DVT NCLEX Exam Answered
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1. 1. Which statement below is incorrect about a deep vein thrombosis (DVT)?
A. "Veins that are most susceptible to a deep vein thrombosis are the peroneal,
posterior tibial, popliteal and superficial femoral."
B. "DVTs tend to mostly occur in the lower extremities but can occur in the
upper extremities too."
C. "A deep vein thrombosis in the lower extremity has a low probability of
becoming a pulmonary embolism."
D. "A DVT is a type of venous thromboembolism (VTE), which is a blood clot
that starts in the vein.": The answer is C. This option is INCORRECT. All the other statements are true about
a DVT. Option C is wrong because it should say: "A deep vein thrombosis in the lower extremity has a HIGH (not low)
probability of becoming a pulmonary embolism."
2. 2. Select all the factors regarding a deep vein thrombosis that are included in
Virchow's Triad:
A. Hypocoagulability
B. Atherosclerosis
C. Endothelial damage
D. Stasis of venous blood
E. Excessive coagulability
F. Increased venous blood flow: The answers are C, D, and E. Virchow's Triad details the THREE factors
(hence why it called a triad) for blood clot formation within the vessel. Remember "SHE": Stasis of Venous Blood,
Hypercoagulability (means excessive coagulability), Endothelial damage.
3. 3. Based on Virchow's Triad, select which patients below are at RISK for the
development of a deep vein thrombosis? Select all that apply:
A. A 55-year-old male with hyperlipidemia and diabetes.
B. A 70-year-old female with severe sepsis.
C. A 25-year-old male who uses intravenous drugs.
D. A 65-year-old female who is post-op day 1 after joint replacement surgery.-
: The answers are B, C, and D. Virchow's Triad details the THREE factors for blood clot formation within the vessel.
Remember "SHE": Stasis of Venous Blood, Hypercoagulability (means excessive coagulability), Endothelial damage.
Patients who experience sepsis are at risk for hypercoagulability of the blood. Patients who use IV drugs damage the
endothelial lining of the veins and this can lead to blood clot formation. Patients who've had joint replacement surgery
are at risk for blood clots due to stasis of venous circulation etc.
1/5
, DVT NCLEX Exam Answered
Study online at https://quizlet.com/_i3k1aa
4. 4. You're developing a plan of care for a patient who is at risk for the devel-
opment of a deep vein thrombosis after surgery. What nursing intervention
below would the nurse NOT include in the patient's plan of care to prevent DVT
formation?
A. The patient will eat all meals out of the bed daily by sitting in the bedside
chair.
B. The nurse will apply sequential compression devices (SCDs) per physician's
order to the patient's lower extremities every night at bedtime.
C. The nurse will administer per physician's order Enoxaparin in the subcuta-
neous tissue of the abdomen.
D. The patient will ambulate daily.: The answer is B. Yes, the nurse would apply SCDs per MD order
to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only
time a patient should not wear the SCDs is when they're ambulating. Therefore, the nurse would NOT just apply them
at bedtime but during the day too.
5. 5. The nurse is assessing a patient, who has many risk factors for the devel-
opment of a DVT, for signs and symptoms of a deep vein thrombosis. What
signs and symptoms below would possibly indicate a deep vein thrombosis is
present?
A. Cool extremity
B. Decreases pulses
C. Redness
D. Pain
E. Warm extremity
F. Swelling
G. Cyanosis: The answers are C, D, E, and F. Signs and symptoms of a DVT include: redness, swelling, warm
extremity, pain, positive Homan's Sign, and swelling (which can be unilateral...meaning there is more swelling in one
extremity compared to the other).
6. 6. True or False: Assessment of Homan's Sign is the most reliable indicator of
a deep vein thrombosis.
True
False: The answer is FALSE. Homan's Sign is NOT a reliable method for assessing for a DVT. It can lead to FALSE
positives.
