NURN 160: PERFUSION: TEST 2 QUESTIONS WITH ACCURATE
SOLUTIONS
1) Blood cannot hang unrefrigerated for longer than ______________ during
transfusion -- Answer ✔✔ 4 hours
2) Blood must be hung within _______________ of leaving the blood bank --
Answer ✔✔ 30 minutes
3) adverse effects of blood transfusion -- Answer ✔✔ Acute hemolytic reactions
Delayed hemolytic reactions
Febrile nonhemolytic reaction
Allergic reactions
Bacterial contamination
Circulatory overload
Transfusion-related acute lung injury
Iron overload
4) What should you do if a transfusion reaction is suspected or occurs? -- Answer
✔✔ Stop the transfusion
Infuse 0.9% NS
Obtain VS
Assess for additional S & S
Notify prescriber - if the patient is unstable call the Rapid-Response Team
Notify blood bank of suspected reaction
, Follow the facility policy
5) What are some things blood donors are interviewed about before donating
blood? -- Answer ✔✔ Travel
Infections
Medical health history
Lifestyle
6) A donor's blood will be destroyed if the blood is positive for which diseases? --
Answer ✔✔ Immunodeficiency Virus (HIV- 1 & 2)
Hepatitis B core antibody (anti-HBc)
Hepatitis C core virus (HCV)
Hepatitis B surface antigen (HbsAG)
Human T-Cell Lympotropic Virus, Type I (anti HTLV-I/II)
Syphilis
Chagas' Disease
West Nile Virus
Cytomegalovirus (CMV)
Zika
7) What blood type is the universal recipient? -- Answer ✔✔ Type AB
8) What blood type is the universal donor? -- Answer ✔✔ Type O
9) True False: Rh positive blood can only receive RH positive blood -- Answer ✔✔
False; Rh positive blood can receive both Rh positive and negative blood
10) True or false: Rh negative blood can receive only Rh negative blood. -- Answer
✔✔ True
11) True of False: Clients must sign an informed consent to receive a blood
transfusion -- Answer ✔✔ True
, 12) Common diseases transmitted by blood transfusions -- Answer ✔✔ Hepatitis -
viral hepatitis B, C
AIDS - HIV
Cytomegalovirus (CMV)
Graft vs Host Disease (GVHD)
Creutzfeldt-Jakob disease (CJD)
13) Pretransfusion procedure -- Answer ✔✔ Verify consent is signed
Patients' transfusion history
Physical assessment
- Focus on oxygenation & perfusion
- Vitals signs; know patient's baseline
- Complete skin assessment
Teaching; explain the procedure; answer any questions; reassure patient and
reduce anxiety
Assess IV site patency
Prepare blood tubing according to hospital policy
14) During the blood transfusion, perform an ongoing assessment of the... -- Answer
✔✔ S/S of transfusion reaction
- Chest pain
- Wheezing
- Headache
- fever
Vital signs per protocol
Skin - hives, flushing
GI - N/V
15) Transfusion -- Answer ✔✔ the infusion of blood or blood products into the
body
16) blood donation -- Answer ✔✔ the process where blood or blood products that
were initially produced in the body, then are donated for use by another person
through transfusion
SOLUTIONS
1) Blood cannot hang unrefrigerated for longer than ______________ during
transfusion -- Answer ✔✔ 4 hours
2) Blood must be hung within _______________ of leaving the blood bank --
Answer ✔✔ 30 minutes
3) adverse effects of blood transfusion -- Answer ✔✔ Acute hemolytic reactions
Delayed hemolytic reactions
Febrile nonhemolytic reaction
Allergic reactions
Bacterial contamination
Circulatory overload
Transfusion-related acute lung injury
Iron overload
4) What should you do if a transfusion reaction is suspected or occurs? -- Answer
✔✔ Stop the transfusion
Infuse 0.9% NS
Obtain VS
Assess for additional S & S
Notify prescriber - if the patient is unstable call the Rapid-Response Team
Notify blood bank of suspected reaction
, Follow the facility policy
5) What are some things blood donors are interviewed about before donating
blood? -- Answer ✔✔ Travel
Infections
Medical health history
Lifestyle
6) A donor's blood will be destroyed if the blood is positive for which diseases? --
Answer ✔✔ Immunodeficiency Virus (HIV- 1 & 2)
Hepatitis B core antibody (anti-HBc)
Hepatitis C core virus (HCV)
Hepatitis B surface antigen (HbsAG)
Human T-Cell Lympotropic Virus, Type I (anti HTLV-I/II)
Syphilis
Chagas' Disease
West Nile Virus
Cytomegalovirus (CMV)
Zika
7) What blood type is the universal recipient? -- Answer ✔✔ Type AB
8) What blood type is the universal donor? -- Answer ✔✔ Type O
9) True False: Rh positive blood can only receive RH positive blood -- Answer ✔✔
False; Rh positive blood can receive both Rh positive and negative blood
10) True or false: Rh negative blood can receive only Rh negative blood. -- Answer
✔✔ True
11) True of False: Clients must sign an informed consent to receive a blood
transfusion -- Answer ✔✔ True
, 12) Common diseases transmitted by blood transfusions -- Answer ✔✔ Hepatitis -
viral hepatitis B, C
AIDS - HIV
Cytomegalovirus (CMV)
Graft vs Host Disease (GVHD)
Creutzfeldt-Jakob disease (CJD)
13) Pretransfusion procedure -- Answer ✔✔ Verify consent is signed
Patients' transfusion history
Physical assessment
- Focus on oxygenation & perfusion
- Vitals signs; know patient's baseline
- Complete skin assessment
Teaching; explain the procedure; answer any questions; reassure patient and
reduce anxiety
Assess IV site patency
Prepare blood tubing according to hospital policy
14) During the blood transfusion, perform an ongoing assessment of the... -- Answer
✔✔ S/S of transfusion reaction
- Chest pain
- Wheezing
- Headache
- fever
Vital signs per protocol
Skin - hives, flushing
GI - N/V
15) Transfusion -- Answer ✔✔ the infusion of blood or blood products into the
body
16) blood donation -- Answer ✔✔ the process where blood or blood products that
were initially produced in the body, then are donated for use by another person
through transfusion
