NCLEX CRUSADE ACADEMY TEST - 4 ANTICOAGULATION THERAPY

1. Which laboratory value is primarily used to monitor intravenous heparin therapy?. INR. PT. aPTT. Platelet count.

2. A patient receiving IV heparin has an aPTT of 45 seconds. What is the most appropriate nursing action?. Stop the infusion immediately. Increase the infusion rate per protocol. Maintain the current rate. Administer vitamin K.

3. Which medication is the oral anticoagulant commonly used for long term therapy after initial heparin treatment?. Clopidogrel. Nitroglycerin. Warfarin. Digoxin.

4. Which laboratory test is used to monitor warfarin therapy?. Platelet count. INR. aPTT. Troponin.

5. A patient taking warfarin asks about diet changes. What is the best response by the nurse?. Avoid all vitamin K foods completely. Eat large amounts of leafy greens daily. Maintain a consistent intake of vitamin K. Eliminate vegetables.

6. Which food is high in vitamin K and may affect warfarin therapy?. Bananas. Kale. Apples. Rice.

7. A patient taking clopidogrel is scheduled for surgery. When should the medication be discontinued?. 24 hours before surgery. 48 hours before surgery. 5 days before surgery. 7 days before surgery.

8. Clopidogrel is primarily used for which therapeutic purpose?. Dissolving clots. Preventing platelet aggregation. Lowering blood pressure. Increasing cardiac output.

9. Which condition is a contraindication for clopidogrel administration?. Hypertension. Active bleeding. Diabetes. Hyperlipidemia.

10. Which drug class should generally be avoided while taking clopidogrel due to interaction risk?. Beta blockers. Proton pump inhibitors. ACE inhibitors. Diuretics.

11. Nitroglycerin works primarily by which mechanism?. Increasing heart rate. Vasodilation of coronary arteries. Increasing platelet count. Reducing sodium levels.

12. Which route of nitroglycerin administration is used for rapid relief of angina?. Oral tablet. Sublingual. Transdermal patch. Capsule.

13. Which adverse effect is most commonly associated with nitroglycerin?. Hypertension. Severe hypotension. Bradycardia. Hyperglycemia.

14. Which medication improves cardiac contractility in congestive heart failure?. Digoxin. Warfarin. Heparin. Clopidogrel.

15. Which lab value indicates digoxin toxicity?. >1.2 ng/mL. >2.4 ng/mL. >5 ng/mL. >0.5 ng/mL.

16. What is the normal potassium range important for patients on diuretics like furosemide?. 2.03.0 mEq/L. 3.55.0 mEq/L. 5.57.0 mEq/L. 6.08.0 mEq/L.

17. Which symptom may indicate bleeding in patients on anticoagulants?. Dry mouth. Hematuria. Tachycardia. Polyuria.

18. Which assessment finding requires immediate reporting in a patient receiving anticoagulants?. Mild headache. Petechiae. Increased appetite. Warm skin.

19. Which lab value should prompt holding warfarin therapy?. INR 1.2. INR 2.0. INR 3.5. INR 1.8.

20. Which nursing intervention is essential when monitoring anticoagulant therapy?. Assessing for signs of bleeding. Monitoring glucose levels. Checking visual acuity. Measuring oxygen saturation.

21. Which symptom suggests digoxin toxicity?. Yellow vision. Increased appetite. Dry cough. Hypertension.

22. Which medication helps remove excess fluid in heart failure?. Furosemide. Digoxin. Warfarin. Clopidogrel.

23. Which indicator suggests effective CHF treatment?. Improved dyspnea. Increased weight gain. Persistent edema. Decreased urine output.

24. Which finding best indicates fluid retention in CHF?. Weight gain. Bradycardia. Increased appetite. Fever.

25. Which medication is commonly used to prevent clot formation in coronary stents?. Digoxin. Clopidogrel. Furosemide. Nitroglycerin.