NUR 354
NUR 354 Exam 3 Review Questions and
Answers Guaranteed Pass 2025-2026
What is the route of administration for heparin?
Parenterally only
-IV
-Subcutaneous
What is low-molecular-weight heparin (LMWH)?
Enoxaparin (Lovenox)
What is the difference between heparin and enoxaparin (Lovenox)?
-The onset of heparin is approximately 20-30 minutes whereas the onset of
enoxaparin is several hours
-Enoxaparin (Lovenox) is less likely to cause HIT (heparin induced
thrombocytopenia)
What is HIT?
Heparin induced thrombocytopenia
What is an alternative drug for a patient who develops HIT?
Argatroban (Acova)
What drug class does argatroban (Acova) belong to?
Direct thrombin inhibitors
What lab is used to assess the effectiveness of heparin?
-PTT
-aPTT
-Factor Xa
What are examples of direct thrombin inhibitors?
-Argatroban (Acova)
-Dabigatran (Pradaxa)
NUR 354
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What is the reversal agent for dabigatran (Pradaxa)?
Idarucizumab (Praxbind)
What is the reversal agent for a heparin or enoxaparin (Lovenox) overdose?
Protamine sulfate
What is the reversal agent for a warfarin (Coumadin) overdose?
Vitamin K
What is an important education point you should provide to a client who is taking
warfarin (Coumadin)?
Do not increase or decrease vitamin K intake
What labs are used to assess the effectiveness of warfarin (Coumadin)?
PT/INR
What is a normal INR lab value?
< 1.1 or below
What is an expected INR lab value while on warfarin (Coumadin) therapy?
2-3
What drug category has many medications that interact with warfarin (Coumadin)?
Antibiotics
How would you transition a patient from heparin to warfarin (Coumadin)?
The two drugs must be administered concurrently (warfarin and then heparin)
for 2 to 3 days (overlapping dosing) until PT/INR values are stable
What anticoagulant is not safe in pregnancy?
Warfarin (Coumadin)
What drug classes are also referred to as DOACs?
-Direct thrombin inhibitors
-Factor Xa inhibitors
NUR 354
NUR 354 Exam 3 Review Questions and
Answers Guaranteed Pass 2025-2026
What is the route of administration for heparin?
Parenterally only
-IV
-Subcutaneous
What is low-molecular-weight heparin (LMWH)?
Enoxaparin (Lovenox)
What is the difference between heparin and enoxaparin (Lovenox)?
-The onset of heparin is approximately 20-30 minutes whereas the onset of
enoxaparin is several hours
-Enoxaparin (Lovenox) is less likely to cause HIT (heparin induced
thrombocytopenia)
What is HIT?
Heparin induced thrombocytopenia
What is an alternative drug for a patient who develops HIT?
Argatroban (Acova)
What drug class does argatroban (Acova) belong to?
Direct thrombin inhibitors
What lab is used to assess the effectiveness of heparin?
-PTT
-aPTT
-Factor Xa
What are examples of direct thrombin inhibitors?
-Argatroban (Acova)
-Dabigatran (Pradaxa)
NUR 354
, NUR 354
What is the reversal agent for dabigatran (Pradaxa)?
Idarucizumab (Praxbind)
What is the reversal agent for a heparin or enoxaparin (Lovenox) overdose?
Protamine sulfate
What is the reversal agent for a warfarin (Coumadin) overdose?
Vitamin K
What is an important education point you should provide to a client who is taking
warfarin (Coumadin)?
Do not increase or decrease vitamin K intake
What labs are used to assess the effectiveness of warfarin (Coumadin)?
PT/INR
What is a normal INR lab value?
< 1.1 or below
What is an expected INR lab value while on warfarin (Coumadin) therapy?
2-3
What drug category has many medications that interact with warfarin (Coumadin)?
Antibiotics
How would you transition a patient from heparin to warfarin (Coumadin)?
The two drugs must be administered concurrently (warfarin and then heparin)
for 2 to 3 days (overlapping dosing) until PT/INR values are stable
What anticoagulant is not safe in pregnancy?
Warfarin (Coumadin)
What drug classes are also referred to as DOACs?
-Direct thrombin inhibitors
-Factor Xa inhibitors
NUR 354
