LATEST RNSG 2539 ACTUAL EXAM
TEST WITH LATEST UPDATED
QUESTIONS AND ANSWERS
Most Tested RNSG 2539 Exam Questions And Answers
THIS EXAM CONTAINS:
QUESTIONS AND ANSWERS
VERIFIED ANSWERS
GUARANTEED PASSING SCORE
,QUESTIONS AND ANSWERS
What lab testing results are indicative of DIC? ( CORRECT ANSWER ) -Prothrombin Time
(PT)
-partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time (aPTT)
-Bleeding Time
-Thrombin Time
Decrease levels: -Fibrogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
The nurse is reviewing the laboratory test results of a child diagnosed with disseminated
intravascular coagulation (DIC). Which of the following would the nurse interpret as
indicative of this disorder?
A) Shortened prothrombin time
B) Increased fibrinogen level
C) Positive fibrin split products
D) Increased platelets ( CORRECT ANSWER ) C) Positive fibrin split products
The nurse is caring for a postpartum patient admitted to the intensive care unit with a
diagnosis of disseminated intravascular coagulation (DIC). What is the drug of choice to treat
this problem?
A. Heparin
B. Urokinase
C. Aspirin
D. Warfarin ( CORRECT ANSWER ) A.) Heparin
In the ICU, a postsurgical client has developed sepsis and is being treated with multiple
medications. During the mid-morning assessment, which finding leads the nurse to suspect the
client may be developing a complication called disseminated intravascular coagulation (DIC)?
Select all that apply.
A) Headaches associated with light sensitivity
B) Oozing from all previous puncture and intravenous sites
C) Decreased O2 saturation and diminished breath sounds in lower lobes
D) Hemorrhage from the surgical site requiring deep pressure dressings
E) Urine from the Foley catheter is bloody ( CORRECT ANSWER ) D) Hemorrhage from the
surgical site requiring deep pressure dressings
A healthy, primiparous (first-time) mother delivered a healthy infant several hours ago, but the
mother has experienced postpartum hemorrhage. Which of the following disorders is most
likely to underlie the client's excessive bleeding after delivery?
,A) Disseminated intravascular coagulation
B) Hemophilia A
C) Von Willebrand disease
D) Thrombotic thrombocytopenic purpura (TTP) ( CORRECT ANSWER ) A) Disseminated
intravascular coagulation
What is the concept behind heparin for PT with DIC? ( CORRECT ANSWER ) -It prevents
the clotting phase from being completed which inhibits the breakdown of fibrinogen.
- It also helps avoid hemorrhage by preventing the body from depleting entire stage of
coagulation factors.
What are some acute clinical manifestations of DIC? ( CORRECT ANSWER ) -Directly
related to bleeding problems such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
How does DIC happen in postpartum hemorrhaging? ( CORRECT ANSWER ) -Tissue factors
released from necrotic place/fetal tissue or amniotic fluid my enter the circulation, inciting
DIC.
What is a common cause of DIC? ( CORRECT ANSWER ) -Sepsis
A patient with DIC is at a higher risk for what? ( CORRECT ANSWER ) -Deficient fluid
volume
Increased levels of ____________, _______________, __________, and ________________
will be noted in DIC: ( CORRECT ANSWER ) -Fibrinolycin, fibrinopeptide A, positive fibrin
split products and D-dimers.
DIC can occur secondary to what type of conditions? Select all that apply: ( CORRECT
ANSWER ) -Abrupitoplacente
-Amniotic fluid embolism
-Endotoxin sepsis
-Retained dead fetus
-Post hemorrhage shock
-Hydatidformmole
-Gynecologic Malinganries
DIC can be decreased as a loss of balance between what two activities? ( CORRECT ANSWER
) -Clot forming activity of thrombin
-Clot lysin activity of plasmin
What are some ways to combat DIC? Select all that apply: ( CORRECT ANSWER ) -
Anticoagulation therapy (low-molecular weight heparin)
-Packed RBCs
-Platelet concentrate
-Antithrombin concentrate
, -Nonclotting Protein- containing volume will expand like: plasma protein fraction or albumin
How does Heparin work in the circulatory system? ( CORRECT ANSWER ) -Inhibits
thrombus and clot production by blocking the conversion of prothrombin to thrombin &
fibrogen to fibrin.
