NSG 520 COMPILED ACTUAL TEST PAPER
2026 FULL ANSWERS GRADED A+
⩥ Which of the following should be assessed before prescribing
antiplatelets?
International normalized ratio (INR) and prothrombin time (PT).
Partial prothrombin time (PTT) and white blood count (WBC).
Hemoglobin (Hgb) and platelet count (PLT).
Hematocrit (HCT) and lymphocyte count..
Answer: Hemoglobin (Hgb) and platelet count (PLT).
This answer is correct because before the prescription of antiplatelets,
clients hemoglobin and platelet count should be assessed. If hemoglobin
is less than 7, the client may be going to heaven. If the PLT count is less
than 50,000, the client has thrombocytopenia. Antiplatelets must be held
for both problems.
⩥ Fentanyl patch is used for what type of pain?.
Answer: Chronic pain
⩥ For which client should the nurse should question the use of
epinephrine?
,The client experiencing return of spontaneous circulation after cardiac
arrest
The client experiencing an anaphylactic reaction after a bee sting
The client experiencing ventricular fibrillation after complications from
surgery
The client experiencing asystole after a hemodialysis treatment.
Answer: The client experiencing return of spontaneous circulation after
cardiac arrest
Correct
This answer is correct because epinephrine is not indicated once the
client exhibits return of spontaneous circulation after cardiac arrest.
Return of spontaneous circulation demonstrates that the client is
independently sustaining a heart rhythm that is perfusing the body.
Epinephrine is no longer indicated because the goal has already been
achieved, so the nurse should question the use of this medication for this
client.
Incorrect
This answer is not correct because epinephrine is indicated for the client
experiencing anaphylaxis after a bee sting. Epinephrine for anaphylaxis
is administered via intramuscular injection.
Incorrect
This answer is not correct because epinephrine is indicated for the client
experiencing ventricular fibrillation. Epinephrine, amiodarone, and
lidocaine may be used in conjunction with defibrillation, chest
compressions, and ventilation/oxygenation.
, Incorrect
This answer is not correct because epinephrine is indicated for the client
experiencing asystole. Epinephrine is the primary drug given to clients
experiencing pulseless electrical activity (PEA) or asystole.
⩥ A client with a long history of taking aspirin. The client presents to the
clinic with ringing in the ears, blood pressure 96/40, and heart rate of
130 beats per minute. What does the nurse suspect the client is
experiencing?
An ear infection.
Internal bleeding.
Thrombocytopenia.
Hearing loss..
Answer: Internal bleeding.
Correct
This answer is correct because clients who are using long-term aspirin
should be assessed for tinnitus, hypotension, and tachycardia. These are
signs of bleeding. The healthcare provider should be notified
immediately.
⩥ The nurse is caring for a client with atrial fibrillation. Which of the
following anticoagulants may be prescribed for this client? Select all that
apply.
Rivaroxaban
2026 FULL ANSWERS GRADED A+
⩥ Which of the following should be assessed before prescribing
antiplatelets?
International normalized ratio (INR) and prothrombin time (PT).
Partial prothrombin time (PTT) and white blood count (WBC).
Hemoglobin (Hgb) and platelet count (PLT).
Hematocrit (HCT) and lymphocyte count..
Answer: Hemoglobin (Hgb) and platelet count (PLT).
This answer is correct because before the prescription of antiplatelets,
clients hemoglobin and platelet count should be assessed. If hemoglobin
is less than 7, the client may be going to heaven. If the PLT count is less
than 50,000, the client has thrombocytopenia. Antiplatelets must be held
for both problems.
⩥ Fentanyl patch is used for what type of pain?.
Answer: Chronic pain
⩥ For which client should the nurse should question the use of
epinephrine?
,The client experiencing return of spontaneous circulation after cardiac
arrest
The client experiencing an anaphylactic reaction after a bee sting
The client experiencing ventricular fibrillation after complications from
surgery
The client experiencing asystole after a hemodialysis treatment.
Answer: The client experiencing return of spontaneous circulation after
cardiac arrest
Correct
This answer is correct because epinephrine is not indicated once the
client exhibits return of spontaneous circulation after cardiac arrest.
Return of spontaneous circulation demonstrates that the client is
independently sustaining a heart rhythm that is perfusing the body.
Epinephrine is no longer indicated because the goal has already been
achieved, so the nurse should question the use of this medication for this
client.
Incorrect
This answer is not correct because epinephrine is indicated for the client
experiencing anaphylaxis after a bee sting. Epinephrine for anaphylaxis
is administered via intramuscular injection.
Incorrect
This answer is not correct because epinephrine is indicated for the client
experiencing ventricular fibrillation. Epinephrine, amiodarone, and
lidocaine may be used in conjunction with defibrillation, chest
compressions, and ventilation/oxygenation.
, Incorrect
This answer is not correct because epinephrine is indicated for the client
experiencing asystole. Epinephrine is the primary drug given to clients
experiencing pulseless electrical activity (PEA) or asystole.
⩥ A client with a long history of taking aspirin. The client presents to the
clinic with ringing in the ears, blood pressure 96/40, and heart rate of
130 beats per minute. What does the nurse suspect the client is
experiencing?
An ear infection.
Internal bleeding.
Thrombocytopenia.
Hearing loss..
Answer: Internal bleeding.
Correct
This answer is correct because clients who are using long-term aspirin
should be assessed for tinnitus, hypotension, and tachycardia. These are
signs of bleeding. The healthcare provider should be notified
immediately.
⩥ The nurse is caring for a client with atrial fibrillation. Which of the
following anticoagulants may be prescribed for this client? Select all that
apply.
Rivaroxaban
