, NURS 5463 EXAM 2 PRACTICE QUESTIONS
Adult Gerontology Acute Care
University of Texas at Arlington (UTA)
100 Original Practice Questions | 2026/2027 Edition
1. A patient presents with life-threatening bleeding in a patient taking dabigatran. Which diagnosis oracute-
care concept best fits?
A) Factor Xa inhibitor reversal
B) Warfarin reversal
C) Dabigatran reversal
D) Peri-procedural DOAC managementCorrect Answer: C) Dabigatran reversal
Rationale: Dabigatran reversal best matches the clinical pattern. Idarucizumab is the specific reversal agent for dabigatran.
2. Which statement about Dabigatran reversal is most accurate?
A) This condition is usually benign and requires no monitoring
B) Idarucizumab is the specific reversal agent for dabigatran
C) The diagnosis can be made reliably from one nonspecific symptom alone
D) Associated organ dysfunction and treatment risk are clinically unimportant
Correct Answer: B) Idarucizumab is the specific reversal agent for dabigatran
Rationale: Idarucizumab is the specific reversal agent for dabigatran
3. Which management principle is most appropriate for Dabigatran reversal?
A) Delay treatment until every confirmatory test is complete
B) Stop dabigatran, stabilize the patient, assess renal function and timing of the last dose, and give reversal
whenindicated
C) Treat only symptoms without addressing the underlying mechanism
D) Ignore organ function and medication-related risk when choosing therapy
Correct Answer: B) Stop dabigatran, stabilize the patient, assess renal function and timing of the last dose, and give
reversal when indicated
Rationale: Stop dabigatran, stabilize the patient, assess renal function and timing of the last dose, and give reversal when
indicated
4. Which complication or safety issue is especially important to recognize in Dabigatran reversal?
A) No meaningful complications are expected
B) Routine delayed follow-up is always sufficient
C) Ongoing anticoagulant effect can persist longer with renal impairment
D) The condition does not affect treatment urgency or organ function
Correct Answer: C) Ongoing anticoagulant effect can persist longer with renal impairment
Rationale: Ongoing anticoagulant effect can persist longer with renal impairment
5. A patient presents with life-threatening bleeding in a patient taking apixaban or rivaroxaban.
Whichdiagnosis or acute-care concept best fits?
A) Warfarin reversal
B) Factor Xa inhibitor reversal
NURS 5463 Exam 2 Practice Questions | 2026/2027 Edition | Page 1
, C) Peri-procedural DOAC management
D) Deep vein thrombosis
Correct Answer: B) Factor Xa inhibitor reversal
Rationale: Factor Xa inhibitor reversal best matches the clinical pattern. Andexanet alfa can reverse selected factor Xa
inhibitors in severe bleeding.
6. Which statement about Factor Xa inhibitor reversal is most accurate?
A) This condition is usually benign and requires no monitoring
B) Andexanet alfa can reverse selected factor Xa inhibitors in severe bleeding
C) The diagnosis can be made reliably from one nonspecific symptom alone
D) Associated organ dysfunction and treatment risk are clinically unimportant
Correct Answer: B) Andexanet alfa can reverse selected factor Xa inhibitors in severe bleeding
Rationale: Andexanet alfa can reverse selected factor Xa inhibitors in severe bleeding
7. Which management principle is most appropriate for Factor Xa inhibitor reversal?
A) Delay treatment until every confirmatory test is complete
B) Stop the anticoagulant, stabilize the patient, and use specific or nonspecific reversal according to indication
andavailability
C) Treat only symptoms without addressing the underlying mechanism
D) Ignore organ function and medication-related risk when choosing therapy
Correct Answer: B) Stop the anticoagulant, stabilize the patient, and use specific or nonspecific reversal according to
indication and availability
Rationale: Stop the anticoagulant, stabilize the patient, and use specific or nonspecific reversal according to indication and
availability
8. Which complication or safety issue is especially important to recognize in Factor Xa inhibitor reversal?
A) Intracranial or other critical-site bleeding can rapidly become fatal
B) No meaningful complications are expected
C) Routine delayed follow-up is always sufficient
D) The condition does not affect treatment urgency or organ function
Correct Answer: A) Intracranial or other critical-site bleeding can rapidly become fatal
Rationale: Intracranial or other critical-site bleeding can rapidly become fatal
9. A patient presents with major bleeding with a markedly elevated INR in a patient taking warfarin.
Whichdiagnosis or acute-care concept best fits?
A) Warfarin reversal
B) Peri-procedural DOAC management
C) Deep vein thrombosis
D) Pulmonary embolism anticoagulation
Correct Answer: A) Warfarin reversal
Rationale: Warfarin reversal best matches the clinical pattern. Four-factor PCC plus vitamin K provides rapid warfarin
reversal in major bleeding.
