RNSG 2539 EXAM 2 PRACTICE SCRIPT
UPDATED 2026 TESTED SOLUTIONS
⫸ 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 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 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 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) Answer: A)
Disseminated intravascular coagulation
⫸ What is the concept behind heparin for PT with DIC? 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? Answer: -
Directly related to bleeding problems such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
⫸ How does DIC happen in postpartum hemorrhaging? 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? Answer: -Sepsis
⫸ A patient with DIC is at a higher risk for what? Answer: -Deficient
fluid volume
⫸ Increased levels of ____________, _______________, __________,
and ________________ will be noted in DIC: Answer: -Fibrinolycin,
fibrinopeptide A, positive fibrin split products and D-dimers.
⫸ DIC can occur secondary to what type of conditions? Select all that
apply: 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? Answer: -Clot forming activity of thrombin
-Clot lysin activity of plasmin
⫸ What are some ways to combat DIC? Select all that apply: 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? 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:
Answer: -Loss of hair
-Bruising
-Chills
-Fever
-Osteoporosis
-Suppression of renal function
UPDATED 2026 TESTED SOLUTIONS
⫸ 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 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 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 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) Answer: A)
Disseminated intravascular coagulation
⫸ What is the concept behind heparin for PT with DIC? 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? Answer: -
Directly related to bleeding problems such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
⫸ How does DIC happen in postpartum hemorrhaging? 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? Answer: -Sepsis
⫸ A patient with DIC is at a higher risk for what? Answer: -Deficient
fluid volume
⫸ Increased levels of ____________, _______________, __________,
and ________________ will be noted in DIC: Answer: -Fibrinolycin,
fibrinopeptide A, positive fibrin split products and D-dimers.
⫸ DIC can occur secondary to what type of conditions? Select all that
apply: 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? Answer: -Clot forming activity of thrombin
-Clot lysin activity of plasmin
⫸ What are some ways to combat DIC? Select all that apply: 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? 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:
Answer: -Loss of hair
-Bruising
-Chills
-Fever
-Osteoporosis
-Suppression of renal function
