Page 1 of 258
RNSG 2539 FINAL EXAM AND STUDY GUIDE NEWEST
2025 TEST BANK| COMPLETE 850 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+| RNSG 2539 EXAM
PREP 2025 (BRAND NEW!!)
A patient is being treated for DIC and the nurse has prioritized the
nursing diagnosis of Risk for Deficient Fluid Volume Related to
Bleeding. How can the nurse best determine if goals of care relating to
this diagnosis are being met?
A) Assess for edema.
B) Assess skin integrity frequently.
C) Assess the patient's level of consciousness frequently.
D) Closely monitor intake and output. - Correct Answer - D) Closely
monitor intake and output
A nurse is providing care to a child with idiopathic thrombocytopenic
purpura with a platelet count of 18,000/mm3. Which medication would
the nurse most likely expect to be ordered?
A) Folic acid
B) Intravenous immune globulin
C) Dimercaprol
D) Deferoxamine - Correct Answer - B) Intravenous immune globulin
pg. 1
,Page 2 of 258
The results of a patient's most recent blood work and physical
assessment are suggestive of immune thrombocytopenic purpura (ITP).
This patient should undergo testing for which of the following potential
causes? Select all that apply.
A) Hepatitis
B) Acute renal failure
C) HIV
D) Malignant melanoma
E) Cholecystitis - Correct Answer - A) Hepatitis
C) HIV
In immune thrombocytopenia purpura (ITP), the client has what type of
disorder that primarily destroys which blood component?
A) Allergic; fibrinogen
B) Alloimmune; factor VIII
C) Autoimmune; platelets
D) Immunoglobulin; B cells - Correct Answer - C) Autoimmune;
platelets
A nurse is admitting a patient with immune thrombocytopenic purpura to
the unit. In completing the admission assessment, the nurse must be alert
for what medications that potentially alter platelet function? Select all
that apply.
A) Antihypertensives
pg. 2
,Page 3 of 258
B) Penicillins
C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs - Correct Answer - C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs
A client was started on a protocol for the prevention of deep vein
thrombosis shortly after admission and has been receiving 5000 units of
heparin twice daily for the last week. An immune response to this
treatment may increase the client's chance of developing which health
problem?
A) Antiphospholipid syndrome
B) Disseminated intravascular coagulation (DIC)
C) Von Willebrand disease
D) Thrombocytopenia - Correct Answer - D) Thrombocytopenia
When the nurse administers heparin it is anticipated the drug will have
what action on the patient's body?
A) Binds to factor X
B) Blocks the formation of thrombin
C) Binds to factor Xa
D) Promotes the inactivation of factor VIII - Correct Answer - B) Blocks
the formation of thrombin
pg. 3
, Page 4 of 258
The nurse is reviewing the laboratory test results of a pregnant client.
Which one of the following findings would alert the nurse to the
development of HELLP syndrome?
A) Hyperglycemia
B) Elevated platelet count
C) Leukocytosis
D) Elevated liver enzymes - Correct Answer - D) Elevated liver enzymes
A woman is receiving magnesium sulfate as part of her treatment for
severe preeclampsia. The nurse is monitoring the woman's serum
magnesium levels. Which level would the nurse identify as therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L - Correct Answer - B) 6.1 mEq/L
A student nurse is caring for a patient who has a diagnosis of acute
pancreatitis and who is receiving parenteral nutrition. The student should
prioritize which of the following assessments?
A) Fluid output
B) Oral intake
C) Blood glucose levels
D) BUN and creatinine levels - Correct Answer - C) Blood glucose
levels
pg. 4
RNSG 2539 FINAL EXAM AND STUDY GUIDE NEWEST
2025 TEST BANK| COMPLETE 850 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+| RNSG 2539 EXAM
PREP 2025 (BRAND NEW!!)
A patient is being treated for DIC and the nurse has prioritized the
nursing diagnosis of Risk for Deficient Fluid Volume Related to
Bleeding. How can the nurse best determine if goals of care relating to
this diagnosis are being met?
A) Assess for edema.
B) Assess skin integrity frequently.
C) Assess the patient's level of consciousness frequently.
D) Closely monitor intake and output. - Correct Answer - D) Closely
monitor intake and output
A nurse is providing care to a child with idiopathic thrombocytopenic
purpura with a platelet count of 18,000/mm3. Which medication would
the nurse most likely expect to be ordered?
A) Folic acid
B) Intravenous immune globulin
C) Dimercaprol
D) Deferoxamine - Correct Answer - B) Intravenous immune globulin
pg. 1
,Page 2 of 258
The results of a patient's most recent blood work and physical
assessment are suggestive of immune thrombocytopenic purpura (ITP).
This patient should undergo testing for which of the following potential
causes? Select all that apply.
A) Hepatitis
B) Acute renal failure
C) HIV
D) Malignant melanoma
E) Cholecystitis - Correct Answer - A) Hepatitis
C) HIV
In immune thrombocytopenia purpura (ITP), the client has what type of
disorder that primarily destroys which blood component?
A) Allergic; fibrinogen
B) Alloimmune; factor VIII
C) Autoimmune; platelets
D) Immunoglobulin; B cells - Correct Answer - C) Autoimmune;
platelets
A nurse is admitting a patient with immune thrombocytopenic purpura to
the unit. In completing the admission assessment, the nurse must be alert
for what medications that potentially alter platelet function? Select all
that apply.
A) Antihypertensives
pg. 2
,Page 3 of 258
B) Penicillins
C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs - Correct Answer - C) Sulfa-containing medications
D) Aspirin-based drugs
E) NSAIDs
A client was started on a protocol for the prevention of deep vein
thrombosis shortly after admission and has been receiving 5000 units of
heparin twice daily for the last week. An immune response to this
treatment may increase the client's chance of developing which health
problem?
A) Antiphospholipid syndrome
B) Disseminated intravascular coagulation (DIC)
C) Von Willebrand disease
D) Thrombocytopenia - Correct Answer - D) Thrombocytopenia
When the nurse administers heparin it is anticipated the drug will have
what action on the patient's body?
A) Binds to factor X
B) Blocks the formation of thrombin
C) Binds to factor Xa
D) Promotes the inactivation of factor VIII - Correct Answer - B) Blocks
the formation of thrombin
pg. 3
, Page 4 of 258
The nurse is reviewing the laboratory test results of a pregnant client.
Which one of the following findings would alert the nurse to the
development of HELLP syndrome?
A) Hyperglycemia
B) Elevated platelet count
C) Leukocytosis
D) Elevated liver enzymes - Correct Answer - D) Elevated liver enzymes
A woman is receiving magnesium sulfate as part of her treatment for
severe preeclampsia. The nurse is monitoring the woman's serum
magnesium levels. Which level would the nurse identify as therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L - Correct Answer - B) 6.1 mEq/L
A student nurse is caring for a patient who has a diagnosis of acute
pancreatitis and who is receiving parenteral nutrition. The student should
prioritize which of the following assessments?
A) Fluid output
B) Oral intake
C) Blood glucose levels
D) BUN and creatinine levels - Correct Answer - C) Blood glucose
levels
pg. 4
