Blood Transfusion Practice Quiz 1

February 13, 2022

Blood Transfusion Practice Quiz 1

Is your knowledge about the foundation of nursing well and sound? This quiz will question your ability to handle different nursing procedures, and other concepts covered by Fundamentals of Nursing.

Topics

Topics or concepts included in this exam are:

Administration of blood products (Packed red blood cells, fresh frozen plasma, platelet concentrate, and cryoprecipitate).
Blood transfusion

Guidelines

To make the most out of this exam, follow the guidelines below:

Read each question carefully and choose the best answer.
You are given one minute per question. Spend your time wisely!
Answers and rationales (if any) are given below. Be sure to read them.
If you need more clarifications, please direct them to the comments section.

Blood Transfusion

Blood Transfusion Practice Quiz 1

1 / 15

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?

Photofusion set.

Polyvol Pro Burette Set.

Microfusion set.

Tubing with an in-line filter.

2 / 15

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?

15 minutes.

60 minutes.

45 minutes.

30 minutes.

3 / 15

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?

Check the client's temperature.

Place the client on droplight.

Administer oxygen.

Stop the transfusion.

4 / 15

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?

Circulatory overload.

Septicemia.

Delayed transfusion reaction.

Hypocalcemia.

5 / 15

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?

Cardiac monitor.

Infusion pump.

Blood warmer.

ECG machine.

6 / 15

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?

Less episodes of bleeding.

Less frequent febrile episodes.

Increased level of hemoglobin.

Increased level of hematocrit.

7 / 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?

White blood cell count.

Coagulation studies.

Hematocrit count.

Serum electrolytes.

8 / 15

To verify the age of blood cells in a blood, the nurse will check which of the following?

Blood type.

Blood group.

Blood expiration date.

Blood identification number.

9 / 15

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?

Intake and output.

Vital signs.

NPO standing order.

Skin turgor.

10 / 15

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:

Treat platelet dysfunction.

Increase hemoglobin, hematocrit, and neutrophil levels.

Provide clotting factors and volume expansion.

Treat thrombocytopenia.

11 / 15

Which nursing intervention takes highest priority when caring for a newly admitted client who's receiving a blood transfusion?

Instructing the client to report any itching, chest pain, or dyspnea.

Informing the client that the transfusion usually takes 4 to 6 hours.

Documenting blood administration in the client chart.

Warming the blood prior transfusion.

12 / 15

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?

0.9% sodium chloride.

Balanced Multiple Maintenance Solution with 5% Dextrose.

5% dextrose in 0.9% sodium chloride.

5% dextrose in 0.45% sodium chloride.

13 / 15

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?

Do an autologous blood donation.

Request that any donated blood be screened twice by the blood bank.

Have a family member donate their own blood.

Take iron supplement prior the surgery and eat green leafy vegetables.

14 / 15

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?

Delay hanging the blood and inform the physician.

Give an antipyretic and begin the transfusion.

Proceed with the transfusion.

Administer an antihistamine and begin the transfusion.

15 / 15

After terminating the transfusion during a reaction, which action should the nurse immediately be taken next?

Run normal saline at a keep-vein-open rate.

Run a solution of 5% dextrose in water.

Remove the IV line.

Fast drip 200ml normal saline.

Your score is

The average score is 74%

Q.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.

Blood Transfusion Practice Quiz 1

Topics

Guidelines

Q.1 Which nursing intervention takes highest priority when caring for a newly admitted client who’s receiving a blood transfusion?

Q.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?

Q.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:

Q.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?

Q.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?

Q.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?

Q.7 To verify the age of blood cells in a blood, the nurse will check which of the following?

Q.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?

Q.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?

Q.10 After terminating the transfusion during a reaction, which action should the nurse immediately be taken next?

Q.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?

Q.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?

Q.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?

Q.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?

Question Details: