NU 578 Exam 2 Practice Questions and
Answers
A nurse is caring for a patient with COPD. Which oxygen delivery device is most
appropriate?
A. Non-rebreather mask
B. Nasal cannula at 2 L/min
C. Venturi mask at 28%
D. Simple face mask at 10 L/min
Answer: C. Venturi mask at 28%
A patient receiving digoxin has a serum potassium of 2.8 mEq/L. The nurse should:
A. Administer digoxin as ordered
B. Hold digoxin and notify provider
C. Give potassium-wasting diuretic
D. Encourage fluid restriction
Answer: B. Hold digoxin and notify provider
Which finding indicates hypocalcemia?
A. Positive Chvostek’s sign
B. Bradycardia
C. Hypoactive reflexes
D. Constipation
Answer: A. Positive Chvostek’s sign
A nurse prepares to administer furosemide IV. Which action is priority?
A. Assess lung sounds
B. Monitor potassium level
C. Check blood pressure
D. Evaluate urine output
Answer: C. Check blood pressure
A patient with type 1 diabetes reports shakiness and sweating. Blood glucose is 48
mg/dL. The nurse should:
A. Administer insulin
B. Give 4 oz orange juice
C. Start IV fluids
D. Call provider immediately
Answer: B. Give 4 oz orange juice
A patient with pneumonia is receiving IV antibiotics. Which finding indicates
effectiveness?
A. Increased sputum production
B. Decreased WBC count
C. Persistent fever
D. Crackles in lungs
,Answer: B. Decreased WBC count
A nurse is caring for a patient with hypothyroidism. Which medication is expected?
A. Levothyroxine
B. Methimazole
C. Propranolol
D. Prednisone
Answer: A. Levothyroxine
A patient with hypertension is prescribed lisinopril. The nurse should monitor for:
A. Hypokalemia
B. Hyperkalemia
C. Hypoglycemia
D. Hypernatremia
Answer: B. Hyperkalemia
A patient with a history of DVT is prescribed enoxaparin. The nurse should teach:
A. Avoid aspirin
B. Increase vitamin K intake
C. Report constipation
D. Restrict fluids
Answer: A. Avoid aspirin
A nurse is caring for a patient with a chest tube. Bubbling in the water seal
chamber indicates:
A. Normal function
B. Air leak
C. Blocked tube
D. Need for removal
Answer: B. Air leak
A patient with diabetes is scheduled for surgery. Which action is priority?
A. Hold morning insulin
B. Give oral hypoglycemic
C. Monitor blood glucose
D. Provide high-carb breakfast
Answer: C. Monitor blood glucose
A patient with asthma is prescribed albuterol. The nurse should teach:
A. Use daily at bedtime
B. Use before exercise
C. Avoid using during attacks
D. Take with food
Answer: B. Use before exercise
A patient with chronic kidney disease has a serum creatinine of 5.2 mg/dL. The
nurse should expect:
A. Fluid restriction
, B. Increased protein intake
C. Potassium supplements
D. Encourage dairy products
Answer: A. Fluid restriction
A patient with tuberculosis is prescribed isoniazid. The nurse should monitor for:
A. Peripheral neuropathy
B. Constipation
C. Hypertension
D. Hypoglycemia
Answer: A. Peripheral neuropathy
A patient with a new ileostomy should be taught to:
A. Avoid high-fiber foods
B. Limit fluid intake
C. Expect formed stools
D. Use laxatives regularly
Answer: A. Avoid high-fiber foods
A nurse is caring for a patient with pancreatitis. Which lab value is expected?
A. Elevated amylase
B. Decreased lipase
C. Elevated bilirubin
D. Decreased calcium
Answer: A. Elevated amylase
A patient with a spinal cord injury is at risk for autonomic dysreflexia. Which finding
is priority?
A. Headache
B. Hypertension
C. Bradycardia
D. Flushed skin
Answer: B. Hypertension
A patient with anemia is prescribed ferrous sulfate. The nurse should teach:
A. Take with milk
B. Take with vitamin C
C. Avoid fluids
D. Take on full stomach
Answer: B. Take with vitamin C
A patient with a urinary catheter develops cloudy urine. The nurse should:
A. Irrigate catheter
B. Replace catheter
C. Encourage fluids
D. Notify provider
Answer: D. Notify provider
Answers
A nurse is caring for a patient with COPD. Which oxygen delivery device is most
appropriate?
