The Hematologic System ATI Pharmacology 4.0
Exam Questions With 100% Verified Ansswers
A nurse should identify that clopidogrel is contraindicated for clients who have which of the following
conditions?
A.Peptic Ulcer Disease
B. Myocardial infarction
C.Pancreatitis
D.Myastenia
Answer: Peptic ulcer disease: Clients who have peptic ulcer disease should not take clopidogrel
because it can cause gastric bleeding.
A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the
following findings should nurse identify as a possible indication of hemorrhage?
A.Pale -colored stools
B. Yellowing of the sclera
C.Rapid Pulse
D. Elevated blood pressure
Answer: Rapid Pulse: In the event of a moderate to severe hemorrhage, the volume of blood in the
circulatory system decreases significantly, resulting in hypotension. Tachycardia is compensatory
mechanism of the heart that serves to combat the hypotension that results from the decreased
volume of blood. Tachycardia can be detected by checking the client's pulse.
A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the
following laboratory values should indicate to the nurse that the therapy is effective?
A. WBC
B. Hgb
C.PT
D.INR
Answer: HgB Epoetin, an erythropoietic growth factor, increases the production of RBCs for clients
who have anemia due to chronic renal failure for chemotherapy. Hgb and Hct Should increase with
effective therapy.
A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should
monitor the client for which of the following adverse reactions?
A. Hyperuricemia
B. Hyponatremia
C. Lymphocytopenia
D.Thrombocytopenia
Answer:Thrombocytopenia: Clopidogrel, an antiplatelet drug, can cause thrombotic
thrombocytopenic purpura. The nurse should monitor the client's platelet count and also monitor for
bruising, bleeding gums, and petechiae.
A nurse is caring for a client who has hemophilia A and is about to begin taking desmopressin to
prevent bleeding. The nurse should monitor the client for which of the following adverse reactions?
A. Weigh loss
B. Edema
C. polyuria
D.Bradycardia
Answer: Desmopressin: an antidiuretic hormone, can cause fluid retention and edema. The nurse
should monitor fluid intake and output for clients receiving this drug.
, A nurse is caring for a client who is about alteplase therapy to treat pulmonary embolism. Which of
the following drugs should the nurse have available in the event of a severe adverse reaction?
A.Vitamin K
B. Aminocaproic Acid
C.Protamine
D.Deferoxamine
Answer: Aminocaproic acid: A coagulator, inhibits fibrinolysis and stops excessive fibrinolytic bleeding,
a severe adverse effect of alteplase.
A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking
aspirin 81 mg daily, including this morning. The nurse should identify that this places the client at risk
for which of the following complications?
A.Uncontrolled bleeding
B. nausea
C.Constipation
D.Hypertension
Answer: Uncontrolled bleeding: Aspirin is a salicylate (antiplatelet) that irreversibly binds to and
inhibits platelet activation. Because the lifespan of a platelet is 7 to 10 days, this is the average span of
time needed after discontinuing antiplatelet therapy with aspirin before its effects are no longer
present and the chance of an uncontrolled bleeding event is decreased.
A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the
client for which of the following adverse effects?
A.Bronchodilaton
B.Headache
C.Edema
D.Hypertension
Answer: Headache: Alteplase, a thrombolytic drug, can cause intracranial bleeding, The nurse should
monitor the client for changes in LOC. Headache, one-sided weakness, and other indications of
intracranial bleeding.
A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse should monitor
the client for which of the following adverse effects?
A.Hypertension
B. Muscle pain
C. Edema
D. Dry mouth
Answer: Hypertension: Epoetin, an erythropoietic growth factor, can cause hypertension. The nurse
should monitor the client's BP before and during therapy and inform the provider if it increases.
A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the
following instructions should the nurse include?
A.Eat iron-enriched foods
B.Spread the dosage across each day
C.Take the drug on an empty stomach
D.Increase dietary fiber
E. report dark green/black stools
Answers: A,B,C,D: Eat iron-enriched foods is correct. A client who has iron-deficiency anemia should
increase iron intake by eating foods such as egg yolks, wheat germ, meat, and fish.Spread the dosage
across each day is correct. Spreading out the iron intake throughout the client's waking hours allows
the bone marrow to maximize the production of RBCs.Take the drug on an empty stomach is correct.
