NURS 212 Final Exam Test Bank Quiz with Questions and 100% Correct
Answers Latest 2026 Updates– WCU.
1. The emergency department (ED) nurse is caring for a patient who is experiencing pulmonary
edema. The patient is treated with furosemide (Lasix). What will the nurse monitor?
Potassium Levels
2. The nurse is conducting an admission assessment of a patient who has been prescribed
hydrochlorothiazide (HydroDIURIL). Which situation would contraindicate the administration of
hydrochlorothiazide (HydroDIURIL)?
Allergy to sulfa drugs
3. A 71-year-old man with a history of heart disease and diabetes has had an antihistamine
prescribed. The nurse is concerned with this prescription because of the risk for what?
Cardiac arrhythmias
4. A patient has an important presentation to make in 4 hours and he needs relief from the
congestion of seasonal rhinitis. The patient calls the nurse, explains the situation, and tells the
nurse that he cannot afford to be drowsy. Which antihistamine would be a good choice for this
patient?
Loratadine (Claritin)
5. A 67-year-old client with severe bilateral arthritis of the hands has been diagnosed with chronic
obstructive pulmonary disease. Which inhalation delivery method is best for the bronchodilator
ordered for this client?
A small-volume nebulizer (SVN)
6. A client with chronic obstructive pulmonary disease has recently begun a new bronchodilator.
Which therapeutic effect(s) should the nurse expect from this medication? Select all that apply.
Increased expiratory flow rate
Relief of dyspnea
7. The nurse is caring for a patient who is taking an adrenergic bronchodilator. In what disease
process should adrenergic bronchodilators be used cautiously?
Heart failure
8. A 76-year-old man with asthma is being treated with an anticholinergic. What will the nurse be
careful to assess for?
Prostatic hypertrophy
9. The nurse is talking with a group of nursing students. What drug would the nurse tell them, when
combined with furosemide (Lasix), is likely to cause hearing loss?
Gentamicin (Garamycin)
10. The nurse is caring for a 62-year-old patient who is receiving IV gentamicin (Garamycin). The
patient complains of difficulty hearing. What should the nurse do?
Hold the dose and notify the physician immediately.
11. A patient with a gram-negative infection is being treated with an aminoglycoside. What system
should the nurse expect to monitor closely while the patient is taking this medication?
Renal system
12. Prior to beginning anticoagulant therapy, the nurse will question the female patient about what?
Peptic ulcers
NURS 212 Final Exam
,13. As a member of the stroke team, the nurse knows that thrombolytic therapy carries the potential
for benefit and for harm. The nurse should be cognizant of what contraindications for thrombolytic
therapy? Select all that apply.
Recent intracranial pathology
Current anticoagulation therapy
Symptom onset greater than 3 hours prior to admission
14. A client with a new diagnosis of ischemic stroke is deemed to be a candidate for treatment with
tissue plasminogen activator (t-PA) and has been admitted to the ICU. In addition to closely
monitoring the client's cardiac and neurologic status, the nurse monitors the client for signs of
what complication?
Bleeding
15. The nurse receives a patient having an acute myocardial infarction (MI) to the emergency
department. What drug will the nurse administer before transferring the patient to a larger facility?
Tenecteplase (TNKase)
16. A 76-year-old patient is receiving IV heparin 5,000 units every 8 hours. An activated
thromboplastin time (aPTT) is drawn 1 hour before the 8:00 AM dose; the aPTT is at 3.5 times the
control value. What is the nurse’s priority action?
Hold the dose and call the result to the physician.
17. The nurse is caring for a female patient who is nursing her 3-month-old infant. What will the nurse
instruct the patient to do prior to starting heparin to treat venous thrombosis?
Continue breast-feeding because heparin does not enter breast milk.
18. The nurse discovers a patient receiving warfarin is bleeding. What drug would the nurse prepare
to counteract this drug?
Vitamin K
19. A patient is admitted to the hospital with deep vein thrombosis. A 10,000-unit dose of heparin is
administered subcutaneously. What drug does the nurse keep on hand to reverse the effects of
heparin if the patient begins to bleed?
Protamine sulfate
20. The nurse is caring for a patient who received protamine sulfate in error. The patient is not
receiving, and has never received, heparin. What effect does the nurse assess for in this patient?
Anticoagulant effects
21. What intervention does the nurse include in the plan of care for a patient receiving a continuous
intravenous infusion of heparin?
Avoiding intramuscular injections
22. The nurse is caring for a patient who works night shift from 2200 (10 pm) to 0600 (6 am) and
normally sleeps from 0800 (8 am) until 1600 (4 pm) each day. The nurse would teach this patient
to take his or her corticosteroid at what time of the day?
