ATI RN
Hematology Exam Questions Questions
Question 1 of 5
You are explaining the risk of sepsis after splenectomy to medical students. An important statement that should be included during this discussion is that risk is especially high in children
Correct Answer: C
Rationale: Sepsis risk post-splenectomy is highest in chronic ITP (C) due to underlying immune dysfunction, more than age (A), HS (B), trauma (D), or Hodgkin (E), though all carry risk.
Question 2 of 5
A 3-year-old male child develops hematoma and bruising of his right hand next day after falling on the ground; the mother stated that her child has a poor wound healing and a history of delayed umbilical separation during the neonatal period. Of the following, the MOST valuable test for this case is
Correct Answer: D
Rationale: Bruising, poor healing, and delayed umbilical separation suggest factor XIII deficiency. Clot solubility test (E) screens for this, more specific than BT (A), PTT (B), PT (C), or TT (D).
Question 3 of 5
Which of the following is the best treatment for a 5-year-old girl with acute immune thrombocytopenia (ITP) and platelets count of $30,000 / \mathrm{ml}$ and mild petechial rash all over her body?
Correct Answer: D
Rationale: Acute ITP with platelets 30,000/mL and mild petechiae often resolves spontaneously (E), especially without severe bleeding, unlike IVIG (A), anti-D (B), steroids (C), or transfusion (D).
Question 4 of 5
It is a common complication after an open heart surgery due to immunological phenomena with up to 30% of cardiac surgery. Treatment is usually with anti-inflammatory medications and colchicine.
Correct Answer: C
Rationale: Postpericardiotomy syndrome (C) occurs in up to 30% of cardiac surgeries, treated with anti-inflammatories and colchicine, fitting the description.
Question 5 of 5
Which of the following symptoms/signs is a manifestation of polycythemia?
Correct Answer: B
Rationale: Deep vein thrombosis (B) is common in polycythemia due to increased viscosity and clotting risk.