Hematology Oncology Question Bank

ATI RN · Hematology Oncology Question Bank

Question 1 of 102

Why does a patient with anemia often feel fatigued?

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ATI RN · Hematology Oncology Question Bank

Question 2 of 102

Systemic amyloidosis may be associated with deficiency of

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ATI RN · Hematology Oncology Question Bank

Question 3 of 102

You are making a room assignment for a newly arrived client whose laboratory testing indicates pancytopenia. All of these clients are already on the nursing unit. Which one will be the best roommate for the new client?

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ATI RN · Hematology Oncology Question Bank

Question 4 of 102

A 6-year- old girl presented with recurrent mucocutaneous bleeding episodes since early childhood that was usually stopped spontaneously or by local measures. Her brother also complained from the same problem, initial CBC was normal. Of the following, the MOST likely diagnosis is

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ATI RN · Hematology Oncology Question Bank

Question 5 of 102

Matching: Hemolytic anemia - Microcytosis

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Question 6 of 102

Increased incubated osmotic fragility test that is not corrected by the addition of glucose is MOST likely suggestive of

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ATI RN · Hematology Oncology Question Bank

Question 7 of 102

Which intervention should be implemented after a bone marrow aspiration?

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Question 8 of 102

A group of clients is assigned to an RN-LPN/LVN team. The LPN/LVN is most likely to be assigned to provide client care and administer medications to which of these clients?

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ATI RN · Hematology Oncology Question Bank

Question 9 of 102

Priority Decision: A patient is undergoing a contrast computed tomography (CT) of the spleen. What is most important for the nurse to ask the patient about before the test?

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ATI RN · Hematology Oncology Question Bank

Question 10 of 102

The nurse in the outpatient clinic is assessing a 22-year-old with a history of a recent splenectomy after a motor vehicle accident. Which information obtained during the assessment will be of most immediate concern to the nurse?

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ATI RN · Hematology Oncology Question Bank

Question 11 of 102

As home health nurse, you are taking an admission history for a client who has a deep vein thrombosis and is taking warfarin (Coumadin) 2 mg daily. Which statement by the client is the best indicator that additional teaching about warfarin may be needed?

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ATI RN · Hematology Oncology Question Bank

Question 12 of 102

For a client with sickle cell anemia, how does the nurse assess for jaundice?

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ATI RN · Hematology Oncology Question Bank

Question 13 of 102

What are the nursing interventions for a client with thalassemia?

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ATI RN · Hematology Oncology Question Bank

Question 14 of 102

A client with acute myelogenous leukemia is receiving induction phase chemotherapy. Which assessment information is of most concern?

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ATI RN · Hematology Oncology Question Bank

Question 15 of 102

In a child with a recent diagnosis of hemophilia A who developed moderate epistaxis, the aim of the treatment is to increase the level of factor VIII to

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ATI RN · Hematology Oncology Question Bank

Question 16 of 102

Which finding confirms a diagnosis of Hodgkin disease in a 15-year-old?

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ATI RN · Hematology Oncology Question Bank

Question 17 of 102

Males, at onset of puberty, maintain a normal hemoglobin value about 1.5-2.0 gm/dl higher than females because of

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ATI RN · Hematology Oncology Question Bank

Question 18 of 102

A 5-day-old full-term male presents with intense cyanosis, tachypnea, and tachycardia. Physical examination reveals cyanosis of the skin and mucous membranes; the lungs, heart, pulses, and general examination show no abnormalities. Arterial blood gas determination reveals a PaOÃ¢â€šâ€š of 95 while the patient is breathing room air and an oxygen saturation of 40%. The most likely diagnosis is

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ATI RN · Hematology Oncology Question Bank

Question 19 of 102

The hematologic features of congenital hypoplastic anemia (Diamond-Blackfan Anemia) include all the following EXCEPT

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ATI RN · Hematology Oncology Question Bank

Question 20 of 102

A child with ALL receiving chemotherapy has a platelet count of 20,000/mmÃ‚Â³. What should the nurse advise regarding home care?

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ATI RN · Hematology Oncology Question Bank

Question 21 of 102

When assessing a client with a disorder of the hematopoietic or the lymphatic system, why is it important for the nurse to obtain a dietary history?

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ATI RN · Hematology Oncology Question Bank

Question 22 of 102

All the following may occur as a renal manifestation in a child with sickle cell anemia EXCEPT

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ATI RN · Hematology Oncology Question Bank

Question 23 of 102

A patient is being treated with chemotherapy. The nurse revises the patient's care plan based on which result?

