NURS 3365 LATEST 2026 EXAM QUESTIONS AND
ANSWERS RATED A+
✔✔How long can you use an insulin vial after opening? - ✔✔28 days
✔✔What is the order of mixing insulin? - ✔✔1) Roll NPH vial do not shake it. Roll till the
NPH has a cloudy appearance
2) Clean the top of both the clear insulin, rapid or fast acting insulins, and the cloudy
insulin
3) inject air equal to the amount of insulin to be administered. 1st cloudy insulin than the
clear insulin
4) Draw up clear insulin then cloudy insulin
✔✔What is metformin indicated for? - ✔✔It is the first line oral antidiabetic drug
✔✔What are the adverse effects of metformin? - ✔✔bloating
nausea
metallic taste
hypoglycemia
lactic acidosis
feeling full
diarrhea
✔✔What drug interactions causes metformin to become less effective? -
✔✔Corticosteroids raise the blood sugar and cause hyperglycemia in diabetic patients
✔✔How does metofrmin interact with diuretics (furosemide)? - ✔✔Diuretics increases
metformin levels in the blood which increases the chance of lactic acidosis
✔✔What is a strong effect of sulfonylureas? - ✔✔They have a strong hypoglycemic
effect and they commonly cause this
✔✔How do you store exenatide or liraglutide? - ✔✔Unopen in the fridge
✔✔What do you after you open exenatide or liraglutide? - ✔✔you can store at room
temperature for 30 days
✔✔What are the two types of corticosteroids? - ✔✔glucocorticoids and
mineralocorticoids
✔✔What are the two main glucocorticoid drugs? - ✔✔prednisone and methylprednisone
,✔✔What is the mechanism of action for glucocorticoids? - ✔✔suppresses inflammation
✔✔How should glucocorticoids be taken? - ✔✔on a regular schedule with food
✔✔What are the adverse effects of glucocorticoids? - ✔✔tachycardia
hypertension
GI hemorrhage
hyperglycemia
mood changes
depression
psychosis
peptic ulcers
Na & H2O retention
✔✔What are the glucocorticoid interactions? - ✔✔Loop & Thiazide DIUs
Aspirin
Antidiabetic drugs
✔✔How do Loop and Thiazide diuretics interact with glucocorticoids? - ✔✔They can
cause hypokalemia and hypocalcemia
✔✔How does aspirin effect patients on glucocorticoids? - ✔✔Aspirin increases the
chance of GI ulcer formation
✔✔How do antidiabetic drugs and glucocorticoids interact? - ✔✔cause decreased
hypoglycemic effects which equals elevated blood sugar
✔✔What is the duration of glucocorticoids over IV push? - ✔✔3 - 15 minutes
✔✔How should doses of glucocorticoids over 250 mg be given? - ✔✔Over a 30 to 60
minute period on an infusion pump
✔✔What is the therapeutic range of theophylline? - ✔✔5 - 15 mg/mL
✔✔What is considered a toxic range for theophylline? - ✔✔greater than 20 mg/mL
✔✔What must happen to a patient's theophylline dose if they do not quit smoking? -
✔✔The dosage of theophylline must be lowered
✔✔How does nicotine interact with theophylline? - ✔✔Nicotine causes metabolism of
theophylline to be increased
✔✔How long should you wait before a 2nd dose of a nebulizer? - ✔✔2 minutes
, ✔✔Put these in order: Myolytics, Bronchodilator, Inhaled steroid or Antiobiotic -
✔✔Bronchodilator, Molytics, Steroid or Antibiotic
✔✔What do leukotriene receptor antagonists end in? - ✔✔"kast"
✔✔How do Rifampin and Phenobarbitals effect leukotriene receptor antagonists? -
✔✔They decrease the levels of leukotriene receptor antagonists
✔✔What do corticosteroids end in? - ✔✔"one"
✔✔What is candida albicans? - ✔✔fungal infection
white patches on tongue
✔✔How should a nurse teach a patient with candida albicans to take inhaled steroids? -
✔✔Rinse mouth after inhaling streroid also rinse inhaler
✔✔What are the contraindications of epoetin alfa for a patient with cancer? - ✔✔Hgb
greater than 10g/dL
✔✔What are the contraindications of epoetin alfa for a patient with renal disorders? -
✔✔Hgb greater than 11 g/dL
✔✔Why are the contraindications for epoetin alfa important? - ✔✔If they are not
followed the patient will have an increased chance of stroke, MI, and death
✔✔Iron dextran is administered using what method? - ✔✔Z track method
✔✔What should you instruct the patient to do after taking iron supplements? - ✔✔Sit up
for 30 minutes
✔✔How do we manage a patient with iron supplement toxicity? - ✔✔Airway
management
Treatment of dehydration
Correction of acidosis
✔✔A 50-year-old man has been taking prednisone
(Deltasone) as part of treatment for bronchitis. He
notices that the dosage of the medication decreases.
During a follow-up office visit, he asks the nurse
why he must continue the medication and why he
cannot just stop taking it now that he feels better.
