ASCP Hematology Questions

ATI RN · ASCP Hematology Questions

Question 1 of 57

Which percent of iron deficient children develop Iron deficiency anemia?

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ATI RN · ASCP Hematology Questions

Question 2 of 57

Which of the following is least likely to be associated with prolonged thrombocytopenia in children?

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ATI RN · ASCP Hematology Questions

Question 3 of 57

A 13-month-old girl presented with progressive pallor for the last 3 months. The mother noticed that she started to eat a non-nutritive and dirty substance. She is on breast feeding till this age. On examination, she is pale, apathetic looking, no LAP, no organomegaly, and no skin bleeds. Of the following, the MOST likely diagnosis is:

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ATI RN · ASCP Hematology Questions

Question 4 of 57

All of the following are true about Fanconi anemia EXCEPT

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ATI RN · ASCP Hematology Questions

Question 5 of 57

Anemia and reticulocytopenia that occur in the 2nd half of infancy period is LEAST likely due to

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ATI RN · ASCP Hematology Questions

Question 6 of 57

The urgency for packed cell transfusion in childhood anemia should be dictated by

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ATI RN · ASCP Hematology Questions

Question 7 of 57

Which laboratory test is ordered to determine the presence of the HIV antigen in an infant whose parent is HIV+?

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ATI RN · ASCP Hematology Questions

Question 8 of 57

Blood transfusion therapy in a child with sickle cell anemia is indicated in all the following conditions EXCEPT

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ATI RN · ASCP Hematology Questions

Question 9 of 57

One of the following features DOES NOT fit hemophilia A

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ATI RN · ASCP Hematology Questions

Question 10 of 57

Matching: Hemolytic anemia - Thermal sensitivity

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ATI RN · ASCP Hematology Questions

Question 11 of 57

A 10-month-old white male presents with a 1-day history of persistent bleeding after cutting his lip slightly. The family history is unremarkable, and the patient is receiving no medications. Laboratory data reveal a hemoglobin value of 11 g/dL, platelets of 350,000, a prothrombin time of 11.8 seconds, and a partial thromboplastin time (PTT) of 100 seconds, which is corrected by mixing of normal plasma. The most likely diagnosis is

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ATI RN · ASCP Hematology Questions

Question 12 of 57

Of the following, the LEAST likely feature of acute immune thrombocytopenia (ITP) is

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ATI RN · ASCP Hematology Questions

Question 13 of 57

A 55-year-old man presented to his primary care physician for evaluation of fatigue. He was previously healthy with the exception of chronic musculoskeletal low back pain, for which he occasionally takes nonsteroidal anti-inflammatory drugs. On examination, he is pale. Complete blood cell count results are as follows: hemoglobin 8.3 g/dL, mean corpuscular volume 73 fL, leukocyte count 6.9 Ãƒâ€” 10^9/L, and platelet count 398 Ãƒâ€” 10^9/L. Results of the fecal occult blood test are positive. During upper and lower endoscopy, a 1.2 Ãƒâ€” 2.5-cm ulcerative lesion is noted in the lesser curvature of the stomach. The lesion is biopsied and identified as a MALT lymphoma. Which of the following is characteristic of MALT lymphoma?

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ATI RN · ASCP Hematology Questions

Question 14 of 57

The bleeding time is a test for

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ATI RN · ASCP Hematology Questions

Question 15 of 57

A blood smear taken from the patient described in Question 10 shows microcytic hypochromic anemia. Iron supplementation therapy is started. When will the reticulocyte response be at maximum?

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ATI RN · ASCP Hematology Questions

Question 16 of 57

The BEST treatment option for factor VIII hemophiliacs with high titer inhibitor is

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ATI RN · ASCP Hematology Questions

Question 17 of 57

Folic acid deficiency may develop in the following children EXCEPT

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ATI RN · ASCP Hematology Questions

Question 18 of 57

A 15-year-old is diagnosed with non-Hodgkin lymphoma. Which of the following should the nurse include in teaching the parents about this lymphoma? (Select one that does not apply.)

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ATI RN · ASCP Hematology Questions

Question 19 of 57

What are the clinical manifestations of non-Hodgkin lymphoma?

