Unit 2 – NCLEX-Style Questions (NEW)

Front

A nurse is caring for a patient who received alteplase (tPA) for an acute STEMI. Which nursing action is most appropriate during the first 24 hours after administration? Options: Encourage early ambulation, Limit venipunctures and invasive procedures, Administer aspirin and NSAIDs for pain, Monitor INR every 6 hours

Back

Limit venipunctures and invasive procedures

Front

Which statement made by a nursing student indicates correct understanding of anticoagulant therapy? Heparin dissolves existing clots., Warfarin works immediately to stop clotting., Direct Xa inhibitors act earlier in the clotting cascade than thrombin inhibitors., All anticoagulants require INR monitoring.

Back

Direct Xa inhibitors act earlier in the clotting cascade than thrombin inhibitors.

Front

A patient receiving IV heparin develops epistaxis and has an aPTT of 95 seconds. What is the priority nursing action?

Back

Hold the heparin and notify the provider

Front

Which patient condition would most benefit from antiplatelet therapy rather than anticoagulation? Options: Deep vein thrombosis, Pulmonary embolism, Atherosclerotic coronary artery disease, Atrial fibrillation

Back

Atherosclerotic coronary artery disease

Front

A patient taking clopidogrel reports petechiae and fatigue. Which complication should the nurse suspect?

Back

Thrombotic thrombocytopenic purpura (TTP)

Front

Which statement by a patient taking aspirin for antiplatelet therapy indicates correct understanding? I can stop aspirin 1 day before surgery., I should avoid acetaminophen while on aspirin., Aspirin affects platelets for several days., Aspirin does not increase bleeding risk.

Back

Aspirin affects platelets for several days.

Front

A patient with chronic kidney disease requires long-term anticoagulation. Which medication would the nurse expect the provider to avoid? Options: Apixaban, Rivaroxaban, Dabigatran, Low-dose aspirin

Back

Dabigatran

Front

A patient newly prescribed atorvastatin reports muscle tenderness and tea-colored urine. What is the nurse’s priority concern?

Back

Rhabdomyolysis

Front

Which lipid abnormality places the patient at the highest risk for atherosclerosis?

Back

High LDL

Front

Why should bile acid sequestrants be taken separately from other oral medications?

Back

They bind medications in the GI tract