PEDS - HEMATOLOGY | Questions with 100% Verified Answers |
Latest Update 2026/2027
Question: The primary care pediatric nurse practitioner reviews a child's complete blood count with differential
white blood cell values and recognizes a "left shift" because of
A. a decreased eosinophil count.
B. a decreased lymphocyte count.
C. an elevated monocyte count.
D. an elevated neutrophil count.
Answer: D. an elevated neutrophil count.
A relative increase in the number of immature neutrophils is referred to as a "left shift" and typically signifies
the presence of an acute bacterial pr inflammatory process
Question: A complete blood count on a 12 month old infant reveals microcytic, hypochromic anemia with a
hemoglobin of 9.5 g/dL. The infant has mild pallor with no hepatosplenomegaly. The primary care pediatric
nurse practitioner suspects
A. hereditary spherocytosis.
B. Iron Deficiency anemia.
C. lead intoxication.
D. Sickle Cell anemia.
Answer: B. Iron Deficiency anemia.
Question: The primary care pediatric nurse practitioner evaluates a 5 year old child who presents with pallor
and obtains labs revealing a hemoglobin of 8.5 g/dL and hematocrit of 31%. How will the nurse practitioner
manage this patient?
A. Prescribe elemental iron and recheck labs in 1 month.
B. Reassure the parent that this represents mild anemia.
C. Recommend a diet high in iron rich foods.
D. Refer to a hematologist for further evaluation.
Answer:
Question: The primary care pediatric nurse practitioner is managing care for a child diagnosed with iron
deficiency anemia who had an initial hemoglobin of 8.8 g/dL and hematocrit of 32% who has been receiving
ferrous sulfate as 3 mg/kg/day of elemental iron for 4 weeks. The child's current lab work reveals elevations in
Hgb/Hct and reticulocytes with a hemoglobin of 10.5 g/dL and a hematocrit of 36%. What is the next step in
management of this patient?
A. Continue the current dose of ferrous sulfate and recheck
labs in 1 to 2 months.
B. Discontinue the supplemental iron and encourage an iron
enriched diet.
C. Increase the ferrous sulfate dose to 4 to 6 mg/kg/day of
elemental iron.
D. Refer the child to a pediatric hematologist to further
evaluate the anemia.
Answer: A. Continue the current dose of ferrous sulfate and recheck labs in 1 to 2 months.
Latest Update 2026/2027
Question: The primary care pediatric nurse practitioner reviews a child's complete blood count with differential
white blood cell values and recognizes a "left shift" because of
A. a decreased eosinophil count.
B. a decreased lymphocyte count.
C. an elevated monocyte count.
D. an elevated neutrophil count.
Answer: D. an elevated neutrophil count.
A relative increase in the number of immature neutrophils is referred to as a "left shift" and typically signifies
the presence of an acute bacterial pr inflammatory process
Question: A complete blood count on a 12 month old infant reveals microcytic, hypochromic anemia with a
hemoglobin of 9.5 g/dL. The infant has mild pallor with no hepatosplenomegaly. The primary care pediatric
nurse practitioner suspects
A. hereditary spherocytosis.
B. Iron Deficiency anemia.
C. lead intoxication.
D. Sickle Cell anemia.
Answer: B. Iron Deficiency anemia.
Question: The primary care pediatric nurse practitioner evaluates a 5 year old child who presents with pallor
and obtains labs revealing a hemoglobin of 8.5 g/dL and hematocrit of 31%. How will the nurse practitioner
manage this patient?
A. Prescribe elemental iron and recheck labs in 1 month.
B. Reassure the parent that this represents mild anemia.
C. Recommend a diet high in iron rich foods.
D. Refer to a hematologist for further evaluation.
Answer:
Question: The primary care pediatric nurse practitioner is managing care for a child diagnosed with iron
deficiency anemia who had an initial hemoglobin of 8.8 g/dL and hematocrit of 32% who has been receiving
ferrous sulfate as 3 mg/kg/day of elemental iron for 4 weeks. The child's current lab work reveals elevations in
Hgb/Hct and reticulocytes with a hemoglobin of 10.5 g/dL and a hematocrit of 36%. What is the next step in
management of this patient?
A. Continue the current dose of ferrous sulfate and recheck
labs in 1 to 2 months.
B. Discontinue the supplemental iron and encourage an iron
enriched diet.
C. Increase the ferrous sulfate dose to 4 to 6 mg/kg/day of
elemental iron.
D. Refer the child to a pediatric hematologist to further
evaluate the anemia.
Answer: A. Continue the current dose of ferrous sulfate and recheck labs in 1 to 2 months.
