RNSG 2539 LATEST EXAM WITH
CORRECT ANSWERS 2025/2026
What lab testing results are indicative of DIC? - correct 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 - correct 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 - correct 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 - correct 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) - correct answersA) Disseminated intravascular
coagulation
What is the concept behind heparin for PT with DIC? - correct 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? - correct answers-Directly related to
bleeding problems such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
How does DIC happen in postpartum hemorrhaging? - correct 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? - correct answers-Sepsis
A patient with DIC is at a higher risk for what? - correct answers-Deficient fluid volume
Increased levels of ____________, _______________, __________, and ________________ will
be noted in DIC: - correct answers-Fibrinolycin, fibrinopeptide A, positive fibrin split products
and D-dimers.
DIC can occur secondary to what type of conditions? Select all that apply: - correct 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? - correct answers-Clot
forming activity of thrombin
-Clot lysin activity of plasmin
What are some ways to combat DIC? Select all that apply: - correct 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? - correct 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: - correct 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? -
correct answers- Lepirudin (refludan)
CORRECT ANSWERS 2025/2026
What lab testing results are indicative of DIC? - correct 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 - correct 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 - correct 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 - correct 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) - correct answersA) Disseminated intravascular
coagulation
What is the concept behind heparin for PT with DIC? - correct 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? - correct answers-Directly related to
bleeding problems such as:
Petechia, Purpura, oozing from puncture sites or severe hemorrhaging.
How does DIC happen in postpartum hemorrhaging? - correct 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? - correct answers-Sepsis
A patient with DIC is at a higher risk for what? - correct answers-Deficient fluid volume
Increased levels of ____________, _______________, __________, and ________________ will
be noted in DIC: - correct answers-Fibrinolycin, fibrinopeptide A, positive fibrin split products
and D-dimers.
DIC can occur secondary to what type of conditions? Select all that apply: - correct 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? - correct answers-Clot
forming activity of thrombin
-Clot lysin activity of plasmin
What are some ways to combat DIC? Select all that apply: - correct 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? - correct 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: - correct 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? -
correct answers- Lepirudin (refludan)
