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HESI PN Exit Exam Review: Monitor a patient receiving a blood transfusion

Review monitor a patient receiving a blood transfusion for this HESI PN Exit Exam question with the key prompt clue, correct-answer reasoning, distractor checks, and sources to verify next.

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What this question is testing

Objective: Monitor a patient receiving a blood transfusion

Prompt focus: A practical nurse is monitoring a patient 15 minutes into a packed red blood cell transfusion. The patient suddenly reports chills, low back pain, and a feeling of warmth. What is the nurse's priority action?

Why the correct answer works

Stop the transfusion and keep the intravenous line open with normal saline

These symptoms suggest a hemolytic reaction, so the nurse stops the transfusion and keeps the line open with normal saline.

Why the tempting wrong answer fails

The tempting wrong answer usually loses because it skips the key condition, priority, or evidence in the prompt.

Plain-language takeaway

Chills, low back pain, and warmth early in a transfusion suggest a hemolytic transfusion reaction. The transfusion is stopped immediately and the line kept open with normal saline.

Simple analogy

Think of monitor a patient receiving a blood transfusion like following a short checklist: identify the clue, confirm the rule, and then make the move that fits this exact scenario.

How to review it before a retake

  • Underline the command word and name what the question is asking before rereading the choices.
  • Compare the correct answer against the closest distractor and write the exact detail that separates them.
  • Retest this objective with a fresh question without looking at the rationale first.

Sources to verify next