NSG 6320 AGNP Board Exam – Hematology
Assessment Exam
1. Question:
If a newborn develops a cephalohematoma, the newborn is at an increased
risk for:
infection.
jaundice. Correct
caput succedaneum.
erythema toxicum.
Explanation:
Cephalohematomas are characterized by bleeding between the bone and the
periosteum. Because of breakdown of the red blood cells within a hematoma,
the infants are at greater risk for jaundice. They do not increase the risk for
infections. Caput succedaneum is an edematous area on the head from
pressure against the cervix. Erythema toxicum is a benign rash of unknown
cause that consists of blotchy red areas.
2. Question:
A twelve-month-old was recently diagnosed with Acquired Immunodeficiency
Syndrome (AIDS). The mother asks the nurse practitioner: "How could my
child have acquired AIDS?" The best response from the nurse practitioner
should be that: "Children under two years of age usually acquire AIDS:
by sharing car seats with an HIV infected toddler."
because the child may have been sexually abused by someone who was
HIV positive."
perinatally through an HIV infected mother." Correct
through casual contact with an HIV infected individual in a day care
center."
Explanation:
Perinatally is the acquired mode for infants. Children usually over five years
of age acquire AIDS through sexual abuse. HIV does not survive in the
environment and there is no evidence to date to support the fact That AIDS
is acquired through casual contact or by sharing car seats with HIV infected
seats.
3. Question:
Which ethnicity is associated with glucose-6-phosphate-dehydrogenase (G-6-
PD) deficiency?
American Indian
black Correct
Asian
, Hispanic
Explanation:
Glucose-6-phosphate-dehydrogenase (G-6-PD) deficiency is a condition in
which red blood cells break down when the body is exposed to certain drugs
(aspirin, antimalaria drugs) or the stress of infection. G-6-PD is most
prevalent in people of Mediterranean and African descent, and specifically
common in Saudi Arabian, African, and black patients.
4. Question:
The blood lead level that requires further testing and monitoring in children
is:
3 mcg/dL.
5 mcg/dL. Correct
7 mcg/dL.
9 mcg/dL.
Explanation:
In children, a blood lead level of 5 mcg/dL or 0.24 µmol/L or greater requires
further testing and monitoring. The source of lead must be found and
removed. A lead level greater than 45 mcg/dL or 2.17 µmol/L in a child's
blood usually indicates the need for chelation.
5. Question:
Which of the following foods contains the LEAST amount of folic acid?
Dairy Correct
Green leafy vegetables
Liver
Fruits
Explanation:
Dairy foods such as cheese, milk and yogurt do not contain folic acid unless
they have been specifically fortified to include this vitamin. Foods high in
folic acid include green leafy vegetables, meat from animal sources, fruits,
nuts, liver, and foods containing yeast.
6. Question:
Which assessment finding is consistent with pernicious anemia?
Facial palsy
Nuchal rigidity
Priapism
Peripheral neuropathy Correct
Explanation:
Assessment Exam
1. Question:
If a newborn develops a cephalohematoma, the newborn is at an increased
risk for:
infection.
jaundice. Correct
caput succedaneum.
erythema toxicum.
Explanation:
Cephalohematomas are characterized by bleeding between the bone and the
periosteum. Because of breakdown of the red blood cells within a hematoma,
the infants are at greater risk for jaundice. They do not increase the risk for
infections. Caput succedaneum is an edematous area on the head from
pressure against the cervix. Erythema toxicum is a benign rash of unknown
cause that consists of blotchy red areas.
2. Question:
A twelve-month-old was recently diagnosed with Acquired Immunodeficiency
Syndrome (AIDS). The mother asks the nurse practitioner: "How could my
child have acquired AIDS?" The best response from the nurse practitioner
should be that: "Children under two years of age usually acquire AIDS:
by sharing car seats with an HIV infected toddler."
because the child may have been sexually abused by someone who was
HIV positive."
perinatally through an HIV infected mother." Correct
through casual contact with an HIV infected individual in a day care
center."
Explanation:
Perinatally is the acquired mode for infants. Children usually over five years
of age acquire AIDS through sexual abuse. HIV does not survive in the
environment and there is no evidence to date to support the fact That AIDS
is acquired through casual contact or by sharing car seats with HIV infected
seats.
3. Question:
Which ethnicity is associated with glucose-6-phosphate-dehydrogenase (G-6-
PD) deficiency?
American Indian
black Correct
Asian
, Hispanic
Explanation:
Glucose-6-phosphate-dehydrogenase (G-6-PD) deficiency is a condition in
which red blood cells break down when the body is exposed to certain drugs
(aspirin, antimalaria drugs) or the stress of infection. G-6-PD is most
prevalent in people of Mediterranean and African descent, and specifically
common in Saudi Arabian, African, and black patients.
4. Question:
The blood lead level that requires further testing and monitoring in children
is:
3 mcg/dL.
5 mcg/dL. Correct
7 mcg/dL.
9 mcg/dL.
Explanation:
In children, a blood lead level of 5 mcg/dL or 0.24 µmol/L or greater requires
further testing and monitoring. The source of lead must be found and
removed. A lead level greater than 45 mcg/dL or 2.17 µmol/L in a child's
blood usually indicates the need for chelation.
5. Question:
Which of the following foods contains the LEAST amount of folic acid?
Dairy Correct
Green leafy vegetables
Liver
Fruits
Explanation:
Dairy foods such as cheese, milk and yogurt do not contain folic acid unless
they have been specifically fortified to include this vitamin. Foods high in
folic acid include green leafy vegetables, meat from animal sources, fruits,
nuts, liver, and foods containing yeast.
6. Question:
Which assessment finding is consistent with pernicious anemia?
Facial palsy
Nuchal rigidity
Priapism
Peripheral neuropathy Correct
Explanation:
