Free NCLEX Rn Practice Quiz | Blood Transfusion - نقل الدم | إختبار عملي للتمريض

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Free NCLEX Rn Practice Quiz | Blood Transfusion -    |

أنقر على الإجابة الصحيحة في نظرك، ثم على زر " القادم". سيتم إعلان نتيجتك فور إنتهائك من الإختبارلديك 30 دقيقة لإنهاء الإختبار. حظا سعيدا إعداد : أسرة التمريض 


Questions and Answers
  • 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 EdwarPrior 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 wounA 3 unit Fresh-frozen plasma (FFP) is ordereThe 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 blooNurse 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 RBHow 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.