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NCLEX-PN Exam - Topic 3 Question 15 Discussion

Actual exam question for NCLEX's NCLEX-PN exam
Question #: 15
Topic #: 3
[All NCLEX-PN Questions]

A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?

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Suggested Answer: B

Effective Heparin therapy should stop the process of intravascular coagulation and result in increased

availability of fibrinogen. Heparin administration interferes with thrombin-induced conversion of fibrinogen to

fibrin. Bleeding should cease due to the increased availability of platelets and coagulation factors.Physiological

Adaptation


by Raul at Mar 08, 2026, 11:29 AM

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Ammie
24 hours ago
I think decreased bleeding is the best indicator.
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Fernanda
6 days ago
Increased platelet count is a good sign!
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Elke
11 days ago
I feel like increased fibrinogen levels wouldn’t be a good indicator in DIC since it’s usually low, but I’m not completely confident about that.
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Denny
16 days ago
I practiced a question similar to this, and I think decreased fibrin split products might show that the coagulation process is stabilizing.
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Rene
22 days ago
I’m not entirely sure, but I think decreased bleeding could be a good sign that the Heparin is working, right?
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Leonor
27 days ago
I remember studying that DIC can lead to low platelet counts, so an increased platelet count might indicate a positive response to treatment.
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