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ATI RN · ASCP Hematology Questions

Question 20 of 57

Chronic thrombocytopenia in a male with eczema should suggest

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ATI RN · ASCP Hematology Questions

Question 21 of 57

A 9-month-old boy appears pale. Examination reveals a palpable liver $3 \mathrm{~cm}$ below the right costal margin and palpable spleen $4 \mathrm{~cm}$ below the left costal margin. Lab findings include: hemoglobin concentration, 6.4 g/dl; mean corpuscular volume (MCV), 67 fL; and WBC, 15,000/mm3. Of the following, The MOST valuable test to confirm the diagnosis is

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ATI RN · ASCP Hematology Questions

Question 22 of 57

A child with sickle cell anemia is scheduled for an exchange transfusion. What should the nurse teach the family?

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ATI RN · ASCP Hematology Questions

Question 23 of 57

A healthy 5-day-old male neonate develops bruising and melena. The pregnancy, and delivery course were unremarkable. The mother received heparin therapy for recurrent abortions secondary to lupus anticoagulants. The infant is vigorously breastfeeding. Examination reveals only multiple bruises. Lab tests reveals: hemoglobin, 8.4 g/dL; WBC, 8600/mm3; platelets count, 200000/mm3; PTT, 74 seconds; PT, 28 seconds; serum fibrinogen is normal. Of the following, the MOST likely cause of this bleeding is

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ATI RN · ASCP Hematology Questions

Question 24 of 57

In hemophilia A, factor VIII level activity should be increased to $100 \%$ in

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ATI RN · ASCP Hematology Questions

Question 25 of 57

Which of the following is FALSE about factor V Leiden mutation?

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ATI RN · ASCP Hematology Questions

Question 26 of 57

All the following are true regarding factor XIII EXCEPT

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ATI RN · ASCP Hematology Questions

Question 27 of 57

A child with leukemia has a white blood cell count of 5000/mmÃ‚Â³ with 5% polys and 3% bands. Which analysis is most appropriate?

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ATI RN · ASCP Hematology Questions

Question 28 of 57

Transfusion of fresh frozen plasma (FFP) is efficacious for the treatment of deficiency of all the following coagulation factors EXCEPT

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ATI RN · ASCP Hematology Questions

Question 29 of 57

A previously normal 10-year-old male experiences pallor, fatigue, and a fall in hemoglobin level from 13 to 8 g/dL without evidence of bleeding. His spleen is slightly enlarged. The reticulocyte count is 10%, and his WBC and platelet counts are normal. Many spherocytes are observed on the blood film. The most likely diagnosis is

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ATI RN · ASCP Hematology Questions

Question 30 of 57

A 6-year- old boy presented three hours after receiving blood transfusion with urticaria, pruritus, maculopapular rash, progressively developed facial edema, and respiratory distress. Of the following, the MOST likely diagnosis is

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ATI RN · ASCP Hematology Questions

Question 31 of 57

Mentzer index of less than 12.5 suggests thalassemia trait, it represents

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ATI RN · ASCP Hematology Questions

Question 32 of 57

An 18-month-old male is brought in by his mother. He is pale, and his hematocrit is 20%. Which questions should help the nurse make a diagnosis?.)

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ATI RN · ASCP Hematology Questions

Question 33 of 57

A 72-year-old man with chronic atrial fibrillation has been receiving dabigatran 75 mg twice daily for the past 6 months. He has not had any thrombotic or hemorrhagic complications. He has a history of colon polyps, for which he needs to undergo a colonoscopy with possible polypectomy. Apart from an irregular pulse, his physical examination findings are normal. Results were normal for a complete blood cell count and tests of renal and liver function. The calculated creatinine clearance is 28 mL/min. For how long should dabigatran use be discontinued before the colonoscopy?

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ATI RN · ASCP Hematology Questions

Question 34 of 57

Which analgesic is most effective for a child with sickle cell pain crisis?

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ATI RN · ASCP Hematology Questions

Question 35 of 57

Which of the following conditions causes profound thrombocytopenia?