16:00 (4 pm)
23. The nurse is providing patient education to a patient taking a glucocorticoid and advises the
patient to take his or her medication at what time of the day?
Immediately on awakening in the morning
NURS 212 Final Exam
, 24. The home care nurse is conducting client teaching with a client on corticosteroid therapy. To
achieve consistency with the body's natural secretion of cortisol, when should the home care
nurse instruct the client to take the corticosteroids?
In the morning between 7 AM and 8 AM
25. The nurse is providing discharge teaching for a patient prescribed prednisone to be taken on
alternate days. The patient asks why he cannot take half a pill every day. What is the nurse’s best
response?
To decrease adrenal suppression
26. A patient is taking low-dose corticosteroids on a long-term basis for chronic obstructive pulmonary
disease. The nurse assesses this patient knowing prolonged use of corticosteroids puts the
patient at risk for what?
Adrenal atrophy
27. When caring for a patient receiving long-term therapy with corticosteroids, the nurse would plan
care incorporating interventions aimed at preventing what?
Infection
28. The nurse is teaching the patient who will require long-term corticosteroid therapy how to reduce
the risk of infection. What suggestions will the nurse include?
Avoid large crowds of people tightly packed together.
29. Nursing care for the postoperative patient requiring long-term glucocorticoid therapy will be
directed at overcoming what adverse effect of the drug?
Poor wound healing
30. A client is prescribed corticosteroid therapy. What would be priority information for the nurse to
give the client who is prescribed long-term corticosteroid therapy?
The client is at an increased risk for developing infection.
31. A client with pheochromocytoma has been admitted for an adrenalectomy to be performed the
following day. To prevent complications, the nurse should anticipate preoperative administration of
which of the following?
IV corticosteroids
32. The nurse administers a cardiac glycoside for what therapeutic effect?
To increase the force of the contraction of the heart
33. The 96-year-old patient is receiving digoxin (Lanoxin) and furosemide (Lasix). In the morning, the
patient complains of a headache and nausea. What will the nurse do first?
Check her laboratory values and vital signs.
34. The nurse suspects the patient may have toxic levels of digoxin in the bloodstream when what is
assessed? (Select all that apply.)
Irregular heart rhythms
Nausea
Anorexia
35. The nurse is preparing to administer a digitalizing dosage of digoxin to a geriatric patient. What
factors will the nurse assess first to avoid digoxin toxicity? (Select all that apply.)
Renal function
NURS 212 Final Exam
Answers Latest 2026 Updates– WCU.
1. The emergency department (ED) nurse is caring for a patient who is experiencing pulmonary
edema. The patient is treated with furosemide (Lasix). What will the nurse monitor?
Potassium Levels
2. The nurse is conducting an admission assessment of a patient who has been prescribed
hydrochlorothiazide (HydroDIURIL). Which situation would contraindicate the administration of
hydrochlorothiazide (HydroDIURIL)?
Allergy to sulfa drugs
3. A 71-year-old man with a history of heart disease and diabetes has had an antihistamine
prescribed. The nurse is concerned with this prescription because of the risk for what?
Cardiac arrhythmias
4. A patient has an important presentation to make in 4 hours and he needs relief from the
congestion of seasonal rhinitis. The patient calls the nurse, explains the situation, and tells the
nurse that he cannot afford to be drowsy. Which antihistamine would be a good choice for this
patient?
Loratadine (Claritin)
5. A 67-year-old client with severe bilateral arthritis of the hands has been diagnosed with chronic
obstructive pulmonary disease. Which inhalation delivery method is best for the bronchodilator
ordered for this client?
A small-volume nebulizer (SVN)
6. A client with chronic obstructive pulmonary disease has recently begun a new bronchodilator.
Which therapeutic effect(s) should the nurse expect from this medication? Select all that apply.
Increased expiratory flow rate
Relief of dyspnea
7. The nurse is caring for a patient who is taking an adrenergic bronchodilator. In what disease
process should adrenergic bronchodilators be used cautiously?
Heart failure
8. A 76-year-old man with asthma is being treated with an anticholinergic. What will the nurse be
careful to assess for?
Prostatic hypertrophy
9. The nurse is talking with a group of nursing students. What drug would the nurse tell them, when
combined with furosemide (Lasix), is likely to cause hearing loss?
Gentamicin (Garamycin)
10. The nurse is caring for a 62-year-old patient who is receiving IV gentamicin (Garamycin). The
patient complains of difficulty hearing. What should the nurse do?
Hold the dose and notify the physician immediately.
11. A patient with a gram-negative infection is being treated with an aminoglycoside. What system
should the nurse expect to monitor closely while the patient is taking this medication?
