NUR 425 CORRECT TEST PAPER QUESTIONS AND
ANSWERS SURE A+
✔✔Your patient has just begun his first CPAP trial: CPAP, PEEP: 5, FiO2: 40%. After 8
minutes, his vital signs are: BP: 140/85, HR: 145, SaO2: 92%, RR: 35, T: 37.6.
His wife is now at the bedside and asks what is going on. Which statement is most
appropriate?
a. He is trying to breathe on his own, but it appears he is not doing a very good job. We
will need to sedate him more.
b. He is breathing on his own- which is a lot of work, but this is normal. We will wait a bit
longer.
c. He is trying to breathe on his own, but it appears he is working too hard. We will need
to stop the trial.
d. He is breathing with some support from the ventilator. As long as he triggers breaths,
he will get support from the ventilator. - ✔✔C
✔✔This type of medication disrupts the coagulation cascade, suppresses fibrin
formation, and prevents *venous* thrombi. - ✔✔Anticoagulants
✔✔List 4 examples of anticoagulants. - ✔✔1. Heparin
2. Lovenox (LMW Heparin)
3. Warfarin
4. Dabigatran (Pradaxa)
✔✔This type of medication decreases platelet aggregation, or "stickiness" and prevents
*arterial* thrombi - ✔✔Antiplatelets
✔✔List 2 examples of anti platelets. - ✔✔1. Aspirin
2. Clopidogrel (Plavix)
✔✔List some signs of bleeding. - ✔✔1. Hematuria
, 2. Coffee ground emesis
3. Black, tarry stools
4. Low H/H
5. Low BP and high pulse
6. Petechiae
7. Excessive bruising
✔✔What is the antidote for Heparin and Lovenox? - ✔✔Protamine sulfate
✔✔List the contraindications for Heparin and Lovenox. - ✔✔-Thrombocytopenia
(Because they can cause thrombocytopenia, but it is less common in Lovenox)
-Uncontrollable bleeding
-Eye/brain/spinal cord surgery
-Lumbar puncture
OK in pregnancy!
✔✔List cautions for Heparin and Lovenox. - ✔✔-Hemophilia
-Aneurysms
-PUD
-Severe HTN
-Severe liver or kidney disease
✔✔List contraindications for Warfarin. - ✔✔-Vitamin K deficiency
-Liver disease (Clotting factors are made in the liver)
-Alcoholism
-Pregnancy (Category X!)
✔✔Which anticoagulant is known for GI distress? - ✔✔Dabigatran (Pradaxa)
✔✔Which 2 anticoagulants are used for DVT prophylaxis, current DVT, PE, thrombotic
stroke, AMI, and DIC? - ✔✔Heparin and Lovenox
✔✔Which 2 anticoagulants are known to cause thrombocytopenia? - ✔✔Heparin and
Lovenox (Less likely with Lovenox)
✔✔Can Heparin be used at home? - ✔✔No! Lovenox can though.
✔✔What labs do we monitor with Heparin? - ✔✔-PTT/aPTT
-Platelet count because of thrombocytopenia
✔✔What labs do we monitor with Lovenox? - ✔✔-Platelet count possibly because of
thrombocytopenia (But less likely than using Heparin)
ANSWERS SURE A+
✔✔Your patient has just begun his first CPAP trial: CPAP, PEEP: 5, FiO2: 40%. After 8
minutes, his vital signs are: BP: 140/85, HR: 145, SaO2: 92%, RR: 35, T: 37.6.
His wife is now at the bedside and asks what is going on. Which statement is most
appropriate?
a. He is trying to breathe on his own, but it appears he is not doing a very good job. We
will need to sedate him more.
b. He is breathing on his own- which is a lot of work, but this is normal. We will wait a bit
longer.
c. He is trying to breathe on his own, but it appears he is working too hard. We will need
to stop the trial.
d. He is breathing with some support from the ventilator. As long as he triggers breaths,
he will get support from the ventilator. - ✔✔C
✔✔This type of medication disrupts the coagulation cascade, suppresses fibrin
formation, and prevents *venous* thrombi. - ✔✔Anticoagulants
✔✔List 4 examples of anticoagulants. - ✔✔1. Heparin
2. Lovenox (LMW Heparin)
3. Warfarin
4. Dabigatran (Pradaxa)
✔✔This type of medication decreases platelet aggregation, or "stickiness" and prevents
*arterial* thrombi - ✔✔Antiplatelets
✔✔List 2 examples of anti platelets. - ✔✔1. Aspirin
2. Clopidogrel (Plavix)
✔✔List some signs of bleeding. - ✔✔1. Hematuria
, 2. Coffee ground emesis
3. Black, tarry stools
4. Low H/H
5. Low BP and high pulse
6. Petechiae
7. Excessive bruising
✔✔What is the antidote for Heparin and Lovenox? - ✔✔Protamine sulfate
✔✔List the contraindications for Heparin and Lovenox. - ✔✔-Thrombocytopenia
(Because they can cause thrombocytopenia, but it is less common in Lovenox)
-Uncontrollable bleeding
-Eye/brain/spinal cord surgery
-Lumbar puncture
OK in pregnancy!
✔✔List cautions for Heparin and Lovenox. - ✔✔-Hemophilia
-Aneurysms
-PUD
-Severe HTN
-Severe liver or kidney disease
✔✔List contraindications for Warfarin. - ✔✔-Vitamin K deficiency
-Liver disease (Clotting factors are made in the liver)
-Alcoholism
-Pregnancy (Category X!)
✔✔Which anticoagulant is known for GI distress? - ✔✔Dabigatran (Pradaxa)
✔✔Which 2 anticoagulants are used for DVT prophylaxis, current DVT, PE, thrombotic
stroke, AMI, and DIC? - ✔✔Heparin and Lovenox
✔✔Which 2 anticoagulants are known to cause thrombocytopenia? - ✔✔Heparin and
Lovenox (Less likely with Lovenox)
✔✔Can Heparin be used at home? - ✔✔No! Lovenox can though.
✔✔What labs do we monitor with Heparin? - ✔✔-PTT/aPTT
-Platelet count because of thrombocytopenia
✔✔What labs do we monitor with Lovenox? - ✔✔-Platelet count possibly because of
thrombocytopenia (But less likely than using Heparin)