What is the rationale behind the tapering dosages?
ANSWERS RATED A+
✔✔How long can you use an insulin vial after opening? - ✔✔28 days
✔✔What is the order of mixing insulin? - ✔✔1) Roll NPH vial do not shake it. Roll till the
NPH has a cloudy appearance
2) Clean the top of both the clear insulin, rapid or fast acting insulins, and the cloudy
insulin
3) inject air equal to the amount of insulin to be administered. 1st cloudy insulin than the
clear insulin
4) Draw up clear insulin then cloudy insulin
✔✔What is metformin indicated for? - ✔✔It is the first line oral antidiabetic drug
✔✔What are the adverse effects of metformin? - ✔✔bloating
nausea
metallic taste
hypoglycemia
lactic acidosis
feeling full
diarrhea
✔✔What drug interactions causes metformin to become less effective? -
✔✔Corticosteroids raise the blood sugar and cause hyperglycemia in diabetic patients
✔✔How does metofrmin interact with diuretics (furosemide)? - ✔✔Diuretics increases
metformin levels in the blood which increases the chance of lactic acidosis
✔✔What is a strong effect of sulfonylureas? - ✔✔They have a strong hypoglycemic
effect and they commonly cause this
✔✔How do you store exenatide or liraglutide? - ✔✔Unopen in the fridge
✔✔What do you after you open exenatide or liraglutide? - ✔✔you can store at room
temperature for 30 days
✔✔What are the two types of corticosteroids? - ✔✔glucocorticoids and
mineralocorticoids
✔✔What are the two main glucocorticoid drugs? - ✔✔prednisone and methylprednisone
,✔✔What is the mechanism of action for glucocorticoids? - ✔✔suppresses inflammation
✔✔How should glucocorticoids be taken? - ✔✔on a regular schedule with food
✔✔What are the adverse effects of glucocorticoids? - ✔✔tachycardia
hypertension
GI hemorrhage
hyperglycemia
mood changes
depression
psychosis
peptic ulcers
Na & H2O retention
✔✔What are the glucocorticoid interactions? - ✔✔Loop & Thiazide DIUs
Aspirin
Antidiabetic drugs
✔✔How do Loop and Thiazide diuretics interact with glucocorticoids? - ✔✔They can
cause hypokalemia and hypocalcemia
✔✔How does aspirin effect patients on glucocorticoids? - ✔✔Aspirin increases the
chance of GI ulcer formation
✔✔How do antidiabetic drugs and glucocorticoids interact? - ✔✔cause decreased
hypoglycemic effects which equals elevated blood sugar
✔✔What is the duration of glucocorticoids over IV push? - ✔✔3 - 15 minutes
✔✔How should doses of glucocorticoids over 250 mg be given? - ✔✔Over a 30 to 60
minute period on an infusion pump
✔✔What is the therapeutic range of theophylline? - ✔✔5 - 15 mg/mL
✔✔What is considered a toxic range for theophylline? - ✔✔greater than 20 mg/mL
✔✔What must happen to a patient's theophylline dose if they do not quit smoking? -
✔✔The dosage of theophylline must be lowered
✔✔How does nicotine interact with theophylline? - ✔✔Nicotine causes metabolism of
theophylline to be increased
✔✔How long should you wait before a 2nd dose of a nebulizer? - ✔✔2 minutes
, ✔✔Put these in order: Myolytics, Bronchodilator, Inhaled steroid or Antiobiotic -
✔✔Bronchodilator, Molytics, Steroid or Antibiotic
✔✔What do leukotriene receptor antagonists end in? - ✔✔"kast"
✔✔How do Rifampin and Phenobarbitals effect leukotriene receptor antagonists? -
✔✔They decrease the levels of leukotriene receptor antagonists
✔✔What do corticosteroids end in? - ✔✔"one"
✔✔What is candida albicans? - ✔✔fungal infection
white patches on tongue
✔✔How should a nurse teach a patient with candida albicans to take inhaled steroids? -
✔✔Rinse mouth after inhaling streroid also rinse inhaler
✔✔What are the contraindications of epoetin alfa for a patient with cancer? - ✔✔Hgb
greater than 10g/dL
✔✔What are the contraindications of epoetin alfa for a patient with renal disorders? -
✔✔Hgb greater than 11 g/dL
✔✔Why are the contraindications for epoetin alfa important? - ✔✔If they are not
followed the patient will have an increased chance of stroke, MI, and death
✔✔Iron dextran is administered using what method? - ✔✔Z track method
✔✔What should you instruct the patient to do after taking iron supplements? - ✔✔Sit up
for 30 minutes
✔✔How do we manage a patient with iron supplement toxicity? - ✔✔Airway
management
Treatment of dehydration
Correction of acidosis
✔✔A 50-year-old man has been taking prednisone
(Deltasone) as part of treatment for bronchitis. He
notices that the dosage of the medication decreases.
During a follow-up office visit, he asks the nurse
why he must continue the medication and why he
cannot just stop taking it now that he feels better.
What is the rationale behind the tapering dosages?
