ATI RN
ASCP Hematology Questions Questions
Question 1 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 2 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 3 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 4 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 5 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.