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FNP Hematopoietic Latest Exam Questions And All Correct Answers.
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  • Hematopoietic System

common presenting sign of leukemia in children: - Answer fever bone pain (long bone - femur) Sometimes kids think its from playing outside, but the pain will persevere for 1-2 onward lymphadenopathy (nontender) bleeding bruising (platelets <100, 000) CHECK CBC abnormal WBC LYMPHOBLASTS O...

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  • 14 november 2024
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Voorbeeld van de inhoud

FNP Hematopoietic Latest Exam
Questions And All Correct Answers.
common presenting sign of leukemia in children: - Answer fever

bone pain (long bone - femur) Sometimes kids think its from playing outside, but the pain will persevere
for 1-2 onward

lymphadenopathy (nontender)

bleeding bruising (platelets <100, 000) CHECK CBC

abnormal WBC

LYMPHOBLASTS ON PERIPHERAL SMEAR



what is the leading cause of mortality in patients diagnosed with thalassemia? - Answer excess of iron
due to the amount of transfusions. it may lead to heart damage, liver damage, and even death



A 78 year old patient presents with new complaints of an aggravating sensation in his legs that worsens
at rest. After investigating further, you begin to suspect a possible diagnosis of restless leg syndrome.
Which of the following medications would be appropriate to initially prescribe for symptom relief in this
patient? - Answer The basis of care is to prescribe medications that increase dopamine such as
Pramipexole, Ropinirole, or Rotigotine. These medications are dopamine agonists



DO NOT GIVE PAIN MEDICATION



A 24-year-old patient with a history of epilepsy presents to the clinic with complaints of fatigue and
unexplained bruising. The patient is taking valproic acid and has a diagnostic level of 75 mcg/mL. Which
additional laboratory assessment will the nurse practitioner use to determine the patient's diagnosis -
Answer Valproic acid places patients at an increased risk for aplastic anemia - your bone marrow
doesn't make enough new blood cells. Based on the patient's current treatment with valproic acid and
clinical presentation, the nurse practitioner will evaluate for aplastic anemia. The standard laboratory
assessment for aplastic anemia includes:

blood smear,

a reticulocyte count,

complete blood count.

complete metabolic panel,

, lactic acid dehydrogenase, haptoglobin, and coagulation parameters



Diagnostic laboratory findings of ______ include a borderline vitamin B12 level, an MMA level within the
reference range, and an elevated HC. The standard reference range for vitamin B12 is 200 to 900 -
Answer folate deficiency



Decreased energy, paresthesia, and oral ulceration. The patient's vitamin B12 is 215 ng/mL,
methylmalonic acid (MMA) is 175 mM/L, and homocysteine (HC) is 18



Elevated levels of MMA and HC, paired with an increase in anti-parietal antibodies, are findings
associated with _________. - Answer pernicious anemia - megaloblastic anemia resulting from a
deficiency of cobalamin (vitamin B12), which in turn is caused by a lack of intrinsic factor (IF). Intrinsic
factor is a glycoprotein that binds cobalamin and thereby enables its absorption in the terminal ileum.
NEED IM or ORAL b12



Lupus is two to three times more prevalent among women of African American, Asian, Hispanic, and
Native American backgrounds than in _______ women. - Answer Caucasian



Burr cells and schistocytes are cell shapes categorized as ________. - Answer poikilocytosis



Target cells and Howell-Jolly bodies are found on a peripheral smear in patients with ________ - Answer
sickle cell anemia



Anisopoikilocytosis is associated with _________, not sickle cell anemia. - Answer beta thalassemia
major



An hallmark finding of b12 and folate deficiency is ______ - Answer MACROcytosis - NOT glossitis. this
is only seen with b12 deficiency



A Black adult male presents with new onset of jaundice, dark urine, fatigue, and anorexia. He was seen a
few days previously and treated for a possible urinary tract infection. He is on the third day of
nitrofurantoin (Macrobid) 100 mg PO BID 7 days. The hemoglobin is 11 g/dL, and the hematocrit is 34%.
The MCV is 84 fL. The serum indirect bilirubin is elevated. Which of the following conditions is most
likely? - Answer The patient probably has G6PD anemia, a type of hemolytic anemia.

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