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ATI RN · Hematology Oncology Question Bank

Question 24 of 102

What is the major symptom in sickle cell crisis for clients with sickle cell anemia?

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ATI RN · Hematology Oncology Question Bank

Question 25 of 102

All the following are treatment options for immune thrombocytopenia EXCEPT

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ATI RN · Hematology Oncology Question Bank

Question 26 of 102

An 80-year-old man is admitted to the hospital after falling on an icy sidewalk and fracturing his hip. He undergoes open reduction and internal fixation of the fracture. At surgery, there does not appear to be any bone disease at the fracture site. The patient was previously asymptomatic. Physical examination findings are otherwise unremarkable. Serum protein electrophoresis and immunofixation show an IgM ÃŽÂº monoclonal protein (0.3 g/dL). The complete blood cell count and serum creatinine levels are normal. Skeletal survey shows no additional bone defects. Which of the following statements is true for this patient?

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ATI RN · Hematology Oncology Question Bank

Question 27 of 102

A 5-year-old is admitted with complaints of leg pain and fever. On physical examination, the child is pale and has bruising over various areas of the body. The physician suspects that the child has ALL. The nurse informs the parent that the diagnosis will be confirmed by which of the following?

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ATI RN · Hematology Oncology Question Bank

Question 28 of 102

Which of the following is the effect of a decrease in the number of lymphocytes with age?

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Question 29 of 102

An 8-year-old boy presented with recurrent skin ecchymoses for the last few months. On examination; he has cafÃƒÂ©-au-lait spots, microcephaly and absent thumb. Of the following, the MOST likely diagnosis is

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ATI RN · Hematology Oncology Question Bank

Question 30 of 102

A female client with lymphedema expresses her anxiety about the abnormal enlargement of an arm. Which of the following suggestions should a nurse give to support the client's self-image?

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ATI RN · Hematology Oncology Question Bank

Question 31 of 102

A 78-year-old client admitted to the hospital with chronic anemia caused by possible gastrointestinal bleeding has all of these activities included in the care plan. Which activity is best delegated to an experienced nursing assistant (NA)?

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ATI RN · Hematology Oncology Question Bank

Question 32 of 102

A 67-year-old man is evaluated for exertional dyspnea. He recalls that 3 years ago he was told that he had anemia. In reviewing his records, you note that at that time his hemoglobin level was 9.5 g/dL and his hematocrit was 33% with an increased mean corpuscular volume (MCV); the remainder of his complete blood cell count was normal. On physical examination, he had conjunctival pallor, normal heart and lung findings, no lymphadenopathy, no hepatomegaly or splenomegaly, and no petechiae or ecchymoses. Diagnostic testing results are shown in Table 9.Q1. Which of the following is the most likely explanation for these findings?

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ATI RN · Hematology Oncology Question Bank

Question 33 of 102

What is the definition of the Rh factor and where is it located?

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Question 34 of 102

A 67-year-old client who is receiving chemotherapy for lung cancer is admitted to the hospital with thrombocytopenia. While you are taking the admission history, the client makes these statements. Which statement is of most concern?

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ATI RN · Hematology Oncology Question Bank

Question 35 of 102

Which of the following instructions should a nurse give a client with non-Hodgkin's lymphoma who is being treated with radiation and chemotherapy?

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ATI RN · Hematology Oncology Question Bank

Question 36 of 102

Each of the following may cause thrombocytopenia EXCEPT

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ATI RN · Hematology Oncology Question Bank

Question 37 of 102

During physical assessment of a patient with thrombocytopenia, what would the nurse expect to find?

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ATI RN · Hematology Oncology Question Bank

Question 38 of 102

For a client with low blood volume, what is the major implication of decreasing blood pressure, and a rapid heart rate?

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ATI RN · Hematology Oncology Question Bank

Question 39 of 102

Mr. Kirby has developed third-degree heart block and is receiving 250 ml D5W with 1 mg isoproterenol IV every 5 hours. A microdrip administration set is being used and delivers 60 gtt./ml. At the start of your shift in evaluating whether or not Mr. Kirby is receiving the ordered amount of fluid, you know that the flow rate in drops per minute should be

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ATI RN · Hematology Oncology Question Bank

Question 40 of 102

Mr. D., who has suffered pelvic and crushing chest injuries, complains of a nose bleed and large bruises on his arms and legs. Laboratory data indicate prolonged prothrombin time, low platelet count, and incoagulable blood. A diagnosis of disseminated intravascular coagulation (DIC) is made and Mr. D. should be prepared for

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Question 41 of 102

As part of a treatment plan for patients with leukemia, a bone marrow transplant may be performed. What increased risk will these patients have post-transplant?

