NRS 3025 Exam 2 ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
What is Xarelto? What drug class does it belong to - CORRECT ANSWERS✅✅- is a direct
thrombin inhibitor
- Factor Xa Inhibitor
Where do we assess a darker person for pallor? - CORRECT ANSWERS✅✅- Conjunctiva
of the eye
Know platelet counts.
RBC, WBC, Platelet - CORRECT ANSWERS✅✅- RBC
o Female: 4.2-5.4
o Male: 4.7-6.1
- WBC: 5,000-10,000
- Platelet: 150,000-400,000
Know what to do when a patient has a high white count, high platelet count, high/low
hemoglobin - CORRECT ANSWERS✅✅Workin on it
Sending a patient for a test (biopsies, CSF, lumbar puncture) any invasive procedure; what do
we need to have first prior to? - CORRECT ANSWERS✅✅- Consent and vitals
Know CBC, WBC, hemoglobin, PT, aPTT, platelet counts - CORRECT ANSWERS✅✅-
Prothrombin Time (PT): 1.1-12.5 seconds
- International Normalized Ratio (INR):
o No meds: 0.8-1.1
o Blood thinners (warfarin): 2.0-3.0
- Partial Prothromboplastin Time (PTT): 25-35 seconds
Sickle cell patients: Know BUN & Creatinine (renal) whether elevated or not (in relation to
lab values) - CORRECT ANSWERS✅✅- BUN: 10-20
, - Creatinine
o Male: 0.6-1.2
o Female: 0.5-1.1
Patients in Sickle Cell Crisis and wanting pain medications, if it's an appropriate time to give
them, do you give it or hold it because you think they got too much? - CORRECT
ANSWERS✅✅- Patients statement of pain is all that matters. Assess own bias.
Fluid used for hydration in Sickle Cell patients - CORRECT ANSWERS✅✅- Hypotonic
solution
o .45NS
o D5
o 5W
o .33NS
Know patients with polycythemia vera presenting factors and prioritizing who to see first -
CORRECT ANSWERS✅✅- Massive production of RBCs
- Excessive Leukocyte production
- Excessive production of platelets. -ABC's
- Appear flushed, SOB with distended veins
What are your patients with neutropenia at risk for? - CORRECT ANSWERS✅✅-
Infections
*Male patients with lymphoma or any problems addressing infertility; what do we want to
talk to them about? - CORRECT ANSWERS✅✅-Sperm banking.
Post-surgical patient is bleeding. What is the first thing you're going to do? - CORRECT
ANSWERS✅✅- Vitals, assess site, call provider
Patients with a blood transfusion reaction; what do you do first? - CORRECT
ANSWERS✅✅- Stop the blood, flush line with sterile saline, check blood, send blood back
QUESTIONS AND CORRECT ANSWERS
What is Xarelto? What drug class does it belong to - CORRECT ANSWERS✅✅- is a direct
thrombin inhibitor
- Factor Xa Inhibitor
Where do we assess a darker person for pallor? - CORRECT ANSWERS✅✅- Conjunctiva
of the eye
Know platelet counts.
RBC, WBC, Platelet - CORRECT ANSWERS✅✅- RBC
o Female: 4.2-5.4
o Male: 4.7-6.1
- WBC: 5,000-10,000
- Platelet: 150,000-400,000
Know what to do when a patient has a high white count, high platelet count, high/low
hemoglobin - CORRECT ANSWERS✅✅Workin on it
Sending a patient for a test (biopsies, CSF, lumbar puncture) any invasive procedure; what do
we need to have first prior to? - CORRECT ANSWERS✅✅- Consent and vitals
Know CBC, WBC, hemoglobin, PT, aPTT, platelet counts - CORRECT ANSWERS✅✅-
Prothrombin Time (PT): 1.1-12.5 seconds
- International Normalized Ratio (INR):
o No meds: 0.8-1.1
o Blood thinners (warfarin): 2.0-3.0
- Partial Prothromboplastin Time (PTT): 25-35 seconds
Sickle cell patients: Know BUN & Creatinine (renal) whether elevated or not (in relation to
lab values) - CORRECT ANSWERS✅✅- BUN: 10-20
, - Creatinine
o Male: 0.6-1.2
o Female: 0.5-1.1
Patients in Sickle Cell Crisis and wanting pain medications, if it's an appropriate time to give
them, do you give it or hold it because you think they got too much? - CORRECT
ANSWERS✅✅- Patients statement of pain is all that matters. Assess own bias.
Fluid used for hydration in Sickle Cell patients - CORRECT ANSWERS✅✅- Hypotonic
solution
o .45NS
o D5
o 5W
o .33NS
Know patients with polycythemia vera presenting factors and prioritizing who to see first -
CORRECT ANSWERS✅✅- Massive production of RBCs
- Excessive Leukocyte production
- Excessive production of platelets. -ABC's
- Appear flushed, SOB with distended veins
What are your patients with neutropenia at risk for? - CORRECT ANSWERS✅✅-
Infections
*Male patients with lymphoma or any problems addressing infertility; what do we want to
talk to them about? - CORRECT ANSWERS✅✅-Sperm banking.
Post-surgical patient is bleeding. What is the first thing you're going to do? - CORRECT
ANSWERS✅✅- Vitals, assess site, call provider
Patients with a blood transfusion reaction; what do you do first? - CORRECT
ANSWERS✅✅- Stop the blood, flush line with sterile saline, check blood, send blood back
