NUR 354 Pharmacology II
Modules 5 and 6 Review
(Latest 2026 Update)
Practice Questions and
Answers
1. What is the normal range for aPTT?
A. 20 seconds
B. 30 seconds
C. 40 seconds or above
D. 60 seconds or above
Answer: C. 40 seconds or above
Rationale: The normal range for aPTT is 40 seconds or
above. On heparin therapy, the value should be 60-80
seconds.
2. What is the normal range for INR?
A. 0.5
B. 1.1
C. 2.0
D. 3.0
Answer: B. 1.1
Rationale: The normal range for INR is 1.1. On warfarin
therapy, the therapeutic goal is an INR of 2-3.
3. What is the normal range for PT?
A. 5 to 10 seconds
B. 11 to 13.5 seconds
C. 20 to 30 seconds
D. 40 to 60 seconds
Answer: B. 11 to 13.5 seconds
1
,Rationale: The normal range for PT is 11 to 13.5 seconds.
4. What is the normal range for PT?
A. 5 to 10 seconds
B. 11 to 13.5 seconds
C. 20 to 30 seconds
D. 40 to 60 seconds
Answer: B. 11 to 13.5 seconds
Rationale: The normal range for PT is 11 to 13.5 seconds.
5. What anticoagulant medications are able to be used
during pregnancy?
A. Warfarin and aspirin
B. Heparin and enoxaparin
C. Dabigatran and rivaroxaban
D. Apixaban and clopidogrel
Answer: B. Heparin and enoxaparin (both subcutaneous
medications)
Rationale: Heparin and enoxaparin are both subcutaneous
medications that are safe to use during pregnancy. Other
anticoagulants such as warfarin are contraindicated in
pregnancy.
6. What do you monitor your patient for when on a
thrombolytic?
A. Hypertension and bradycardia
B. Bruising, bleeding, petechiae, black and tarry stools, decreased
blood pressure, tachycardia
C. Increased appetite and weight gain
D. Constipation and urinary retention
Answer: B. Bruising, bleeding, petechiae, black and tarry
stools, decreased blood pressure, tachycardia (vital signs!!)
Rationale: When a patient is on a thrombolytic, monitor for
signs of excessive bleeding including bruising, bleeding,
petechiae, black and tarry stools, decreased blood pressure,
and tachycardia. Vital signs are essential to monitor.
2
,7. What are you gonna ask your patient before giving a
thrombolytic (like alteplase)?
A. Have you had a stroke before? When did you notice the
symptoms starting? Do you have a bleeding disorder? Have you had
any recent trauma or surgery?
B. What did you eat for breakfast?
C. Do you have any allergies to peanuts?
D. How many hours did you sleep last night?
Answer: A. Have you had a stroke before? When did you
notice the symptoms starting? Do you have a bleeding
disorder? Have you had any recent trauma or surgery? (this
deems eligibility of receiving any kind of thrombolytic)
Rationale: Before administering a thrombolytic, assess for
history of stroke, when symptoms started, bleeding
disorders, and recent trauma or surgery to determine
eligibility for receiving the medication.
8. What do hemostatic drugs do?
A. Help with bleeding disorders; antifibrinolytic
B. Lower blood pressure
C. Increase heart rate
D. Reduce cholesterol
Answer: A. Helps with bleeding disorders; antifibrinolytic
Rationale: Hemostatic drugs help with bleeding disorders
and act as antifibrinolytics.
9. What are the four types of hemostatics?
A. Amino caproic acid, tranexamic acid (TXA), thrombin,
desmopressin
B. Aspirin, heparin, warfarin, clopidogrel
C. Lisinopril, losartan, metoprolol, digoxin
D. Atorvastatin, gemfibrozil, niacin, cholestyramine
Answer: A. Amino caproic acid, tranexamic acid (TXA),
thrombin, desmopressin
Rationale: The four types of hemostatics are amino caproic
acid (used to prevent bleeding in those with systemic
bleeding disorders like hemophilia), tranexamic acid (TXA)
3
, (used to prevent bleeding in patients with hemophilia who
are undergoing dental procedures as well as patients with
postpartum hemorrhage), thrombin (topical medication to
prevent minor oozing and bleeding from surgical sites), and
desmopressin (approved for treatment of spontaneous
bleeding, trauma-induced hemorrhage, bleeding prophylaxis
for Von Willebrand's disease and hemophilia).
10. What is cholestyramine?
A. Antilipemic; helps lower cholesterol
B. Anticoagulant
C. Antiarrhythmic
D. Beta blocker
Answer: A. Antilipemic; helps lower cholesterol
Rationale: Cholestyramine is an antilipemic medication that
helps lower cholesterol.
11. What are side effects of cholestyramine?
A. Constipation, bloating, stomach cramping, suppressed appetite,
other GI symptoms
B. Hypertension and tachycardia
C. Headache and dizziness
D. Rash and itching
Answer: A. Constipation, bloating, stomach cramping,
suppressed appetite, other GI symptoms
Rationale: Side effects of cholestyramine include
constipation, bloating, stomach cramping, suppressed
appetite, and other GI symptoms.
