Med-Surg Nursing Exam – Hematology, Renal, GU, & Breast Cancer Q&A

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Med-Surge Quiz- week 5 ATI Exam Questions & n n n n n n n




Answers 100% CORRECT 2026\2027 n n n
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A nurse is collecting data from a client who has manifestations of aplastic
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anemia. Which of the following findings should the nurse expect?
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A. Plethoric appearance of facial skin
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B. Glossitis and weight loss
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C. Jaundice with an enlarged liver
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D. Petechiae and ecchymosis ,,correct answer,,,,..D. Petechiae and ecchymosis
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A nurse is reinforcing teaching with a client who has anemia and a new prescri
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ption for epoetin alfa. Which of the following pieces of information should the
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nurse include in the teaching?
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A. Hospitalization is required when administering each treatment n n n n n n n


B. The maximum effect of the medication will occur in 6 months
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C. Hypertension is a common adverse effect of this medication n n n n n n n n n


D. Blood transfusions are needed with each treatment ,,correct answer,,,,..C. H
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ypertension is a common adverse effect of this medication n n n n n n n n n
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A nurse is collecting data from a client who is receiving a unit of whole blood.
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Which of the following findings should the nurse identify as a manifestation of
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a hemolytic transfusion reaction?
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A. Bradycardia n


B. Paresthesia n


C. Hypertension n


D. Low back pain ,,correct answer,,,,..D. Low back pain
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A nurse is reinforcing teaching with a client who has iron-
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deficiency anemia. The nurse should encourage the client to increase her cons
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umption of which of the following foods?
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A. Lentils n


B. Avocados n


C. Cabbage n


D. Broccoli ,,correct answer,,,,..A. Lentilsn n n n
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A nurse is monitoring a client who is receiving a unit of packed red blood cells
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(RBCs) following surgery. The client reports itching and has hives 30 minutes
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after the infusion begins. Which of the following actions should the nurse take
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first?
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A. Maintain the IV access with 0.9% sodium chloride
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B. Stop the infusion of blood
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C. Send the blood container and tubing to the blood bank
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D. Obtain a urine sample ,,correct answer,,,,..B. Stop the infusion of blood
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A nurse is preparing to administer packed RBC to a client who is anemic.
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Which of the following actions should the nurse take? (Select all that apply)
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A. Insert a 23 gauge angiocatheter with an IV adapter
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B. Check to determine the packed RBC's are less than 1 week old
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C. Administer the packed RBC's over a 6-hour period n n n n n n n n


D. Seek verification from 2 RNs to compare the packed RBCs label against the
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medical record n n


E. Prime the transfusion tubing with 0.9% sodium chloride ,,correct answer,,,,
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..B, D, E n n n
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A nurse is assisting with preparing an in-service presentation about the basic
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of hematology. The nurse should suggest explaining that which of the
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following factors provides a stimulus for the production of RBCs?
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A. Venous stasis
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B. Thrombocytopenia
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C. Inflammation
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D. Tissue hypoxia ,,correct answer,,,,..D. Tissue hypoxia
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A nurse is caring for a client who has a platelet count of 50,000. After disco
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ntinuing the client's peripheral IV site, which of the following actions shou
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ld the nurse take? A. Apply warm compress
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B. Apply pressure to the catheter removal site for 10 minutes
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C. Place the affected arm in a dependent position
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D. Clean the insertion site with alcohol ,,correct answer,,,,..B. Apply pressure t
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o the catheter removal site for 10 minutes
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A nurse is caring for a client who has acute lymphocytic leukemia and reports
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a fever, chills, fatigue, and pallor over the past week. When checking the
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client's laboratory results, which of the following values should the nurse
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identify as contributing to the client's fatigue and pallor?
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A. Magnesium 2.0 mEq/L
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B. Hgb 6.5 g/DL
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C. WBC count 9.6/33
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D. Creatinine 0.8 mg/DL ,,correct answer,,,,..B. Hgb 6.5 g/DL
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A nurse is reviewing the laboratory data of a client who reports manifestatio
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ns that suggest systemic lupus erythematosus (SLE). The nurse should expe
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ct an increase in which of the following parameters for a client who has SLE?
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A. Platelet count
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B. RBC count n n


C. Hct n


D. Erythrocyte sedimentation rate (ESR) ,,correct answer,,,,..D. Erythrocyte se
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dimentation rate (ESR) n n n
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A nurse is reinforcing teaching with a client who has pernicious anemia. The n
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urse should encourage the client to increase his consumption of which of the fo
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llowing foods? n n


A. Eggs n


B. Squash n


C. Kale n


D. Tofu ,,correct answer,,,,..A. Eggs
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A nurse is checking laboratory values for an adult client who has sickle cell
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anemia and is in crisis. For which of the following complications should the
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nurse monitor? A. Hypokalemia
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B. Lead poisoning n n


C. Hypercalcemia n


D. Elevated bilirubin ,,correct answer,,,,..D. Elevated bilirubin
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A nurse is collecting data about the hematologic system of an older adult client.
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The nurse should report which of the following findings to the provider as a p
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ossible indication of a hematologic disorder?
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A. Pallor n


B. Jaundice n


C. Absence of hair on the legs n n n n n n


D. Poor nailbed capillary refill ,,correct answer,,,,..C. Absence of hair on the leg
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