CRNI Blood Transfusion 5

Question 1

A patient's blood type is AB positive. Which donor blood type can they receive for red blood cell transfusions?

Accepted Answer

Any ABO and Rh type

Answer

AB positive patients are universal recipients for red blood cells because they have no anti-A, anti-B, or anti-Rh antibodies.

Question 2

Cryoprecipitate is PRIMARILY indicated for which coagulation deficiency?

Accepted Answer

Factor VIII and fibrinogen deficiency

Answer

Cryoprecipitate is rich in fibrinogen, Factor VIII, Factor XIII, von Willebrand factor, and fibronectin, making it the treatment of choice for fibrinogen and Factor VIII deficiencies.

Question 3

A nurse notices a patient's urine has turned bright red during a blood transfusion. After stopping the transfusion, what is the NEXT priority nursing action?

Accepted Answer

Notify the physician and blood bank immediately

Answer

Hemoglobinuria (red urine during transfusion) signals acute hemolysis; the nurse must immediately notify the physician and blood bank and return the blood bag for analysis.

Question 4

When administering granulocytes, the nurse should anticipate that infusion should be completed within what timeframe?

Accepted Answer

1 hour

Answer

Granulocytes have a very short shelf life and must be infused within 1 hour of receipt because they rapidly lose viability at room temperature.

Question 5

Which documentation is MANDATORY before initiating a blood transfusion per CRNI standards?

Accepted Answer

Two-nurse verification of patient identity and blood product compatibility

Answer

Two-nurse independent verification of patient identity (two identifiers) against the blood product label and crossmatch report is a mandatory safety check before transfusion.

CRNI Exam Practice Test

CRNI Exam Practice Test

CRNI Blood Transfusion 5