10. Which statement about Warfarin reversal is most accurate?
A) This condition is usually benign and requires no monitoring
NURS 5463 Exam 2 Practice Questions | 2026/2027 Edition | Page 2
Adult Gerontology Acute Care
University of Texas at Arlington (UTA)
100 Original Practice Questions | 2026/2027 Edition
1. A patient presents with life-threatening bleeding in a patient taking dabigatran. Which diagnosis oracute-
care concept best fits?
A) Factor Xa inhibitor reversal
B) Warfarin reversal
C) Dabigatran reversal
D) Peri-procedural DOAC managementCorrect Answer: C) Dabigatran reversal
Rationale: Dabigatran reversal best matches the clinical pattern. Idarucizumab is the specific reversal agent for dabigatran.
2. Which statement about Dabigatran reversal is most accurate?
A) This condition is usually benign and requires no monitoring
B) Idarucizumab is the specific reversal agent for dabigatran
C) The diagnosis can be made reliably from one nonspecific symptom alone
D) Associated organ dysfunction and treatment risk are clinically unimportant
Correct Answer: B) Idarucizumab is the specific reversal agent for dabigatran
Rationale: Idarucizumab is the specific reversal agent for dabigatran
3. Which management principle is most appropriate for Dabigatran reversal?
A) Delay treatment until every confirmatory test is complete
B) Stop dabigatran, stabilize the patient, assess renal function and timing of the last dose, and give reversal
whenindicated
C) Treat only symptoms without addressing the underlying mechanism
D) Ignore organ function and medication-related risk when choosing therapy
Correct Answer: B) Stop dabigatran, stabilize the patient, assess renal function and timing of the last dose, and give
reversal when indicated
Rationale: Stop dabigatran, stabilize the patient, assess renal function and timing of the last dose, and give reversal when
indicated
4. Which complication or safety issue is especially important to recognize in Dabigatran reversal?
A) No meaningful complications are expected
B) Routine delayed follow-up is always sufficient
C) Ongoing anticoagulant effect can persist longer with renal impairment
D) The condition does not affect treatment urgency or organ function
Correct Answer: C) Ongoing anticoagulant effect can persist longer with renal impairment
Rationale: Ongoing anticoagulant effect can persist longer with renal impairment
5. A patient presents with life-threatening bleeding in a patient taking apixaban or rivaroxaban.
Whichdiagnosis or acute-care concept best fits?
A) Warfarin reversal
B) Factor Xa inhibitor reversal
NURS 5463 Exam 2 Practice Questions | 2026/2027 Edition | Page 1
, C) Peri-procedural DOAC management
D) Deep vein thrombosis
Correct Answer: B) Factor Xa inhibitor reversal
Rationale: Factor Xa inhibitor reversal best matches the clinical pattern. Andexanet alfa can reverse selected factor Xa
inhibitors in severe bleeding.
6. Which statement about Factor Xa inhibitor reversal is most accurate?
A) This condition is usually benign and requires no monitoring
B) Andexanet alfa can reverse selected factor Xa inhibitors in severe bleeding
C) The diagnosis can be made reliably from one nonspecific symptom alone
D) Associated organ dysfunction and treatment risk are clinically unimportant
Correct Answer: B) Andexanet alfa can reverse selected factor Xa inhibitors in severe bleeding
Rationale: Andexanet alfa can reverse selected factor Xa inhibitors in severe bleeding
7. Which management principle is most appropriate for Factor Xa inhibitor reversal?
A) Delay treatment until every confirmatory test is complete
B) Stop the anticoagulant, stabilize the patient, and use specific or nonspecific reversal according to indication
andavailability
C) Treat only symptoms without addressing the underlying mechanism
D) Ignore organ function and medication-related risk when choosing therapy
Correct Answer: B) Stop the anticoagulant, stabilize the patient, and use specific or nonspecific reversal according to
indication and availability
Rationale: Stop the anticoagulant, stabilize the patient, and use specific or nonspecific reversal according to indication and
availability
8. Which complication or safety issue is especially important to recognize in Factor Xa inhibitor reversal?
A) Intracranial or other critical-site bleeding can rapidly become fatal
B) No meaningful complications are expected
C) Routine delayed follow-up is always sufficient
D) The condition does not affect treatment urgency or organ function
Correct Answer: A) Intracranial or other critical-site bleeding can rapidly become fatal
Rationale: Intracranial or other critical-site bleeding can rapidly become fatal
9. A patient presents with major bleeding with a markedly elevated INR in a patient taking warfarin.
Whichdiagnosis or acute-care concept best fits?
A) Warfarin reversal
B) Peri-procedural DOAC management
C) Deep vein thrombosis
D) Pulmonary embolism anticoagulation
Correct Answer: A) Warfarin reversal
Rationale: Warfarin reversal best matches the clinical pattern. Four-factor PCC plus vitamin K provides rapid warfarin
reversal in major bleeding.
10. Which statement about Warfarin reversal is most accurate?
A) This condition is usually benign and requires no monitoring
NURS 5463 Exam 2 Practice Questions | 2026/2027 Edition | Page 2
