HESI Hematology drugs · NurseQuizzes

HESI LPN · HESI Hematology drugs

Question 1 of 54

Education of patients who are taking warfarin includes discussing their diet. Instructions include:

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HESI LPN · HESI Hematology drugs

Question 2 of 54

A 50 year old male who had frequent infections of his upper respiratory tract manifested with subcutaneous petechiae over his arms and legs. Investigations revealed low haemoglobin and a dry tap marrow. The most likely condition the patient is suffering from

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HESI LPN · HESI Hematology drugs

Question 3 of 54

A patient on oral anticoagulant therapy is commenced on sulfamethoxazole-trimethoprim, double-strength twice daily. One may expect to see the INR

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HESI LPN · HESI Hematology drugs

Question 4 of 54

Platelet aggregation is an important event in haemostasis. Which of the following statement is true for platelet aggregation in vascular injury?

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HESI LPN · HESI Hematology drugs

Question 5 of 54

A skilled nursing facility patient with persistent dysphagia asks the attending nurse to crush a sustained release Theophylline tablet into his applesauce. What should be the most appropriate response?

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HESI LPN · HESI Hematology drugs

Question 6 of 54

Because of the additive risk for serious bleeding, use of is contraindicated in clients who have had which the following?

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HESI LPN · HESI Hematology drugs

Question 7 of 54

A nurse who's been regularly treating patients diagnosed with conditions like hypertension, cerebrovascular disease, dysrhythmias and coronary artery disease, should educate then to avoid decongestants like Phenylephrine due to its

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HESI LPN · HESI Hematology drugs

Question 8 of 54

Caution should be taken regarding clients who have been prescribed guaifenesin in the presence of asthma diagnosis because

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HESI LPN · HESI Hematology drugs

Question 9 of 54

Graft versus host disease is a complication of transfusion in patients of bone marrow transplantation. This can be best avoided by

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HESI LPN · HESI Hematology drugs

Question 10 of 54

Koilonychias is a specific feature of

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Question 11 of 54

The nurse notes in the patient's medication order that the patient will be starting anticoagulant therapy. What is the primary goal of anticoagulant therapy?

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HESI LPN · HESI Hematology drugs

Question 12 of 54

A patient has been prescribed aspirin 320 mg per day for their atrial fibrillation. They also take aspirin four or more times a day for arthritis pain. What are the symptoms of aspirin toxicity for which they would need to be evaluated?

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HESI LPN · HESI Hematology drugs

Question 13 of 54

Which of the following medications promotes increased cough production by increasing and thinning mucous secretions to allow patients to decrease chest congestion

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HESI LPN · HESI Hematology drugs

Question 14 of 54

Which of the following tests are used to monitor antithrombotic therapy? I. International normalized ratio (INR) II. Activated partial thromboplastin time (APTT) III. Heparin assay

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HESI LPN · HESI Hematology drugs

Question 15 of 54

The anticoagulant effects of heparin can be promptly arrested by administration of

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Question 16 of 54

Which of the following is a correct combination of expected pharmacological action and therapeutic use of Inhaled anticholinergics like Ipratropium?

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HESI LPN · HESI Hematology drugs

Question 17 of 54

A peripheral blood smear showing increase in numbers of neutrophils, band cells, basophils, eosinophils and platelets is most suggestive

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HESI LPN · HESI Hematology drugs

Question 18 of 54

A nursing student is reviewing mechanisms of drug action. Which of the following matches the MOA of glucocorticoids?

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HESI LPN · HESI Hematology drugs

Question 19 of 54

Initiation of unfractionated heparin therapy for the patient in question 1 would best be achieved with

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HESI LPN · HESI Hematology drugs

Question 20 of 54

Heparin, an anticoagulant and naturally occurring glycosaminoglycan, exerts its pharmacological effects on the clotting cascade by activating antithrombin, thus indirectly inactivating both

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HESI LPN · HESI Hematology drugs

Question 21 of 54

The mean cell volume of the patient is 90 fl and the reticulocyte production index is low. Which of the following is the most possible cause of anemia in this patient?

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Question 22 of 54

A patient taking carbamazepine needs to be started on a direct factor Xa inhibitor for antithrombotic therapy. Which of the direct factor Xa inhibitors should be avoided due to drug interactions?

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HESI LPN · HESI Hematology drugs

Question 23 of 54

Dengue is a common vector borne disease prevalent in tropical countries. Which of the following statement is true for dengue fever?

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HESI LPN · HESI Hematology drugs

Question 24 of 54

Expected pharmacological action of which of the following medications works by binding with and inhibiting thrombin, thus preventing a thrombus from developing?

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HESI LPN · HESI Hematology drugs

Question 25 of 54

Low concentrations of heparin selectively interfere with the following coagulation pathway(s)

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Question 26 of 54

A patient who is suspected of having acute viral hemorrhagic fever reveals history of tick bite. Which of the following is the most possible causative agent?

