ATI RN
ASCP Hematology Questions Questions
Question 1 of 5
Which factors should be included in a teaching plan for a child with sickle cell anemia? (Select one that does not apply..)
Correct Answer: B
Rationale: Prompt medical attention when sick, stress avoidance, proper hydration, and good nutrition are all crucial in managing sickle cell anemia. (Overcooling by an air-conditioned room is not specifically indicated.)
Question 2 of 5
Which would you expect to administer to a child with ITP and a platelet count of 5000/mm³?
Correct Answer: B
Rationale: IVIG is given in ITP to help reduce the autoimmune destruction of platelets. (Platelet transfusions are reserved for life-threatening bleeding.)
Question 3 of 5
Anemia and reticulocytopenia that occur in the 2nd half of infancy period is LEAST likely due to
Correct Answer: A
Rationale: DBA (A) typically presents in the first 6 months, not later infancy (6-12 months), unlike TEC (B), prolonged hemolytic disease (C), aplastic crises (D), or Fanconi anemia (E), which can occur or persist into this period.
Question 4 of 5
Folic acid deficiency may develop in the following children EXCEPT
Correct Answer: C
Rationale: Goat’s milk (A), unfortified milk (B), phenytoin (D), and trimethoprim (E) impair folate intake or metabolism. Pasteurized cow’s milk (C) retains adequate folate, unlike unfortified formulas.
Question 5 of 5
In hereditary spherocytosis, all the following will resolve postsplenectomy EXCEPT
Correct Answer: A
Rationale: Splenectomy resolves anemia (B), reticulocytosis (C), hyperbilirubinemia (D), and aplastic crises (E) in HS by removing the site of RBC destruction. Osmotic fragility (A) persists, as it’s an intrinsic RBC defect.