©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 8:36 PM
ATI real life RN : GI Bleed 3.0 Exam
Questions With Correct Answers
Nurse Esther listens to Ms. Lieberman's abdomen in all four quadrants and determines Ms.
Lieberman's bowel sounds are hyperactive. Listen to the 4 audio clips. which of the following
sounds is an expected finding for Ms. Lieberman:
A, B, C, D - answer✔✔C
MS. Lieberman states she is feeling lightheaded and dizzy. her skin color is pale. which of the
following should be Nurse Esther's priority action?
A. measure Ms. Lieberman's vs
B. finish obtaining the admin hx
C. initiate oxygen at 2L/min via nasal cannula
D. elevate Ms. Lieberman's legs - answer✔✔A. measure Ms. Lieberman's vs
Ms. Lieberman reports feeling worse and her vital signs are: BP 94/56 mm Hg, pulse 110/min,
RR 26/min, and SaO2 94%. Nurse Esther starts oxygen at 2 L/min. Which of the following
should be Nurse priority action?
A. recheck Ms. Lieberman's oxygen sat
B. check output from Ms. Lieberman's ostomy
C. lower the head of bed
D. send the AP to pick up blood - answer✔✔C. lower the head of bed
Nurse Esther is preparing to administer a unit of packed RBCs to Ms. Lieberman. Which of the
following actions should Nurse Esther perform prior to administering the blood?
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 8:36 PM
A. infuse 0.9% sodium chloride IV solution remaining in the bag, prior to initiating the
transfusion
B. ask Ms. Lieberman if she has experienced a reaction with any previous blood transfusions
C. ensure Ms. Lieberman's sister signs the consent form
D. perform verifications process with an AP - answer✔✔B. ask Ms. Lieberman if she has
experienced a reaction with any previous blood transfusions
rationale: a transfusion reaction can be caused by the dvlpmt of antibodies to the donor
leukocytes. this reaction is more likely to occur when a pt has had blood transfusions before as
well as a hx of prior blood transfusion rx.
Identify the correct sequence of actions for blood administration after Nurse Esther performs
hand hygiene and applies gloves. (Move the steps to the box on the right, placing them in the
correct order of performance. All steps must be used.) - answer✔✔1. Spike and prime the Y-set
tubing with the 0.9% sodium chloride solution.
2. Attach the tubing to the IV catheter and begin to infuse the 0.9% sodium chloride solution.
3. Gently rotate the bag of packed RBCs.
4. Attach the packed RBCs bag to the Y-set tubing.
5. Turn off the 0.9% sodium chloride solution.
6. Begin to infuse the packed RBCs
Nurse Esther notes Ms. Lieberman is restless, her face is flushed, and reports having a headache.
VS: temp 38.8*C (101.8*F), pulse 96/min, RR 22/min, and BP 103/60 mm Hg. Which of the
following is an appropriate action for Nurse Esther to take?
ATI real life RN : GI Bleed 3.0 Exam
Questions With Correct Answers
Nurse Esther listens to Ms. Lieberman's abdomen in all four quadrants and determines Ms.
Lieberman's bowel sounds are hyperactive. Listen to the 4 audio clips. which of the following
sounds is an expected finding for Ms. Lieberman:
A, B, C, D - answer✔✔C
MS. Lieberman states she is feeling lightheaded and dizzy. her skin color is pale. which of the
following should be Nurse Esther's priority action?
A. measure Ms. Lieberman's vs
B. finish obtaining the admin hx
C. initiate oxygen at 2L/min via nasal cannula
D. elevate Ms. Lieberman's legs - answer✔✔A. measure Ms. Lieberman's vs
Ms. Lieberman reports feeling worse and her vital signs are: BP 94/56 mm Hg, pulse 110/min,
RR 26/min, and SaO2 94%. Nurse Esther starts oxygen at 2 L/min. Which of the following
should be Nurse priority action?
A. recheck Ms. Lieberman's oxygen sat
B. check output from Ms. Lieberman's ostomy
C. lower the head of bed
D. send the AP to pick up blood - answer✔✔C. lower the head of bed
Nurse Esther is preparing to administer a unit of packed RBCs to Ms. Lieberman. Which of the
following actions should Nurse Esther perform prior to administering the blood?
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 8:36 PM
A. infuse 0.9% sodium chloride IV solution remaining in the bag, prior to initiating the
transfusion
B. ask Ms. Lieberman if she has experienced a reaction with any previous blood transfusions
C. ensure Ms. Lieberman's sister signs the consent form
D. perform verifications process with an AP - answer✔✔B. ask Ms. Lieberman if she has
experienced a reaction with any previous blood transfusions
rationale: a transfusion reaction can be caused by the dvlpmt of antibodies to the donor
leukocytes. this reaction is more likely to occur when a pt has had blood transfusions before as
well as a hx of prior blood transfusion rx.
Identify the correct sequence of actions for blood administration after Nurse Esther performs
hand hygiene and applies gloves. (Move the steps to the box on the right, placing them in the
correct order of performance. All steps must be used.) - answer✔✔1. Spike and prime the Y-set
tubing with the 0.9% sodium chloride solution.
2. Attach the tubing to the IV catheter and begin to infuse the 0.9% sodium chloride solution.
3. Gently rotate the bag of packed RBCs.
4. Attach the packed RBCs bag to the Y-set tubing.
5. Turn off the 0.9% sodium chloride solution.
6. Begin to infuse the packed RBCs
Nurse Esther notes Ms. Lieberman is restless, her face is flushed, and reports having a headache.
VS: temp 38.8*C (101.8*F), pulse 96/min, RR 22/min, and BP 103/60 mm Hg. Which of the
following is an appropriate action for Nurse Esther to take?
