1|Page
RNSG 2539 FINAL EXAM REVIEW NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK WITH 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW VERSION!!)
The nurse is providing care to a client who is being admitted to rule out
acute pancreatitis. Which item found in the client's history increases the
client's risk for this disease process?
A) Systemic lupus
B) Alcoholism
C) Cystic fibrosis
D) Hypertriglyceridemia - Correct Answer - B) Alcoholism
An intensive care nurse is aware of the need to identify patients who
may be at risk of developing disseminated intravascular coagulation
(DIC). Which of the following ICU patients most likely faces the highest
risk of DIC?
A) A patient with extensive burns
B) A patient who has a diagnosis of acute respiratory distress syndrome
C) A patient who suffered multiple trauma in a workplace accident
D) A patient who is being treated for septic shock - Correct Answer - D)
A patient who is being treated for septic shock
A patient is being treated for DIC and the nurse has prioritized the
nursing diagnosis of Risk for Deficient Fluid Volume Related to
Bleeding. How can the nurse best determine if goals of care relating to
this diagnosis are being met?
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A) Assess for edema.
B) Assess skin integrity frequently.
C) Assess the patient's level of consciousness frequently.
D) Closely monitor intake and output. - Correct Answer - D) Closely
monitor intake and output
A nurse is providing care to a child with idiopathic thrombocytopenic
purpura with a platelet count of 18,000/mm3. Which medication would
the nurse most likely expect to be ordered?
A) Folic acid
B) Intravenous immune globulin
C) Dimercaprol
D) Deferoxamine - Correct Answer - B) Intravenous immune globulin
In immune thrombocytopenia purpura (ITP), the client has what type of
disorder that primarily destroys which blood component?
A) Allergic; fibrinogen
B) Alloimmune; factor VIII
C) Autoimmune; platelets
D) Immunoglobulin; B cells - Correct Answer - C) Autoimmune;
platelets
A nurse is admitting a patient with immune thrombocytopenic purpura to
the unit. In completing the admission assessment, the nurse must be alert
for what medications that potentially alter platelet function? Select all
that apply.
A) Antihypertensives
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B) Penicillins
C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs - Correct Answer - C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs
A client was started on a protocol for the prevention of deep vein
thrombosis shortly after admission and has been receiving 5000 units of
heparin twice daily for the last week. An immune response to this
treatment may increase the client's chance of developing which health
problem?
A) Antiphospholipid syndrome
B) Disseminated intravascular coagulation (DIC)
C) Von Willebrand disease
D) Thrombocytopenia - Correct Answer - D) Thrombocytopenia
When the nurse administers heparin it is anticipated the drug will have
what action on the patient's body?
A) Binds to factor X
B) Blocks the formation of thrombin
C) Binds to factor Xa
D) Promotes the inactivation of factor VIII - Correct Answer - B) Blocks
the formation of thrombin
, 4|Page
The nurse is reviewing the laboratory test results of a pregnant client.
Which one of the following findings would alert the nurse to the
development of HELLP syndrome?
A) Hyperglycemia
B) Elevated platelet count
C) Leukocytosis
D) Elevated liver enzymes - Correct Answer - D) Elevated liver enzymes
A woman is receiving magnesium sulfate as part of her treatment for
severe preeclampsia. The nurse is monitoring the woman's serum
magnesium levels. Which level would the nurse identify as therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L - Correct Answer - B) 6.1 mEq/L
A 37-year-old man presents to the ED complaining of N/V and severe
abdominal pain. The patient's abdomen is rigid and there is bruising to
the patient's flank. The patient's wife states that he was on a drinking
binge for the past 2 days. The ED nurse should assist in assessing the
patient for what health problem?
A) Severe pancreatitis with possible peritonitis
B) Acute cholecystitis
C) Chronic pancreatitis
D) Acute appendicitis with possible perforation - Correct Answer - A)
Severe pancreatitis with possible peritonitis
RNSG 2539 FINAL EXAM REVIEW NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK WITH 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW VERSION!!)
