STUDOVA
MED-SURGE QUIZ- WEEK 5 ATI EXAM
QUESTIONS & ANSWERS 100% CORRECT
A nurse is collecting data from a client who has manifestations of aplastic anemia.
Which of the following findings should the nurse expect?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
C. Jaundice with an enlarged liver
D. Petechiae and ecchymosis ANSWER: ..D. Petechiae and ecchymosis
A nurse is reinforcing teaching with a client who has anemia and a new prescription
for epoetin alfa. Which of the following pieces of information should the nurse
include in the teaching?
A. Hospitalization is required when administering each treatment
B. The maximum effect of the medication will occur in 6 months
C. Hypertension is a common adverse effect of this medication
D. Blood transfusions are needed with each treatment ANSWER: ..C. Hypertension
is a common adverse effect of this medication
A nurse is collecting data from a client who is receiving a unit of whole blood.
Which of the following findings should the nurse identify as a manifestation of a
hemolytic transfusion reaction?
A. Bradycardia
B. Paresthesia
C. Hypertension
D. Low back pain ANSWER: ..D. Low back pain
A nurse is reinforcing teaching with a client who has iron-deficiency anemia. The
nurse should encourage the client to increase her consumption of which of the
following foods?
A. Lentils
B. Avocados
C. Cabbage
D. Broccoli ANSWER: ..A. Lentils
,STUDOVA
A nurse is monitoring a client who is receiving a unit of packed red blood cells
(RBCs) following surgery. The client reports itching and has hives 30 minutes after
the infusion begins. Which of the following actions should the nurse take first?
A. Maintain the IV access with 0.9% sodium chloride
B. Stop the infusion of blood
C. Send the blood container and tubing to the blood bank
D. Obtain a urine sample ANSWER: ..B. Stop the infusion of blood
A nurse is preparing to administer packed RBC to a client who is anemic. Which of
the following actions should the nurse take? (Select all that apply)
A. Insert a 23 gauge angiocatheter with an IV adapter
B. Check to determine the packed RBC's are less than 1 week old
C. Administer the packed RBC's over a 6-hour period
D. Seek verification from 2 RNs to compare the packed RBCs label against the
medical record
E. Prime the transfusion tubing with 0.9% sodium chloride ANSWER: ..B,
D, E
A nurse is assisting with preparing an in-service presentation about the basic of
hematology. The nurse should suggest explaining that which of the following
factors provides a stimulus for the production of RBCs?
A. Venous stasis
B. Thrombocytopenia
C. Inflammation
D. Tissue hypoxia ANSWER: ..D. Tissue hypoxia
A nurse is caring for a client who has a platelet count of 50,000. After discontinuing
the client's peripheral IV site, which of the following actions should the nurse take?
A. Apply warm compress
B. Apply pressure to the catheter removal site for 10 minutes
C. Place the affected arm in a dependent position
D. Clean the insertion site with alcohol ANSWER: ..B. Apply pressure to the catheter
removal site for 10 minutes
A nurse is caring for a client who has acute lymphocytic leukemia and reports a
fever, chills, fatigue, and pallor over the past week. When checking the
, STUDOVA
client's laboratory results, which of the following values should the nurse identify as
contributing to the client's fatigue and pallor?
A. Magnesium 2.0 mEq/L
B. Hgb 6.5 g/DL
C. WBC count 9.6/33
D. Creatinine 0.8 mg/DL ANSWER: ..B. Hgb 6.5 g/DL
A nurse is reviewing the laboratory data of a client who reports manifestations that
suggest systemic lupus erythematosus (SLE). The nurse should expect an increase in
which of the following parameters for a client who has SLE?
A. Platelet count
B. RBC count
C. Hct
D. Erythrocyte sedimentation rate (ESR) ANSWER: ..D. Erythrocyte sedimentation
rate (ESR)
A nurse is reinforcing teaching with a client who has pernicious anemia. The nurse
should encourage the client to increase his consumption of which of the following
foods?
A. Eggs
B. Squash
C. Kale
D. Tofu ANSWER: ..A. Eggs
A nurse is checking laboratory values for an adult client who has sickle cell
anemia and is in crisis. For which of the following complications should the
nurse monitor?
A. Hypokalemia
B. Lead poisoning
C. Hypercalcemia
D. Elevated bilirubin ANSWER: ..D. Elevated bilirubin
A nurse is collecting data about the hematologic system of an older adult client. The
nurse should report which of the following findings to the provider as a possible
indication of a hematologic disorder?
