NURS 516 ADVANCED NURSING PRACTICE
ACTUAL EXAM QUESTIONS AND COMPLETE
STUDY GUIDE 2026
⏺ The nurse is caring for a client who is experiencing excessive bleeding
after receiving unfractionated heparin. What orders does the nurse
anticipate from the health care provider? (Select all that apply.)
A) Laboratory draw for prothrombin time (PT)/international normalized ratio
(INR)
B) Laboratory draw for activated partial thromboplastin time (aPTT)
C) Administer enoxaparin (Lovenox)
D) Administer protamine sulfate
E) Administer vitamin K? Answer:B,D
Protamine sulfate is the antidote for heparin-induced bleeding. Vitamin K is
the antidote for warfarin. Warfarin (Coumadin) would increase bleeding.
Enoxaparin is another name for heparin.
⏺ A client with heart failure is prescribed enalapril (Vasotec). What is the
nurse's priority teaching for this client?
A) "Avoid using aspirin-containing products."
B) "Take your medication with food."
C) "Check your pulse daily."
D) "Avoid using salt substitutes."? Answer:D
Angiotensin-converting enzyme (ACE) inhibitors inhibit the excretion of
potassium. Hyperkalemia can be a life-threatening side effect, and clients
should be taught to limit potassium intake. Salt substitutes are composed of
potassium chloride.
ACTUAL EXAM QUESTIONS AND COMPLETE
STUDY GUIDE 2026
⏺ The nurse is caring for a client who is experiencing excessive bleeding
after receiving unfractionated heparin. What orders does the nurse
anticipate from the health care provider? (Select all that apply.)
A) Laboratory draw for prothrombin time (PT)/international normalized ratio
(INR)
B) Laboratory draw for activated partial thromboplastin time (aPTT)
C) Administer enoxaparin (Lovenox)
D) Administer protamine sulfate
E) Administer vitamin K? Answer:B,D
Protamine sulfate is the antidote for heparin-induced bleeding. Vitamin K is
the antidote for warfarin. Warfarin (Coumadin) would increase bleeding.
Enoxaparin is another name for heparin.
⏺ A client with heart failure is prescribed enalapril (Vasotec). What is the
nurse's priority teaching for this client?
A) "Avoid using aspirin-containing products."
B) "Take your medication with food."
C) "Check your pulse daily."
D) "Avoid using salt substitutes."? Answer:D
Angiotensin-converting enzyme (ACE) inhibitors inhibit the excretion of
potassium. Hyperkalemia can be a life-threatening side effect, and clients
should be taught to limit potassium intake. Salt substitutes are composed of
potassium chloride.
