NUR 128 ACTUAL PAPER 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
▶ The liver . Answer: is the one internal organ that can regrow back to its
original size depending on the area of tissue removed; this is a type of
compensatory hyperplasia.
▶ Vitamin B12 deficiency . Answer: can occur after a partial gastrectomy;
this may cause the patient to develop a pernicious anemia.
▶ Hematology:
UFH . Answer: Unfractionated heparin
▶ LMWH . Answer: (low molecular weight heparin) enoxaparin (Lovenox);
inhibits factor Xa
▶ Heparin . Answer: produces rapid anticoagulation by binding with
antithrombin III, and inhibits factors IXa, Xa, XIIa, and XIII
▶ Monitor heparin . Answer: with aPTT (low dose SC heparin [5000 units
BID] does not require aPTT monitoring).
▶ Warfarin . Answer: inhibits vitamin K-dependent blood factors II, VII, IX
and X; takes several days for its anticoagulant effect
▶ Monitor the International Normalized Ratio (INR) . Answer: when
warfarin is used
▶ dabigatran (Pradaxa) . Answer: Blood Factor IIa inhibitor (direct thrombin
inhibitor)
▶ Idarucizumab . Answer: is an antidote to dabigatran-induced hemorrhage
▶ Blood Factor Xa inhibitors . Answer: apixaban (Eliquis), edoxaban
(Savaysa), rivaroxaban (Xarelto), fondaparinux (Arixtra).
▶ Eptifibatide . Answer: binds to GPIIb/IIIa receptor sites on platelets
, ▶ One symptom of hemolytic anemia . Answer: is jaundice, caused by the
destruction of heme that is greater than the hepatic conjugation and
excretion of bilirubin.
▶ Jaundice . Answer: can be caused by hemolytic anemia, sickle cell
anemia, pancreatitis, cholecystitis, and multi-drug therapy used to treat
pulmonary tuberculosis
▶ Erythropoietin . Answer: is a substance manufactured in the kidney; the
anemia of chronic renal failure reduces erythropoietin production, and
should be used to correct the anemia of chronic renal failure.
▶ CNS/Neurology/Psychiatry:
Sumatriptan . Answer: is the only triptan available as an injection, as
tablets, and as a nasal spray
▶ Sumatriptan and zolmitriptan . Answer: are the only triptans available as
nasal sprays
▶ Intravenous Anesthetics . Answer: ketamine, thiopental, fentanyl,
propofol, dexmedetomidine
▶ Propofol . Answer: Used for sedation in ICU, rapid anesthesia induction,
short procedures. Less postoperative nausea;has a rapid onset, does not
usually cause nausea, and poor analgesia
▶ Propofol can affect . Answer: triglycerides; monitor triglyceride levels
▶ ICU delirium . Answer: a serious problem encountered in the ICU;
patients have an increased length of stay & increased mortality; commonly
occurs in elderly patients, is treated with haloperidol, although
dexmedetomidine (Precedex) is the preferred drug for sedation in the
elderly
▶ If respiratory depression is a concern . Answer: dexmedetomidine
(Precedex) is the preferred anesthetic; however, it should not be used
longer than 24 hours as per the FDA-approved product information.
WITH SOLUTIONS GRADED A+
▶ The liver . Answer: is the one internal organ that can regrow back to its
original size depending on the area of tissue removed; this is a type of
compensatory hyperplasia.
▶ Vitamin B12 deficiency . Answer: can occur after a partial gastrectomy;
this may cause the patient to develop a pernicious anemia.
▶ Hematology:
UFH . Answer: Unfractionated heparin
▶ LMWH . Answer: (low molecular weight heparin) enoxaparin (Lovenox);
inhibits factor Xa
▶ Heparin . Answer: produces rapid anticoagulation by binding with
antithrombin III, and inhibits factors IXa, Xa, XIIa, and XIII
▶ Monitor heparin . Answer: with aPTT (low dose SC heparin [5000 units
BID] does not require aPTT monitoring).
▶ Warfarin . Answer: inhibits vitamin K-dependent blood factors II, VII, IX
and X; takes several days for its anticoagulant effect
▶ Monitor the International Normalized Ratio (INR) . Answer: when
warfarin is used
▶ dabigatran (Pradaxa) . Answer: Blood Factor IIa inhibitor (direct thrombin
inhibitor)
▶ Idarucizumab . Answer: is an antidote to dabigatran-induced hemorrhage
▶ Blood Factor Xa inhibitors . Answer: apixaban (Eliquis), edoxaban
(Savaysa), rivaroxaban (Xarelto), fondaparinux (Arixtra).
▶ Eptifibatide . Answer: binds to GPIIb/IIIa receptor sites on platelets
, ▶ One symptom of hemolytic anemia . Answer: is jaundice, caused by the
destruction of heme that is greater than the hepatic conjugation and
excretion of bilirubin.
▶ Jaundice . Answer: can be caused by hemolytic anemia, sickle cell
anemia, pancreatitis, cholecystitis, and multi-drug therapy used to treat
pulmonary tuberculosis
▶ Erythropoietin . Answer: is a substance manufactured in the kidney; the
anemia of chronic renal failure reduces erythropoietin production, and
should be used to correct the anemia of chronic renal failure.
▶ CNS/Neurology/Psychiatry:
Sumatriptan . Answer: is the only triptan available as an injection, as
tablets, and as a nasal spray
▶ Sumatriptan and zolmitriptan . Answer: are the only triptans available as
nasal sprays
▶ Intravenous Anesthetics . Answer: ketamine, thiopental, fentanyl,
propofol, dexmedetomidine
▶ Propofol . Answer: Used for sedation in ICU, rapid anesthesia induction,
short procedures. Less postoperative nausea;has a rapid onset, does not
usually cause nausea, and poor analgesia
▶ Propofol can affect . Answer: triglycerides; monitor triglyceride levels
▶ ICU delirium . Answer: a serious problem encountered in the ICU;
patients have an increased length of stay & increased mortality; commonly
occurs in elderly patients, is treated with haloperidol, although
dexmedetomidine (Precedex) is the preferred drug for sedation in the
elderly
▶ If respiratory depression is a concern . Answer: dexmedetomidine
(Precedex) is the preferred anesthetic; however, it should not be used
longer than 24 hours as per the FDA-approved product information.
