Warfarin NCLEX Questions (Coumadin)

A patient is scheduled to take a dose of Warfarin (Coumadin) at 1800. The patient's INR level is 6. As the nurse you will?* A. Administer the dose as scheduled B. Hold the dose and notify the physician C. Double the dose D. Hold today's dose but administer tomorrow's dose as scheduled.

B

A patient is taking Warfarin (Coumadin). What order received from the physician requires that you ask for an order clarification?* A. Check PT/INR daily B. Administer Prednisone IM daily C. Ambulate three times per day D. Draw CBC in the morning

B

A patient is prescribed Warfarin (Coumadin) for the treatment of a blood clot. What is the therapeutic INR range for this medication?* A. 2-3 B. 1-3 C. 4-8 D. 0.5-2.5

A

Which patients below are NOT candidates for Warfarin (Coumadin)? Select all that apply:* A. A 45-year-old male patient with alcoholism and an active GI ulcer. B. A 55-year-old female with a heart valve replacement. C. A 36-year-old female with a deep vein thrombosis. D. A 52-year-old male who needs a liver transplant.

A and D

You're educating a patient's family member about Warfarin (Coumadin) and how it is used to treat blood clots. Which statements by the family member require you to re-educate them about how this medication works? 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."

A and D

Your patient was started on Warfarin (Coumadin) a week ago for the treatment of a DVT. Which findings below would indicate an adverse reaction to this medication? Select all that apply:* A. Patient reports a severe and sudden headache B. Melena C. Chvostek's Sign D. Hematuria E. Coffee ground emesis F. Bleeding gums

A, B, D, E, and F.

A patient, who is taking Warfarin (Coumadin), asks what he should do if he misses a dose. Your response would be:* A. Double the dose the next day and notify the physician. B. Take the dose when remembered, if on the same day. However, if not remembered on the same day but the next day, skip the missed dose and take the next dose at the regular scheduled time. C. Hold all doses and call the doctor. D. Split the dose the next day.

B

What is considered a normal INR level in a person who is NOT taking Warfarin (Coumadin)?* A. 10-12 seconds B. 0.75-1.25 C. 2-3 D. 5-7

B

You're providing discharge teaching to a patient who will be going home on Warfarin (Coumadin). Which statements by the patient demonstrate they understood the educational material provided? Select all that apply:* A. "I will switch and use a hard bristle toothbrush." B. "When I shave I will be sure to use an electric razor." C. "I will be sure that I eat a diet rich in spinach, kale, and broccoli." D. "I will avoid drinking any alcoholic beverages."

B and D

Warfarin (Coumadin) is an anticoagulant. What family of anticoagulant medications does this drug belong to?* A. Direct thrombin inhibitors B. Indirect thrombin inhibitors C. Vitamin K antagonists D. Factor Xa inhibitors

C

Warfarin (Coumadin) affects the formation of certain clotting factors. Select below ALL the clotting factors this medication affects:* A. I B. V C. II D. VII E. XI F. X G. IX

C, D, F, and G

What is the antidote for Warfarin (Coumadin)?* A. Flumazenil B. Narcan C. Protamine Sulfate D. Vitamin K

D

Which statement below BEST describes how Warfarin (Coumadin) works as an anticoagulant?* A. "It inhibits the formation of thrombin and fibrin in the clotting process." B. "It increases the production of Factor Xa, which blocks thrombin and decreases the clotting process." C. "It binds to antithrombin and reverses the clotting process." D. "It stops the coagulation process by blocking the formation of clotting factors in the liver that require Vitamin K to form."

D

TRUE OR FALSE: If a patient's INR level falls too low, there is a risk of clot formation and the Warfarin (Coumadin) dose needs to be decreased.* True False

False