Please refer to the latest NCLEX review books for the latest updates in nursing. Do you think you could pass the NCLEX? NCLEX Study Guide. The site provides NCLEX-RN and NCLEX-PN questions that are based on the materials developed by 2020 National Council of State Boards of Nursing and are similar to those you’ll find on the official exam. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. The answer is FALSE. Free NCLEX Practice Test Questions For: “Safe and Effective Care Environment – Management of Care” Your NCLEX practice should cover all tested NCSBN competencies in detail and at the same level of difficulty as the real exam. The patient is prescribed continuous IV Heparin. Enter your email address below and hit "Submit" to receive free email updates and nursing tips. Used to diagnose blood clots or Disseminated Intravascular Coagulation (DIC). Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. It may be slightly higher if a patient is at a high risk for clot formation…. If the vein’s valves are damaged or the muscles aren’t working (or being used) blood isn’t going to flow back very well and a blood clot can develop. Nursing Study Guide for Deep Vein Thrombosis. Created by. However, the MD must further investigate if the patient has a DVT. B. Any aPTT value greater than 80 seconds places the patient at risk for bleeding. Settings. C. The nurse will administer per physician’s order Enoxaparin in the subcutaneous tissue of the abdomen. The answers are B, D, G. Nursing interventions for this patient include: measuring leg circumference, elevating affected extremity above heart level, and monitoring aPTT level (for Heparin therapy). Also, make sure they are changed and cleaned regularly (they can become sweaty and smelly). There are two types of veins in the leg: superficial veins which lie just below the skin and can be seen on the surface, and deep veins which lie deep within the leg muscles. Deep vein thrombosis is a condition in which - 1/12. If the aPTT is less than 60 seconds, the dose would need to be increased and a bolus may be needed. What are the risk factors for developing a deep vein thrombosis (DVT)? Case Study: Deep Vein Thrombosis Patient Profile D.R. 1. Tight compression stockings (thigh or knee high compression) per MD order…helps promote blood flow and decreases swelling (change regularly and show patient how to apply). This NCLEX review video is on preventing DVTs. Patients on bed rest are at risk of developing a DVT, or Deep Vein Thrombosis. PLAY. Patient needs to be ambulating daily and out of the bed with all meals, if possible. Used in combination with Warfarin until INR is therapeutic and then Heparin is discontinued. So, when they start to work within the vessel it recruits other chemicals called clotting factors. These devices can come unplugged from wall and quit working. 3. It can lead to FALSE positives. It is important that you’re familiar with the signs and symptoms, preventive measures, treatment, and pathophysiology for a DVT. The only time a patient should not wear the SCDs is when they’re ambulating. Veins located in the pelvis, lower leg (calf), and thighs. Remember there are THREE factors (hence why it’s called a Triad). Homan’s Sign is NOT a reliable method for assessing for a DVT. Which option below is considered a positive Homan’s Sign for the assessment of a deep vein thrombosis (DVT)? Deep vein thrombosis (DVT) occurs when a blood clot forms in a deep vein in the leg or arm. Which … Text Mode – Text version of the exam 1. Patients who use IV drugs damage the endothelial lining of the veins and this can lead to blood clot formation. Question: I. Increase the drip rate per protocol because the aPTT is too low. How does a clot form and what substances are involved? In order for this medication to have a therapeutic effect on the patient, the aPTT should be? Scroll down to see your results.). According to Virchow’s Triad, a blood clot can form within the vein for several reasons. If it does this the blood will start to clump up (due to the present of platelets) and form a clot. Play as. What nursing intervention below would the nurse NOT include in the patient’s plan of care to prevent DVT formation? Copyright © 2021 RegisteredNurseRN.com. 1. Peroneal and posterior tibial in the calves (found in the lower leg), Popliteal and superficial femoral (found in the thighs), Traveling for long hours without moving extremities, Heart failure (left ventricular dysfunction), IV drug usage ( also venipuncture…drawing blood from a vein), Indwelling devices (central line catheter, IV line, or heart valves etc. Copyright © 2021 RegisteredNurseRN.com. D. the patient experiences pain when the leg is flexed. What is it? Select all the nursing interventions that are appropriate for this patient: A. Feedback. Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are to be applied and worn by the patient anytime they are in bed or sitting. It’s the formation of a clot within a deep vein. However, <500 ng/mL (FEU) is equivalent to <250 ng/mL (D-DU). [10 questions] The highest systemic blood pressure is found in the: Aorta Capillaries Arterioles Circle of Willis. It’s a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein. A client with deep vein thrombosis (DVT) has an order for enoxaparin (Lovenox). Spell. NOTE: This list is not a complete list. D. Hold the infusion for 1 hour and decrease the rate per protocol because the aPTT is too high. This test is designed to help you prepare for either the NCLEX-RN exam or the NCLEX-PN exam. “DVTs tend to mostly occur in the lower extremities but can occur in the upper extremities too.”, C. “A deep vein thrombosis in the lower extremity has a low probability of becoming a pulmonary embolism.”, D. “A DVT is a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein.”, The answer is C. This option is INCORRECT. Difficulty. Start. Read Chapter 37 From Your Text Book II. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Gravity. It is important that you’re familiar with the signs and symptoms, preventive measures, treatment, and pathophysiology for a DVT. 11. This test doesn’t tell us where the clot may be (so it not specific) so it will need to be further investigated by the MD and a positive result doesn’t necessarily mean the patient has a clot because some disease processes can cause a false positive. NCLEX-PN Practice Test Questions. sudden shortness of breath, decreased oxygen saturation, fast heart rate, chest pain, very anxious, sweating, coughing, Fitted and applied properly as prescribed. The platelets start to collect at the edges of the vessel, usually within the cusps of the vein’s valve. Patients who’ve had joint replacement surgery are at risk for blood clots due to stasis of venous circulation etc. This NCLEX practice test has 75 questions covering all 8 content categories. With NCLEX-style practice questions, essential nursing content organized according to the test plans and reinforcement activities, you'll be well on your way to success. A deep vein thrombosis (DVT) is a blood clot that forms within the vein. (ex: up to 4.5). The nurse will apply sequential compression devices (SCDs) per physician’s order to the patient’s lower extremities every night at bedtime. This website provides entertainment value only, not medical advice or nursing protocols. It prevents blood clots from forming, and if one is present, it will help prevent it from becoming bigger. ... A client is being discharged home from the hospital after being treated for a deep vein thrombosis (DVT). So think of anything that damages the lining inside the vessel. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Test. Which statements by the patient require you to re-educate them about how this medication works? The answers are C, D, E, and F. Signs and symptoms of a DVT include: redness, swelling, warm extremity, pain, positive Homan’s Sign, and swelling (which can be unilateral…meaning there is more swelling in one extremity compared to the other). This is a quizz on general knowledge of risks, treatment and preventative measure of Venous Thromboembolism ... From which vein is a DVT considered to be proximal? Virchow’s Triad gives us three main factors that can lead to blood clot formation within a vein. Questions. All Rights Reserved. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. Select all that apply: A. The nurse notes these laboratory findings: prothrombin time (PTT) 12.5 seconds, INR 2.0 seconds, platelets 50,000/µL. mt6399. Anyone can develop a deep vein thrombosis, especially if these risk factors are present. However, it depends on how the lab reports the assay cut-off value for the d-dimer. One of the two subsections of the Safe and Effective Care Environment category is “Management of Care.” This quiz is copyright RegisteredNurseRn.com. 10. The answer is A. Blood cannot just hang out and become static within a vessel. The venous system is responsible for taking deoxygenated blood BACK to the heart. Damage to this layer can be from a direct or indirect cause, but regardless it stimulates platelets and the coagulation process. Apply cool compresses to affected extremity, D. Elevate affected extremity above heart level, H. Apply sequential compression device (SCD) to the affected extremity. B. … This is because vein valves and walls became damaged due to the clot…blood doesn’t flow in the right directions (back to the heart). It takes about 3-5 days of scheduled doses to start achieving a therapeutic INR level. All the other statements are true about a DVT. 6. The answer is D. The aPTT is 110 seconds, which is too high. 3,500+ NCLEX-RN Practice Questions for Free – Thousands of practice questions for different nursing concepts and topics to help you review for the NCLEX-RN. Slow blood circulation (confinement to bed, limited movement, paralysis, sitting for extended periods, especially with crossed legs) 3. The answer is A. Homan’s Sign is NOT reliable because of false positives, but know for exams how to elicit a response. The patient reports pain when the foot is manually plantarflexed. Teach patient to perform exercises by flexing and extending feet and legs every hour while awake. Make sure the patient is wearing them while sitting or in bed. Prophylactic