NCLEX Practice Exam for Blood Transfusion
1. Which nursing intervention takes highest priority when caring for a newly
admitted client who’s receiving a blood transfusion?
A. Warming the blood prior transfusion
B. Informing the client that the transfusion usually takes 4 to 6 hours.
C. Documenting blood administration in the client chart.
D. Instructing the client to report any itching, chest pain, or dyspnea.
2. Nurse Paulo has received a blood unit from the blood bank and has rechecked the
blood bag properly with nurse Edward. Prior the facilitation of the blood transfusion,
nurse Paulo priority check which of the following?
A. Intake and output.
B. NPO standing order.
C. Vital signs.
D. Skin turgor.
3. A client is brought to the emergency department having experienced blood loss
due to a deep puncture wound. A 3 unit Fresh-frozen plasma (FFP) is ordered. The
nurse determines that the reason behind this order is to:
A. Provide clotting factors and volume expansion.
B. Increase hemoglobin, hematocrit, and neutrophil levels.
C. Treat platelet dysfunction.
D. Treat thrombocytopenia.
4. Nurse Amanda is caring for a client with severe blood loss who is prescribed with
multiple transfusion of blood. Nurse Amanda obtains which most essential piece of
equipment to prevent the risk of cardiac dysrhythmias?
A. Cardiac monitor.
B. Blood warmer.
C. ECG machine.
D. Infusion pump.
,5. A client is receiving a first-time blood transfusion of packed RBC. How long should
the nurse stay and monitor the client to ensure a transfusion reaction will not
happen?
A. 15 minutes.
B. 30 minutes.
C. 45 minutes.
D. 60 minutes.
6. Nurse Rick is administering a 2 unit packed RBC’s on a client with a low
hemoglobin. The nurse will prepare which of the following in order to transfuse the
blood?
A. Microfusion set.
B. Polyvol Pro Burette Set.
C. Photofusion set.
D. Tubing with an in-line filter.
7. To verify the age of blood cells in a blood, the nurse will check which of the
following?
A. Blood type.
B. Blood group.
C. Blood identification number.
D. Blood expiration date.
8. A client has an order to receive a one unit of packed RBC’s. The nurse make sure
which of the following intravenous solutions to hang with the blood product at the
client’s bedside?
A. 0.9% sodium chloride.
B. 5% dextrose in 0.9% sodium chloride.
C. Balanced Multiple Maintenance Solution with 5% Dextrose.
D. 5% dextrose in 0.45% sodium chloride.
9. Nurse Jay is caring for a client with an ongoing transfusion of packed RBC’s when
suddenly the client is having difficulty of breathing, skin is flushed and having chills.
Which action should nurse Jay take first?
, A. Administer oxygen.
B. Place the client on droplight.
C. Check the client’s temperature.
D. Stop the transfusion.
10. After terminating the transfusion during a reaction, which action should the
nurse immediately be taken next?
A. Run a solution of 5% dextrose in water.
B. Run normal saline at a keep-vein-open rate.
C. Remove the IV line.
D. Fast drip 200ml normal saline.
11. A client is receiving a platelet transfusion. The nurse determines that the client is
gaining from this therapy if the client exhibits which of the following?
A. Less frequent febrile episodes.
B. Increased level of hematocrit.
C. Less episodes of bleeding.
D. Increased level of hemoglobin.
12. Nurse Daniel is caring for a client receiving a transfusion of packed red blood cells
(PRBCs). The client started to vomit and to be nauseous. Client’s blood pressure is
95/40 mm Hg from a baseline of 110/70 mm Hg. The client’s temperature is 100.5°F
orally from a baseline of 99.5°F orally. The nurse understand that the client may be
experiencing which of the following?
A. Circulatory overload.
B. Delayed transfusion reaction.
C. Hypocalcemia.
D. Septicemia.
13. Packed red blood cells have been prescribed for a client with low hemoglobin
and hematocrit levels. The nurse takes the client’s temperature before hanging the
blood transfusion and records 100.8 °F. Which action should the nurse take?
A. Give an antipyretic and begin the transfusion.
B. Proceed with the transfusion.
C. Administer an antihistamine and begin the transfusion.
, D. Delay hanging the blood and inform the physician.
14. A nurse is caring for a client requiring surgery and is ordered to have a standby
blood secured if in case a blood transfusion is needed during or after the procedure.
The nurse suggest to the client to do which of the following to lessen the risk of
possible transfusion reaction?
A. Request that any donated blood be screened twice by the blood bank.
B. Take iron supplement prior the surgery and eat green leafy vegetables.
C. Do an autologous blood donation.
D. Have a family member donate their own blood.
15. A client is receiving transfusion of one unit of cryoprecipitate. The nurse will
review which of the following laboratory studies to assess the effectiveness of the
therapy?