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ATI RN · Hematology Oncology Question Bank

Question 42 of 102

The valuable diagnostic feature that differentiate anemia of chronic disorder from iron deficiency anemia is

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ATI RN · Hematology Oncology Question Bank

Question 43 of 102

A patient is showing signs of clotting and bleeding concurrently. What could this indicate?

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Question 44 of 102

A nurse is doing discharge education with the parent of a child with beta-thalassemia (Cooley anemia). The nurse informs the parent that the child is at risk for which of the following conditions?

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ATI RN · Hematology Oncology Question Bank

Question 45 of 102

The best treatment for spinal cord compression at the vertebral canal with neurological symptoms caused by extramedullary hematopoiesis in thalassemic patients is

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ATI RN · Hematology Oncology Question Bank

Question 46 of 102

A new RN is preparing to administer packed red blood cells (PRBCs) to a client whose anemia was caused by blood loss after surgery. Which action by the new RN requires that you, as charge nurse, intervene immediately?

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ATI RN · Hematology Oncology Question Bank

Question 47 of 102

Thrombocytopenia that improves with age is MOST likely a feature of

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Question 48 of 102

Which individual is at greatest risk for developing beta-thalassemia (Cooley anemia)?

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ATI RN · Hematology Oncology Question Bank

Question 49 of 102

You have developed the nursing diagnosis Risk for Impaired Tissue Integrity related to effects of radiation for a client with Hodgkin's lymphoma who is receiving radiation to the groin area. Which nursing activity is best delegated to a nursing assistant caring for the client?

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ATI RN · Hematology Oncology Question Bank

Question 50 of 102

A lymph node biopsy is most often performed to diagnose

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Question 51 of 102

During intrauterine life, hematopoiesis usually begins by

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ATI RN · Hematology Oncology Question Bank

Question 52 of 102

The nurse expects which clinical manifestation in a child diagnosed with SCID?

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Question 53 of 102

Which of the following viruses can cause aplastic crises in chronic hemolytic disease?

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Question 54 of 102

Which of the following decreases the absorption of iron in clients who are taking an iron supplement due to iron deficiency anemia?

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ATI RN · Hematology Oncology Question Bank

Question 55 of 102

A client comes to the clinic complaining of sore throat, fatigue, and headache. The client lives in a dormitory and has been feeling ill for several weeks. Upon assessment of the client the nurse notes the cervical lymph nodes are enlarged. What does the nurse suspect the client has?

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ATI RN · Hematology Oncology Question Bank

Question 56 of 102

An increase in which blood cell indicates an increased rate of erythropoiesis?

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Question 57 of 102

Which of the following is FALSE regarding standard unfractionated heparin therapy?

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Question 58 of 102

Which of the following factors affects prothrombin time?

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Question 59 of 102

CMV-transmitted infection is least likely occurring in transfusion of which of the following blood products?

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Question 60 of 102

The individual that is LEAST susceptible to develop iron deficiency anemia is a

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Question 61 of 102

The most common cause of familial predisposition to thrombosis is

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Question 62 of 102

The diagnosis of the condition described in Question 16 can be confirmed by

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Question 63 of 102

A common significant feature of blood smear in lead poisoning is

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Question 64 of 102

Nursing care of patients with pernicious anemia during the acute phase should include

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Question 65 of 102

Of the following, the MOST accurate reflection of active erythropoiesis of the bone marrow is

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Question 66 of 102

A 16-year-old female is found to have multiple bruising and hypochromic microcytic anemia; during her first pregnancy she noticed disappearance of the bruises; she has a past history of uncomplicated emergency appendectomy at the age of 10 year. Of the following, the drug MOST likely beneficial for alleviation of her symptoms is

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Question 67 of 102

Which of the following criteria is included in the definition of severe aplastic anemia?

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Question 68 of 102

All of the following are true about congenital hypoplastic anemia EXCEPT

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Question 69 of 102

A client has just received an allogenic bone marrow transplant as treatment for non-Hodgkin's lymphoma. The client is showing signs of rejection. What is this term called?

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Question 70 of 102

Mr. White develops 'heart_block' and has a temporary pacemaker inserted. If Mr. White required defibrillation and the pacemaker is on, it would be most important to

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Question 71 of 102

Matching: Regional lymphadenopathy - Kawasaki

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Question 72 of 102

You are caring for a patient with sickle cell anemia during a sickle cell crisis. What would you expect the treatment plan for this patient to include?