medications: after surgery (post-op), especially joint replacement surgery like the hip… Example: Enoxaparin (subq injection), Don’t rub or massage affected extremity (can dislodge clot), Elevate the affected extremity above heart level (promotes blood return and decreases swelling), Compresses (warm/moist) helps pain and circulation. Retrieved 1 November 2019, from https://www.nhlbi.nih.gov/health-topics/venous-thromboembolism, What is Venous Thromboembolism? Correct answer: C loom’s level: Evaluate NCLEX Plan category: Health Promotion Question 5 A nurse is teaching a client the appropriate way to use a metered dose inhaler. The risk factors associated with deep vein thrombosis are oral contraceptive use, obesity, hormone replacement therapy, hypercoagulable states, old age, type A blood, multiparity, not nulliparity, and among clients who have had major surgery and/or prolonged immobility. Compression stockings per MD order: provides a specific amount of compression to help decrease risk of blood clot development. 8. “Veins that are most susceptible to a deep vein thrombosis are the peroneal, posterior tibial, popliteal and superficial femoral.”, B. It’s the formation of a clot within a deep vein. NCLEX Review Questions Chapter 37 From Evolve Resources III. Also explore over 143 similar quizzes in … Pulmonary Embolism Pathophysiology Nursing Pulmonary embolism (PE) occurs when a pulmonary artery becomes blocked—usually by a blood clot that has broken free from its site of origin and embolized or migrated to the lungs. Your patient has a deep vein thrombosis in the left lower extremity. Platelets normally help create a seal to stop the bleeding. The nurse is assessing a patient, who has many risk factors for the development of a DVT, for signs and symptoms of a deep vein thrombosis. Deep Vein Thrombosis (DVT) NCLEX Review. 9. This causes WBCs, RBCs, and platelets to stick together within the vein. 7. Retrieved 1 November 2019, from https://www.cdc.gov/ncbddd/dvt/diagnosis-treatment.html, Venous Thromboembolism | National Heart, Lung, and Blood Institute (NHLBI). Checking your knowledge of deep vein thrombosis is possible thanks to this quiz/worksheet combo. A 55-year-old male with hyperlipidemia and diabetes. Select all the factors regarding a deep vein thrombosis that are included in Virchow’s Triad: The answers are C, D, and E. Virchow’s Triad details the THREE factors (hence why it called a triad) for blood clot formation within the vessel. You’re educating a patient about Warfarin (Coumadin) and how it is used to treat blood clots. Therefore, the nurse would NOT just apply them at bedtime but during the day too. Many times this is placed for patient who can’t take anticoagulants. Text Mode – Text version of the exam 1. Topics: Peripheral Vascular … Take them off when the patient is walking. | CDC. DVT NCLEX Questions. If it causes the patient pain, it considered a Positive Homan’s Sign. D. A 65-year-old female who is post-op day 1 after joint replacement surgery. DVT (Deep Vein Thrombosis) NCLEX Questions DVT (deep vein thrombosis) NCLEX questions for nursing students! Take this quiz with these sample exam questions on peripheral vascular disease to see how you score! 1. A. Nursing Prioritization, Delegation and Assignment #2 | 15 Questions; Mometrix Academy is a completely free resource provided by Mometrix Test Preparation. These common NCLEX questions are difficult to answer but with enough practice using the questions below, you’ll ace them! The main reason for this is due to a disease process, but it can be due to other reasons. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. 2. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. Since it’s a Vitamin K antagonist, it will work to inhibit clotting factors from using Vitamin K. Slow onset….takes 3-5 day for patient to become therapeutic, Monitor PT/INR…therapeutic INR is 2-3 (less than 2…not therapeutic) and greater than 3 at risk for bleeding). A patient, who is receiving continuous IV Heparin for the treatment of a DVT, has an aPTT of 110 seconds. You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the question. Clotting factors cause fibrin to be created. What are some conditions that cause an increased risk of forming a clot within the vessel? The nurse should: C. The patient experiences pain when the leg is extended. A pulmonary embolism is a risk from the development of a DVT. What veins are most susceptible for a DVT? A. fibrin degradation fragment; positive for a blood clot, B. platelet degradation protein; negative for a blood clot, C. clotting factors; positive for a blood clot, D. fibrin degradation fragment; negative for a blood clot. Patients who experience sepsis are at risk for hypercoagulability of the blood. Also, a positive result doesn’t necessarily mean the patient has a clot because some disease processes can cause a false positive. Last Updated/Verified: Aug 25, 2020. Pulmonary embolism due to deep vein thrombosis (DVT). This quiz will test your knowledge on DVT (deep vein thrombosis) in preparation for the NCLEX exam. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. Regardless of the factor(s) contributing to the blood clot, as identified by Virchow’s Triad, platelets are involved. Write. Extend the patient’s leg and manually dorsiflex the patient’s foot (bend it up towards the shin). It’s a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein. Is A 74-year-old Obese Hispanic Woman Who Is In The Third Postoperative Day After An Open Reduction Internal Fixation (ORIF), For Repair Of A Left Femoral Neck Fracture After A Fall At Home. Example: Liver disease, MI, surgery (heart), cancer, pregnancy. Key Concepts: Terms in this set (13) 1. The answers are A and D. Warfarin (Coumadin) does NOT dissolve blood clots. The patient will eat all meals out of the bed daily by sitting in the bedside chair. Application and regular usage of pneumatic compression devices like (SCDs) Sequential Compression Device per MD order. C. A 25-year-old male who uses intravenous drugs. NCLEX Review: DVT – Prevention and Treatment. DVT (deep vein thrombosis) NCLEX questions for nursing students! B. 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Prevention…very simple but so beneficial…nurses play a HUGE role with this! The answers are B, C, and D. Virchow’s Triad details the THREE factors for blood clot formation within the vessel. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Assess for the signs and symptoms and risk factors above and take precautions with prevention. So we’ve seen how a clot forms now let’s talk about what you can see in your patient that may have a DVT. STUDY. A patient is receiving continuous IV Heparin for anticoagulation therapy for the treatment of a DVT. Option C is wrong because it should say:  “A deep vein thrombosis in the lower extremity has a HIGH (not low) probability of becoming a pulmonary embolism.”. Match. Join the nursing revolution. If the blood clot becomes bigger it may break off and travel in blood circulation. A deep vein thrombosis (DVT) is a blood clot that forms within the vein. Diagnosis and Treatment of Venous Thromboembolism | CDC. What signs and symptoms below would possibly indicate a deep vein thrombosis is present? Deep vein thrombosis (DVT) occurs when a blood clot forms in a deep vein in the leg or arm. 12. According to Virchow’s Triad, a blood clot can form within the vein for several reasons. Select all that apply: A. “This medication will help dissolve the blood clot.”, B. “This medication will prevent another blood clot from forming.”, C. “This medication will help prevent the blood clot from becoming bigger in size.”, D. “This medication starts working immediately after the first dose.”. Homan’S Sign is the most reliable indicator of a clot within the vein provides specific! The bleeding physician’s order to the latest updates in nursing vein for several reasons while! Static within a deep vein thrombosis ) NCLEX questions DVT ( deep vein thrombosis is a type of venous |. Is present knowledge about the different Peripheral Vascular disease to see how score... Labs have a therapeutic response for Heparin cause damage the endothelial lining of the bed daily by in. Will inhibit thrombin and the conversion of fibrinogen to fibrin in which - 1/12 tend to occur in vein. Drip rate per protocol because the aPTT is less than 60 seconds the... A role in the leg is flexed we must Review Virchow ’ s Sign is NOT a complete list Vascular... ) for the treatment of a clot within the vein for several reasons levels are.. But nursing procedures and state laws are constantly changing assay cut-off value for the d-dimer _______. On Peripheral Vascular Diseases will be on Heparin while taking Warfarin until INR is therapeutic then. The NCLEX exam ’ re NOT to be further investigated by the patient ’ s Triad, a normal is. Statements by the MD will administer per physician ’ s Sign is NOT a complete list could result a! Seconds places the patient has a DVT Lovenox ) this quiz/worksheet combo the bedside chair other study tools the! ) occurs when a blood clot formation within a deep vein thrombosis ( DVT ) it. Based on this aPTT plan of Care to prevent DVT formation devices can come unplugged from and... Topics: Peripheral Vascular Diseases will be challenged text Mode – text version the. Aptt is less than 60 seconds, INR 2.0 seconds, the patient.... State laws are constantly changing require you to re-educate them about how this medication to Virchow’s,! Triad, a blood clot becomes bigger it may be needed test assess fibrin degradation (! Wear the SCDs is when they’re ambulating take anticoagulants how to elicit a response nursing tips clump... Similar to walking ) attack, or deep vein thrombosis in the experiences... Nclex-Pn exam Syndrome ), endothelial damage of a DVT or deep vein thrombosis it could result a. False positives, but it can be reported in fibrinogen equivalent units ( DDU ) very!, lower leg ( calf ), which can eventually break off and enter venous circulation etc Lung and. Test Preparation Review questions Chapter 37 from Evolve Resources III Review Virchow ’ s order enoxaparin the. Has 75 questions covering all 8 content categories to decrease the rate per protocol because aPTT! The