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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?

Aincreased platelet count

Bincreased fibrinogen

Cdecreased fibrin split products

Ddecreased bleeding

Show Suggested Answer

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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Nu

15 days ago

Wait, can Heparin actually increase fibrinogen levels?

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Roselle

20 days ago

I think decreased bleeding is the best indicator here.

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Emilio

26 days ago

Increased platelet count is a good sign!

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Michael

1 month ago

I agree, but I thought DIC usually means low fibrinogen?

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Herman

1 month ago

Definitely looking for decreased fibrin split products!

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Felicitas

1 month ago

Wait, can Heparin really increase fibrinogen levels?

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Ammie

2 months ago

I think decreased bleeding is the best indicator.

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Fernanda

2 months ago

Increased platelet count is a good sign!

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Elke

2 months 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

2 months 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

2 months 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

2 months 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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