ATI RN
ASCP Hematology Questions Questions
Question 1 of 5
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?
Correct Answer: B
Rationale: Children who have survived one cancer, such as leukemia, are at an increased risk for secondary malignancies later in life.
Question 2 of 5
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?.)
Correct Answer: C
Rationale: Diet history (what the child eats and how much milk is consumed) is essential to assess nutritional iron intake, which may contribute to iron-deficiency anemia.
Question 3 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 4 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 5 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.