RNSG 2539 Exam 2 2025-2026 QUESTIONS
AND VERIFIED ANSWERS ALREADY
GRADED A+
What lab testing results are indicative of DIC? - ANSWERS-Prothrombin Time (PT)
-partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time (aPTT)
-Bleeding Time
-Thrombin Time
Decrease levels: -Fibrogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
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 - ANSWERSC) 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 - ANSWERSA.) 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 - ANSWERSD) 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) - ANSWERSA) Disseminated intravascular coagulation
What is the concept behind heparin for PT with DIC? - ANSWERS-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? - ANSWERS-Directly related to bleeding problems
such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
,How does DIC happen in postpartum hemorrhaging? - ANSWERS-Tissue factors released from necrotic
place/fetal tissue or amniotic fluid my enter the circulation, inciting DIC.
What is a common cause of DIC? - ANSWERS-Sepsis
A patient with DIC is at a higher risk for what? - ANSWERS-Deficient fluid volume
Increased levels of ____________, _______________, __________, and ________________ will be
noted in DIC: - ANSWERS-Fibrinolycin, fibrinopeptide A, positive fibrin split products and D-dimers.
DIC can occur secondary to what type of conditions? Select all that apply: - ANSWERS-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? - ANSWERS-Clot forming activity
of thrombin
-Clot lysin activity of plasmin
What are some ways to combat DIC? Select all that apply: - ANSWERS-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? - ANSWERS-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: - ANSWERS-Loss of hair
-Bruising
-Chills
-Fever
-Osteoporosis
-Suppression of renal function
If a PT has an allergic reaction to Heparin, what drug would be administered as treatment? - ANSWERS-
Lepirudin (refludan)
In DIC, microemboli may obstruct blood vessels and cause tissue hypoxia/ necrotic damage to which
organ structures? Select all that apply: - ANSWERS-Kidneys
-Heart
-Lungs
-Brain
The treatment of DIC is directed toward managing what? - ANSWERS-The Primary disease
-Replacing clotting components
-Preventing further activation of clotting mechanisms
How do you correct the clotting factor deficiency in DIC? - ANSWERS-Transition of FFP
- " " platelets
- " " fibrinogen containing cryoprecipitate
How does DIC initiate activation of the extrinsic pathway? - ANSWERS-Occurs with liberation of tissue
factor and associated with obstetric complications, trauma, bacterial sepsis & cancer
AND VERIFIED ANSWERS ALREADY
GRADED A+
What lab testing results are indicative of DIC? - ANSWERS-Prothrombin Time (PT)
-partial throboplastin time (PTT)
-Activated Partial Thrompoplastin Time (aPTT)
-Bleeding Time
-Thrombin Time
Decrease levels: -Fibrogen
-Platelets
-Clotine factor II, V, VIII, & X
and Antithrombin III
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 - ANSWERSC) 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 - ANSWERSA.) 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 - ANSWERSD) 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) - ANSWERSA) Disseminated intravascular coagulation
What is the concept behind heparin for PT with DIC? - ANSWERS-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? - ANSWERS-Directly related to bleeding problems
such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
,How does DIC happen in postpartum hemorrhaging? - ANSWERS-Tissue factors released from necrotic
place/fetal tissue or amniotic fluid my enter the circulation, inciting DIC.
What is a common cause of DIC? - ANSWERS-Sepsis
A patient with DIC is at a higher risk for what? - ANSWERS-Deficient fluid volume
Increased levels of ____________, _______________, __________, and ________________ will be
noted in DIC: - ANSWERS-Fibrinolycin, fibrinopeptide A, positive fibrin split products and D-dimers.
DIC can occur secondary to what type of conditions? Select all that apply: - ANSWERS-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? - ANSWERS-Clot forming activity
of thrombin
-Clot lysin activity of plasmin
What are some ways to combat DIC? Select all that apply: - ANSWERS-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? - ANSWERS-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: - ANSWERS-Loss of hair
-Bruising
-Chills
-Fever
-Osteoporosis
-Suppression of renal function
If a PT has an allergic reaction to Heparin, what drug would be administered as treatment? - ANSWERS-
Lepirudin (refludan)
In DIC, microemboli may obstruct blood vessels and cause tissue hypoxia/ necrotic damage to which
organ structures? Select all that apply: - ANSWERS-Kidneys
-Heart
-Lungs
-Brain
The treatment of DIC is directed toward managing what? - ANSWERS-The Primary disease
-Replacing clotting components
-Preventing further activation of clotting mechanisms
How do you correct the clotting factor deficiency in DIC? - ANSWERS-Transition of FFP
- " " platelets
- " " fibrinogen containing cryoprecipitate
How does DIC initiate activation of the extrinsic pathway? - ANSWERS-Occurs with liberation of tissue
factor and associated with obstetric complications, trauma, bacterial sepsis & cancer