12. What is atorvastatin?
A. Decreases cholesterol and triglyceride levels (antilipemic),
reduces the risk of angina, stroke, MI, and heart and blood vessel
problems
B. Anticoagulant
C. Antiarrhythmic
D. Beta blocker
4
Modules 5 and 6 Review
(Latest 2026 Update)
Practice Questions and
Answers
1. What is the normal range for aPTT?
A. 20 seconds
B. 30 seconds
C. 40 seconds or above
D. 60 seconds or above
Answer: C. 40 seconds or above
Rationale: The normal range for aPTT is 40 seconds or
above. On heparin therapy, the value should be 60-80
seconds.
2. What is the normal range for INR?
A. 0.5
B. 1.1
C. 2.0
D. 3.0
Answer: B. 1.1
Rationale: The normal range for INR is 1.1. On warfarin
therapy, the therapeutic goal is an INR of 2-3.
3. What is the normal range for PT?
A. 5 to 10 seconds
B. 11 to 13.5 seconds
C. 20 to 30 seconds
D. 40 to 60 seconds
Answer: B. 11 to 13.5 seconds
1
,Rationale: The normal range for PT is 11 to 13.5 seconds.
4. What is the normal range for PT?
A. 5 to 10 seconds
B. 11 to 13.5 seconds
C. 20 to 30 seconds
D. 40 to 60 seconds
Answer: B. 11 to 13.5 seconds
Rationale: The normal range for PT is 11 to 13.5 seconds.
5. What anticoagulant medications are able to be used
during pregnancy?
A. Warfarin and aspirin
B. Heparin and enoxaparin
C. Dabigatran and rivaroxaban
D. Apixaban and clopidogrel
Answer: B. Heparin and enoxaparin (both subcutaneous
medications)
Rationale: Heparin and enoxaparin are both subcutaneous
medications that are safe to use during pregnancy. Other
anticoagulants such as warfarin are contraindicated in
pregnancy.
6. What do you monitor your patient for when on a
thrombolytic?
A. Hypertension and bradycardia
B. Bruising, bleeding, petechiae, black and tarry stools, decreased
blood pressure, tachycardia
C. Increased appetite and weight gain
D. Constipation and urinary retention
Answer: B. Bruising, bleeding, petechiae, black and tarry
stools, decreased blood pressure, tachycardia (vital signs!!)
Rationale: When a patient is on a thrombolytic, monitor for
signs of excessive bleeding including bruising, bleeding,
petechiae, black and tarry stools, decreased blood pressure,
and tachycardia. Vital signs are essential to monitor.
2
,7. What are you gonna ask your patient before giving a
thrombolytic (like alteplase)?
A. Have you had a stroke before? When did you notice the
symptoms starting? Do you have a bleeding disorder? Have you had
any recent trauma or surgery?
B. What did you eat for breakfast?
C. Do you have any allergies to peanuts?
D. How many hours did you sleep last night?
Answer: A. Have you had a stroke before? When did you
notice the symptoms starting? Do you have a bleeding
disorder? Have you had any recent trauma or surgery? (this
deems eligibility of receiving any kind of thrombolytic)
Rationale: Before administering a thrombolytic, assess for
history of stroke, when symptoms started, bleeding
disorders, and recent trauma or surgery to determine
eligibility for receiving the medication.
8. What do hemostatic drugs do?
A. Help with bleeding disorders; antifibrinolytic
B. Lower blood pressure
C. Increase heart rate
D. Reduce cholesterol
Answer: A. Helps with bleeding disorders; antifibrinolytic
Rationale: Hemostatic drugs help with bleeding disorders
and act as antifibrinolytics.
9. What are the four types of hemostatics?
A. Amino caproic acid, tranexamic acid (TXA), thrombin,
desmopressin
B. Aspirin, heparin, warfarin, clopidogrel
C. Lisinopril, losartan, metoprolol, digoxin
D. Atorvastatin, gemfibrozil, niacin, cholestyramine
Answer: A. Amino caproic acid, tranexamic acid (TXA),
thrombin, desmopressin
Rationale: The four types of hemostatics are amino caproic
acid (used to prevent bleeding in those with systemic
bleeding disorders like hemophilia), tranexamic acid (TXA)
3
, (used to prevent bleeding in patients with hemophilia who
are undergoing dental procedures as well as patients with
postpartum hemorrhage), thrombin (topical medication to
prevent minor oozing and bleeding from surgical sites), and
desmopressin (approved for treatment of spontaneous
bleeding, trauma-induced hemorrhage, bleeding prophylaxis
for Von Willebrand's disease and hemophilia).
10. What is cholestyramine?
A. Antilipemic; helps lower cholesterol
B. Anticoagulant
C. Antiarrhythmic
D. Beta blocker
Answer: A. Antilipemic; helps lower cholesterol
Rationale: Cholestyramine is an antilipemic medication that
helps lower cholesterol.
11. What are side effects of cholestyramine?
A. Constipation, bloating, stomach cramping, suppressed appetite,
other GI symptoms
B. Hypertension and tachycardia
C. Headache and dizziness
D. Rash and itching
Answer: A. Constipation, bloating, stomach cramping,
suppressed appetite, other GI symptoms
Rationale: Side effects of cholestyramine include
constipation, bloating, stomach cramping, suppressed
appetite, and other GI symptoms.
12. What is atorvastatin?
A. Decreases cholesterol and triglyceride levels (antilipemic),
reduces the risk of angina, stroke, MI, and heart and blood vessel
problems
B. Anticoagulant
C. Antiarrhythmic
D. Beta blocker
4
