01
True or false
1 point
True or false: A transfusion reaction may begin during a transfusion or become apparent later.
Free Practice Quiz Question List
4 Transfusion Reactions and Emergency Nursing Interventions Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Transfusion Reactions and Emergency Nursing Interventions, test your knowledge, and prepare for your next test or exam.
20 questions
02
Written response
1 point
Name one symptom or sign associated with anaphylaxis during a transfusion.
03
Written response
1 point
What is the typical onset interval for a delayed hemolytic transfusion reaction?
04
Fill in the blank
1 point
After stopping a suspected reaction, maintain IV access but do not the existing transfusion line.
05
Choose one
1 point
A patient develops chills and new flank pain shortly after a red blood cell transfusion begins. What is the priority action?
- A
Slow the transfusion and reassess in 15 minutes.
- B
Stop the transfusion immediately and assess the patient.
- C
Flush the existing transfusion tubing.
- D
Remove the IV catheter and discard the component.
06
True or false
1 point
True or false: A nurse should establish a definitive diagnosis of a transfusion reaction at the bedside before notifying the clinical team.
- A
True
- B
False
07
Choose one
1 point
Which pair of transfusion complications can both present with acute respiratory distress?
- A
Anaphylaxis and delayed hemolytic transfusion reaction
- B
Acute hemolytic reaction and delayed hemolytic transfusion reaction
- C
TACO and TRALI
- D
Bacterial contamination and delayed hemolytic transfusion reaction
08
Choose one
1 point
During a transfusion, a patient suddenly becomes short of breath and hypotensive. Which response is most appropriate?
- A
Stop the transfusion, assess airway, breathing, and circulation, and activate urgent help.
- B
Continue the transfusion while obtaining routine observations.
- C
Wait to contact the clinician until the component is finished.
- D
Give the patient water and place them flat.
09
Choose one
1 point
After stopping a suspected reaction and addressing immediate safety needs, how should the nurse verify that the correct patient and component were involved?
- A
Check the compatibility label only, then restart if it appears correct.
- B
Recheck patient and product identification against the order, wristband, compatibility label, and documentation.
- C
Ask a colleague whether they recognize the component and skip the written checks.
- D
Discard the component before checking its identification.
10
Choose all
1 point
Several days after a transfusion, a patient is being assessed for a possible delayed hemolytic reaction. Select all findings identified as possible clues.
- A
New or worsening anemia
- B
Jaundice
- C
Fever
- D
Dark urine
- E
Hemoglobin that fails to rise as expected or falls again
- F
Nausea immediately after eating
11
Written response
1 point
Along with the responsible clinician, which specialized service should be promptly notified about a suspected transfusion reaction?
12
Fill in the blank
1 point
If bacterial contamination is suspected during a transfusion, the component for investigation as directed.
13
Choose all
1 point
A nurse is documenting a suspected transfusion reaction. Select all information that is appropriate to include.
- A
Symptoms and their onset time
- B
Relevant vital signs and assessment findings
- C
Component identification and transfusion details
- D
Actions taken, notifications, investigation steps, and patient outcome
- E
The nurse's unconfirmed assumption about the definitive cause
14
Open ended
1 point
After immediate emergency actions for a suspected acute transfusion reaction, describe what the nurse should monitor and how specimens and the component with its administration set should be handled for investigation.
15
Choose one
1 point
Ten minutes after a red blood cell transfusion begins, a patient develops chills and new flank pain. What is the nurse’s priority action?
- A
Slow the transfusion and reassess in 15 minutes.
- B
Stop the transfusion and assess the patient.
- C
Flush the existing transfusion line with compatible fluid.
- D
Remove the IV catheter and discard the component.
16
True or false
1 point
After stopping a transfusion because a reaction is suspected, flushing the existing transfusion line is an appropriate way to maintain IV access.
- A
True
- B
False
17
Written response
1 point
What interval after a transfusion is typical for the appearance of a delayed hemolytic transfusion reaction?
18
Choose one
1 point
Five days after a transfusion, a patient reports fatigue and dark urine. Their hemoglobin has fallen from its post-transfusion value, and they appear jaundiced. What should the nurse do?
- A
Reassure the patient that these symptoms are expected and need no follow-up.
- B
Record the symptoms and wait until the next routine visit.
- C
Notify the clinician and transfusion service promptly and assist with ordered assessment and testing.
- D
Arrange another transfusion without further evaluation.
19
Choose one
1 point
After stopping a suspected reaction, which check helps identify a possible patient or product mismatch?
- A
Check only the patient’s wristband against the order.
- B
Recheck patient and product identification against the order, wristband, compatibility label, and documentation.
- C
Ask the patient to confirm the component type, then restart the transfusion.
- D
Discard the component before checking its identification.
20
Choose one
1 point
A patient develops fever and rigors during a platelet transfusion. Which response best addresses the possibility of bacterial contamination?
- A
Stop the transfusion, assess and escalate care, notify the transfusion service, and preserve the component as directed for investigation.
- B
Continue the transfusion because fever during a platelet transfusion is harmless.
- C
Discard the component immediately before contacting the transfusion service.
- D
Give an antipyretic and leave the patient unobserved.