Test 162 Questions | Latest Update 2026 | 100% Pass
Guarantee
1. What is the primary goal in managing acute bleeding episodes in hemophilia?
Increasing platelet count
Maintaining appropriate factor levels
Reducing blood pressure
Administering anticoagulants
2. Intravenous immune globulin (IVIG) therapy is prescribed for a child with
immune thrombocytopenic purpura (ITP). The nurse determines that this
medication is prescribed for the child to?
Increase the number of circulating platelets.
Provide immunity to the child against infection.
Decrease the production of antiplatelet antibodies.
Prevent infection following exposure to communicable diseases.
3. Describe how organ destruction or inflammation contributes to the
development of disseminated intravascular coagulation (DIC).
Inflammation leads to increased blood flow, which prevents DIC from
occurring.
DIC is primarily a result of viral infections without any relation to organ
damage.
DIC is caused solely by genetic factors and does not involve
inflammation or organ damage.
Organ destruction or inflammation can trigger DIC by releasing
, pro-coagulant factors into the bloodstream, leading to widespread
clotting and potential organ failure.
4. What is TRUE about disseminated intravascular coagulation (DIC)?
It can be initiated by bleeding or clotting
It is typically a secondary complication
It is often life threatening
All of the above
5. Describe how the symptoms of Immune Thrombocytopenia (ITP) can impact
a patient's daily life.
Symptoms are only related to fatigue.
Symptoms only occur during menstruation.
Symptoms are usually mild and do not affect daily life.
Symptoms like easy bruising and spontaneous bleeding can lead to
anxiety and limit physical activities.
6. What is hemophilia?
a lack of platelets
the ability to clot
Hemophilia is a bleeding Hereditary, sex-linked disorder that affects
the clotting process
high WBC count
7. What is hemophilia?
A disorder in which blood doesn't clot normally
A disorder that leads to an inability to clot blood normally that is
, caused by a decrease in platelets
A disorder that results from low levels of vWF
A disorder where blood starts to coagulate abnormally throughout
the body while there is an unstoppable bleed
8. A patient with moderate hemophilia experiences a fall and reports a severe
headache. What should be the immediate concern regarding their condition?
The likelihood of developing a rash
The risk of intracranial hemorrhage (ICH)
The possibility of a broken bone
The need for a blood transfusion
9. Describe the circumstances under which orthopedic consultation is deemed
necessary for a patient with hemophilia.
Orthopedic consultation is required for patients with any bleeding
disorder.
Orthopedic consultation is only needed for patients with severe
hemophilia.
Orthopedic consultation is needed for all hemophilia patients
regardless of symptoms.
Orthopedic consultation is necessary when joint bleeding is
persistent and cannot be managed effectively.
10. A patient with hemophilia experiences an acute bleeding episode. What
immediate action should be taken to manage this situation effectively?
Increase the patient's fluid intake.
Prescribe anticoagulants to prevent further bleeding.
Administer factor replacement therapy to restore factor levels.
, Monitor the patient's blood pressure closely.
11. Which lab finding is a strong indicator of DIC?
A normal prothrombin time
An elevated platelet count
An elevated D-dimer test result
An elevated fibrinogen level
12. If a 30-year-old patient is diagnosed with Immune Thrombocytopenia that
has persisted for 14 months, how would you classify their condition?
Chronic ITP
Transient ITP
Severe ITP
Acute ITP
13. What pathology is associated with disseminated intravascular coagulation
(DIC)?
Excessive activation of the coagulation cascade and formation of
micro-vascular thrombi
Antibody formation against a platelet surface receptor
Mutation in factor V of the coagulation cascade
Impaired platelet adhesion
14. The family of a patient with disseminated intravascular coagulation (DIC)
asks why the patient is bleeding if the condition is a result of massive
clotting. Which response should the nurse make to the family?
"The bleeding occurs due to the lack of fibrinolysis of newly formed
clots."