DVT/PE Quiz: Pulmonary Embolism & DVT Prevention

1. A 65-year-old post-op patient develops unilateral leg swelling and calf pain. What is the most likely diagnosis?

Cellulitis

Deep vein thrombosis

Lymphedema

Muscle strain

2. Which condition is a contraindication to thrombolytic therapy for PE?

Hypertension (BP 160/90)

Recent ischemic stroke

Mild renal impairment

Diabetes mellitus

3. A patient on rivaroxaban develops signs of GI bleeding. What is the nurse's first action?

Administer activated charcoal

Stop rivaroxaban; notify provider immediately

Increase fluid intake

Monitor and document only

4. Which finding on ABG is most consistent with PE?

High CO₂, low O₂

Low O₂, low CO₂, high pH

High O₂, high CO₂

Normal ABG

5. A post-op patient refuses to use sequential compression devices. What is the best nursing response?

Document refusal and do nothing

Educate on DVT/PE risk and encourage compliance

Apply them without consent

Report to administration only

6. Which medication interaction increases warfarin effectiveness and bleeding risk?

NSAIDs

Phenytoin

Rifampin

Carbamazepine

7. A patient with PE has a D-dimer level of 300 ng/mL. This result is:

Diagnostic of PE

Negative; PE excluded

Inconclusive; further testing needed

Indicates resolution of PE

8. Which imaging modality is gold standard for diagnosing DVT?

Chest X-ray

Compression ultrasound

CT scan

MRI

9. A patient on warfarin has an INR of 8.5. What is the nursing priority?

Administer another warfarin dose

Assess for bleeding; notify provider

Increase warfarin immediately

Recheck INR in 1 hour

10. Sequential compression devices prevent DVT primarily by:

Increasing blood viscosity

Reducing venous stasis

Dissolving existing clots

Lowering blood pressure

11. Which anticoagulant is most commonly used for acute DVT treatment?

Aspirin

Heparin

Clopidogrel

Ticlopidine

12. A patient presents with sudden dyspnea, chest pain, and tachycardia. Lung scan shows perfusion defect. What is the primary concern?

Pneumonia

Pulmonary embolism

Asthma exacerbation

Acute bronchitis

13. Which patient population has the highest risk for DVT?

Young athletes

Prolonged immobility, surgery, malignancy

Patients on vitamin E supplements

Healthy adults with regular exercise

14. Which of the following is NOT part of Virchow's triad for thromboembolism?

Venous stasis

Endothelial injury

Hypercoagulability

Hyperoxygenation

Submit

16. True or False: Homans' sign is a definitive diagnostic test for DVT.

True

False

Submit

18. True or False: Patients with PE always present with hemoptysis.

True

False

Submit

20. True or False: Chronic PE can lead to pulmonary hypertension and right heart failure.

True

False

DVT/PE Quiz: Can You Prevent the Clot?

1. A 65-year-old post-op patient develops unilateral leg swelling and calf pain. What is the most likely diagnosis?

2.

What first name or nickname would you like us to use?

2. Which condition is a contraindication to thrombolytic therapy for PE?

3. A patient on rivaroxaban develops signs of GI bleeding. What is the nurse's first action?

4. Which finding on ABG is most consistent with PE?

5. A post-op patient refuses to use sequential compression devices. What is the best nursing response?

6. Which medication interaction increases warfarin effectiveness and bleeding risk?

7. A patient with PE has a D-dimer level of 300 ng/mL. This result is:

8. Which imaging modality is gold standard for diagnosing DVT?

9. A patient on warfarin has an INR of 8.5. What is the nursing priority?

10. Sequential compression devices prevent DVT primarily by:

11. Which anticoagulant is most commonly used for acute DVT treatment?

12. A patient presents with sudden dyspnea, chest pain, and tachycardia. Lung scan shows perfusion defect. What is the primary concern?

13. Which patient population has the highest risk for DVT?

14. Which of the following is NOT part of Virchow's triad for thromboembolism?

15. The Wells score assesses pretest probability of ____ in acute settings.

16. True or False: Homans' sign is a definitive diagnostic test for DVT.

17. Early mobilization after surgery reduces DVT risk by ____% compared to immobilization.

18. True or False: Patients with PE always present with hemoptysis.

19. Prophylactic low-molecular-weight heparin (LMWH) dosing is typically given ____ subcutaneously.

20. True or False: Chronic PE can lead to pulmonary hypertension and right heart failure.