NURS 318 FINAL EXAM (2026-2027)
QUESTIONS AND CORRECT ANSWERS
GRADED A+
What medication is in the drug class of Thiazide?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside
a. Hydrochlorothiazide
What is the action of hydrochlorothiazide?
Promotes Na, Cl , K, & H2O excretion. Reabsorbs Ca. Vasodilation = decreased
BP
What are side effects/adverse effects of hydrochlorothiazide?
Photosensitivity, Blurred Vision, Muscle Cramps, Hyperglycemia, Hyponatremia,
Orthostatic Hypotension, Gout, Anemia and Renal Failure
,What are the drug interactions of hydrochlorothiazide?
- Digoxin because hypokalemia increased risk of digitalis toxicity
- Aspirin increases renal toxicity
- Steroids increase K loss
- Antidiabetics have decreased effects = increase BS
- NSAIDs decreased absorption
A patient wanted to try a few new CAMs. He just started taking
hydrochlorothiazide. Which CAMs should he avoid?
- Aloe (Decreased serum K Loss)
- Licorice (May increase K loss)
- Gingko (Decreased BP w/ thiazide)
- Hawthorne (Hypotension)
A patient asks the nurse how he should take hydrochlorothiazide when he is at
home. How should the nurse educate the patient?
- Take med early in the morning to avoid nocturia
- Change positions slowly bc orthostatic hypotension
- Avoid increased intake of Ca
,What medication is in the drug class of Potassium-Sparing Diuretics?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside
c. Spironolactone
What is the drug action of spironolactone?
Acts on distal renal tubules to promote Na and H20 excretion and K retention
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
b. Digoxin
What are the uses of Digoxin?
Used to treat heart failure and atrial fibrillation?
, A patient's serum digoxin level is 1.1 ng/mL. What action should the nurse take?
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP
D. The nurse should inform the HCP because this results indicates toxicity.
What is the therapeutic serum level of digoxin?
0.5 - 1 ng/ml
The nurse is caring for a patient on digoxin therapy. The student nurse asks the
nurse what are signs of digoxin toxicity. What should the nurse teach the student
nurse?
a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos
D. Green or yellow halos, cardiac dysrhythmias, bradycardia, vomiting, anorexia
and diarrhea
QUESTIONS AND CORRECT ANSWERS
GRADED A+
What medication is in the drug class of Thiazide?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside
a. Hydrochlorothiazide
What is the action of hydrochlorothiazide?
Promotes Na, Cl , K, & H2O excretion. Reabsorbs Ca. Vasodilation = decreased
BP
What are side effects/adverse effects of hydrochlorothiazide?
Photosensitivity, Blurred Vision, Muscle Cramps, Hyperglycemia, Hyponatremia,
Orthostatic Hypotension, Gout, Anemia and Renal Failure
,What are the drug interactions of hydrochlorothiazide?
- Digoxin because hypokalemia increased risk of digitalis toxicity
- Aspirin increases renal toxicity
- Steroids increase K loss
- Antidiabetics have decreased effects = increase BS
- NSAIDs decreased absorption
A patient wanted to try a few new CAMs. He just started taking
hydrochlorothiazide. Which CAMs should he avoid?
- Aloe (Decreased serum K Loss)
- Licorice (May increase K loss)
- Gingko (Decreased BP w/ thiazide)
- Hawthorne (Hypotension)
A patient asks the nurse how he should take hydrochlorothiazide when he is at
home. How should the nurse educate the patient?
- Take med early in the morning to avoid nocturia
- Change positions slowly bc orthostatic hypotension
- Avoid increased intake of Ca
,What medication is in the drug class of Potassium-Sparing Diuretics?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside
c. Spironolactone
What is the drug action of spironolactone?
Acts on distal renal tubules to promote Na and H20 excretion and K retention
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
b. Digoxin
What are the uses of Digoxin?
Used to treat heart failure and atrial fibrillation?
, A patient's serum digoxin level is 1.1 ng/mL. What action should the nurse take?
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP
D. The nurse should inform the HCP because this results indicates toxicity.
What is the therapeutic serum level of digoxin?
0.5 - 1 ng/ml
The nurse is caring for a patient on digoxin therapy. The student nurse asks the
nurse what are signs of digoxin toxicity. What should the nurse teach the student
nurse?
a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos
D. Green or yellow halos, cardiac dysrhythmias, bradycardia, vomiting, anorexia
and diarrhea
