Vsim - Rachael Heidebrink 2025/2026
Exam Questions and Corresponding
Answers with Surety of 100% Pass Mark
A patient has been diagnosed with a deep vein thrombosis (DVT). Which of the
following statements describes how a DVT initially develops? - 🧠 ANSWER
✔✔Damage to the vessel lining causes platelet aggregation, which traps red blood
cells
A patient is receiving warfarin for prevention of venous thrombosis after knee
replacement. Which of the following laboratory tests will be used to determine
dose adjustment of this drug? - 🧠 ANSWER ✔✔International normalized ratio
A patient was placed on enoxaparin after hip replacement surgery. Which of the
following statements describes the action of this drug? - 🧠 ANSWER
✔✔Accelerates formation of antithrombin III-thrombin complex
The nurse understands that if a patient is prescribed a direct factor Xa inhibitor, the
patient will be instructed to do which of the following? - 🧠 ANSWER ✔✔Monitor
for bleeding and bruising
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A patient receiving heparin by intravenous infusion reports coughing up blood.
Which of the following medications should the nurse anticipate administering? - 🧠
ANSWER ✔✔Protamine sulfate
A patient taking warfarin at home presents to the clinic with a bloody nose.
Assessment findings include fresh bruising on arms and legs and bleeding gums.
Which of the following interventions should the nurse anticipate implementing
based on these signs and symptoms? - 🧠 ANSWER ✔✔Administer vitamin K
injection
The nurse is completing a medication reconciliation on a patient who has been
recently prescribed an anticoagulant. Which of the following medications would be
contraindicated with an anticoagulant? - 🧠 ANSWER ✔✔NSAID
A patient is receiving heparin intravenously. The patient's coagulation control
values are activated partial thromboplastin time (aPTT) 32 seconds, prothrombin
time (PT) 12 seconds, INR 0.8, and WBCT 110 seconds. Which of the following
lab values would indicate that the heparin is therapeutic? - 🧠 ANSWER ✔✔aPTT:
68 seconds
A patient has been prescribed heparin by continuous intravenous infusion for deep
vein thrombosis. The initial infusion rate prescribed is 18 units/kg/hr. The patient
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
Exam Questions and Corresponding
Answers with Surety of 100% Pass Mark
A patient has been diagnosed with a deep vein thrombosis (DVT). Which of the
following statements describes how a DVT initially develops? - 🧠 ANSWER
✔✔Damage to the vessel lining causes platelet aggregation, which traps red blood
cells
A patient is receiving warfarin for prevention of venous thrombosis after knee
replacement. Which of the following laboratory tests will be used to determine
dose adjustment of this drug? - 🧠 ANSWER ✔✔International normalized ratio
A patient was placed on enoxaparin after hip replacement surgery. Which of the
following statements describes the action of this drug? - 🧠 ANSWER
✔✔Accelerates formation of antithrombin III-thrombin complex
The nurse understands that if a patient is prescribed a direct factor Xa inhibitor, the
patient will be instructed to do which of the following? - 🧠 ANSWER ✔✔Monitor
for bleeding and bruising
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A patient receiving heparin by intravenous infusion reports coughing up blood.
Which of the following medications should the nurse anticipate administering? - 🧠
ANSWER ✔✔Protamine sulfate
A patient taking warfarin at home presents to the clinic with a bloody nose.
Assessment findings include fresh bruising on arms and legs and bleeding gums.
Which of the following interventions should the nurse anticipate implementing
based on these signs and symptoms? - 🧠 ANSWER ✔✔Administer vitamin K
injection
The nurse is completing a medication reconciliation on a patient who has been
recently prescribed an anticoagulant. Which of the following medications would be
contraindicated with an anticoagulant? - 🧠 ANSWER ✔✔NSAID
A patient is receiving heparin intravenously. The patient's coagulation control
values are activated partial thromboplastin time (aPTT) 32 seconds, prothrombin
time (PT) 12 seconds, INR 0.8, and WBCT 110 seconds. Which of the following
lab values would indicate that the heparin is therapeutic? - 🧠 ANSWER ✔✔aPTT:
68 seconds
A patient has been prescribed heparin by continuous intravenous infusion for deep
vein thrombosis. The initial infusion rate prescribed is 18 units/kg/hr. The patient
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
