Sherpath Questions with CORRECT Answers (Verified Update)
Q1: Which assessment finding indicates the development of immune thrombo- cytopenic
purpura (ITP)?
A. Petechiae on the legs
B. Cardiac dysrhythmias
C. Onset of hemiparalysis
D. Hematoma on the arm
Answer: A. Petechiae on the legs
Q2: Which platelet count indicates mild thrombocytopenia?
A. 15,000/mm3
B. 35,000/mm3
C. 55,000/mm3
D. 75,000/mm3
Answer: D. 75,000/mm3
Q3: Which assessment finding would indicate the development of idiopathic thrombocytopenic
purpura (ITP)? Select all that apply. One, some, or all re- sponses may be correct.
A. Nausea
B. Heavy menses
C. Seizures
D. Hematuria
E. Cardiac murmur
Answer: A. Nausea
B. Heavy menses
C. Seizures
D. Hematuria
Q4: Which response would the nurse give when a patient with mild immune thrombocytopenic
purpura (ITP) asks how long steroids need to be taken?
A. "You will take steroids for at least 6 months."
B. "Two to three doses will be required."
C. "The usual treatment is 2 to 6 weeks."
D. "You will take the medication until your spleen is removed."
Answer: C. "The usual treatment is 2 to 6 weeks."
, Q5: Which intervention would the nurse include in the plan of care for a patient with immune
thrombocytopenic purpura? Select all that apply. One, some, or all responses may be correct.
A. Place padding on the bed rails.
B. Use a firm-bristled toothbrush.
C. Educate the patient on epistaxis prevention.
D. Use an electric razor when shaving the patient.
E. Avoid administering intravenous medications.
Answer: A. Place padding on the bed rails.
C. Educate the patient on epistaxis prevention.
D. Use an electric razor when shaving the patient.
Q6: The nurse would instruct the patient on how to blow the nose gently to avoid instigating
epistaxis. Use an electric razor when shaving the patient. The nurse would use an electric
razor when shaving the patient to reduce the risk of lacerations. In which order would the
nurse explain the pathophysiology of heparin-in- duced thrombocytopenia (HIT)? Heparin
molecules form immunogenic complexes. Heparin-antibody complexes release platelet factor
4. Platelet factor 4 attracts heparin molecules. Immunogenic complexes adhere to platelet
and endothelial surfaces. Platelets stimulate the release of thrombin and form platelet
clumps.: 2, 3, 1, 4, 5 The thrombocytopenia that occurs with immune-mediated HIT is related
to the formation of heparin-antibody complexes. These complexes release a substance
known as platelet factor 4. Platelet factor 4 attracts heparin molecules, forming
immunogenic complexes that adhere to platelet and endothelial surfaces. Activation of
platelets stimulates the release of thrombin and the subsequent formation of platelet
clumps. Which characteristic describes non-immune-mediated heparin-induced
thrombocytopenia (HIT)? Select all that apply. One, some, or all responses may be correct.
A. Rarest form of HIT
B. Based on an autoimmune response to heparin
C. Occurs in response to heparin therapy
D. Requires immediate discontinuation of heparin
E. Causes moderate platelet count depletion
Answer: C. Occurs in response to heparin therapy
Q7: Platelets stimulate the release of thrombin and form platelet clumps.
Answer: 2, 3, 1, 4, 5 The thrombocytopenia that occurs with immune-mediated HIT is related to the
formation of heparin-antibody complexes. These complexes release a substance known as
platelet factor 4. Platelet factor 4 attracts heparin molecules, forming immunogenic
complexes that adhere to platelet and endothelial surfaces. Activation of platelets
stimulates the release of thrombin and the subsequent formation of platelet clumps.
Q1: Which assessment finding indicates the development of immune thrombo- cytopenic
purpura (ITP)?
A. Petechiae on the legs
B. Cardiac dysrhythmias
C. Onset of hemiparalysis
D. Hematoma on the arm
Answer: A. Petechiae on the legs
Q2: Which platelet count indicates mild thrombocytopenia?
A. 15,000/mm3
B. 35,000/mm3
C. 55,000/mm3
D. 75,000/mm3
Answer: D. 75,000/mm3
Q3: Which assessment finding would indicate the development of idiopathic thrombocytopenic
purpura (ITP)? Select all that apply. One, some, or all re- sponses may be correct.
A. Nausea
B. Heavy menses
C. Seizures
D. Hematuria
E. Cardiac murmur
Answer: A. Nausea
B. Heavy menses
C. Seizures
D. Hematuria
Q4: Which response would the nurse give when a patient with mild immune thrombocytopenic
purpura (ITP) asks how long steroids need to be taken?
A. "You will take steroids for at least 6 months."
B. "Two to three doses will be required."
C. "The usual treatment is 2 to 6 weeks."
D. "You will take the medication until your spleen is removed."
Answer: C. "The usual treatment is 2 to 6 weeks."
, Q5: Which intervention would the nurse include in the plan of care for a patient with immune
thrombocytopenic purpura? Select all that apply. One, some, or all responses may be correct.
A. Place padding on the bed rails.
B. Use a firm-bristled toothbrush.
C. Educate the patient on epistaxis prevention.
D. Use an electric razor when shaving the patient.
E. Avoid administering intravenous medications.
Answer: A. Place padding on the bed rails.
C. Educate the patient on epistaxis prevention.
D. Use an electric razor when shaving the patient.
Q6: The nurse would instruct the patient on how to blow the nose gently to avoid instigating
epistaxis. Use an electric razor when shaving the patient. The nurse would use an electric
razor when shaving the patient to reduce the risk of lacerations. In which order would the
nurse explain the pathophysiology of heparin-in- duced thrombocytopenia (HIT)? Heparin
molecules form immunogenic complexes. Heparin-antibody complexes release platelet factor
4. Platelet factor 4 attracts heparin molecules. Immunogenic complexes adhere to platelet
and endothelial surfaces. Platelets stimulate the release of thrombin and form platelet
clumps.: 2, 3, 1, 4, 5 The thrombocytopenia that occurs with immune-mediated HIT is related
to the formation of heparin-antibody complexes. These complexes release a substance
known as platelet factor 4. Platelet factor 4 attracts heparin molecules, forming
immunogenic complexes that adhere to platelet and endothelial surfaces. Activation of
platelets stimulates the release of thrombin and the subsequent formation of platelet
clumps. Which characteristic describes non-immune-mediated heparin-induced
thrombocytopenia (HIT)? Select all that apply. One, some, or all responses may be correct.
A. Rarest form of HIT
B. Based on an autoimmune response to heparin
C. Occurs in response to heparin therapy
D. Requires immediate discontinuation of heparin
E. Causes moderate platelet count depletion
Answer: C. Occurs in response to heparin therapy
Q7: Platelets stimulate the release of thrombin and form platelet clumps.
Answer: 2, 3, 1, 4, 5 The thrombocytopenia that occurs with immune-mediated HIT is related to the
formation of heparin-antibody complexes. These complexes release a substance known as
platelet factor 4. Platelet factor 4 attracts heparin molecules, forming immunogenic
complexes that adhere to platelet and endothelial surfaces. Activation of platelets
stimulates the release of thrombin and the subsequent formation of platelet clumps.