What are some adverse effects of Heparin? Select all that apply: ( CORRECT ANSWER ) -
Loss of hair
-Bruising
-Chills
-Fever
-Osteoporosis
-Suppression of renal function
If a PT has an allergic reaction to Heparin, what drug would be administered as treatment? (
CORRECT ANSWER ) - Lepirudin (refludan)
In DIC, microemboli may obstruct blood vessels and cause tissue hypoxia/ necrotic damage to
which organ structures? Select all that apply: ( CORRECT ANSWER ) -Kidneys
-Heart
-Lungs
-Brain
The treatment of DIC is directed toward managing what? ( CORRECT ANSWER ) -The
Primary disease
-Replacing clotting components
-Preventing further activation of clotting mechanisms
How do you correct the clotting factor deficiency in DIC? ( CORRECT ANSWER ) -
Transition of FFP
- " " platelets
- " " fibrinogen containing cryoprecipitate
How does DIC initiate activation of the extrinsic pathway? ( CORRECT ANSWER ) -Occurs
with liberation of tissue factor and associated with obstetric complications, trauma, bacterial
sepsis & cancer
How does DIC initiate activation of the intrinsic pathway? ( CORRECT ANSWER ) -
Activated through extensive endothelial damage with activation of factor XII. This results
from viruses, infections, immune mechanisms, stasis of blood or temperature extremes.
What are some potential therapies to DIC other than Heparin? ( CORRECT ANSWER ) -
Tissue factor pathway inhibitors, antithrombin, Protein C concentrates, & anti-inflammatory
cytokines like INL-I
What are some obstetric conditions that have been associated with DIC? ( CORRECT
ANSWER ) -Abrupito placentratae
TEST WITH LATEST UPDATED
QUESTIONS AND ANSWERS
Most Tested RNSG 2539 Exam Questions And Answers
THIS EXAM CONTAINS:
QUESTIONS AND ANSWERS
VERIFIED ANSWERS
GUARANTEED PASSING SCORE
,QUESTIONS AND ANSWERS
What lab testing results are indicative of DIC? ( CORRECT ANSWER ) -Prothrombin Time
(PT)
-partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time (aPTT)
-Bleeding Time
-Thrombin Time
Decrease levels: -Fibrogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
The nurse is reviewing the laboratory test results of a child diagnosed with disseminated
intravascular coagulation (DIC). Which of the following would the nurse interpret as
indicative of this disorder?
A) Shortened prothrombin time
B) Increased fibrinogen level
C) Positive fibrin split products
D) Increased platelets ( CORRECT ANSWER ) C) Positive fibrin split products
The nurse is caring for a postpartum patient admitted to the intensive care unit with a
diagnosis of disseminated intravascular coagulation (DIC). What is the drug of choice to treat
this problem?
A. Heparin
B. Urokinase
C. Aspirin
D. Warfarin ( CORRECT ANSWER ) A.) Heparin
In the ICU, a postsurgical client has developed sepsis and is being treated with multiple
medications. During the mid-morning assessment, which finding leads the nurse to suspect the
client may be developing a complication called disseminated intravascular coagulation (DIC)?
Select all that apply.
A) Headaches associated with light sensitivity
B) Oozing from all previous puncture and intravenous sites
C) Decreased O2 saturation and diminished breath sounds in lower lobes
D) Hemorrhage from the surgical site requiring deep pressure dressings
E) Urine from the Foley catheter is bloody ( CORRECT ANSWER ) D) Hemorrhage from the
surgical site requiring deep pressure dressings
A healthy, primiparous (first-time) mother delivered a healthy infant several hours ago, but the
mother has experienced postpartum hemorrhage. Which of the following disorders is most
likely to underlie the client's excessive bleeding after delivery?