A. Serum electrolytes.
B. White blood cell count.
C. Coagulation studies.
D. Hematocrit count.
1. Which nursing intervention takes highest priority when caring for a newly
admitted client who’s receiving a blood transfusion?
A. Warming the blood prior transfusion
B. Informing the client that the transfusion usually takes 4 to 6 hours.
C. Documenting blood administration in the client chart.
D. Instructing the client to report any itching, chest pain, or dyspnea.
2. Nurse Paulo has received a blood unit from the blood bank and has rechecked the
blood bag properly with nurse Edward. Prior the facilitation of the blood transfusion,
nurse Paulo priority check which of the following?
A. Intake and output.
B. NPO standing order.
C. Vital signs.
D. Skin turgor.
3. A client is brought to the emergency department having experienced blood loss
due to a deep puncture wound. A 3 unit Fresh-frozen plasma (FFP) is ordered. The
nurse determines that the reason behind this order is to:
A. Provide clotting factors and volume expansion.
B. Increase hemoglobin, hematocrit, and neutrophil levels.
C. Treat platelet dysfunction.
D. Treat thrombocytopenia.
4. Nurse Amanda is caring for a client with severe blood loss who is prescribed with
multiple transfusion of blood. Nurse Amanda obtains which most essential piece of
equipment to prevent the risk of cardiac dysrhythmias?
A. Cardiac monitor.
B. Blood warmer.
C. ECG machine.
D. Infusion pump.
,5. A client is receiving a first-time blood transfusion of packed RBC. How long should
the nurse stay and monitor the client to ensure a transfusion reaction will not
happen?
A. 15 minutes.
B. 30 minutes.
C. 45 minutes.
D. 60 minutes.
6. Nurse Rick is administering a 2 unit packed RBC’s on a client with a low
hemoglobin. The nurse will prepare which of the following in order to transfuse the
blood?
A. Microfusion set.
B. Polyvol Pro Burette Set.
C. Photofusion set.
D. Tubing with an in-line filter.
7. To verify the age of blood cells in a blood, the nurse will check which of the
following?
A. Blood type.
B. Blood group.
C. Blood identification number.
D. Blood expiration date.
8. A client has an order to receive a one unit of packed RBC’s. The nurse make sure
which of the following intravenous solutions to hang with the blood product at the
client’s bedside?
A. 0.9% sodium chloride.
B. 5% dextrose in 0.9% sodium chloride.
C. Balanced Multiple Maintenance Solution with 5% Dextrose.
D. 5% dextrose in 0.45% sodium chloride.
9. Nurse Jay is caring for a client with an ongoing transfusion of packed RBC’s when
suddenly the client is having difficulty of breathing, skin is flushed and having chills.
Which action should nurse Jay take first?
, A. Administer oxygen.
B. Place the client on droplight.
C. Check the client’s temperature.
D. Stop the transfusion.
10. After terminating the transfusion during a reaction, which action should the
nurse immediately be taken next?
A. Run a solution of 5% dextrose in water.
B. Run normal saline at a keep-vein-open rate.
C. Remove the IV line.
D. Fast drip 200ml normal saline.
11. A client is receiving a platelet transfusion. The nurse determines that the client is
gaining from this therapy if the client exhibits which of the following?
A. Less frequent febrile episodes.
B. Increased level of hematocrit.
C. Less episodes of bleeding.
D. Increased level of hemoglobin.
12. Nurse Daniel is caring for a client receiving a transfusion of packed red blood cells
(PRBCs). The client started to vomit and to be nauseous. Client’s blood pressure is
95/40 mm Hg from a baseline of 110/70 mm Hg. The client’s temperature is 100.5°F
orally from a baseline of 99.5°F orally. The nurse understand that the client may be
experiencing which of the following?
A. Circulatory overload.
B. Delayed transfusion reaction.
C. Hypocalcemia.
D. Septicemia.
13. Packed red blood cells have been prescribed for a client with low hemoglobin
and hematocrit levels. The nurse takes the client’s temperature before hanging the
blood transfusion and records 100.8 °F. Which action should the nurse take?
A. Give an antipyretic and begin the transfusion.
B. Proceed with the transfusion.
C. Administer an antihistamine and begin the transfusion.
, D. Delay hanging the blood and inform the physician.
14. A nurse is caring for a client requiring surgery and is ordered to have a standby
blood secured if in case a blood transfusion is needed during or after the procedure.
The nurse suggest to the client to do which of the following to lessen the risk of
possible transfusion reaction?
A. Request that any donated blood be screened twice by the blood bank.
B. Take iron supplement prior the surgery and eat green leafy vegetables.
C. Do an autologous blood donation.
D. Have a family member donate their own blood.
15. A client is receiving transfusion of one unit of cryoprecipitate. The nurse will
review which of the following laboratory studies to assess the effectiveness of the
therapy?
A. Serum electrolytes.
B. White blood cell count.
C. Coagulation studies.
D. Hematocrit count.
