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Clotting: Disorders and Blood Transfusion Reactions KA

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

Which of the following is included in Virchow’s triad for thrombosis formation?

a)

Dehydration

b)

Endothelial injury

c)

Hypocalcemia

d)

Thrombocytopenia

2.

Which condition increases a client’s risk for venous stasis?

a)

Atrial fibrillation

b)

Prolonged immobility after surgery

c)

Chemotherapy

d)

Trauma from a car accident

3.

Which disorder is caused by widespread clotting and bleeding due to consumption of clotting factors?

a)

Hemophilia

b)

Disseminated intravascular coagulation (DIC)

c)

Thrombocytopenia

d)

Polycythemia vera

4.

A nurse is preparing to administer a unit of packed red blood cells (PRBCs). What is the priority action before starting the transfusion?

a)

Warm the blood to room temperature

b)

Verify client identifiers with another nurse

c)

Prime IV tubing with dextrose solution

d)

Administer a diuretic

5.

A client develops chills, fever, and low back pain 20 minutes into a transfusion. What is the nurse’s first action?

a)

Slow the transfusion rate

b)

Stop the transfusion

c)

Administer acetaminophen

d)

Call the blood bank

6.

Which laboratory result indicates heparin-induced thrombocytopenia (HIT)?

a)

Platelets 250,000/mm³

b)

Platelets 90,000/mm³

c)

INR 2.0

d)

Hemoglobin 12 g/dL

7.

A client with liver failure is at risk for bleeding primarily due to:

a)

Low white blood cell count

b)

Reduced clotting factor production

c)

Increased fibrinogen

d)

Excess platelets

8.

The nurse recognizes which finding as a symptom of pulmonary embolism from DVT?

a)

Pink frothy sputum

b)

Sudden shortness of breath

c)

Slow heart rate

d)

Abdominal distention

9.

Which IV solution is used to prime blood transfusion tubing?

a)

5% dextrose in water

b)

0.9% normal saline

c)

Lactated Ringer’s

d)

Half normal saline

10.

Which sign indicates a mild allergic transfusion reaction?

a)

Fever and chills

b)

Back pain and hematuria

c)

Urticaria and pruritus

d)

Hypertension and bradycardia

11.

Which of the following is characterized by dyspnea, crackles, pulmonary edema, and hypertension after a transfusion?

a)

Anaphylaxis

b)

Fluid overload (TACO)

c)

Hemolytic reaction

d)

Septicemia

12.

Which type of blood product is indicated for a client with severe thrombocytopenia?

a)

Packed red blood cells

b)

Fresh frozen plasma

c)

Platelets

d)

Albumin

13.

A nurse is monitoring a client with hemophilia A. Which treatment should be anticipated for bleeding episodes?

a)

Vitamin K

b)

Fresh frozen plasma

c)

Factor VIII replacement

d)

Platelet infusion

14.

Which lab test monitors the effectiveness of warfarin therapy?

a)

aPTT

b)

INR

c)

Platelet count

d)

D-dimer

15.

The nurse is preparing to give fresh frozen plasma (FFP). What is the therapeutic effect?

a)

Increase hemoglobin

b)

Provide clotting factors

c)

Replace platelets

d)

Increase albumin levels