ATI RN
Hematology Final Exam Questions Pdf Questions
Question 1 of 5
A child who has just received chemotherapy for neuroblastoma is being discharged. Which statement by the parent indicates a need for additional teaching?
Correct Answer: D
Rationale: Taking a rectal temperature can be harmful in a neutropenic child due to the risk of mucosal injury; an axillary or oral temperature is preferred.
Question 2 of 5
Where is the primary site of origin for neuroblastoma in children?
Correct Answer: C
Rationale: Neuroblastoma typically arises from embryonic neural crest cells in the adrenal medulla or the retroperitoneal sympathetic chain, most often within the abdomen.
Question 3 of 5
Which of the following can be manifestations of leukemia in a child? (Select one that does not apply..)
Correct Answer: C
Rationale: Leukemia may cause leg pain (due to bone marrow expansion), fever (from neutropenia), bruising (due to thrombocytopenia), and enlarged lymph nodes (from leukemic infiltration). Excessive weight gain is not typical.
Question 4 of 5
Which of the following is correct regarding prognostic factors for determining survival for a child newly diagnosed with ALL?
Correct Answer: A
Rationale: A normal or low white blood cell count at diagnosis is a favorable prognostic factor in ALL.
Question 5 of 5
Which measures should be implemented to help with the nausea and vomiting from chemotherapy? (Select one that does not apply.)
Correct Answer: D
Rationale: Antiemetics should be administered prophylactically (30 minutes before and continued for 24 hours after), and removal of odorous foods can also help prevent nausea. Keeping the child NPO or waiting for nausea to begin is not recommended.