NUR 426 COMPREHENSIVE FINAL
EXAM QUESTIONS AND ANSWERS
(GRADED A)
PTT and PT/INR values reflect the bleeding times for a patient.When the PTT and
PT/INR are prolonged (meaning that their values are elevated), the following is true:
(SATA)
1. PT/INR levels that are higher than prescribed may mean that the patient has been
consuming more Vitamin K than usual
2. PTT levels that are higher than prescribed may require the Heparin dose to be
increased
3. The patient is at a lower risk for bleeding
4. If the PTT value is too high, the Heparin drip will need to be increased
5. The patient is at higher risk for bleeding
6. It takes longer for the patient to form a clot
7. It takes less time for the patient to form a clot
8. PT/INR levels that are higher than prescribed may mean that the patient has been
consuming less Vitamin K than usual
9. If the PTT value is too high, the Heparin drip will need to be decreased
10. PTT levels that are higher than prescribed may require the Heparin dose t -
ANSWER-5, 6, 8, 9, 10
What are the side effects of ibuprofen? (SATA)
1. bleeding
2. liver dysfunction
3. joint soreness
4. renal dysfunction
5. increased risk for blood clots6. GI upset - ANSWER-1
2
4
5
6
Which of the following are signs of bleeding (SATA)
1. Hematuria
2. Tachycardia and hypotension
3. Petechiae
4. A hemoglobin level going from 13.5 to 11.2
5. Yellowish-green emesis - ANSWER-1, 2, 3, 4
Would the following laboratory values be elevated or decreased in a patient with
DIC?
1. D. Dimer
,2. PT/ INR
3. Fibrinogen
4. Fibrin Split Products (FSPs)
5. Platelets (PLTs)
6. Hemoglobin (Hgb)
7. Schistocytes - ANSWER-1. elevated
2. elevated
3. decreased
4. elevated
5. decreased
6. decreased
7. elevated
A patient presents with low Hgb and Hct. What interventions should a nurse
implement?
A. Transfuse PRBC
B. Transfuse PLT
C. Transfuse FFP
D. Transfuse Cryoprecipitate - ANSWER-A
A patient presents with low PLT levels. What intervention should a nurse implement?
A. Transfuse PRBC
B. Transfuse PLT
C. Transfuse FFP
D. Transfuse Cryoprecipitate - ANSWER-B
A patient presents with a low number of specific clotting factors (like fibrinogen).
What intervention should a nurse implement?
A. Transfuse PRBC
B. Transfuse PLT
C. Transfuse FFP
D. Transfuse Cryoprecipitate - ANSWER-D
A patient presents with a low number of multiple clotting factors. What intervention
should a nurse implement?
A. Transfuse PRBC
B. Transfuse PLT
C. Transfuse FFP
D. Transfuse Cryoprecipitate - ANSWER-C
Which respiratory drug has a drying effect?
A. glucocorticoids
B. anticholinergics
C. beta 2 adrenergic agonists
D. methylxanthines - ANSWER-B
, Which respiratory drug needs a patient rinse their mouth after each use?
A sympathomimetics
B. mast cell stabilizers
C. beta 2 adrenergic agonists
D. glucocorticoids - ANSWER-D
What medication should a patient avoid if they are having an asthma attack?
A. albuterol
B. antitussive
C. acetylcysteine
D. montelukast - ANSWER-D
What class is desmopressin?
A. vitamin supplement
B. antidiuretic hormone
C. clotting factor
D. anticoagulant - ANSWER-B
What does heparin do to the clotting cascade?
