Sherpath Questions with CORRECT Answers (Verified Update)
Q1: In which order does the intrinsic pathway lead to clotting? Prothrombin and fibrinogen are
converted to their active forms. Proteins activate coagulation factors XII, XI, IX, and VIII. The
pathway converges with the extrinsic pathway, forming a common pathway. The damaged
subendothelium comes into direct contact with circulating blood. Clot formation occurs.: 4,
2, 3, 1, 5 The intrinsic pathway is activated when the damaged subendothelium comes into
direct contact with circulating blood. In this contact phase, proteins activate addition- al
coagulation factors (XII, XI, IX, and VIII). The pathway then converges with the extrinsic
pathway, and a common pathway is formed. Prothrombin and fibrinogen are converted to
their active forms, and clot formation occurs. Which regulator prevents the development of
blood clots?
A. Fibrin
B. Thrombin
C. Histamine
D. Prostacyclin I2
Answer: D. Prostacyclin I2
Q2: Which regulator prevents the development of blood clots?
A. Fibrin
B. Thrombin
C. Histamine
D. Prostacyclin I2
Answer: D. Prostacyclin I2
Q3: Which condition would the nurse categorize as a miscellaneous cause of disseminated
intravascular coagulation (DIC)? Select all that apply. One, some, or all responses may be
correct.
A. Burns
B. Malaria
C. Trauma
D. Snakebite
E. Heat stroke
Answer: D. Snakebite
Q4: Which event causes the development of disseminated intravascular coagu- lation (DIC)?
A. Loss of platelets
B. Depletion of clotting factors
C. Maturation of red blood cells (RBCs)
D. Activation of the coagulation mechanism
Answer: D. Activation of the coagulation mechanism
, Q5: In which order do the events of disseminated intravascular coagulation (DIC) occur? Clotting
factors and platelets are consumed. Widespread microvascular thrombi are formed. Bleeding
occurs due to inhibition of thrombin and platelet aggregation. Endothelial injury causes
platelet aggregation and the release of tissue factor. Plasmin is activated, leading to
fibrinolysis and fibrin split products.: 4, 2, 1, 5, 3 DIC occurs when tissue factor is released,
leading to platelet aggregation and widespread microvascular thrombi formation. The
formation of thrombi depletes clotting factors, causing ischemic tissue damage, fibrinolysis,
and bleeding. Which assessment finding would indicate the development of microthrombi in
a patient with disseminated intravascular coagulation (DIC)?
A. Widespread ecchymosis
B. Bloody drainage from urinary catheters
C. Cyanosis of the fingers and toes
D. Bounding peripheral pulses
Answer: C. Cyanosis of the fingers and toes
Q6: Plasmin is activated, leading to fibrinolysis and fibrin split products.
Answer: 4, 2, 1, 5, 3 DIC occurs when tissue factor is released, leading to platelet aggregation and
widespread microvascular thrombi formation. The formation of thrombi depletes clotting
factors, causing ischemic tissue damage, fibrinolysis, and bleeding.
Q7: Which assessment finding would indicate the development of microthrombi in a patient with
disseminated intravascular coagulation (DIC)?
A. Widespread ecchymosis
B. Bloody drainage from urinary catheters
C. Cyanosis of the fingers and toes
D. Bounding peripheral pulses
Answer: C. Cyanosis of the fingers and toes
Q8: Which assessment finding indicates to the nurse that a critically ill patient with disseminated
intravascular coagulation (DIC) is bleeding? Select all that apply. One, some, or all responses
may be correct.
A. Peripheral cyanosis
B. Diarrhea
C. Chest pain
D. Hematuria
E. Hemoptysis
Answer: D. Hematuria
Q1: In which order does the intrinsic pathway lead to clotting? Prothrombin and fibrinogen are
converted to their active forms. Proteins activate coagulation factors XII, XI, IX, and VIII. The
pathway converges with the extrinsic pathway, forming a common pathway. The damaged
subendothelium comes into direct contact with circulating blood. Clot formation occurs.: 4,
2, 3, 1, 5 The intrinsic pathway is activated when the damaged subendothelium comes into
direct contact with circulating blood. In this contact phase, proteins activate addition- al
coagulation factors (XII, XI, IX, and VIII). The pathway then converges with the extrinsic
pathway, and a common pathway is formed. Prothrombin and fibrinogen are converted to
their active forms, and clot formation occurs. Which regulator prevents the development of
blood clots?
A. Fibrin
B. Thrombin
C. Histamine
D. Prostacyclin I2
Answer: D. Prostacyclin I2
Q2: Which regulator prevents the development of blood clots?
A. Fibrin
B. Thrombin
C. Histamine
D. Prostacyclin I2
Answer: D. Prostacyclin I2
Q3: Which condition would the nurse categorize as a miscellaneous cause of disseminated
intravascular coagulation (DIC)? Select all that apply. One, some, or all responses may be
correct.
A. Burns
B. Malaria
C. Trauma
D. Snakebite
E. Heat stroke
Answer: D. Snakebite
Q4: Which event causes the development of disseminated intravascular coagu- lation (DIC)?
A. Loss of platelets
B. Depletion of clotting factors
C. Maturation of red blood cells (RBCs)
D. Activation of the coagulation mechanism
Answer: D. Activation of the coagulation mechanism
, Q5: In which order do the events of disseminated intravascular coagulation (DIC) occur? Clotting
factors and platelets are consumed. Widespread microvascular thrombi are formed. Bleeding
occurs due to inhibition of thrombin and platelet aggregation. Endothelial injury causes
platelet aggregation and the release of tissue factor. Plasmin is activated, leading to
fibrinolysis and fibrin split products.: 4, 2, 1, 5, 3 DIC occurs when tissue factor is released,
leading to platelet aggregation and widespread microvascular thrombi formation. The
formation of thrombi depletes clotting factors, causing ischemic tissue damage, fibrinolysis,
and bleeding. Which assessment finding would indicate the development of microthrombi in
a patient with disseminated intravascular coagulation (DIC)?
A. Widespread ecchymosis
B. Bloody drainage from urinary catheters
C. Cyanosis of the fingers and toes
D. Bounding peripheral pulses
Answer: C. Cyanosis of the fingers and toes
Q6: Plasmin is activated, leading to fibrinolysis and fibrin split products.
Answer: 4, 2, 1, 5, 3 DIC occurs when tissue factor is released, leading to platelet aggregation and
widespread microvascular thrombi formation. The formation of thrombi depletes clotting
factors, causing ischemic tissue damage, fibrinolysis, and bleeding.
Q7: Which assessment finding would indicate the development of microthrombi in a patient with
disseminated intravascular coagulation (DIC)?
A. Widespread ecchymosis
B. Bloody drainage from urinary catheters
C. Cyanosis of the fingers and toes
D. Bounding peripheral pulses
Answer: C. Cyanosis of the fingers and toes
Q8: Which assessment finding indicates to the nurse that a critically ill patient with disseminated
intravascular coagulation (DIC) is bleeding? Select all that apply. One, some, or all responses
may be correct.
A. Peripheral cyanosis
B. Diarrhea
C. Chest pain
D. Hematuria
E. Hemoptysis
Answer: D. Hematuria
