NUR 426 Exam 3 Test Questions and
Correct Answers
Which blood types are compatible? ✅type - can receive
A - A, O
B - B, O
AB - A, B, AB, O
O-O
positive - positive, negative
negative - negative
Which blood type is the universal donor? ✅O-
If the recipient is not a woman of childbearing age, the pt can receive O+ as a universal
donor
What are the indications for blood transfusions? ✅Hemoglobin 7 and under
active bleeding
chronic anemia
blood derived cancer
people with clotting disorders
open heart or major surgery with blood loss
DIC
trauma
premature infants
What are the different kinds of blood products? ✅Whole blood
Red blood cells
Plasma
Platelets
Cryoprecipitate
Granulocytes
When is whole blood used? ✅can be used as is or separated into different
components
Used for trauma, surgery, or people who have lost large volumes of blood
Contains red cells, white cells, platelets, and blood plasma
When are RBCs used? ✅Used for trauma, surgery, anemia, blood loss (GI blood,
abnormal vaginal bleeding, rectal bleeding), and blood disorders (sickle cell anemia)
Comes from whole blood, but plasma is removed.
, What is leukocyte reduced RBCs and what is it used for? ✅removes the WBC from the
blood
may be needed for patients with cancer or patients with past reactions to blood
When are platelets used? ✅Used for cancer treatments, organ transplants, surgery,
patients with clotting disorders, trauma, DIC, thrombocytopenia
Helps with clotting
When is plasma used? ✅Used for trauma, burns shock, bleeding disorders, liver
failure, cancer
Helps improve blood volume, clotting, pH balance
Can also administer plasma derivatives such as albumin, Rh immunoglobulin, factor five
concentrate, etc.
When is cryoprecipitated antihemophilic factor used? ✅"cryo"
given in severe bleeding, hemophilia, von willebrand disease, DIC
helps with clotting
How does Rh relate to mom and baby? ✅If the mom is Rh- but baby is Rh+, the mom
may try to build antibodies against baby
When is RhoGAM indicated? ✅If mom is Rh- and baby is Rh+
Given to all Rh- moms every pregnancy
Why might MTP be indelicate for a patient? ✅Risk factor for MODS?
Unresponsive pt comes in, give the blood, wakes up, Jehovah's witness, must get
consent every time.
can cause electrolyte imbalances and metabolic acidosis
What does a type and cross mean? ✅draw a lab sample to determine the patients
blood type, rh factor, and for any atypical antibodies
What is the only IV fluid to be administered with blood? ✅Normal Saline
What is the correct way to administer blood? ✅Once blood is obtained it must be
double checked with another RN, do not transfuse if not a perfect match
Prior to administration - full set of vs, consent obtained by provider in chart, IV access
with at least 20g, blood administration tubing primed with NS, Y tubing with filter, PRN
order for anaphylaxis meds.
To administer - spike NS with blood tubing set and prime line, clamp NS and spike
blood, clean IV hub and attach tubing, unclamp blood and begin infusion. Start time is
when blood hits the pt
During admin - stay with patient for first 15 minutes, vs q 5 mins x3, then q 15 for first
hour, then hourly, infusion time is usually 4 hours
After admin - chart post infusion VS and flush line with NS.
