NMNC 4410 EXAM 2 2025 QUESTIONS AND ANSWERS

A solution of 30,000 units of heparin in 500 mL D5W is infusing at 30 mL/hr. How many units of heparin are being delivered each hour? A. 3000 units/hr B. 1250 units/hr C. 1800 units/hr D. 500 units/hr - ANS C. 1800 units/hr Order is received for continuous heparin infusion of 25 units/hr. On-hand is a pre-mixed bag containing heparin 1000 units/L. Calculate the appropriate IV flow rate. A. 125 mL/hr B. 25 mL/hr C. 12.5 mL/hr D. 1.24 mL/hr - ANS B. 25 mL/hr The registered nurse (RN) will include which instruction related to deep vein thrombosis (DVT) for the post cesarean birth woman prior to discharging her home? Select all that apply. A. "Rest in bed as much as you can with a pillow under your knees" B. "Make sure to drink plenty of fluids." C. "Limit your walking to only going to the restroom the first week." D. "Continue to stay away from cigarette smoking." NMNC 4410 EXAM 2 2025 QUESTIONS AND ANSWERS Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2 E. "Avoid crossing your legs for prolonged amounts of time." - ANS B, D, & E Which test result may help confirm a suspected case of disseminated intravascular coagulation (DIC)? A. Fibrinogen Level of 35 mg/dL B. Sodium level of 132 mEq/L C. Hemoglobin level of 13 cells/microliter D. Platelet level of 348,000/microliter - ANS A. Fibrinogen Level of 35 mg/dL Which statement best explains the underlying pathophysiology relating to D-dimer levels in a client with a deep vein thrombosis (DVT)? A. D-dimer levels rise as the body works to actively break down the clots B. D-dimer levels decrease when venous blood flow is restricted C. D-dimer levels remain unchanged as the thrombus lodges into the vein D. D-dimer levels drop suddenly, then increase as the body produces thrombin - ANS A. D- dimer levels rise as the body works to actively break down the clots When teaching about causes of deep vein thrombosis, the nurse would include: A. Venous stasis, hypercoagulability, and venous wall injury B. Arterial stasis, hypercoagulability, and arterial wall injury C. Myocardial infarction, stroke, and prolonged sitting D. Motor vehicle accident and prolonged bed rest - ANS A. Venous stasis, hypercoagulability, and venous wall injury Which laboratory values would the nurse monitor for a client receiving IV heparin? A. Activated partial thromboplastin time (aPTT) B. Prothrombin time (PT) C. International ratio (INR) Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 3 D. Potassium (K+) - ANS A. Activated partial thromboplastin time (aPTT) Mrs. Terry was admitted to the ICU yesterday for severe acute septic shock. She was started on vasopressors and intubated for airway protection. During your morning assessment, you suction her ET Tube and find specks of blood in the sputum. You also note oozing at her PIV site. What further nursing assessment should you perform? A. Check a full set of vital signs & auscultate lungs to assess for aspiration B. Check Mrs. Terry's bowel sounds C. Confirm her lunch order (Mrs. Terry swallows soup easier than chewed foods) D. Order an ultrasound of the patient's neck - ANS A. Check a full set of vital signs & auscultate lungs to assess for aspiration Which is the main goal of the treatment plan when providing care to a patient who has just experienced a stroke? A. Blood pressure management B. Adequate urine output C. Oral hypoglycemic to maintain blood sugar between 120 and 150 mg/dL D. Monitor swallowing function - ANS A. Blood pressure management The nurse is caring for the client with increased intracranial pressure as a result of a head injury. The nurse would note which trend in vital signs if the intracranial pressure is rising? A. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure B. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure C. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure D. Decreasing temperature, increasing pulse, decreasing respirations, increasing blood pressure - ANS B. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure