NUR 106 (Pharmacology - Chapters 26, 27, & 28) NCLEX STYLE
Questions with Correct Answers (Grade A+)
Question 1: The nurse knows that patients who are immobile are at risk for developing clots, as well as
these patients with conditions such as (Select all that apply.)
A. cancer of the lung.
B. trauma to the lower extremities.
C. allergic reactions to drugs.
D. pregnancy.
E. vasospasms of the lower extremities.
Answer: A, B, D, & E (Cancer of the lung) (Trauma to the lower extremities) (Pregnancy) (Vasospasms of
the lower extremities)
Question 2: The following conditions are reasons for having patients receiving anticoagulant therapy.
(Select all that apply.)
A. Atrial fibrillation
B. History of pulmonary emboli
C. Recent hip surgery
D. Hematuria
E. Asthma
Answer: A, B, & C (Atrial fibrillation) (History of pulmonary emboli) (Recent hip surgery)
Question 3: A patient was started on aspirin to prevent a stroke because aspirin does the following:
A. Prevents the clotting cascade from being activated
B. Prevents thrombus formation
C. Prevents platelet aggregation
D. Decreases bleeding time
Answer: C (Prevents platelet aggregation)
Question 4: The direct thrombin inhibitor dabigatran (Pradaxa) is used to
A. prevent strokes or thrombus formation in patients with atrial fibrillation.
B. prevent the extension of an existing thrombus.
C. break up an existing thrombus.
D. prevent thrombus formation after hip surgery.
Answer: A (prevent strokes or thrombus formation in patients with atrial fibrillation.)
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, Question 5: The laboratory tests used to monitor the dosage of warfarin include:
A. INR and PT.
B. INR and WBCT.
C. INR and ACT.
D. PT and aPTT.
Answer: A (INR and PT)
Question 6: The nurse has initiated discharge teaching for a patient who is to be maintained on
warfarin (Coumadin) after hospitalization for thrombophlebitis. Which statement by the patient
indicates that further teaching is needed?
A. "I should change my diet to include more green leafy vegetables."
B. "I will check with my physician or pharmacist before I begin or stop any medication."
C. "I should wear a Medic-Alert bracelet to indicate I am on anticoagulant therapy."
D. "I will need to have my blood drawn routinely to monitor the effects of the Coumadin."
Answer: A ("I should change my diet to include more green leafy vegetables.")
Question 7: Which symptoms are most suggestive of the need to adjust warfarin (Coumadin) dosage?
A. Mild confusion, headache, jaundice, pallor
B. Nosebleeds, petechiae, menorrhagia
C. Elevated activated partial thromboplastin time (APTT), black stools, tachycardia
D. Splenomegaly, abdominal pain, pallor
Answer: B (Nosebleeds, petechiae, menorrhagia)
Question 8: What is the expected action of heparin when used to treat deep vein thrombosis (DVT)?
A. Prevent clot formation
B. Dissolve existing thrombi
C. Inhibit platelet coagulation
D. Increase PT
Answer: A (Prevent clot formation)
Question 9: Which instruction does the nurse give to a patient who is ordered aspirin 325 mg PO bid
(twice per day) for the prevention of thrombi?
A. "Take the aspirin with breakfast and supper."
B. "Expect some ringing in the ears."
C. "Report the development of bruises immediately."
D. "Return in 4 weeks for a PT."
Answer: A ("Take the aspirin with breakfast and supper.")
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Questions with Correct Answers (Grade A+)
Question 1: The nurse knows that patients who are immobile are at risk for developing clots, as well as
these patients with conditions such as (Select all that apply.)
A. cancer of the lung.
B. trauma to the lower extremities.
C. allergic reactions to drugs.
D. pregnancy.
E. vasospasms of the lower extremities.
Answer: A, B, D, & E (Cancer of the lung) (Trauma to the lower extremities) (Pregnancy) (Vasospasms of
the lower extremities)
Question 2: The following conditions are reasons for having patients receiving anticoagulant therapy.
(Select all that apply.)
A. Atrial fibrillation
B. History of pulmonary emboli
C. Recent hip surgery
D. Hematuria
E. Asthma
Answer: A, B, & C (Atrial fibrillation) (History of pulmonary emboli) (Recent hip surgery)
Question 3: A patient was started on aspirin to prevent a stroke because aspirin does the following:
A. Prevents the clotting cascade from being activated
B. Prevents thrombus formation
C. Prevents platelet aggregation
D. Decreases bleeding time
Answer: C (Prevents platelet aggregation)
Question 4: The direct thrombin inhibitor dabigatran (Pradaxa) is used to
A. prevent strokes or thrombus formation in patients with atrial fibrillation.
B. prevent the extension of an existing thrombus.
C. break up an existing thrombus.
D. prevent thrombus formation after hip surgery.
Answer: A (prevent strokes or thrombus formation in patients with atrial fibrillation.)
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, Question 5: The laboratory tests used to monitor the dosage of warfarin include:
A. INR and PT.
B. INR and WBCT.
C. INR and ACT.
D. PT and aPTT.
Answer: A (INR and PT)
Question 6: The nurse has initiated discharge teaching for a patient who is to be maintained on
warfarin (Coumadin) after hospitalization for thrombophlebitis. Which statement by the patient
indicates that further teaching is needed?
A. "I should change my diet to include more green leafy vegetables."
B. "I will check with my physician or pharmacist before I begin or stop any medication."
C. "I should wear a Medic-Alert bracelet to indicate I am on anticoagulant therapy."
D. "I will need to have my blood drawn routinely to monitor the effects of the Coumadin."
Answer: A ("I should change my diet to include more green leafy vegetables.")
Question 7: Which symptoms are most suggestive of the need to adjust warfarin (Coumadin) dosage?
A. Mild confusion, headache, jaundice, pallor
B. Nosebleeds, petechiae, menorrhagia
C. Elevated activated partial thromboplastin time (APTT), black stools, tachycardia
D. Splenomegaly, abdominal pain, pallor
Answer: B (Nosebleeds, petechiae, menorrhagia)
Question 8: What is the expected action of heparin when used to treat deep vein thrombosis (DVT)?
A. Prevent clot formation
B. Dissolve existing thrombi
C. Inhibit platelet coagulation
D. Increase PT
Answer: A (Prevent clot formation)
Question 9: Which instruction does the nurse give to a patient who is ordered aspirin 325 mg PO bid
(twice per day) for the prevention of thrombi?
A. "Take the aspirin with breakfast and supper."
B. "Expect some ringing in the ears."
C. "Report the development of bruises immediately."
D. "Return in 4 weeks for a PT."
Answer: A ("Take the aspirin with breakfast and supper.")
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