ATI RN
Hematology Final Exam Questions Pdf Questions
Question 1 of 5
You are evaluating a 7-year-old male child with cervical lymphadenopathy; the MOST likely finding that raise your suspicion of malignancy is
Correct Answer: C
Rationale: Fixed nodes (C) suggest malignancy (e.g., lymphoma) by indicating infiltration, more than matted (A), fluctuant (B), symptoms (D), or duration (E), which are less specific.
Question 2 of 5
A 5-year-old child, with hemophilia A of severe type, presents to the emergency unit with a groin pain after a minor trauma to his back; his blood pressure is $60 / 30 \mathrm{~mm} \mathrm{Hg}$; his pulse rate is $180 / \mathrm{min}$; he holds his right hip in a flexion position with internal rotation. Of the following, the NEXT step in the management of this child is
Correct Answer: A
Rationale: Severe hemophilia A with shock and iliopsoas bleed signs requires immediate factor VIII replacement (A) to stop bleeding, before DDAVP (B, mild cases), assay (C), or imaging (D, E).
Question 3 of 5
The standard care for MOST children with severe hemophilia is
Correct Answer: A
Rationale: Prophylactic factor VIII (A) prevents bleeding and joint damage in severe hemophilia, superior to on-demand treatment (B) or avoidance measures alone (C, D, E).
Question 4 of 5
The LEAST indicator for an underlying hematological problem is
Correct Answer: B
Rationale: Fever (B) is less specific to hematology than pallor (A), petechiae (C), lymphadenopathy (D), or failure to thrive (E), which directly suggest anemia, bleeding, or marrow issues.
Question 5 of 5
A true hematological index for a cord blood sample is
Correct Answer: C
Rationale: Cord blood hemoglobin is typically 16-18 gm/dl (C); reticulocytes are higher (3-7%), leukocytes 9,000-30,000, and platelets 150,000-350,000.