A. Non-rebreather mask
B. Nasal cannula at 2 L/min
C. Venturi mask at 28%
D. Simple face mask at 10 L/min
Answer: C. Venturi mask at 28%
A patient receiving digoxin has a serum potassium of 2.8 mEq/L. The nurse should:
A. Administer digoxin as ordered
B. Hold digoxin and notify provider
C. Give potassium-wasting diuretic
D. Encourage fluid restriction
Answer: B. Hold digoxin and notify provider
Which finding indicates hypocalcemia?
A. Positive Chvostek’s sign
B. Bradycardia
C. Hypoactive reflexes
D. Constipation
Answer: A. Positive Chvostek’s sign
A nurse prepares to administer furosemide IV. Which action is priority?
A. Assess lung sounds
B. Monitor potassium level
C. Check blood pressure
D. Evaluate urine output
Answer: C. Check blood pressure
A patient with type 1 diabetes reports shakiness and sweating. Blood glucose is 48
mg/dL. The nurse should:
A. Administer insulin
B. Give 4 oz orange juice
C. Start IV fluids
D. Call provider immediately
Answer: B. Give 4 oz orange juice
A patient with pneumonia is receiving IV antibiotics. Which finding indicates
effectiveness?
A. Increased sputum production
B. Decreased WBC count
C. Persistent fever
D. Crackles in lungs
,Answer: B. Decreased WBC count
A nurse is caring for a patient with hypothyroidism. Which medication is expected?
A. Levothyroxine
B. Methimazole
C. Propranolol
D. Prednisone
Answer: A. Levothyroxine
A patient with hypertension is prescribed lisinopril. The nurse should monitor for:
A. Hypokalemia
B. Hyperkalemia
C. Hypoglycemia
D. Hypernatremia
Answer: B. Hyperkalemia
A patient with a history of DVT is prescribed enoxaparin. The nurse should teach:
A. Avoid aspirin
B. Increase vitamin K intake
C. Report constipation
D. Restrict fluids
Answer: A. Avoid aspirin
A nurse is caring for a patient with a chest tube. Bubbling in the water seal
chamber indicates:
A. Normal function
B. Air leak
C. Blocked tube
D. Need for removal
Answer: B. Air leak
A patient with diabetes is scheduled for surgery. Which action is priority?
A. Hold morning insulin
B. Give oral hypoglycemic
C. Monitor blood glucose
D. Provide high-carb breakfast
Answer: C. Monitor blood glucose
A patient with asthma is prescribed albuterol. The nurse should teach:
A. Use daily at bedtime
B. Use before exercise
C. Avoid using during attacks
D. Take with food
Answer: B. Use before exercise
A patient with chronic kidney disease has a serum creatinine of 5.2 mg/dL. The
nurse should expect:
A. Fluid restriction
, B. Increased protein intake
C. Potassium supplements
D. Encourage dairy products
Answer: A. Fluid restriction
A patient with tuberculosis is prescribed isoniazid. The nurse should monitor for:
A. Peripheral neuropathy
B. Constipation
C. Hypertension
D. Hypoglycemia
Answer: A. Peripheral neuropathy
A patient with a new ileostomy should be taught to:
A. Avoid high-fiber foods
B. Limit fluid intake
C. Expect formed stools
D. Use laxatives regularly
Answer: A. Avoid high-fiber foods
A nurse is caring for a patient with pancreatitis. Which lab value is expected?
A. Elevated amylase
B. Decreased lipase
C. Elevated bilirubin
D. Decreased calcium
Answer: A. Elevated amylase
A patient with a spinal cord injury is at risk for autonomic dysreflexia. Which finding
is priority?
A. Headache
B. Hypertension
C. Bradycardia
D. Flushed skin
Answer: B. Hypertension
A patient with anemia is prescribed ferrous sulfate. The nurse should teach:
A. Take with milk
B. Take with vitamin C
C. Avoid fluids
D. Take on full stomach
Answer: B. Take with vitamin C
A patient with a urinary catheter develops cloudy urine. The nurse should:
A. Irrigate catheter
B. Replace catheter
C. Encourage fluids
D. Notify provider
Answer: D. Notify provider