2/5
Study online at https://quizlet.com/_i3k1aa
1. 1. Which statement below is incorrect about a deep vein thrombosis (DVT)?
A. "Veins that are most susceptible to a deep vein thrombosis are the peroneal,
posterior tibial, popliteal and superficial femoral."
B. "DVTs tend to mostly occur in the lower extremities but can occur in the
upper extremities too."
C. "A deep vein thrombosis in the lower extremity has a low probability of
becoming a pulmonary embolism."
D. "A DVT is a type of venous thromboembolism (VTE), which is a blood clot
that starts in the vein.": The answer is C. This option is INCORRECT. All the other statements are true about
a DVT. Option C is wrong because it should say: "A deep vein thrombosis in the lower extremity has a HIGH (not low)
probability of becoming a pulmonary embolism."
2. 2. Select all the factors regarding a deep vein thrombosis that are included in
Virchow's Triad:
A. Hypocoagulability
B. Atherosclerosis
C. Endothelial damage
D. Stasis of venous blood
E. Excessive coagulability
F. Increased venous blood flow: The answers are C, D, and E. Virchow's Triad details the THREE factors
(hence why it called a triad) for blood clot formation within the vessel. Remember "SHE": Stasis of Venous Blood,
Hypercoagulability (means excessive coagulability), Endothelial damage.
3. 3. Based on Virchow's Triad, select which patients below are at RISK for the
development of a deep vein thrombosis? Select all that apply:
A. A 55-year-old male with hyperlipidemia and diabetes.
B. A 70-year-old female with severe sepsis.
C. A 25-year-old male who uses intravenous drugs.
D. A 65-year-old female who is post-op day 1 after joint replacement surgery.-
: The answers are B, C, and D. Virchow's Triad details the THREE factors for blood clot formation within the vessel.
Remember "SHE": Stasis of Venous Blood, Hypercoagulability (means excessive coagulability), Endothelial damage.
Patients who experience sepsis are at risk for hypercoagulability of the blood. Patients who use IV drugs damage the
endothelial lining of the veins and this can lead to blood clot formation. Patients who've had joint replacement surgery
are at risk for blood clots due to stasis of venous circulation etc.
1/5
, DVT NCLEX Exam Answered
Study online at https://quizlet.com/_i3k1aa
4. 4. You're developing a plan of care for a patient who is at risk for the devel-
opment of a deep vein thrombosis after surgery. What nursing intervention
below would the nurse NOT include in the patient's plan of care to prevent DVT
formation?
A. The patient will eat all meals out of the bed daily by sitting in the bedside
chair.
B. The nurse will apply sequential compression devices (SCDs) per physician's
order to the patient's lower extremities every night at bedtime.
C. The nurse will administer per physician's order Enoxaparin in the subcuta-
neous tissue of the abdomen.
D. The patient will ambulate daily.: The answer is B. Yes, the nurse would apply SCDs per MD order
to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. The only
time a patient should not wear the SCDs is when they're ambulating. Therefore, the nurse would NOT just apply them
at bedtime but during the day too.
5. 5. The nurse is assessing a patient, who has many risk factors for the devel-
opment of a DVT, for signs and symptoms of a deep vein thrombosis. What
signs and symptoms below would possibly indicate a deep vein thrombosis is
present?
A. Cool extremity
B. Decreases pulses
C. Redness
D. Pain
E. Warm extremity
F. Swelling
G. Cyanosis: The answers are C, D, E, and F. Signs and symptoms of a DVT include: redness, swelling, warm
extremity, pain, positive Homan's Sign, and swelling (which can be unilateral...meaning there is more swelling in one
extremity compared to the other).
6. 6. True or False: Assessment of Homan's Sign is the most reliable indicator of
a deep vein thrombosis.
True
False: The answer is FALSE. Homan's Sign is NOT a reliable method for assessing for a DVT. It can lead to FALSE
positives.
2/5