A. speeds up the clotting cascade
B. has no effect on the clotting cascade
C. slows down the clotting cascade - ANSWER-C
A higher PT/ INR or PTT score means it takes less time to clot (T/F) - ANSWER-F
(higher means more time to clot)
What are s/s of bleeding? (SATA)
1. hypotension/ tachycardia
2. warmth and swelling in extremeties
3. ALOC/ confusion
4. hemoptysis
5. coffee ground emesis or black tarry stools
6. diaphoresis
7. high BP
8. SOB - ANSWER-1,3,4,5
The intrinsic pathway of the clotting cascade is activated faster than the extrinsic
pathway (T/F) - ANSWER-F
Your patient has gone into DIC. What are some priority interventions you should do
as a nurse? (SATA)
1. monitor VS + bleeding closely
2. admin heparin (if beneficial)
EXAM QUESTIONS AND ANSWERS
(GRADED A)
PTT and PT/INR values reflect the bleeding times for a patient.When the PTT and
PT/INR are prolonged (meaning that their values are elevated), the following is true:
(SATA)
1. PT/INR levels that are higher than prescribed may mean that the patient has been
consuming more Vitamin K than usual
2. PTT levels that are higher than prescribed may require the Heparin dose to be
increased
3. The patient is at a lower risk for bleeding
4. If the PTT value is too high, the Heparin drip will need to be increased
5. The patient is at higher risk for bleeding
6. It takes longer for the patient to form a clot
7. It takes less time for the patient to form a clot
8. PT/INR levels that are higher than prescribed may mean that the patient has been
consuming less Vitamin K than usual
9. If the PTT value is too high, the Heparin drip will need to be decreased
10. PTT levels that are higher than prescribed may require the Heparin dose t -
ANSWER-5, 6, 8, 9, 10
What are the side effects of ibuprofen? (SATA)
1. bleeding
2. liver dysfunction
3. joint soreness
4. renal dysfunction
5. increased risk for blood clots6. GI upset - ANSWER-1
2
4
5
6
Which of the following are signs of bleeding (SATA)
1. Hematuria
2. Tachycardia and hypotension
3. Petechiae
4. A hemoglobin level going from 13.5 to 11.2
5. Yellowish-green emesis - ANSWER-1, 2, 3, 4
Would the following laboratory values be elevated or decreased in a patient with
DIC?
1. D. Dimer
,2. PT/ INR
3. Fibrinogen
4. Fibrin Split Products (FSPs)
5. Platelets (PLTs)
6. Hemoglobin (Hgb)
7. Schistocytes - ANSWER-1. elevated
2. elevated
3. decreased
4. elevated
5. decreased
6. decreased
7. elevated
A patient presents with low Hgb and Hct. What interventions should a nurse
implement?
A. Transfuse PRBC
B. Transfuse PLT
C. Transfuse FFP
D. Transfuse Cryoprecipitate - ANSWER-A
A patient presents with low PLT levels. What intervention should a nurse implement?
A. Transfuse PRBC
B. Transfuse PLT
C. Transfuse FFP
D. Transfuse Cryoprecipitate - ANSWER-B
A patient presents with a low number of specific clotting factors (like fibrinogen).
What intervention should a nurse implement?
A. Transfuse PRBC
B. Transfuse PLT
C. Transfuse FFP
D. Transfuse Cryoprecipitate - ANSWER-D
A patient presents with a low number of multiple clotting factors. What intervention
should a nurse implement?
A. Transfuse PRBC
B. Transfuse PLT
C. Transfuse FFP
D. Transfuse Cryoprecipitate - ANSWER-C
Which respiratory drug has a drying effect?
A. glucocorticoids
B. anticholinergics
C. beta 2 adrenergic agonists
D. methylxanthines - ANSWER-B
, Which respiratory drug needs a patient rinse their mouth after each use?
A sympathomimetics
B. mast cell stabilizers
C. beta 2 adrenergic agonists
D. glucocorticoids - ANSWER-D
What medication should a patient avoid if they are having an asthma attack?
A. albuterol
B. antitussive
C. acetylcysteine
D. montelukast - ANSWER-D
What class is desmopressin?
A. vitamin supplement
B. antidiuretic hormone
C. clotting factor
D. anticoagulant - ANSWER-B
What does heparin do to the clotting cascade?
A. speeds up the clotting cascade
B. has no effect on the clotting cascade
C. slows down the clotting cascade - ANSWER-C
A higher PT/ INR or PTT score means it takes less time to clot (T/F) - ANSWER-F
(higher means more time to clot)
What are s/s of bleeding? (SATA)
1. hypotension/ tachycardia
2. warmth and swelling in extremeties
3. ALOC/ confusion
4. hemoptysis
5. coffee ground emesis or black tarry stools
6. diaphoresis
7. high BP
8. SOB - ANSWER-1,3,4,5
The intrinsic pathway of the clotting cascade is activated faster than the extrinsic
pathway (T/F) - ANSWER-F
Your patient has gone into DIC. What are some priority interventions you should do
as a nurse? (SATA)
1. monitor VS + bleeding closely
2. admin heparin (if beneficial)
