ATI RN
Hematology Final Exam Questions Pdf Questions
Question 1 of 5
The parent of a child diagnosed with Wilms tumor asks about the treatment plan. What should the nurse explain?
Correct Answer: C
Rationale: The standard treatment often involves surgical removal of the tumor (and the affected kidney) followed by chemotherapy; radiation is used depending on staging and histology.
Question 2 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 3 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 4 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.
Question 5 of 5
Which test provides a definitive diagnosis of aplastic anemia?
Correct Answer: B
Rationale: A bone marrow aspiration is the definitive test used to diagnose aplastic anemia by evaluating marrow cellularity.