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ATI RN · ASCP Hematology Questions

Question 36 of 57

A healthy 5-mo-old boy appears pale. Examination is unremarkable. Lab findings include: Hb 8.1 g/dl; WBC 4,800/mm3; platelets 144,000/mm3; MCV, 111 fl; blood film showed hypersegmented neutrophils; serum B12, 65 pg/mL (low). The infant is vigorously breast fed. Of the following, the NEXT step of the management is

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ATI RN · ASCP Hematology Questions

Question 37 of 57

Inherited thrombocytopenias include all the following EXCEPT

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ATI RN · ASCP Hematology Questions

Question 38 of 57

Which of the following tests measures the step from fibrinogen to fibrin conversion?

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ATI RN · ASCP Hematology Questions

Question 39 of 57

Which factors should be included in a teaching plan for a child with sickle cell anemia? (Select one that does not apply..)

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ATI RN · ASCP Hematology Questions

Question 40 of 57

Deficiency of which of the following factors is asymptomatic?

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ATI RN · ASCP Hematology Questions

Question 41 of 57

Which of the following symptoms/sings is a manifestation of anemia?

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Question 42 of 57

Constrictive pericarditis secondary to radiation exposure with sings of increase in pulmonary pressure. The child received a course of irradiation which leads to

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ATI RN · ASCP Hematology Questions

Question 43 of 57

Matching: Red blood cell aplasia - X-linked recessive

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ATI RN · ASCP Hematology Questions

Question 44 of 57

The best treatment option for hereditary spherocytosis is

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ATI RN · ASCP Hematology Questions

Question 45 of 57

A 22-year-old man is admitted to the hospital for an elective cholecystectomy. You are asked to see him because he had anemia on preoperative testing. He tells you that he has always been told by his physicians that he has mild anemia; his medical history is otherwise unremarkable. His vital signs are normal. His conjunctivae are mildly icteric, and the spleen is palpable in the left upper quadrant. Findings on the remainder of the physical examination are normal. Diagnostic testing results are shown in Table 9.Q3. Which of the following tests would most likely help confirm the diagnosis?

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ATI RN · ASCP Hematology Questions

Question 46 of 57

In hereditary spherocytosis, all the following will resolve postsplenectomy EXCEPT

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Question 47 of 57

Matching: Hemolytic anemia - Decay-accelerating factor deficiency

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ATI RN · ASCP Hematology Questions

Question 48 of 57

All the following are correct regarding treatment of cold agglutinin disease EXCEPT

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ATI RN · ASCP Hematology Questions

Question 49 of 57

The nurse is taking care of a child with sickle cell disease. The nurse is aware that which of the following problems is (are) associated with sickle cell disease? (Select all that apply.)

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ATI RN · ASCP Hematology Questions

Question 50 of 57

The parent of a 2-year-old HIV-positive child questions whether the child can attend day care. Which is the best response?

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ATI RN · ASCP Hematology Questions

Question 51 of 57

Which of the following is not a feature of Wiskott-Aldrich Syndrome (WAS)

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ATI RN · ASCP Hematology Questions

Question 52 of 57

Which liver protein plays a key role in iron homeostasis?

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ATI RN · ASCP Hematology Questions

Question 53 of 57

A child who has completed treatment for leukemia comes to the clinic with the parents. The parents express that they are glad their child has been cured and is safe from getting cancer later in life. Which of the following should the nurse consider in responding?

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ATI RN · ASCP Hematology Questions

Question 54 of 57

Which of the following agents helps in decreasing the frequency of vasoocclusive crises in children with sickle cell disease?

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ATI RN · ASCP Hematology Questions

Question 55 of 57

Which would you expect to administer to a child with ITP and a platelet count of 5000/mmÃ‚Â³?

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ATI RN · ASCP Hematology Questions

Question 56 of 57

The increment in hemoglobin after instituting oral iron therapy for iron deficiency anemia is about

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Question 57 of 57

A 62-year-old man underwent right total knee replacement 8 days ago. Swelling has developed in his right lower extremity, and Doppler ultrasonography confirms the presence of a right superficial femoral vein thrombosis. His current medications include oxycodone and subcutaneous unfractionated heparin. Results of preoperative tests, including a complete blood cell count and liver and kidney function, were normal. Other laboratory data include the following: hemoglobin 12.2 g/dL, leukocyte count 8.5 Ãƒâ€” 10^9/L, and platelet count 60 Ãƒâ€” 10^9/L. In addition to stopping the use of subcutaneous heparin, what is the next most appropriate step in management of this patient?

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