WorksheetsUnit 2 – NCLEX-Style Questions (NEW)
Total questions: 10
Worksheet time: 5mins
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?
Encourage early ambulation
Limit venipunctures and invasive procedures
Administer aspirin and NSAIDs for pain
Monitor INR every 6 hours
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.
A patient receiving IV heparin develops epistaxis and has an aPTT of 95 seconds. What is the priority nursing action?
Document the finding
Recheck the lab in 4 hours
Hold the heparin and notify the provider
Administer vitamin K
Which patient condition would most benefit from antiplatelet therapy rather than anticoagulation?
Deep vein thrombosis
Pulmonary embolism
Atherosclerotic coronary artery disease
Atrial fibrillation
A patient taking clopidogrel reports petechiae and fatigue. Which complication should the nurse suspect?
Myopathy
Thrombotic thrombocytopenic purpura (TTP)
Hepatotoxicity
Vitamin K deficiency
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.
A patient with chronic kidney disease requires long-term anticoagulation. Which medication would the nurse expect the provider to avoid?
Apixaban
Rivaroxaban
Dabigatran
Low-dose aspirin
A patient newly prescribed atorvastatin reports muscle tenderness and tea-colored urine. What is the nurse’s priority concern?
Hepatic failure
Rhabdomyolysis
Hypoglycemia
Gallstone formation
Which lipid abnormality places the patient at the highest risk for atherosclerosis?
High HDL
Low triglycerides
High LDL
Low total cholesterol
Why should bile acid sequestrants be taken separately from other oral medications?
They delay gastric emptying
They increase renal clearance
They bind medications in the GI tract
They increase liver metabolism
