Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is selecting a qualified staff member to double check a blood label with a client ID bracelet prior to infusing a unit of blood. The nurse should identify which of the following persons is qualified?
A. Phlebotomist
Phlebotomist - Phlebotomists are trained in drawing blood and handling specimens but are not typically trained to verify blood products for transfusion.
B. Assistive personnel
Assistive personnel - Assistive personnel (e.g., nursing assistants) do not have the required training or authority to verify blood products for transfusion.
C. Senior nursing student
Senior nursing student - Although a senior nursing student may have some clinical experience, they do not have the qualifications or the responsibility required for this critical safety task.
D. Oncology nurse
Oncology nurse - An oncology nurse is a registered nurse with specialized training and experience in administering blood products and managing the associated risks, making them qualified to double-check blood labels and patient identification.
This question is an excerpt from Nurse Dive's nursing test bank - ATI 410 Med Surg Proctored Exam. Take the full exam now
Full Explanation
A. Phlebotomist - Phlebotomists are trained in drawing blood and handling specimens but are not typically trained to verify blood products for transfusion.
B. Assistive personnel - Assistive personnel (e.g., nursing assistants) do not have the required training or authority to verify blood products for transfusion.
C. Senior nursing student - Although a senior nursing student may have some clinical experience, they do not have the qualifications or the responsibility required for this critical safety task.
D. Oncology nurse - An oncology nurse is a registered nurse with specialized training and experience in administering blood products and managing the associated risks, making them qualified to double-check blood labels and patient identification.
Similar Questions
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?
A. impaired skin integrity
Impaired skin integrity - While the patient does have skin issues due to ulcerations, the root cause is impaired perfusion. Addressing the impaired tissue perfusion will help improve skin integrity.
B. Alteration in activity tolerance
Alteration in activity tolerance - Although the patient might experience reduced activity tolerance due to the heaviness and discomfort, it is not as critical as ensuring adequate tissue perfusion.
C. Impaired tissue perfusion
Impaired tissue perfusion - This diagnosis is the priority because varicose veins and ulcerations with lower extremity edema suggest that there is poor blood flow to the tissues, which can lead to further complications such as worsening ulcerations and potential infection. Effective tissue perfusion is critical to healing and preventing further deterioration.
D. Alteration in body image
Alteration in body image - This is a valid concern for the patient but is not as immediate or life-threatening as impaired tissue perfusion and the potential for complications from poor circulation.
Full Explanation
A. Impaired skin integrity - While the patient does have skin issues due to ulcerations, the root cause is impaired perfusion. Addressing the impaired tissue perfusion will help improve skin integrity.
B. Alteration in activity tolerance - Although the patient might experience reduced activity tolerance due to the heaviness and discomfort, it is not as critical as ensuring adequate tissue perfusion.
C. Impaired tissue perfusion - This diagnosis is the priority because varicose veins and ulcerations with lower extremity edema suggest that there is poor blood flow to the tissues, which can lead to further complications such as worsening ulcerations and potential infection. Effective tissue perfusion is critical to healing and preventing further deterioration.
D. Alteration in body image - This is a valid concern for the patient but is not as immediate or life-threatening as impaired tissue perfusion and the potential for complications from poor circulation.
A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. Which of the following foods should the nurse recommend to the client?
A. 1 cup canned black beans
1 cup canned black beans - Black beans are high in iron and an excellent dietary recommendation for someone with iron deficiency anemia.
B. 8 a whole milk
8 oz whole milk - While nutritious, milk is not a significant source of iron and can actually inhibit iron absorption due to its calcium content.
C. 1.5 oz raisins
1.5 oz raisins - Raisins do contain some iron, but the amount is relatively small compared to black beans. They are a good supplement but not the best primary source of iron.
D. 8 or black tea
8 oz black tea - Tea contains tannins that can inhibit iron absorption, making it an unsuitable recommendation for someone needing to increase their iron levels.
Full Explanation
A. 1 cup canned black beans - Black beans are high in iron and an excellent dietary recommendation for someone with iron deficiency anemia.
B. 8 oz whole milk - While nutritious, milk is not a significant source of iron and can actually inhibit iron absorption due to its calcium content.
C. 1.5 oz raisins - Raisins do contain some iron, but the amount is relatively small compared to black beans. They are a good supplement but not the best primary source of iron.
D. 8 oz black tea - Tea contains tannins that can inhibit iron absorption, making it an unsuitable recommendation for someone needing to increase their iron levels.
A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?
A. Slurred speech
Slurred speech - This is not a common symptom of iron deficiency anemia. It might suggest a neurological issue or other condition.
B. Confusion
Confusion - While severe anemia might lead to confusion due to reduced oxygen delivery to the brain, it is not as common as fatigue and is usually seen in more advanced stages or in combination with other factors.
C. Pain
Pain - Pain is not a typical symptom of iron deficiency anemia unless it is related to other conditions like muscle fatigue from overall weakness.
D. Fatigue
Fatigue - Fatigue is a hallmark symptom of iron deficiency anemia due to the decreased ability of the blood to carry oxygen to tissues, leading to overall tiredness and lack of energy.
Full Explanation
A. Slurred speech - This is not a common symptom of iron deficiency anemia. It might suggest a neurological issue or other condition.
B. Confusion - While severe anemia might lead to confusion due to reduced oxygen delivery to the brain, it is not as common as fatigue and is usually seen in more advanced stages or in combination with other factors.
C. Pain - Pain is not a typical symptom of iron deficiency anemia unless it is related to other conditions like muscle fatigue from overall weakness.
D. Fatigue - Fatigue is a hallmark symptom of iron deficiency anemia due to the decreased ability of the blood to carry oxygen to tissues, leading to overall tiredness and lack of energy.