A. Pallor
B. Jaundice
C. Absence of hair on the legs
MED-SURGE QUIZ- WEEK 5 ATI EXAM
QUESTIONS & ANSWERS 100% CORRECT
A nurse is collecting data from a client who has manifestations of aplastic anemia.
Which of the following findings should the nurse expect?
A. Plethoric appearance of facial skin
B. Glossitis and weight loss
C. Jaundice with an enlarged liver
D. Petechiae and ecchymosis ANSWER: ..D. Petechiae and ecchymosis
A nurse is reinforcing teaching with a client who has anemia and a new prescription
for epoetin alfa. Which of the following pieces of information should the nurse
include in the teaching?
A. Hospitalization is required when administering each treatment
B. The maximum effect of the medication will occur in 6 months
C. Hypertension is a common adverse effect of this medication
D. Blood transfusions are needed with each treatment ANSWER: ..C. Hypertension
is a common adverse effect of this medication
A nurse is collecting data from a client who is receiving a unit of whole blood.
Which of the following findings should the nurse identify as a manifestation of a
hemolytic transfusion reaction?
A. Bradycardia
B. Paresthesia
C. Hypertension
D. Low back pain ANSWER: ..D. Low back pain
A nurse is reinforcing teaching with a client who has iron-deficiency anemia. The
nurse should encourage the client to increase her consumption of which of the
following foods?
A. Lentils
B. Avocados
C. Cabbage
D. Broccoli ANSWER: ..A. Lentils
,STUDOVA
A nurse is monitoring a client who is receiving a unit of packed red blood cells
(RBCs) following surgery. The client reports itching and has hives 30 minutes after
the infusion begins. Which of the following actions should the nurse take first?
A. Maintain the IV access with 0.9% sodium chloride
B. Stop the infusion of blood
C. Send the blood container and tubing to the blood bank
D. Obtain a urine sample ANSWER: ..B. Stop the infusion of blood
A nurse is preparing to administer packed RBC to a client who is anemic. Which of
the following actions should the nurse take? (Select all that apply)
A. Insert a 23 gauge angiocatheter with an IV adapter
B. Check to determine the packed RBC's are less than 1 week old
C. Administer the packed RBC's over a 6-hour period
D. Seek verification from 2 RNs to compare the packed RBCs label against the
medical record
E. Prime the transfusion tubing with 0.9% sodium chloride ANSWER: ..B,
D, E
A nurse is assisting with preparing an in-service presentation about the basic of
hematology. The nurse should suggest explaining that which of the following
factors provides a stimulus for the production of RBCs?
A. Venous stasis
B. Thrombocytopenia
C. Inflammation
D. Tissue hypoxia ANSWER: ..D. Tissue hypoxia
A nurse is caring for a client who has a platelet count of 50,000. After discontinuing
the client's peripheral IV site, which of the following actions should the nurse take?
A. Apply warm compress
B. Apply pressure to the catheter removal site for 10 minutes
C. Place the affected arm in a dependent position
D. Clean the insertion site with alcohol ANSWER: ..B. Apply pressure to the catheter
removal site for 10 minutes
A nurse is caring for a client who has acute lymphocytic leukemia and reports a
fever, chills, fatigue, and pallor over the past week. When checking the
, STUDOVA
client's laboratory results, which of the following values should the nurse identify as
contributing to the client's fatigue and pallor?
A. Magnesium 2.0 mEq/L
B. Hgb 6.5 g/DL
C. WBC count 9.6/33
D. Creatinine 0.8 mg/DL ANSWER: ..B. Hgb 6.5 g/DL
A nurse is reviewing the laboratory data of a client who reports manifestations that
suggest systemic lupus erythematosus (SLE). The nurse should expect an increase in
which of the following parameters for a client who has SLE?
A. Platelet count
B. RBC count
C. Hct
D. Erythrocyte sedimentation rate (ESR) ANSWER: ..D. Erythrocyte sedimentation
rate (ESR)
A nurse is reinforcing teaching with a client who has pernicious anemia. The nurse
should encourage the client to increase his consumption of which of the following
foods?
A. Eggs
B. Squash
C. Kale
D. Tofu ANSWER: ..A. Eggs
A nurse is checking laboratory values for an adult client who has sickle cell
anemia and is in crisis. For which of the following complications should the
nurse monitor?
A. Hypokalemia
B. Lead poisoning
C. Hypercalcemia
D. Elevated bilirubin ANSWER: ..D. Elevated bilirubin
A nurse is collecting data about the hematologic system of an older adult client. The
nurse should report which of the following findings to the provider as a possible
indication of a hematologic disorder?
A. Pallor
B. Jaundice
C. Absence of hair on the legs