Renal system
12. Prior to beginning anticoagulant therapy, the nurse will question the female patient about what?
Peptic ulcers
NURS 212 Final Exam
,13. As a member of the stroke team, the nurse knows that thrombolytic therapy carries the potential
for benefit and for harm. The nurse should be cognizant of what contraindications for thrombolytic
therapy? Select all that apply.
Recent intracranial pathology
Current anticoagulation therapy
Symptom onset greater than 3 hours prior to admission
14. A client with a new diagnosis of ischemic stroke is deemed to be a candidate for treatment with
tissue plasminogen activator (t-PA) and has been admitted to the ICU. In addition to closely
monitoring the client's cardiac and neurologic status, the nurse monitors the client for signs of
what complication?
Bleeding
15. The nurse receives a patient having an acute myocardial infarction (MI) to the emergency
department. What drug will the nurse administer before transferring the patient to a larger facility?
Tenecteplase (TNKase)
16. A 76-year-old patient is receiving IV heparin 5,000 units every 8 hours. An activated
thromboplastin time (aPTT) is drawn 1 hour before the 8:00 AM dose; the aPTT is at 3.5 times the
control value. What is the nurse’s priority action?
Hold the dose and call the result to the physician.
17. The nurse is caring for a female patient who is nursing her 3-month-old infant. What will the nurse
instruct the patient to do prior to starting heparin to treat venous thrombosis?
Continue breast-feeding because heparin does not enter breast milk.
18. The nurse discovers a patient receiving warfarin is bleeding. What drug would the nurse prepare
to counteract this drug?
Vitamin K
19. A patient is admitted to the hospital with deep vein thrombosis. A 10,000-unit dose of heparin is
administered subcutaneously. What drug does the nurse keep on hand to reverse the effects of
heparin if the patient begins to bleed?
Protamine sulfate
20. The nurse is caring for a patient who received protamine sulfate in error. The patient is not
receiving, and has never received, heparin. What effect does the nurse assess for in this patient?
Anticoagulant effects
21. What intervention does the nurse include in the plan of care for a patient receiving a continuous
intravenous infusion of heparin?
Avoiding intramuscular injections
22. The nurse is caring for a patient who works night shift from 2200 (10 pm) to 0600 (6 am) and
normally sleeps from 0800 (8 am) until 1600 (4 pm) each day. The nurse would teach this patient
to take his or her corticosteroid at what time of the day?
16:00 (4 pm)
23. The nurse is providing patient education to a patient taking a glucocorticoid and advises the
patient to take his or her medication at what time of the day?
Immediately on awakening in the morning
NURS 212 Final Exam
, 24. The home care nurse is conducting client teaching with a client on corticosteroid therapy. To
achieve consistency with the body's natural secretion of cortisol, when should the home care
nurse instruct the client to take the corticosteroids?
In the morning between 7 AM and 8 AM
25. The nurse is providing discharge teaching for a patient prescribed prednisone to be taken on
alternate days. The patient asks why he cannot take half a pill every day. What is the nurse’s best
response?
To decrease adrenal suppression
26. A patient is taking low-dose corticosteroids on a long-term basis for chronic obstructive pulmonary
disease. The nurse assesses this patient knowing prolonged use of corticosteroids puts the
patient at risk for what?
Adrenal atrophy
27. When caring for a patient receiving long-term therapy with corticosteroids, the nurse would plan
care incorporating interventions aimed at preventing what?
Infection
28. The nurse is teaching the patient who will require long-term corticosteroid therapy how to reduce
the risk of infection. What suggestions will the nurse include?
Avoid large crowds of people tightly packed together.
29. Nursing care for the postoperative patient requiring long-term glucocorticoid therapy will be
directed at overcoming what adverse effect of the drug?
Poor wound healing
30. A client is prescribed corticosteroid therapy. What would be priority information for the nurse to
give the client who is prescribed long-term corticosteroid therapy?
The client is at an increased risk for developing infection.
31. A client with pheochromocytoma has been admitted for an adrenalectomy to be performed the
following day. To prevent complications, the nurse should anticipate preoperative administration of
which of the following?
IV corticosteroids
32. The nurse administers a cardiac glycoside for what therapeutic effect?
To increase the force of the contraction of the heart
33. The 96-year-old patient is receiving digoxin (Lanoxin) and furosemide (Lasix). In the morning, the
patient complains of a headache and nausea. What will the nurse do first?
Check her laboratory values and vital signs.
34. The nurse suspects the patient may have toxic levels of digoxin in the bloodstream when what is
assessed? (Select all that apply.)
Irregular heart rhythms
Nausea
Anorexia
35. The nurse is preparing to administer a digitalizing dosage of digoxin to a geriatric patient. What
factors will the nurse assess first to avoid digoxin toxicity? (Select all that apply.)
Renal function
NURS 212 Final Exam
