AGNP BOARD EXAM
Hematology Assessment
(24 Questions with Answers and Explanations)
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.
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.
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.
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.
Hematology Assessment
(24 Questions with Answers and Explanations)
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.
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.
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.
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.
