BIO 669 EXAM 2 – hematology Questions With
Complete Solutions
A 10-year-old is diagnosed with leukemia. The
nurse assesses for which other condition that could
be associated with his disease? Correct Answers
Down syndrome
R: There is also an increased incidence of leukemia
in association with other hereditary abnormalities
such as Down syndrome, not hemophilia, not
hyperthyroidism, and not pheochromocytoma.
A 10-year-old presents with abdominal swelling,
night sweats, fever, and weight loss. He is
diagnosed with Burkitt lymphoma. Upon obtaining
the history, which of the following is the most likely
cause? Correct Answers Epstein-Barr virus (EBV)
R: EBV is associated with almost all cases of Burkitt
lymphoma. Burkitt lymphoma is not associated
with CMV, adenovirus, or HPV.
A 15-year-old female presents with splenomegaly,
hepatomegaly, and lymph node enlargement. She
is diagnosed with infectious mononucleosis. What
should the nurse tell the patient about the
recovery time? Correct Answers A few weeks
,R: Infectious mononucleosis (IM) is usually self-
limiting, and recovery occurs in a few weeks;
severe clinical complications are rare (5%). Fatigue
may last for 1-2 months after resolution of other
symptoms.
A 15-year-old male is diagnosed with infectious
mononucleosis (IM). When the patient asks how he
got this disease, how should the nurse respond?
The most likely cause is: Correct Answers Epstein-
Barr virus (EBV)
R: Infectious mononucleosis (IM) is an acute
infection of B lymphocytes (B cells) with EBV. IM is
not associated with adenovirus, cytomegalovirus,
or Toxoplasma gondii.
A 15-year-old male is diagnosed with infectious
mononucleosis. Which of the following assessment
findings would he most likely demonstrate? (select
all that apply) Correct Answers Lymph node
enlargement
Fever and sore throat
Fatigue
Enlargement of liver and spleen
R: At the time of diagnosis, the individual
commonly presents with the classic group of
symptoms: fever, sore throat, cervical lymph node
enlargement, and fatigue; generalized lymph node
, enlargement also may develop, as well as
enlargement of the spleen and liver.
A 15-year-old male with infectious mononucleosis
is being given instructions on how to prevent the
spread of this infection to others. Which statement
represents a correct instruction? Correct Answers
Do not share drinking glasses or eating utensils.
R: Transmission of mononucleosis is usually
through saliva from close personal contact. The
virus also may be secreted in other mucosal
secretions of the genital, rectal, and respiratory
tract, as well as blood. A surgical mask is not
necessary because the disorder is not airborne.
The patient does not need to avoid all contact, but
precautions should be taken.
A 2-year-old malnourished child is diagnosed with
vitamin B12 and folate deficiencies. A blood smear
suggests the deficiency is macrocytic and
normochromic. The nurse would expect the
hemoglobin to be: Correct Answers normal.
R: The macrocytic (megaloblastic) anemias are
characterized by unusually large stem cells
(megaloblasts) in the marrow that mature into
erythrocytes that are unusually large in size
(macrocytic), thickness, and volume. The
Complete Solutions
A 10-year-old is diagnosed with leukemia. The
nurse assesses for which other condition that could
be associated with his disease? Correct Answers
Down syndrome
R: There is also an increased incidence of leukemia
in association with other hereditary abnormalities
such as Down syndrome, not hemophilia, not
hyperthyroidism, and not pheochromocytoma.
A 10-year-old presents with abdominal swelling,
night sweats, fever, and weight loss. He is
diagnosed with Burkitt lymphoma. Upon obtaining
the history, which of the following is the most likely
cause? Correct Answers Epstein-Barr virus (EBV)
R: EBV is associated with almost all cases of Burkitt
lymphoma. Burkitt lymphoma is not associated
with CMV, adenovirus, or HPV.
A 15-year-old female presents with splenomegaly,
hepatomegaly, and lymph node enlargement. She
is diagnosed with infectious mononucleosis. What
should the nurse tell the patient about the
recovery time? Correct Answers A few weeks
,R: Infectious mononucleosis (IM) is usually self-
limiting, and recovery occurs in a few weeks;
severe clinical complications are rare (5%). Fatigue
may last for 1-2 months after resolution of other
symptoms.
A 15-year-old male is diagnosed with infectious
mononucleosis (IM). When the patient asks how he
got this disease, how should the nurse respond?
The most likely cause is: Correct Answers Epstein-
Barr virus (EBV)
R: Infectious mononucleosis (IM) is an acute
infection of B lymphocytes (B cells) with EBV. IM is
not associated with adenovirus, cytomegalovirus,
or Toxoplasma gondii.
A 15-year-old male is diagnosed with infectious
mononucleosis. Which of the following assessment
findings would he most likely demonstrate? (select
all that apply) Correct Answers Lymph node
enlargement
Fever and sore throat
Fatigue
Enlargement of liver and spleen
R: At the time of diagnosis, the individual
commonly presents with the classic group of
symptoms: fever, sore throat, cervical lymph node
enlargement, and fatigue; generalized lymph node
, enlargement also may develop, as well as
enlargement of the spleen and liver.
A 15-year-old male with infectious mononucleosis
is being given instructions on how to prevent the
spread of this infection to others. Which statement
represents a correct instruction? Correct Answers
Do not share drinking glasses or eating utensils.
R: Transmission of mononucleosis is usually
through saliva from close personal contact. The
virus also may be secreted in other mucosal
secretions of the genital, rectal, and respiratory
tract, as well as blood. A surgical mask is not
necessary because the disorder is not airborne.
The patient does not need to avoid all contact, but
precautions should be taken.
A 2-year-old malnourished child is diagnosed with
vitamin B12 and folate deficiencies. A blood smear
suggests the deficiency is macrocytic and
normochromic. The nurse would expect the
hemoglobin to be: Correct Answers normal.
R: The macrocytic (megaloblastic) anemias are
characterized by unusually large stem cells
(megaloblasts) in the marrow that mature into
erythrocytes that are unusually large in size
(macrocytic), thickness, and volume. The
