodium chloride
d - Position client in an upright position with the the the lower than the heart
e - Administer diphenhydramine - (answers)a - Stop at transfusion
c - Maintain an IV infusion with 0.9% sodium chloride
e - Administer diphenhydramine
A nurse is monitoring a client who began receiving a unit of packed RBCs 10 minutes ago. Which of the
following findings should the nurse identify as a indication of febrile transfusion reaction? (Select all that
apply)
a - Temperature change from 37°C pre-transfusion to 37.2°C
b - Crap bless pressure 178/90 mm Hg
c - Heart rate change from 88/minute pre-transfusion 120/minute
d - Client reports itching
e - Client appears flushed - (answers)c - Heart rate change from 88/minute pre-transfusion 120/minute
e - Client appears flushed
A nurse is providing preoperative teaching for a client who requests autologous donation in preparation
for a scheduled orthopedic surgical procedure. Which of the following statements should the nurse
include in the teaching?
ANSWERS
A nurse is caring for a client who has suspected anemia. Which of the following laboratory test results
should the nurse expect?
a - Iron 90 mcg/dL
b - RBC 6.5 mill/uL
c - WBC 4800 mm3
d - Hgb 10 g/dL - (answers)d - Hgb 10 g/dL
A nurse is caring for a client who is receiving warfarin for anticoagulation therapy. Which of the following
laboratory test results indicates to the nurse that the client needs an increase in the dosage?
a - aPTT 38 seconds
b - INR 1.1
c - PT 22 seconds
d - D-dimer negative - (answers)b - INR 1.1
A nurse is providing teaching for a client who is scheduled for a bone marrow biopsy of the iliac crest.
Which of the following statements made by the client indicates an understanding of the teaching?
a - The test will be performed while I am lying flat on my back
b - I will need to stay in bed for about an hour after the test
c - This test will determine which antibiotic I should take for the treatment
d - I will receive general anesthesia before the test - (answers)b - I will need to stay in bed for about an
hour after the test
A nurse is preparing to administer pot RBCs To a client who Has Hgb of 8 g/dL. Which of the following
actions should the nurse plan to take during the first 15 minutes of the transfusion?
a - Obtain consent from the client for the transfusion
, b - Assessed for a cute hemolytic reaction
c - Explain the transfusion procedure to the client
d - Obtain blood cultures specimens to send the lab - (answers)b - Assessed for a cute hemolytic reaction
A nurse is caring for a client to is receiving a blood transfusion. Which of the following actions should the
nurse expect if an allergic transfusion reaction is suspected? (Select all that apply)
a - Stop at transfusion
b - Monitor for hypertension
c - Maintain an IV infusion with 0.9% sodium chloride
d - Position client in an upright position with the the the lower than the heart
e - Administer diphenhydramine - (answers)a - Stop at transfusion
c - Maintain an IV infusion with 0.9% sodium chloride
e - Administer diphenhydramine
A nurse is monitoring a client who began receiving a unit of packed RBCs 10 minutes ago. Which of the
following findings should the nurse identify as a indication of febrile transfusion reaction? (Select all that
apply)
a - Temperature change from 37°C pre-transfusion to 37.2°C
b - Crap bless pressure 178/90 mm Hg
c - Heart rate change from 88/minute pre-transfusion 120/minute
d - Client reports itching
e - Client appears flushed - (answers)c - Heart rate change from 88/minute pre-transfusion 120/minute
e - Client appears flushed
A nurse is providing preoperative teaching for a client who requests autologous donation in preparation
for a scheduled orthopedic surgical procedure. Which of the following statements should the nurse
include in the teaching?