Exam Questions With 100% Verified Ansswers
A nurse should identify that clopidogrel is contraindicated for clients who have which of the following
conditions?
A.Peptic Ulcer Disease
B. Myocardial infarction
C.Pancreatitis
D.Myastenia
Answer: Peptic ulcer disease: Clients who have peptic ulcer disease should not take clopidogrel
because it can cause gastric bleeding.
A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the
following findings should nurse identify as a possible indication of hemorrhage?
A.Pale -colored stools
B. Yellowing of the sclera
C.Rapid Pulse
D. Elevated blood pressure
Answer: Rapid Pulse: In the event of a moderate to severe hemorrhage, the volume of blood in the
circulatory system decreases significantly, resulting in hypotension. Tachycardia is compensatory
mechanism of the heart that serves to combat the hypotension that results from the decreased
volume of blood. Tachycardia can be detected by checking the client's pulse.
A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the
following laboratory values should indicate to the nurse that the therapy is effective?
A. WBC
B. Hgb
C.PT
D.INR
Answer: HgB Epoetin, an erythropoietic growth factor, increases the production of RBCs for clients
who have anemia due to chronic renal failure for chemotherapy. Hgb and Hct Should increase with
effective therapy.
A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should
monitor the client for which of the following adverse reactions?
A. Hyperuricemia
B. Hyponatremia
C. Lymphocytopenia
D.Thrombocytopenia
Answer:Thrombocytopenia: Clopidogrel, an antiplatelet drug, can cause thrombotic
thrombocytopenic purpura. The nurse should monitor the client's platelet count and also monitor for
bruising, bleeding gums, and petechiae.
A nurse is caring for a client who has hemophilia A and is about to begin taking desmopressin to
prevent bleeding. The nurse should monitor the client for which of the following adverse reactions?
A. Weigh loss
B. Edema
C. polyuria
D.Bradycardia
Answer: Desmopressin: an antidiuretic hormone, can cause fluid retention and edema. The nurse
should monitor fluid intake and output for clients receiving this drug.
, A nurse is caring for a client who is about alteplase therapy to treat pulmonary embolism. Which of
the following drugs should the nurse have available in the event of a severe adverse reaction?
A.Vitamin K
B. Aminocaproic Acid
C.Protamine
D.Deferoxamine
Answer: Aminocaproic acid: A coagulator, inhibits fibrinolysis and stops excessive fibrinolytic bleeding,
a severe adverse effect of alteplase.
A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking
aspirin 81 mg daily, including this morning. The nurse should identify that this places the client at risk
for which of the following complications?
A.Uncontrolled bleeding
B. nausea
C.Constipation
D.Hypertension
Answer: Uncontrolled bleeding: Aspirin is a salicylate (antiplatelet) that irreversibly binds to and
inhibits platelet activation. Because the lifespan of a platelet is 7 to 10 days, this is the average span of
time needed after discontinuing antiplatelet therapy with aspirin before its effects are no longer
present and the chance of an uncontrolled bleeding event is decreased.
A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the
client for which of the following adverse effects?
A.Bronchodilaton
B.Headache
C.Edema
D.Hypertension
Answer: Headache: Alteplase, a thrombolytic drug, can cause intracranial bleeding, The nurse should
monitor the client for changes in LOC. Headache, one-sided weakness, and other indications of
intracranial bleeding.
A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse should monitor
the client for which of the following adverse effects?
A.Hypertension
B. Muscle pain
C. Edema
D. Dry mouth
Answer: Hypertension: Epoetin, an erythropoietic growth factor, can cause hypertension. The nurse
should monitor the client's BP before and during therapy and inform the provider if it increases.
A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the
following instructions should the nurse include?
A.Eat iron-enriched foods
B.Spread the dosage across each day
C.Take the drug on an empty stomach
D.Increase dietary fiber
E. report dark green/black stools
Answers: A,B,C,D: Eat iron-enriched foods is correct. A client who has iron-deficiency anemia should
increase iron intake by eating foods such as egg yolks, wheat germ, meat, and fish.Spread the dosage
across each day is correct. Spreading out the iron intake throughout the client's waking hours allows
the bone marrow to maximize the production of RBCs.Take the drug on an empty stomach is correct.
