Transfusion of fresh frozen plasma (FFP) is efficacious for the treatment of deficiency of all the following coagulation factors EXCEPT

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Question 1 of 5

Transfusion of fresh frozen plasma (FFP) is efficacious for the treatment of deficiency of all the following coagulation factors EXCEPT

Correct Answer: D

Rationale: FFP provides factors V (A), X (B), XI (C), and protein C (E), but factor XIII (D) has low levels in FFP, requiring cryoprecipitate or concentrates for deficiency.

Question 2 of 5

All the following are true regarding factor XIII EXCEPT

Correct Answer: B

Rationale: Factor XIII has a 5-7 day half-life (A), is screened by clot solubility (C), assayed specifically (D), and needs 2-3% for hemostasis (E). PT, PTT, and TT (B) are normal in its deficiency, as it affects clot stability, not formation.

Question 3 of 5

Which of the following is FALSE about factor V Leiden mutation?

Correct Answer: C

Rationale: Factor V Leiden is common (A), worse in homozygotes (B), increases venous thrombosis with OCPs (D), and causes abortions (E). Arterial thrombosis (C) is not significantly increased, making it false.

Question 4 of 5

A healthy 5-day-old male neonate develops bruising and melena. The pregnancy, and delivery course were unremarkable. The mother received heparin therapy for recurrent abortions secondary to lupus anticoagulants. The infant is vigorously breastfeeding. Examination reveals only multiple bruises. Lab tests reveals: hemoglobin, 8.4 g/dL; WBC, 8600/mm3; platelets count, 200000/mm3; PTT, 74 seconds; PT, 28 seconds; serum fibrinogen is normal. Of the following, the MOST likely cause of this bleeding is

Correct Answer: C

Rationale: Neonatal bruising, melena, and prolonged PT/PTT with normal platelets and fibrinogen suggest vitamin K deficiency (C), common in newborns without prophylaxis. DIC (A) lowers fibrinogen, hemophilia (B) is sex-linked, heparin (D) isn’t transferred via breast milk, and lupus anticoagulants (E) don’t cause bleeding.

Question 5 of 5

Which of the following is least likely to be associated with prolonged thrombocytopenia in children?

Correct Answer: A

Rationale: Acute ITP (A) typically resolves within months, unlike chronic conditions SLE (B), HIV (C), type 2B vWD (D), and WAS (E), which cause prolonged thrombocytopenia.

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