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RNSG 2539 LATEST EXAM AND
STUDY GUIDE NEWEST 2026/2027
TEST BANK| COMPLETE 200 REAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| RNSG 2539
EXAM PREP (BRAND NEW!!)
WhatmlabmtestingmresultsmaremindicativemofmDIC?m-mCORRECTmANSWERm-ProthrombinmTimem(PT)

-partialmthroboplastinmtimem(PTT)

-ActivatedmPartialmThrompoplastinmTimem(aPTT)

-BleedingmTime

-ThrombinmTime



Decreasemlevels:m-Fibrogen

m -Platelets

m -ClotinemfactormII,mV,mVIII,m&mX

andmAntithrombinmIII



Themnursemismreviewingmthemlaboratorymtestmresultsmofmamchildmdiagnosedmwithmdisseminatedmintr
avascularmcoagulationm(DIC).mWhichmofmthemfollowingmwouldmthemnurseminterpretmasmindicativemof
mthismdisorder?


m



A)mShortenedmprothrombinmtimem

B)mIncreasedmfibrinogenmlevelm

C)mPositivemfibrinmsplitmproductsm

D)mIncreasedmplateletsm-mCORRECTmANSWERmC)mPositivemfibrinmsplitmproducts

,Themnursemismcaringmformampostpartummpatientmadmittedmtomthemintensivemcaremunitmwithmamdiagn
osismofmdisseminatedmintravascularmcoagulationm(DIC).mWhatmismthemdrugmofmchoicemtomtreatmthism
problem?



A.mHeparin

B.mUrokinase

C.mAspirin

D.mWarfarinm-mCORRECTmANSWERmA.)mHeparin



InmthemICU,mampostsurgicalmclientmhasmdevelopedmsepsismandmismbeingmtreatedmwithmmultiplemmed
ications.mDuringmthemmid-
morningmassessment,mwhichmfindingmleadsmthemnursemtomsuspectmthemclientmmaymbemdevelopingm
amcomplicationmcalledmdisseminatedmintravascularmcoagulationm(DIC)?mSelectmallmthatmapply.



A)mHeadachesmassociatedmwithmlightmsensitivity

B)mOozingmfrommallmpreviousmpuncturemandmintravenousmsites

C)mDecreasedmO2msaturationmandmdiminishedmbreathmsoundsminmlowermlobes

D)mHemorrhagemfrommthemsurgicalmsitemrequiringmdeepmpressuremdressings

E)mUrinemfrommthemFoleymcathetermismbloodym-
mCORRECTmANSWERmD)mHemorrhagemfrommthemsurgicalmsitemrequiringmdeepmpressuremdressings




Amhealthy,mprimiparousm(first-
time)mmothermdeliveredmamhealthyminfantmseveralmhoursmago,mbutmthemmothermhasmexperiencedm
postpartummhemorrhage.mWhichmofmthemfollowingmdisordersmismmostmlikelymtomunderliemthemclien
t'smexcessivembleedingmaftermdelivery?



A)mDisseminatedmintravascularmcoagulation

B)mHemophiliamA

,C)mVonmWillebrandmdisease

D)mThromboticmthrombocytopenicmpurpuram(TTP)m-
mCORRECTmANSWERmA)mDisseminatedmintravascularmcoagulation




WhatmismthemconceptmbehindmheparinmformPTmwithmDIC?m-mCORRECTmANSWERm-
Itmpreventsmthemclottingmphasemfrommbeingmcompletedmwhichminhibitsmthembreakdownmofmfibrino
gen.

-
mItmalsomhelpsmavoidmhemorrhagembympreventingmthembodymfrommdepletingmentiremstagemofmcoagu
lationmfactors.



WhatmaremsomemacutemclinicalmmanifestationsmofmDIC?m-mCORRECTmANSWERm-
Directlymrelatedmtombleedingmproblemsmsuchmas:

m Petechia,mPurpura,moozingmfrommpuncturemsitesmormseveremhemorrhaging.



HowmdoesmDICmhappenminmpostpartummhemorrhaging?m-mCORRECTmANSWERm-
Tissuemfactorsmreleasedmfrommnecroticmplace/fetalmtissuemormamnioticmfluidmmymentermthemcirculat
ion,mincitingmDIC.



WhatmismamcommonmcausemofmDIC?m-mCORRECTmANSWERm-Sepsis



AmpatientmwithmDICmismatmamhighermriskmformwhat?m-mCORRECTmANSWERm-Deficientmfluidmvolume



Increasedmlevelsmofm____________,m_______________,m__________,mandm________________m
willmbemnotedminmDIC:m-mCORRECTmANSWERm-
Fibrinolycin,mfibrinopeptidemA,mpositivemfibrinmsplitmproductsmandmD-dimers.



DICmcanmoccurmsecondarymtomwhatmtypemofmconditions?mSelectmallmthatmapply:m-
mCORRECTmANSWERm-Abrupitoplacentem

, -Amnioticmfluidmembolism

-Endotoxinmsepsis

-Retainedmdeadmfetus

-Postmhemorrhagemshock

-Hydatidformmolem

-GynecologicmMalinganries



DICmcanmbemdecreasedmasmamlossmofmbalancembetweenmwhatmtwomactivities?m-
mCORRECTmANSWERm-Clotmformingmactivitymofmthrombin



-Clotmlysinmactivitymofmplasmin



WhatmaremsomemwaysmtomcombatmDIC?mSelectmallmthatmapply:m-mCORRECTmANSWERm-
Anticoagulationmtherapym(low-molecularmweightmheparin)

-PackedmRBCs

-Plateletmconcentrate

-Antithrombinmconcentrate

-NonclottingmProtein-mcontainingmvolumemwillmexpandmlike:mplasmamproteinmfractionmormalbumin



HowmdoesmHeparinmworkminmthemcirculatorymsystem?m-mCORRECTmANSWERm-
Inhibitsmthrombusmandmclotmproductionmbymblockingmthemconversionmofmprothrombinmtomthrombi
nm&mfibrogenmtomfibrin.



WhatmaremsomemadversemeffectsmofmHeparin?mSelectmallmthatmapply:m-mCORRECTmANSWERm-
Lossmofmhair

-Bruising

-Chills

-Fever