NRS 3025: EXAM #1 PRACTICE QUESTIONS (2025)
comprehensive questions and verified detailed solutions (
MULTIPLE CHOICES) |100% CORRECT!!
What is a biopsy? - ans -provides a definitive diagnosis, tells (1) site of origin, and
(2) cell characteristics
What are S/S of ITP? - ans -asymptomatic or petechiae
What are the risk factors of ITP? - ans -female 20-50, other autoimmune disorders
What lab findings indicate ITP? - ans -decreased Hgb, platelets
What medications treat ITP? - ans -corticosteroids + immunosuppressants
What treatment is last case scenario for ITP? - ans -splenectomy
What is TTP? - ans -platelets clump together abnormally
What is the cause of TTP? - ans -ADAMTS13 gene
What is the main S/S of TTP? - ans -Schistocytes (RBC fragments)
What labs indicate TTP? - ans -decreased platelets
What meds treat TTP? - ans -antiplatelets + immunosuppressive therapy
What is HIT? - ans -low platelet count typically 3-5 days after heparin exposure
What are the risk factors for HIT? - ans -female, heparin for 7+ days, postsurgical
thromboprophylaxis
functions
How does the nurse confirm death? - ans -pupils = fixed + non-reactive
, absence of lung sounds
absence of breath sounds
no response to pain/stimuli
asystole
What medications treat HIT? - ans -anticoagulant with direct thrombin inhibitor
How quickly should you infuse blood? - ans -200 mL over 2-4 hours
How long can blood be left out of the fridge? - ans -MAX 4 hours!
Why can't blood be left out of the fridge? - ans -It can grow bacteria
What is the ONLY other thing that can be infused with a blood transfusion? - ans -
0.9% NS
When should you take vitals for a blood tranfusion? - ans -before the transfusion,
15 minutes in, (every 15 minutes), after the transfusion
How long do you need to monitor a patient for reactions with a blood
transfusion? - ans -15-30 minutes
What are S/S of hemolytic reactions? - ans -SOB, anaphylaxis
What do you do if the patient has a hemolytic reaction? - ans -STOP THE
TRANSFUSION
What are S/S of circulatory overload? - ans -flash pulmonary edema, pink frothy
sputum
What do you do if the patient has circulatory overload? - ans -slow down the
transfusion + raise the head of the bed (may need to stop)
What type of needle and tubing needs to be used for blood tranfusions? - ans -16-
20 gauge needle with Y site tubing
What is the universal donor? - ans -O neg
comprehensive questions and verified detailed solutions (
MULTIPLE CHOICES) |100% CORRECT!!
What is a biopsy? - ans -provides a definitive diagnosis, tells (1) site of origin, and
(2) cell characteristics
What are S/S of ITP? - ans -asymptomatic or petechiae
What are the risk factors of ITP? - ans -female 20-50, other autoimmune disorders
What lab findings indicate ITP? - ans -decreased Hgb, platelets
What medications treat ITP? - ans -corticosteroids + immunosuppressants
What treatment is last case scenario for ITP? - ans -splenectomy
What is TTP? - ans -platelets clump together abnormally
What is the cause of TTP? - ans -ADAMTS13 gene
What is the main S/S of TTP? - ans -Schistocytes (RBC fragments)
What labs indicate TTP? - ans -decreased platelets
What meds treat TTP? - ans -antiplatelets + immunosuppressive therapy
What is HIT? - ans -low platelet count typically 3-5 days after heparin exposure
What are the risk factors for HIT? - ans -female, heparin for 7+ days, postsurgical
thromboprophylaxis
functions
How does the nurse confirm death? - ans -pupils = fixed + non-reactive
, absence of lung sounds
absence of breath sounds
no response to pain/stimuli
asystole
What medications treat HIT? - ans -anticoagulant with direct thrombin inhibitor
How quickly should you infuse blood? - ans -200 mL over 2-4 hours
How long can blood be left out of the fridge? - ans -MAX 4 hours!
Why can't blood be left out of the fridge? - ans -It can grow bacteria
What is the ONLY other thing that can be infused with a blood transfusion? - ans -
0.9% NS
When should you take vitals for a blood tranfusion? - ans -before the transfusion,
15 minutes in, (every 15 minutes), after the transfusion
How long do you need to monitor a patient for reactions with a blood
transfusion? - ans -15-30 minutes
What are S/S of hemolytic reactions? - ans -SOB, anaphylaxis
What do you do if the patient has a hemolytic reaction? - ans -STOP THE
TRANSFUSION
What are S/S of circulatory overload? - ans -flash pulmonary edema, pink frothy
sputum
What do you do if the patient has circulatory overload? - ans -slow down the
transfusion + raise the head of the bed (may need to stop)
What type of needle and tubing needs to be used for blood tranfusions? - ans -16-
20 gauge needle with Y site tubing
What is the universal donor? - ans -O neg
