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AGNP BOARD EXAM QUESTIONS Hematology Assessment ( 24 Questions) 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 t...

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  • August 31, 2022
  • 8
  • 2022/2023
  • Exam (elaborations)
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AGNP BOARD EXAM QUESTIONS HEMATOLOGY ASSESSMENT



AGNP BOARD EXAM QUESTIONS Hematology Assessment ( 24 Questions)

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.



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, 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.

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.

Question:
Which assessment finding is consistent with pernicious anemia?
Facial palsy
Nuchal rigidity
Priapism
Peripheral neuropathy Correct

Explanation:
Pernicious anemia is associated with B12 deficiency. Vitamin B12 deficiency may lead to
nerve damage attributable to pathology in the peripheral and optic nerves, posterior
and lateral columns of the spinal cord (subacute combined degeneration), and in the
brain. This can cause tingling and numbness in the hands and feet, muscle weakness,
and loss of reflexes. Patients may feel unsteady and experience equilibrium problems
and ataxia. Vitamin B12 deficiency can cause weakened bones and may lead to hip
fractures. Vitamin B 12 deficiency does not cause facial palsy; however, vitamin B12 has
been used in the treatment of Bell's Palsy. Nuchal rigidity and priapism are not
associated with vitamin B12 deficiency.

Question:
The infant with the lowest risk of developing elevated levels of bilirubin is the one who:
is feeding poorly or whose feedings are delayed for several hours.
has developed a cephalhematoma.
is the second birth to an Rh negative mother.


This study source was downloaded by 100000844708667 from CourseHero.com on 08-31-2022 09:27:54 GMT -05:00


https://www.coursehero.com/file/64924179/AGNP-BOARD-EXAM-QUESTIONS-Hematology-Assessmentdocx/

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