WHNP EXAMINATION TEST 2026 FULL
SOLUTION SET GUARANTEED PASS
◉ A 52-year-old female with type 1 diabetes has had progressive renal
failure over the past three years. She is not on dialysis and her
examination shows no abnormalities. Her hemoglobin level is 9 g/dL,
hematocrit is 29%, and mean corpuscular volume is 92 fL, and a blood
smear shows normocytic, normochromic cells. Which of the following is
the most likely cause of the anemia?
A. Acute blood loss
B. Pernicious anemia
C. Sickle cell disease
D. Erythropoietin deficiency
E. Hemolytic anemia
F. Polycythemia vera. Answer: D. Erythropoietin deficiency
◉ Which of the following anemias has normocytic RBCs?
A. Hemolytic anemia
B. Vitamin B12 deficiency
C. Folate deficiency
D. Anemia of chronic disease. Answer: A. Hemolytic anemia
,◉ A healthy 3-year-old girl is brought to the emergency department
because of severe uncontrolled nosebleed. She has a history of ear
infections that have improved after treatment. Her temperature is
elevated. She has numerous small bruises on her arms and legs. Her
laboratory studies show: Hemoglobin 4.6 g/dLLeukocyte count
3,000/mm3 Reticulocyte count 0.1%Platelet count 12,000/mm3Which of
the following is the most likely explanation for these findings?
A. Anemia due to blood loss
B. Aplastic anemia
C. Sickle cell disease
D. Mononucleosis. Answer: B. Aplastic anemia
◉ In the 5 month (middle trimester) fetus hematopoiesis is most active
in the:
A. Yolk sac
B. Spleen
C. Liver
D. Bone marrow. Answer: C. Liver
◉ 8. Following the donation of a unit of blood, how long before
hematocrit begins to increase?
A. One hour
B. Two hours
, C. 24 hours
D. Five days
E. Two weeks. Answer: D. Five days
◉ How would a cell that has a diameter of 9 m and an MCV of 106 be
classified?
A. Macrocyte
B. Microcyte
C. Normal
D. Either normal or slightly microcytic. Answer: A. Macrocyte
◉ What are the laboratory findings in polycythemia vera?
A. Decreased hemoglobin and/or hematocrit, increased RBCs and
granulocytes, decreased platelets
B. Increased hemoglobin and/or hematocrit; increased RBCs,
granulocytes, and platelets
C. Normal hemoglobin and hematocrit, normal RBCs, increased
granulocytes and platelets
D. Increased hemoglobin and/or hematocrit, increased RBCs, decreased
granulocytes and platelets. Answer: B. Increased hemoglobin and/or
hematocrit; increased RBCs, granulocytes, and platelets
◉ Regarding erythropoietin, choose the correct answer:
A. Erythropoietin is mainly secreted by the liver
SOLUTION SET GUARANTEED PASS
◉ A 52-year-old female with type 1 diabetes has had progressive renal
failure over the past three years. She is not on dialysis and her
examination shows no abnormalities. Her hemoglobin level is 9 g/dL,
hematocrit is 29%, and mean corpuscular volume is 92 fL, and a blood
smear shows normocytic, normochromic cells. Which of the following is
the most likely cause of the anemia?
A. Acute blood loss
B. Pernicious anemia
C. Sickle cell disease
D. Erythropoietin deficiency
E. Hemolytic anemia
F. Polycythemia vera. Answer: D. Erythropoietin deficiency
◉ Which of the following anemias has normocytic RBCs?
A. Hemolytic anemia
B. Vitamin B12 deficiency
C. Folate deficiency
D. Anemia of chronic disease. Answer: A. Hemolytic anemia
,◉ A healthy 3-year-old girl is brought to the emergency department
because of severe uncontrolled nosebleed. She has a history of ear
infections that have improved after treatment. Her temperature is
elevated. She has numerous small bruises on her arms and legs. Her
laboratory studies show: Hemoglobin 4.6 g/dLLeukocyte count
3,000/mm3 Reticulocyte count 0.1%Platelet count 12,000/mm3Which of
the following is the most likely explanation for these findings?
A. Anemia due to blood loss
B. Aplastic anemia
C. Sickle cell disease
D. Mononucleosis. Answer: B. Aplastic anemia
◉ In the 5 month (middle trimester) fetus hematopoiesis is most active
in the:
A. Yolk sac
B. Spleen
C. Liver
D. Bone marrow. Answer: C. Liver
◉ 8. Following the donation of a unit of blood, how long before
hematocrit begins to increase?
A. One hour
B. Two hours
, C. 24 hours
D. Five days
E. Two weeks. Answer: D. Five days
◉ How would a cell that has a diameter of 9 m and an MCV of 106 be
classified?
A. Macrocyte
B. Microcyte
C. Normal
D. Either normal or slightly microcytic. Answer: A. Macrocyte
◉ What are the laboratory findings in polycythemia vera?
A. Decreased hemoglobin and/or hematocrit, increased RBCs and
granulocytes, decreased platelets
B. Increased hemoglobin and/or hematocrit; increased RBCs,
granulocytes, and platelets
C. Normal hemoglobin and hematocrit, normal RBCs, increased
granulocytes and platelets
D. Increased hemoglobin and/or hematocrit, increased RBCs, decreased
granulocytes and platelets. Answer: B. Increased hemoglobin and/or
hematocrit; increased RBCs, granulocytes, and platelets
◉ Regarding erythropoietin, choose the correct answer:
A. Erythropoietin is mainly secreted by the liver
