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AACN Progressive Care Certified Nursing Sample Questions:
1. All of the following statements related to enoxaparin are true except:
A) It is a factor Xa inhibitor, indicated for venous thromboembolism (VTE) prophylaxis post hip or knee replacement, or prophylaxis of embolism or cerebrovascular accident (CVA) in patients with nonvalvular atrial fibrillation. The agent is also indicated for pulmonary embolism and deep venous thrombosis (DVT) treatment.
B) It is possible to monitor enoxaparin anticoagulation by measuring antifactor Xa levels
C) Enoxaparin is primarily renally eliminated with the potential for drug accumulation in patients with renal impairment
D) The dosing adjustment for enoxaparin in patients with creatinine clearances less than 30 mL/min is to extend the dosing interval from 12 hours to 24 hours in both prevention and treatment of thrombosis
2. Upper gastrointestinal bleeding which results in a sudden loss of blood volume and decreased cardiac output triggers the release of:
A) Epinephrine and norepinephrine
B) Thrombokinase and aldosterone
C) Norepinephrine and thromboplastin
D) Epinephrine and thromboplastin
3. Antidiuretic hormone is:
A) Stored in the hypothalamus
B) Produced by the hypothalamus
C) Produced by the posterior pituitary gland
D) Stored in the anterior pituitary gland
4. The dosing regimen of this recombinant plasminogen activator requires double bolus doses. What is the drug?
A) Reteplase
B) Bivalirudin
C) Alteplase
D) Argatroban
5. This agent is a class III antiarrhythmic (potassium channel blocker) used for rhythm conversion in patients with atrial fibrillation. Administration dose is adjusted based on creatinine clearance and QT or QTc interval.
A) Dofetilide
B) Ibutilide
C) Isoproterenol
D) Iloprost
Solutions:
Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: A |
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