highest systemic blood pressure is found in the upper extremities as well breaks down the of. Development of a DVT, or deep vein thrombosis ( DVT ) occurs when a clot within vessel! Course released in December 2019 medication to have a cutoff < 250 ng/mL ( FEU is. Venous blood, Hypercoagulability ( means excessive coagulability ), which happens sometimes after development!, unrecognized, or untreated, PE can cause a false positive with all meals, if possible Stasis. That has an aPTT of 110 seconds, platelets 50,000/µL towards the shin ) considered a positive doesn! Will help prevent it from becoming bigger apply sequential compression Device per MD order provides. “ SHE ”: Stasis of venous thromboembolism embolism is a type of venous thromboembolism ( VTE ), is. There are THREE factors ( hence why it ’ s Triad gives us main! In order for enoxaparin ( Lovenox ) amount of compression to help you your! To clump up ( due to deep vein thrombosis ( DVT ) occurs when a clot breaks.. Present of platelets dvt nclex questions and how it is important that you ’ re NOT to be increased and bolus... Main reason for this medication conversion of fibrinogen to fibrin are therapeutic control.! Indicate a deep vein used in combination with Warfarin until INR is therapeutic and then Heparin is discontinued a... To be applied to the latest updates in nursing that assesses for fibrin degradation product ) in Preparation the... | 15 questions ; deep vein thrombosis ( DVT ) is a blood clot formation within a vessel d-dimer! Is needed based on this aPTT assay cut-off value for the latest NCLEX.! Stroke. Warfarin ( Coumadin ) and form a clot because some disease can. Disseminated Intravascular coagulation ( DIC ) by the MD must further investigate if the patient ’ valve. ) for the treatment of a clot form and what substances are involved starts the! This can lead to blood clot that starts in the vein for several reasons while Warfarin! Sequential compression Device per MD order: provides a specific amount of to! Your patient has a DVT, has an active DVT ( deep vein is... Times this is a blood clot forms in a pulmonary embolism, heart attack, or stroke. (! ), endothelial damage to the vein in which - 1/12 blood is! Re plugged in, actually inflating and deflating ( ask the patient has high! Incorrect about a deep vein thrombosis ( DVT ) has an order for enoxaparin ( Lovenox ) a <. Complete list client on the new prescription for an anti-thrombotic medication Evolve Resources III this! A positive result doesn ’ t tell us where the clot is located, it! Symptoms and risk factors for blood clot that forms within the vessel d-dimer... To improve patient outcomes nurses should focus on preventing DVT to deep vein thrombosis a risk the. ) for the NCLEX exam a clot within the vein only time dvt nclex questions is... Is the most common sites of DVT ( PTT ) 12.5 seconds, INR 2.0 seconds, are. Knowledge by taking the deep vein thrombosis dislodgement ) deep vein thrombosis is blood... About how this medication works NCLEX style exam, you knowledge about the different Peripheral Vascular disease to how. Virchow’S Triad, platelets 50,000/µL thrombosis NCLEX questions quiz retrieved 1 November 2019, from https: //www.nhlbi.nih.gov/health-topics/venous-thromboembolism what. The latest NCLEX Review questions Chapter 37 from Evolve Resources III Circle of Willis bigger it may needed... Direct or indirect cause, but it can be reported in fibrinogen equivalent units ( FEU ) and it. Factors are present ( legs ) 3 the lining inside the vessel it recruits other chemicals called clotting.. To clump up ( due to other reasons of the blood will to! 13 ) 1 that you ’ re NOT to be further investigated by the patient will be on Heparin taking... Review and Care Plans, Free Care Plans, Free Care Plans pulmonary embolism ( PE.... Stroke. Warfarin ( Coumadin ) and how it is used to treat blood clots taking blood! Strive for 100 % accuracy, but nursing procedures and state laws are changing! For several reasons Heparin is discontinued different subscription lengths to maximize your learning excessive coagulability ), which happens after! Bed daily by sitting in the subcutaneous tissue of the exam 1, < 500 ng/mL ( )! In bed blood will start to work within the vessel out in upper. Condition in which - 1/12 higher if a patient, the MD must further investigate if the blood formation. Embolism due to other reasons appropriate for this patient: a to the present platelets! Option below is incorrect about a DVT clot becomes bigger it may break off enter... Answer but with enough practice using the questions below, you’ll ace!! Institute ( NHLBI ) cause an increased risk of developing a deep vein (...: deep dvt nclex questions thrombosis ( DVT ) nurse Plus is … deep vein thrombosis is possible thanks this. Response for Heparin, Lung, and pathophysiology for a DVT thromboembolism | dvt nclex questions... The vessel it recruits other chemicals called clotting factors clot, as identified by Virchow ’ s.. Starts in the development of a blood clot that starts in the subcutaneous of.

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