©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NU308 - EXAM 4 PRACTICE
QUESTIONS AND ANSWERS
A nurse is caring for a pt who has thrombophlebitis & is receiving heparin by cont. IV infusion. The pt
asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses
should the nurse give?
a. "It usually takes heparin at least 2-3 days to reach a therapeutic blood level."
b. "A pharmacist is the person to answer that question."
c. "Heparin does not dissolve clots, It stops new clots from forming."
d. "The oral med you will take after this IV will dissolve the clot." - Ans:✔✔-c
A client with DVT is receiving an infusion of heparin & will be starting on warfarin soon. While the pt is
receiving heparin, what lab test will provide the nurse with info about its therapeutic effects?
a. Prothrombin time (PT)
b. International normalized ration (INR)
c. Activated partial thromboplastin time (aPTT)
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d. Platelet count - Ans:✔✔-c
A nurse is preparing to admin heparin to a pt. Which of the following actions should the nurse plan to
take?
a. Use a 22-gauge needle to inject the med
b. Use a 1-in. needle to inject the med
c. Inject the med into the abdomen above the level of the iliac crest
d. Massage the injection site after admin of the med - Ans:✔✔-c - subcutaneous, do not massage!
A nurse is caring for a pt who has thrombophlebitis & is receiving a continuous heparin infusion. Which
of the following meds should the nurse have available to reverse heparin's effects?
a. Vitamin K
b. Protamine sulfate
c. Acetylcysteine
d. Defarasirox - Ans:✔✔-b - vit K reverses warfarin
A nurse is caring for a pt who has DVT & has been on heparin continuous infusion for 5 days. The
provider prescribes warfarin PO without discontinuing the heparin. The pt asks the nurse why both
anticoagulants are necessary. Which of the following statements should the nurse make?
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FIRST PUBLISH OCTOBER 2024
a. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a
therapeutic level."
b. "I will call the provider to get a prescription for discontinuing the IV heparin today."
c. "Both heparin & warfarin work together to dissolve the clot."
d. "The IV heparin increases the effects of the warfarin & decreases the length of your hospital stay." -
Ans:✔✔-a
A nurse is caring for a pt who is prescribed warfarin therapy for an artificial heart valve. Which of the
following lab values should the nurse monitor for a therapeutic effect of warfarin?
a. Hemoglobin (Hgb)
b. Prothrombin time (PT)
c. Bleeding time
d. Activated partial thromboplastin time (aPTT) - Ans:✔✔-b
A nurse is providing discharge teaching for a pt who has a new prescription for warfarin. Which of the
following instructions should the nurse include in the teaching?
a. Mild nosebleeds are common during initial Tx
b. Use an electric razor while on this med
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c. If a dose of the med is missed, double the dose at the scheduled time.
d. Increase fiber intake to reduce the adverse effect of constipation - Ans:✔✔-b
A nurse in a clinic is caring for a pt who has recently began taking warfarin. The nurse is reviewing
potential drug & food interaction risks and should instruct the pt to avoid which of the following?
a. Cabbage
b. Cantaloupe
c. Green beans
d. White beans - Ans:✔✔-a
What pt education should be included for a pt receiving enoxaprin (Lovenox)? (select all that apply)
a. Teach the pt or family to give SC injections at home
b. Teach the pt or family not to take any OTC drugs without first consulting with the PCP
c. Teach the pt to observe for unexplained bleeding such as pink, red, or dark brown urine or bloody
gums.
d. Teach the pt to monitor the development of DVT.
e. Teach the pt about the importance of drinking grapefruit juice daily. - Ans:✔✔-a,b,c,d
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FIRST PUBLISH OCTOBER 2024
NU308 - EXAM 4 PRACTICE
QUESTIONS AND ANSWERS
A nurse is caring for a pt who has thrombophlebitis & is receiving heparin by cont. IV infusion. The pt
asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses
should the nurse give?
a. "It usually takes heparin at least 2-3 days to reach a therapeutic blood level."
b. "A pharmacist is the person to answer that question."
c. "Heparin does not dissolve clots, It stops new clots from forming."
d. "The oral med you will take after this IV will dissolve the clot." - Ans:✔✔-c
A client with DVT is receiving an infusion of heparin & will be starting on warfarin soon. While the pt is
receiving heparin, what lab test will provide the nurse with info about its therapeutic effects?
a. Prothrombin time (PT)
b. International normalized ration (INR)
c. Activated partial thromboplastin time (aPTT)
Page 1/77
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
d. Platelet count - Ans:✔✔-c
A nurse is preparing to admin heparin to a pt. Which of the following actions should the nurse plan to
take?
a. Use a 22-gauge needle to inject the med
b. Use a 1-in. needle to inject the med
c. Inject the med into the abdomen above the level of the iliac crest
d. Massage the injection site after admin of the med - Ans:✔✔-c - subcutaneous, do not massage!
A nurse is caring for a pt who has thrombophlebitis & is receiving a continuous heparin infusion. Which
of the following meds should the nurse have available to reverse heparin's effects?
a. Vitamin K
b. Protamine sulfate
c. Acetylcysteine
d. Defarasirox - Ans:✔✔-b - vit K reverses warfarin
A nurse is caring for a pt who has DVT & has been on heparin continuous infusion for 5 days. The
provider prescribes warfarin PO without discontinuing the heparin. The pt asks the nurse why both
anticoagulants are necessary. Which of the following statements should the nurse make?
Page 2/77
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
a. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a
therapeutic level."
b. "I will call the provider to get a prescription for discontinuing the IV heparin today."
c. "Both heparin & warfarin work together to dissolve the clot."
d. "The IV heparin increases the effects of the warfarin & decreases the length of your hospital stay." -
Ans:✔✔-a
A nurse is caring for a pt who is prescribed warfarin therapy for an artificial heart valve. Which of the
following lab values should the nurse monitor for a therapeutic effect of warfarin?
a. Hemoglobin (Hgb)
b. Prothrombin time (PT)
c. Bleeding time
d. Activated partial thromboplastin time (aPTT) - Ans:✔✔-b
A nurse is providing discharge teaching for a pt who has a new prescription for warfarin. Which of the
following instructions should the nurse include in the teaching?
a. Mild nosebleeds are common during initial Tx
b. Use an electric razor while on this med
Page 3/77
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
c. If a dose of the med is missed, double the dose at the scheduled time.
d. Increase fiber intake to reduce the adverse effect of constipation - Ans:✔✔-b
A nurse in a clinic is caring for a pt who has recently began taking warfarin. The nurse is reviewing
potential drug & food interaction risks and should instruct the pt to avoid which of the following?
a. Cabbage
b. Cantaloupe
c. Green beans
d. White beans - Ans:✔✔-a
What pt education should be included for a pt receiving enoxaprin (Lovenox)? (select all that apply)
a. Teach the pt or family to give SC injections at home
b. Teach the pt or family not to take any OTC drugs without first consulting with the PCP
c. Teach the pt to observe for unexplained bleeding such as pink, red, or dark brown urine or bloody
gums.
d. Teach the pt to monitor the development of DVT.
e. Teach the pt about the importance of drinking grapefruit juice daily. - Ans:✔✔-a,b,c,d
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