Med Surg ATI Hematology – Actual Exam 2
Questions and Verified Answers 2025 –
Complete Practice and Review Material
for Nursing Students
(Med Surg ATI HEMATOLOGY Actual Exam 2 Questions with
Correct Verified Detailed Answers 2025)
Introduction:
This document provides a comprehensive set of practice questions
with verified correct answers for the Med Surg ATI Hematology Exam
2 (2025 edition). It includes over 60 clinical scenarios and multiple-
choice questions on anemia types, anticoagulant therapy, transfusion
reactions, bone marrow procedures, blood disorders, and
pharmacology (e.g., heparin, warfarin, epoetin alfa, alteplase, and
filgrastim). The document also contains detailed rationales and
review questions designed to aid nursing students in exam
preparation and clinical application.
Exam Question and Answer
A nurse is caring for an adult client with sickle cell disease who has a
history of having received many transfusions. The nurse realizes that
because of this history, the client is at risk for which of the following?
A. hypokalemia
B. Lead poisoning
,C. Hypercalcemia
D. iron toxicity --- correct answer ---D. iron toxicity
A nurse is caring for a client with aplastic anemia. The nurse expects
the client to have which of the following symptoms?
A. headaches, paresthesias and dizziness
B. Macrocytosis, low levels of B12 and shortness of breath
C. Vascular occlusions, fatigue and joint pain
D. Pancytopenia, fatigue and pale mucus membranes --- correct
answer ---D. Pancytopenia, fatigue and pale mucus membranes
A nurse is caring for a client who wants to know when the therapeutic
results of epoetin alfa (Epogen, Procrit) will take effect.
,The nurse bases her response on the knowledge that epoetin alfa will
improve hemoglobin and hematocrit levels in which of the following
time frames?
A. 24 hrs
B. 3-4 days
C. 2-4 weeks
D. 2 months --- correct answer ---C. 2-4 weeks
A nurse is caring for a postoperative client who requires 1 unit of
blood because of a hemorrhage that occurred during surgery.
Within 30 min of hanging the unit of blood, the client develops itching
and hives. Which of the following actions should the nurse take first?
A. Obtain a urine specimen
B. Stop the infusion of blood
C. Notify the lab
D. Notify the provider --- correct answer ---B. Stop the infusion of
blood
, A nurse is caring for a client with hemophilia who has an active bleed
in a joint. The appropriate nursing intervention when providing care
to this client is which of the following?
A. Obtain blood samples for platelet functioning
B. Prepare for replacement of the missing factor
C. Provide passive ROM
D. Place the bleeding joint in the dependent position --- correct
answer ---B. Prepare for replacement of the missing factor
A nurse realizes that a client whose blood type is B positive is being
transfused with a unit of O negative fresh frozen plasma (FFP).
Which of the following is an appropriate nursing action to take?
A. Continue to monitor the client for manifestations of transfusion
reaction
B. Remove unit of plasma immediately and start an IV infusion of
normal saline
C. Discontinue transfusion and repeat the type and crossmatch
D. Administer a dose of diphenhydramine (Benadryl) IV --- correct
answer ---A. Continue to monitor the client for manifestations of
transfusion reaction
Questions and Verified Answers 2025 –
Complete Practice and Review Material
for Nursing Students
(Med Surg ATI HEMATOLOGY Actual Exam 2 Questions with
Correct Verified Detailed Answers 2025)
Introduction:
This document provides a comprehensive set of practice questions
with verified correct answers for the Med Surg ATI Hematology Exam
2 (2025 edition). It includes over 60 clinical scenarios and multiple-
choice questions on anemia types, anticoagulant therapy, transfusion
reactions, bone marrow procedures, blood disorders, and
pharmacology (e.g., heparin, warfarin, epoetin alfa, alteplase, and
filgrastim). The document also contains detailed rationales and
review questions designed to aid nursing students in exam
preparation and clinical application.
Exam Question and Answer
A nurse is caring for an adult client with sickle cell disease who has a
history of having received many transfusions. The nurse realizes that
because of this history, the client is at risk for which of the following?
A. hypokalemia
B. Lead poisoning
,C. Hypercalcemia
D. iron toxicity --- correct answer ---D. iron toxicity
A nurse is caring for a client with aplastic anemia. The nurse expects
the client to have which of the following symptoms?
A. headaches, paresthesias and dizziness
B. Macrocytosis, low levels of B12 and shortness of breath
C. Vascular occlusions, fatigue and joint pain
D. Pancytopenia, fatigue and pale mucus membranes --- correct
answer ---D. Pancytopenia, fatigue and pale mucus membranes
A nurse is caring for a client who wants to know when the therapeutic
results of epoetin alfa (Epogen, Procrit) will take effect.
,The nurse bases her response on the knowledge that epoetin alfa will
improve hemoglobin and hematocrit levels in which of the following
time frames?
A. 24 hrs
B. 3-4 days
C. 2-4 weeks
D. 2 months --- correct answer ---C. 2-4 weeks
A nurse is caring for a postoperative client who requires 1 unit of
blood because of a hemorrhage that occurred during surgery.
Within 30 min of hanging the unit of blood, the client develops itching
and hives. Which of the following actions should the nurse take first?
A. Obtain a urine specimen
B. Stop the infusion of blood
C. Notify the lab
D. Notify the provider --- correct answer ---B. Stop the infusion of
blood
, A nurse is caring for a client with hemophilia who has an active bleed
in a joint. The appropriate nursing intervention when providing care
to this client is which of the following?
A. Obtain blood samples for platelet functioning
B. Prepare for replacement of the missing factor
C. Provide passive ROM
D. Place the bleeding joint in the dependent position --- correct
answer ---B. Prepare for replacement of the missing factor
A nurse realizes that a client whose blood type is B positive is being
transfused with a unit of O negative fresh frozen plasma (FFP).
Which of the following is an appropriate nursing action to take?
A. Continue to monitor the client for manifestations of transfusion
reaction
B. Remove unit of plasma immediately and start an IV infusion of
normal saline
C. Discontinue transfusion and repeat the type and crossmatch
D. Administer a dose of diphenhydramine (Benadryl) IV --- correct
answer ---A. Continue to monitor the client for manifestations of
transfusion reaction
