Wk. 3 - Blood Administration Practice Questions Foreign Language

Which of the following are indications for administering packed red blood cells (PRBCs)? Select all that apply. A. Hemoglobin < 7 g/dL in stable adults B. Hemoglobin < 10 g/dL in cardiovascular disease C. Hemoglobin < 8 g/dL in surgical patients D. Active bleeding or hemorrhage E. Hypovolemia

A,C,D

What is the expected outcome when one unit of PRBCs is transfused? A. Increase hemoglobin by ~2 g/dL B. Increase hemoglobin by ~1 g/dL C. Increase platelet count by 5,000-10,000/µL D. Correction of clotting factor deficiencies

B

What is the primary reason to use 170-micron filter blood tubing during a blood transfusion? A. To prevent bacterial contamination B. To reduce the risk of air embolism C. To ensure compatibility between donor and recipient blood D. To increase the rate of blood infusion

A

Which of the following actions should a nurse take when administering fresh frozen plasma (FFP)? Select all that apply. A. Infuse as rapidly as tolerated within 30-60 minutes per unit B. ABO compatibility is required, but Rh compatibility is not necessary C. Infuse only within 4 hours of thawing D. Infuse over 1-2 hours, as ordered by the provider E. Monitor for signs of clotting factor deficiency

A,B,C

True or False: Platelet transfusions should be given immediately after blood is obtained and are usually infused over 30-60 minutes.

True

Which blood product is indicated for patients with fibrinogen deficiency or hemophilia A? A. Packed red blood cells B. Platelets C. Cryoprecipitate D. Fresh frozen plasma

C

True or False: Albumin is used to treat hypoalbuminemia and can be infused without considering ABO or Rh compatibility.

True

Which of the following interventions are necessary before starting a blood transfusion? Select all that apply. A. Verify patient identity and blood type with another RN B. Obtain baseline vital signs C. Use 0.45% NaCl as the primary infusion fluid D. Confirm blood compatibility with the blood bank E. Pre-medicate with acetaminophen for fever

A,B,D

What is the primary reason to stay with the patient for the first 10-15 minutes of a blood transfusion? A. To monitor for potential allergic reactions B. To ensure blood is infused rapidly C. To observe for signs of acute transfusion reactions D. To assess for fluid overload

C

Which of the following are manifestations of an acute hemolytic reaction to a blood transfusion? Select all that apply. A. Fever B. Flushing C. Tachycardia D. Jaundice E. Back pain

A,C,D,E

True or False: In case of a febrile non-hemolytic reaction, the transfusion should be stopped, and antipyretics should be administered.

True

Which of the following is the best intervention for managing an anaphylactic reaction to a blood transfusion? A. Stop the transfusion immediately, administer antihistamines B. Stop the transfusion, administer epinephrine and oxygen C. Slow the infusion rate, administer diuretics D. Increase the transfusion rate and monitor vital signs

B

What is a common manifestation of transfusion-associated circulatory overload (TACO)? A. Hypotension and shock B. Dyspnea and JVD C. Fever and chills D. Severe hypoxia and pulmonary edema

B

Which intervention is appropriate for transfusion-related acute lung injury (TRALI)? A. Infuse blood rapidly to resolve hypoxia B. Provide oxygen and ventilatory support if needed C. Administer diuretics to manage fluid overload D. Administer corticosteroids to reduce inflammation

B

What is the correct course of action if sepsis is suspected during a blood transfusion? A. Continue transfusion and monitor the patient B. Stop the transfusion, obtain blood cultures, and start IV antibiotics C. Stop the transfusion and administer antipyretics D. Restart the transfusion after administering antihistamines

B

True or False: Blood compatibility between donor and recipient must be confirmed by blood typing, screening, and crossmatching before a transfusion.

True

Which of the following are appropriate nursing interventions during a blood transfusion? Select all that apply. A. Take vital signs every 15 minutes for the first hour, then every 30 minutes B. Only use normal saline as a fluid with blood products C. Administer medications through the same IV line as the blood product D. Monitor for any signs of transfusion reactions, such as rash or back pain E. Dispose of the blood tubing in a regular trash bin

A,B,D

What is the typical effect of transfusing one unit of platelets in a patient with thrombocytopenia? A. Increase in hemoglobin by 1 g/dL B. Increase in platelets by 5,000-10,000/µL C. Correction of clotting factor deficiencies D. Increase fibrinogen levels

B

What is the correct procedure for administering cryoprecipitate? A. Infuse over 1-2 hours B. ABO compatibility is preferred, but not required C. Infuse over 30-60 minutes D. Administer immediately after blood transfusion

B

True or False: Strict adherence to blood transfusion protocols prevents serious errors and fatal reactions in patients.

True