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Question 73 of 102

A 6-year- old boy presented three hours after receiving whole blood transfusion with fever and chills, his urine color is clear and the mother stated that the transfusion process went smoothly. Of the following, the MOST likely diagnosis is

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Question 74 of 102

Laboratory test results indicate increased fibrin split products (FSPs). An appropriate nursing action is to monitor the patient for

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Question 75 of 102

One unit per kilogram body weight of factor VIII increase the plasma level by

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Question 76 of 102

A parent of a child with hemophilia is taught what to do first if the child sustains an injury to a joint causing bleeding. Which instruction is correct?

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Question 77 of 102

You are the charge nurse in an oncology unit. A client with an absolute neutrophil count (ANC) of 300/mmÃ‚Â³ is placed in protective isolation. Which staff member should you assign to provide care for this client, under the supervision of an experienced oncology RN?

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Question 78 of 102

A protocol of chlorambucil (Leukeran) and prednisone is prescribed for Mr. Johnson. The most serious delayed toxic symptom of antileukemic chemotherapy is

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ATI RN · Hematology Oncology Question Bank

Question 79 of 102

The best diagnostic study for iron deficiency in an otherwise healthy child is

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Question 80 of 102

When simple anemia develops in association with early pregnancy, the nurse should advise the woman to

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Question 81 of 102

The parent of a child with hemophilia asks what caused the disorder. Which is the best response?

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Question 82 of 102

A 2-month-old child is found to have sickle cell anemia (hemoglobin SS) from a cord blood screening study. Appropriate measures for the treatment of this infant should include which of the following?

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Question 83 of 102

Parvo virus B19 infection may cause transient pancytopenia in

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Question 84 of 102

The MOST common type of vaso-occlusive crises in children with sickle cell disease is

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Question 85 of 102

A patient is diagnosed with DVT. What is a priority intervention?

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Question 86 of 102

How long do erythrocytes circulate in the blood?

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Question 87 of 102

Which of the following are the most significant symptoms of the B subclassification of Hodgkin's disease?

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Question 88 of 102

In the process of admitting Mr. Johnson, the nurse observes multiple bruising, especially on the hands and forearms. These bruises are referred to as

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Question 89 of 102

During the nursing assessment of a patient with anemia, what specific information should the nurse ask the patient about?

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Question 90 of 102

A long-term-care client with chronic lymphocytic leukemia has a nursing diagnosis of Activity Intolerance related to weakness and anemia. Which of these nursing activities is most appropriate for you, as the charge nurse, to delegate to a nursing assistant?

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Question 91 of 102

After a woman had a right breast mastectomy, her right arm became severely swollen. What hematologic problem caused this?

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Question 92 of 102

An extremely high RBC distribution width (RDW) is MOST likely consistent with

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Question 93 of 102

A 22-year-old with stage I Hodgkin's disease is admitted to the oncology unit for radiation therapy. During the initial assessment, the client tells you, 'Sometimes I am afraid of dying.' Which response is most appropriate at this time?

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Question 94 of 102

Hemarthrosis is a common problem for individuals with hemophilia. The family can be taught to minimize this problem by

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Question 95 of 102

Both quantitative and qualitative platelets defects defects are seen in

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Question 96 of 102

All the following cause autoimmune hemolytic anemia through mechanical damage of the RBCs EXCEPT

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Question 97 of 102

A nurse is instructing the parent of a child with HIV about immunizations. Which should the nurse tell the parent?

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Question 98 of 102

What is the best method to prevent the spread of infection to an immunosuppressed child?

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Question 99 of 102

Which of the following is true of clients with hemophilia A (classic hemophilia)?

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Question 100 of 102

A 5-year-old white female has multiple bruises on her lower extremities and oral mucosal bleeding of 3 days' duration. Two weeks before these signs, she had a mild respiratory tract infection. Physical examination reveals multiple ecchymoses and petechiae; no lymphadenopathy or hepatosplenomegaly is noted. The next diagnostic step is

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Question 101 of 102

Matching: Red blood cell aplasia - Normal MCV

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Question 102 of 102

A 62-year-old man with chronic atrial fibrillation has been treated with warfarin. He has no other chronic illnesses and is receiving no other medications long-term except for lipid-lowering agents. Results of his complete blood cell count and tests of renal and kidney function are normal. He checks his prothrombin time monthly and has kept the international normalized ratio (INR) within the therapeutic range (2-3) for the duration of his therapy with warfarin. He has heard about recent US Food and Drug Administration (FDA) approval of dabigatran, which requires no monitoring, and he would like a prescription for this new drug. Which of the following statements is true about the use of dabigatran in atrial fibrillation compared with the well-managed use of warfarin?

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