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NURS660 Hematology Final Exam (65 Questions) – Anemia Types, CBC Interpretation, Pediatric Oncology | 2025/2026

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This document contains 65 detailed questions and correct answers designed for the NURS660 Hematology Final Exam at Nursing School USA, academic year 2025/2026. It provides a comprehensive review of hematologic principles with a strong focus on clinical reasoning, diagnostic interpretation, and patient management across the lifespan. It is ideal for advanced practice nursing students, particularly those in nurse practitioner, family nurse practitioner (FNP), pediatric NP, and acute care NP programs. The document covers essential topics in adult and pediatric hematology, including: Anemia classifications and lab diagnostics: Differentiate between microcytic, macrocytic, and normocytic anemias using MCV, MCHC, RDW, reticulocyte counts, and peripheral smear findings Vitamin B12, folate, and iron deficiency: Causes, symptoms, diagnostic workups (e.g., MMA, homocysteine), and treatment protocols WBC differentials and critical values: Interpretation of leukocytosis, neutropenia, lymphocytosis, left and right shifts, and smear findings such as blasts, smudge cells, and target cells Pediatric hematology and oncology: Screening and treatment for iron-deficiency anemia in infants and children, understanding sickle cell disease and crisis management, ITP, leukemia (ALL, AML), Wilms tumor, neuroblastoma, brain tumors, and pediatric sarcomas Clinical decision-making: When to refer, when to repeat labs, how to manage emergencies like febrile neutropenia, and how to approach abnormal CBC results Each answer is provided with clarity and clinical rationale, making this resource ideal for exam review, clinical prep, or board certification preparation (e.g., ANCC, AANP). This document is best suited for students in: • Master of Science in Nursing (MSN) • Doctor of Nursing Practice (DNP) • Family Nurse Practitioner (FNP) programs • Pediatric Nurse Practitioner (PNP) programs • Advanced Pathophysiology and Hematology courses • Board prep for NCLEX, AANP, ANCC, and PMHNP certification exams Keywords: hematology exam, anemia types, CBC interpretation, iron deficiency, vitamin B12, folate deficiency, reticulocyte count, sickle cell anemia, leukemia symptoms, pediatric oncology, WBC differential, IDA treatment, nurse practitioner review, hematologic disorders, NURS660, nursing exam questions

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Institución
NURS660 Hematology
Grado
NURS660 Hematology

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Subido en
2 de octubre de 2025
Número de páginas
28
Escrito en
2025/2026
Tipo
Examen
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NURS660 Hematology 2025/2026 Exam
Questions and Correct Answers | New
Update



A patient is experiencing shortness of breath, pallor, and dizziness. Do you

suspect an acute or chronic anemia? - 🧠 ANSWER ✔✔Acute blood loss




Chronic is often asymptomatic until very severe

What does an MCV value tell you? What is a normal value? What would a

low and high value be called? - 🧠 ANSWER ✔✔the size of the RBC




normal: 80-100

>100: macrocytic (large RBC)

<80: microcyctic (small RBC)

,What does an MCHC value tell you? What is a normal value? What would

a low and high value be called? - 🧠 ANSWER ✔✔the "color" of the RBC or

how saturated it is with HGB

Normal: 32-37

high value not a thing

<32: hypochromic (lacking HGB)

What does an RDW value tell you? What is a normal value? What would a

low and high value be called? - 🧠 ANSWER ✔✔essentially how far apart

the RBCs are from each other - the further apart, the less RBCs, otherwise

they would be closer just based on the sheer volume




ranges about 11-15% but for testing purposes I think it will just say elevated

or low

Describe in what types of infections/scenarios the types of WBCs would be

elevated.

Neutrophil

Lymphocyte

, Eosinophils

Monocytes


Basophils - 🧠 ANSWER ✔✔Neutrophil: first line for bacterial infection


Lymphocyte: first line for viral infection

Eosinophils: allergies, parasitic infections

Monocytes: share function with neutrophils, only elevated in SEVERE

infections

Basophils: parasitic, allergic, inflammation

If your CBC comes back abnormal, what is something you can do next? - 🧠

ANSWER ✔✔add on a peripheral smear if you didn't get one already


Anisocytosis on your peripheral smear is/is not concerning - 🧠 ANSWER

✔✔not concerning


normal size variant


Blasts on your peripheral smear is/is not concerning - 🧠 ANSWER ✔✔Very

concerning

blasts = red flag for leukemia, requires an oncology referral



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