ATI RN
ASCP Hematology Questions Questions
Question 1 of 5
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.)
Correct Answer: B
Rationale: Non-Hodgkin lymphoma originates in the lymphoid system. It is typically diffuse (not nodular) and often involves the mediastinum. Treatment usually includes a combination of chemotherapy and radiation.
Question 2 of 5
A child with leukemia has a white blood cell count of 5000/mm³ with 5% polys and 3% bands. Which analysis is most appropriate?
Correct Answer: A
Rationale: The ANC is calculated as (5% + 3%) of 5000 = 8% of 5000 = 400/mm³, which is below the normal threshold (<500/mm³), indicating neutropenia.
Question 3 of 5
A child with sickle cell anemia is scheduled for an exchange transfusion. What should the nurse teach the family?
Correct Answer: D
Rationale: Exchange transfusion is performed to lower the percentage of sickled cells, thereby reducing hypoxia and its complications.
Question 4 of 5
The parent of a 2-year-old HIV-positive child questions whether the child can attend day care. Which is the best response?
Correct Answer: D
Rationale: An HIV-positive child may attend day care with no specific restrictions except that the child should not be in a group setting when febrile to prevent spread of other infections.
Question 5 of 5
What are the clinical manifestations of non-Hodgkin lymphoma?
Correct Answer: B
Rationale: Manifestations of non-Hodgkin lymphoma vary with the site and extent of disease involvement; no single sign is diagnostic.