ATI RN
ASCP Hematology Questions Questions
Question 1 of 5
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
Correct Answer: A
Rationale: Hereditary spherocytosis (A) fits with spherocytes, hemolysis, splenomegaly, and high reticulocytes without bleeding.
Question 2 of 5
All of the following are true about Fanconi anemia EXCEPT
Correct Answer: B
Rationale: Fanconi anemia (B) features chromosomal instability, not stability, increasing cancer risk (D).
Question 3 of 5
Chronic thrombocytopenia in a male with eczema should suggest
Correct Answer: D
Rationale: Wiskott-Aldrich syndrome (D) is an X-linked disorder with thrombocytopenia, eczema, and immune deficiency.
Question 4 of 5
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.)
Correct Answer: C
Rationale: Aplastic crisis occurs when the bone marrow temporarily ceases production. Splenic sequestration is a life-threatening complication in which blood pools in the spleen. Vaso-occlusive crisis is the most common painful complication in sickle cell disease.
Question 5 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.