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HESI LPN · HESI Hematology drugs

Question 27 of 54

A patient is suffered from vitamin K deficiency. Which of the coagulation factors will not be affected?

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HESI LPN · HESI Hematology drugs

Question 28 of 54

A patient is taking warfarin and is asking about what they can take for minor aches and pains. The best recommendation is:

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HESI LPN · HESI Hematology drugs

Question 29 of 54

Patients receiving heparin therapy require monitoring of:

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HESI LPN · HESI Hematology drugs

Question 30 of 54

Patients with pernicious anemia require treatment with:

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Question 31 of 54

Which of the following is not the criteria in the international prognostic index for non Hodgkin's lymphoma?

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Question 32 of 54

When a patient has prescriptions for an inhaled beta 2 agonist and an inhaled glucocorticoid, a nurse should advise the patient

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HESI LPN · HESI Hematology drugs

Question 33 of 54

Prevention of strokes, myocardial infarctions, and reinfarction can be accomplished with

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Question 34 of 54

RBCs break into fragments, they are referred to as schistocytes. These type of cells are seen in

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HESI LPN · HESI Hematology drugs

Question 35 of 54

A patient to be commenced on oral anticoagulant therapy for DVT would be treated with: I. Oral anticoagulant therapy with warfarin for a goal international normalized ratio (INR) of 2-3 II. Oral anticoagulant therapy with warfarin for a goal INR of 2.5-3.5 III. Oral anticoagulant therapy with aspirin for a goal INR of 2-3

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HESI LPN · HESI Hematology drugs

Question 36 of 54

A nurse examining a patient receiving Prednisone for the past two weeks observes marked myopathy as evidenced by muscle weakness. What should be the most logical next step?

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HESI LPN · HESI Hematology drugs

Question 37 of 54

A nurse starting a heparin antidote IV drip for a patient exhibiting effects of anticoagulant toxicity must remember that the proper rate/dose for Protamine administration is

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HESI LPN · HESI Hematology drugs

Question 38 of 54

In patients taking Vitamin K inhibitors, nurses must monitor (therapeutic level 18 to 24 seconds) and INR levels (therapeutic levels 2 to 3). Which of these parameters is the most accurate?

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HESI LPN · HESI Hematology drugs

Question 39 of 54

Expected pharmacological action of which of the following drugs antagonizes vitamin k, thereby preventing the synthesis of four coagulation factors: factor vii, ix, x, and prothrombin?

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HESI LPN · HESI Hematology drugs

Question 40 of 54

A patient shows prolonged prothrombin time and activated partial thromboplastin time. Blood test otherwise is normal. Which of the following is the most probably diagnosis for this patient's condition?

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HESI LPN · HESI Hematology drugs

Question 41 of 54

Which of the following PO beta2 adrenergic agonists is used for long term control of chronic COPD as well as for emergency IV treatment of bronchospasms?

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HESI LPN · HESI Hematology drugs

Question 42 of 54

The following drug reduces the effect of oral anticoagulants

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HESI LPN · HESI Hematology drugs

Question 43 of 54

Which of the following is false regarding Burkitt's lymphoma?

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Question 44 of 54

Artemisinin and its derivatives are used in the treatment of severe forms of chloroquine resistant falciparum because they have

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HESI LPN · HESI Hematology drugs

Question 45 of 54

A patient has been instructed to take one enteric-coated low-dose aspirin a day as part of therapy to prevent strokes. The nurse will provide which instruction when providing patient teaching about this medication?

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HESI LPN · HESI Hematology drugs

Question 46 of 54

A nurse who's well-versed in respiratory pharmacotherapy understands that contraindications/precautions for prescribing beta 2 adrenergic agonists to patients with documented history of tachycardia include

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Question 47 of 54

A patient is having hip replacement surgery and would like to self-donate blood for the surgery. In addition to being prescribed epogen alfa he should also be prescribed:

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Question 48 of 54

The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should be considered in which patients?

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Question 49 of 54

A nurse is reinforcing teaching with a client who is going to take an expectorant to manage a cough. The nurse should explain that this type of medication treats coughs by which of the following mechanisms?

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HESI LPN · HESI Hematology drugs

Question 50 of 54

Which of the following medications is given concurrently with coronary angioplasty or intervention?

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Question 51 of 54

A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion. The patient asks the nurse why he has to be on two medications. The nurse's response is based on which rationale?

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Question 52 of 54

A patient who is infected with hookworms produces signs and symptoms of anemia. Which of the following can be seen in the peripheral blood smear of the patient?

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HESI LPN · HESI Hematology drugs

Question 53 of 54

A 62-year-old female patient diagnosed with early onset of dementia presents at the emergency department with her daughter who tells the attending nurse that her mother 'accidentally swallowed a lot of Methylxanthine pills'. The patient is tachycardic with fast shallow breathing. The most appropriate action is to

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Question 54 of 54

A nurse is treating a patient with acute manifestations of chronic obstructive pulmonary disease who's been prescribed levalbuterol. How is this medication classified and which of the following are its therapeutic uses?

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