,A) Disseminated intravascular coagulation
B) Hemophilia A
C) Von Willebrand disease
D) Thrombotic thrombocytopenic purpura (TTP) ( CORRECT ANSWER ) A) Disseminated
intravascular coagulation
What is the concept behind heparin for PT with DIC? ( CORRECT ANSWER ) -It prevents
the clotting phase from being completed which inhibits the breakdown of fibrinogen.
- It also helps avoid hemorrhage by preventing the body from depleting entire stage of
coagulation factors.
What are some acute clinical manifestations of DIC? ( CORRECT ANSWER ) -Directly
related to bleeding problems such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
How does DIC happen in postpartum hemorrhaging? ( CORRECT ANSWER ) -Tissue factors
released from necrotic place/fetal tissue or amniotic fluid my enter the circulation, inciting
DIC.
What is a common cause of DIC? ( CORRECT ANSWER ) -Sepsis
A patient with DIC is at a higher risk for what? ( CORRECT ANSWER ) -Deficient fluid
volume
Increased levels of ____________, _______________, __________, and ________________
will be noted in DIC: ( CORRECT ANSWER ) -Fibrinolycin, fibrinopeptide A, positive fibrin
split products and D-dimers.
DIC can occur secondary to what type of conditions? Select all that apply: ( CORRECT
ANSWER ) -Abrupitoplacente
-Amniotic fluid embolism
-Endotoxin sepsis
-Retained dead fetus
-Post hemorrhage shock
-Hydatidformmole
-Gynecologic Malinganries
DIC can be decreased as a loss of balance between what two activities? ( CORRECT ANSWER
) -Clot forming activity of thrombin
-Clot lysin activity of plasmin
What are some ways to combat DIC? Select all that apply: ( CORRECT ANSWER ) -
Anticoagulation therapy (low-molecular weight heparin)
-Packed RBCs
-Platelet concentrate
-Antithrombin concentrate
, -Nonclotting Protein- containing volume will expand like: plasma protein fraction or albumin
How does Heparin work in the circulatory system? ( CORRECT ANSWER ) -Inhibits
thrombus and clot production by blocking the conversion of prothrombin to thrombin &
fibrogen to fibrin.
What are some adverse effects of Heparin? Select all that apply: ( CORRECT ANSWER ) -
Loss of hair
-Bruising
-Chills
-Fever
-Osteoporosis
-Suppression of renal function
If a PT has an allergic reaction to Heparin, what drug would be administered as treatment? (
CORRECT ANSWER ) - Lepirudin (refludan)
In DIC, microemboli may obstruct blood vessels and cause tissue hypoxia/ necrotic damage to
which organ structures? Select all that apply: ( CORRECT ANSWER ) -Kidneys
-Heart
-Lungs
-Brain
The treatment of DIC is directed toward managing what? ( CORRECT ANSWER ) -The
Primary disease
-Replacing clotting components
-Preventing further activation of clotting mechanisms
How do you correct the clotting factor deficiency in DIC? ( CORRECT ANSWER ) -
Transition of FFP
- " " platelets
- " " fibrinogen containing cryoprecipitate
How does DIC initiate activation of the extrinsic pathway? ( CORRECT ANSWER ) -Occurs
with liberation of tissue factor and associated with obstetric complications, trauma, bacterial
sepsis & cancer
How does DIC initiate activation of the intrinsic pathway? ( CORRECT ANSWER ) -
Activated through extensive endothelial damage with activation of factor XII. This results
from viruses, infections, immune mechanisms, stasis of blood or temperature extremes.
What are some potential therapies to DIC other than Heparin? ( CORRECT ANSWER ) -
Tissue factor pathway inhibitors, antithrombin, Protein C concentrates, & anti-inflammatory
cytokines like INL-I
What are some obstetric conditions that have been associated with DIC? ( CORRECT
ANSWER ) -Abrupito placentratae