The nurse is providing care to a client who is being admitted to rule out
acute pancreatitis. Which item found in the client's history increases the
client's risk for this disease process?
A) Systemic lupus
B) Alcoholism
C) Cystic fibrosis
D) Hypertriglyceridemia - Correct Answer - B) Alcoholism
An intensive care nurse is aware of the need to identify patients who
may be at risk of developing disseminated intravascular coagulation
(DIC). Which of the following ICU patients most likely faces the highest
risk of DIC?
A) A patient with extensive burns
B) A patient who has a diagnosis of acute respiratory distress syndrome
C) A patient who suffered multiple trauma in a workplace accident
D) A patient who is being treated for septic shock - Correct Answer - D)
A patient who is being treated for septic shock
A patient is being treated for DIC and the nurse has prioritized the
nursing diagnosis of Risk for Deficient Fluid Volume Related to
Bleeding. How can the nurse best determine if goals of care relating to
this diagnosis are being met?
,2|Page
A) Assess for edema.
B) Assess skin integrity frequently.
C) Assess the patient's level of consciousness frequently.
D) Closely monitor intake and output. - Correct Answer - D) Closely
monitor intake and output
A nurse is providing care to a child with idiopathic thrombocytopenic
purpura with a platelet count of 18,000/mm3. Which medication would
the nurse most likely expect to be ordered?
A) Folic acid
B) Intravenous immune globulin
C) Dimercaprol
D) Deferoxamine - Correct Answer - B) Intravenous immune globulin
In immune thrombocytopenia purpura (ITP), the client has what type of
disorder that primarily destroys which blood component?
A) Allergic; fibrinogen
B) Alloimmune; factor VIII
C) Autoimmune; platelets
D) Immunoglobulin; B cells - Correct Answer - C) Autoimmune;
platelets
A nurse is admitting a patient with immune thrombocytopenic purpura to
the unit. In completing the admission assessment, the nurse must be alert
for what medications that potentially alter platelet function? Select all
that apply.
A) Antihypertensives
,3|Page
B) Penicillins
C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs - Correct Answer - C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs
A client was started on a protocol for the prevention of deep vein
thrombosis shortly after admission and has been receiving 5000 units of
heparin twice daily for the last week. An immune response to this
treatment may increase the client's chance of developing which health
problem?
A) Antiphospholipid syndrome
B) Disseminated intravascular coagulation (DIC)
C) Von Willebrand disease
D) Thrombocytopenia - Correct Answer - D) Thrombocytopenia
When the nurse administers heparin it is anticipated the drug will have
what action on the patient's body?
A) Binds to factor X
B) Blocks the formation of thrombin
C) Binds to factor Xa
D) Promotes the inactivation of factor VIII - Correct Answer - B) Blocks
the formation of thrombin
, 4|Page
The nurse is reviewing the laboratory test results of a pregnant client.
Which one of the following findings would alert the nurse to the
development of HELLP syndrome?
A) Hyperglycemia
B) Elevated platelet count
C) Leukocytosis
D) Elevated liver enzymes - Correct Answer - D) Elevated liver enzymes
A woman is receiving magnesium sulfate as part of her treatment for
severe preeclampsia. The nurse is monitoring the woman's serum
magnesium levels. Which level would the nurse identify as therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L - Correct Answer - B) 6.1 mEq/L
A 37-year-old man presents to the ED complaining of N/V and severe
abdominal pain. The patient's abdomen is rigid and there is bruising to
the patient's flank. The patient's wife states that he was on a drinking
binge for the past 2 days. The ED nurse should assist in assessing the
patient for what health problem?
A) Severe pancreatitis with possible peritonitis
B) Acute cholecystitis
C) Chronic pancreatitis
D) Acute appendicitis with possible perforation - Correct Answer - A)
Severe pancreatitis with possible peritonitis
