ESTUDYR
ATI VIRTUAL SCENARIO BLOOD TRANSFUSION UPDATED EXAM WITH
MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. At the beginning of your shift or client interaction, which actions should you complete?
(Select all that apply.)
A. Ask about weekend plans
B. B. Provide privacy (close curtain/door) ✔
C. C. Introduce yourself (name & role) ✔
D. D. Perform hand hygiene ✔
E. E. Verify client identity using name and birthdate ✔
Rationale: Safety and professionalism require privacy, introduction, hand hygiene, and
identity verification before starting care.
2. You document vitals as: 98/54, 104, 22, 98.4. Which charting action is correct?
A. Delete prior values
B. B. Document data-review information and notify provider if abnormal ✔
C. Ignore and proceed with transfusion regardless
D. Call security
Rationale: Record vitals and escalate clinically significant abnormalities per policy before
transfusion.
3. Which items from the chart are important to check before obtaining blood from the
bank? (Select all that apply.)
A. Current allergy list only
B. B. Blood type and crossmatch date/time ✔
C. C. Intake & Output for past 24 hours ✔
D. D. Current hemoglobin and hematocrit results ✔
E. Date of last physical exam only
Rationale: Crossmatch timing, fluid balance, and current H/H guide transfusion
appropriateness and urgency.
4. If the crossmatch time indicates the blood bank’s crossmatch was completed within
acceptable window, what is your action?
A. Return the blood and reorder crossmatch
B. B. Proceed with administration as ordered (if all checks pass) ✔
C. Refuse to give blood
D. Delay until tomorrow
Rationale: A valid, timely crossmatch allows transfusion after bedside verification and
chart review.
, ESTUDYR
5. While inspecting a unit of packed RBCs, which findings indicate contamination or
hemolysis? (Select all that apply.)
A. Uniform dark red color
B. B. Purple or mahogany discoloration ✔
C. C. Cloudiness or turbidity ✔
D. D. White particulate matter (specks/clumps) ✔
E. E. Clumping or visible aggregates ✔
Rationale: Discoloration, cloudiness, particulate matter, or clumping suggest bacterial
contamination, hemolysis, or product degradation — do not transfuse.
6. Which IV tubing should you select for packed RBC transfusion?
A. Microdrip tubing with no spike
B. B. Blood administration set with two spikes (one for saline, one for blood) — bottom
right choice ✔
C. Tubing labeled “enteral”
D. Standard peripheral IV tubing without filter
Rationale: Use a blood administration set with appropriate filter and dual spike
configuration per facility policy.
7. Which IV solution is appropriate to prime and run with packed RBCs?
A. Dextrose 5% in water (D5W)
B. Lactated Ringer’s solution
C. C. 0.9% Sodium Chloride (normal saline) ✔
D. Half-normal saline (0.45%)
Rationale: Only NS is compatible; D5W and many balanced crystalloids can cause
hemolysis or clotting with blood products.
8. Is it safe for a patient to receive O negative blood if indicated?
A. No, never give O- .
B. B. Yes — O negative is the universal donor for RBCs and acceptable when
typed/crossmatched appropriately ✔
C. Only if patient is AB+
D. Only if warmed first
Rationale: O- RBCs lack A/B/Rh antigens and are used when type-specific blood is
unavailable in emergencies.
9. Besides barcode scanning, what bedside verifications must you perform before starting
the transfusion? (Select all that apply.)
A. Scan and go — no further checks needed
B. B. Ask client name and DOB and check wristband ✔
C. C. Read the blood bag label (unit number, type, expiration) ✔
ATI VIRTUAL SCENARIO BLOOD TRANSFUSION UPDATED EXAM WITH
MOST TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. At the beginning of your shift or client interaction, which actions should you complete?
(Select all that apply.)
A. Ask about weekend plans
B. B. Provide privacy (close curtain/door) ✔
C. C. Introduce yourself (name & role) ✔
D. D. Perform hand hygiene ✔
E. E. Verify client identity using name and birthdate ✔
Rationale: Safety and professionalism require privacy, introduction, hand hygiene, and
identity verification before starting care.
2. You document vitals as: 98/54, 104, 22, 98.4. Which charting action is correct?
A. Delete prior values
B. B. Document data-review information and notify provider if abnormal ✔
C. Ignore and proceed with transfusion regardless
D. Call security
Rationale: Record vitals and escalate clinically significant abnormalities per policy before
transfusion.
3. Which items from the chart are important to check before obtaining blood from the
bank? (Select all that apply.)
A. Current allergy list only
B. B. Blood type and crossmatch date/time ✔
C. C. Intake & Output for past 24 hours ✔
D. D. Current hemoglobin and hematocrit results ✔
E. Date of last physical exam only
Rationale: Crossmatch timing, fluid balance, and current H/H guide transfusion
appropriateness and urgency.
4. If the crossmatch time indicates the blood bank’s crossmatch was completed within
acceptable window, what is your action?
A. Return the blood and reorder crossmatch
B. B. Proceed with administration as ordered (if all checks pass) ✔
C. Refuse to give blood
D. Delay until tomorrow
Rationale: A valid, timely crossmatch allows transfusion after bedside verification and
chart review.
, ESTUDYR
5. While inspecting a unit of packed RBCs, which findings indicate contamination or
hemolysis? (Select all that apply.)
A. Uniform dark red color
B. B. Purple or mahogany discoloration ✔
C. C. Cloudiness or turbidity ✔
D. D. White particulate matter (specks/clumps) ✔
E. E. Clumping or visible aggregates ✔
Rationale: Discoloration, cloudiness, particulate matter, or clumping suggest bacterial
contamination, hemolysis, or product degradation — do not transfuse.
6. Which IV tubing should you select for packed RBC transfusion?
A. Microdrip tubing with no spike
B. B. Blood administration set with two spikes (one for saline, one for blood) — bottom
right choice ✔
C. Tubing labeled “enteral”
D. Standard peripheral IV tubing without filter
Rationale: Use a blood administration set with appropriate filter and dual spike
configuration per facility policy.
7. Which IV solution is appropriate to prime and run with packed RBCs?
A. Dextrose 5% in water (D5W)
B. Lactated Ringer’s solution
C. C. 0.9% Sodium Chloride (normal saline) ✔
D. Half-normal saline (0.45%)
Rationale: Only NS is compatible; D5W and many balanced crystalloids can cause
hemolysis or clotting with blood products.
8. Is it safe for a patient to receive O negative blood if indicated?
A. No, never give O- .
B. B. Yes — O negative is the universal donor for RBCs and acceptable when
typed/crossmatched appropriately ✔
C. Only if patient is AB+
D. Only if warmed first
Rationale: O- RBCs lack A/B/Rh antigens and are used when type-specific blood is
unavailable in emergencies.
9. Besides barcode scanning, what bedside verifications must you perform before starting
the transfusion? (Select all that apply.)
A. Scan and go — no further checks needed
B. B. Ask client name and DOB and check wristband ✔
C. C. Read the blood bag label (unit number, type, expiration) ✔
