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NCLEX-PN Exam - Topic 3 Question 21 Discussion

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?
B) increased fibrinogen
A) increased platelet count
C) decreased fibrin split products
D) decreased bleeding

NCLEX-PN Exam - Topic 3 Question 21 Discussion

Actual exam question for NCLEX's NCLEX-PN exam
Question #: 21
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?

Show Suggested Answer Hide 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 Peggie at Jun 17, 2026, 03:24 PM

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Alexia
I believe decreased fibrin split products is a key indicator of effective Heparin therapy, but I need to double-check that with my notes.
upvoted 0 times
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Janey
5 days ago
I feel like increased platelet count could be a sign of improvement, but I’m not entirely confident about that in the context of DIC.
upvoted 0 times
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Penney
10 days ago
I think we practiced a question similar to this, and I recall that decreased bleeding might be a good indicator of response to Heparin.
upvoted 0 times
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Kristel
15 days ago
I remember we discussed that in DIC, the goal of Heparin is to manage clotting and bleeding, but I'm not sure which specific lab values indicate improvement.
upvoted 0 times
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