N352 EXAM 3 REVIEW QUESTIONS | COMPREHENSIVE NURSING STUDY GUIDE,
PRACTICE QUESTIONS & ANSWERS 2026/2027
A patient newly diagnosed with type 1 diabetes asks a nurse, "How does insulin normally work in my
body?" The nurse explains that normal insulin has which action in the body?
1. It stimulates the pancreas to reabsorb glucose.
2. It promotes the synthesis of amino acids into glucose.
3. It stimulates the liver to convert glycogen to glucose.
4. It promotes the passage of glucose into cells for energy. - ANS ✔✔4
The nurse is caring for a client who has diabetes mellitus Type II. Before administering metformin
(Glucophage), the nurse should notify the prescriber about which laboratory value?
1. Creatinine (Cr) level of 2.1 mg/dL
2. Hemoglobin (Hgb) level of 9.5 gm/dL
3. Sodium (Na) level of 131 mEq/dL
4. Platelet count of 120,000/mm3 - ANS ✔✔1
The nurse is providing teaching for a patient receiving glipizide (Glucotrol). Which patient statement
indicates understanding of this medication?
1. "I need to notify my doctor if I have episodes of shakiness and sweating."
2. "Since this is an oral diabetic control medication, I will never have hypoglycemia."
3. "I can eat whatever I wish as long as I take my medication daily as prescribed."
4. "I will not have to test my blood sugars at home because this medication will cure my diabetes." - ANS
✔✔1
The nurse is caring for a patient with asthma. The nurse assess increased wheezes upon asuscultation
after ambulation. The nurse administers an "as needed" dose of Albuterol (Proventil) via nebulizer
treatment. After the treatment, the patient is resting quietly with an SaO2 of 94%. What is the next
action by the nurse?
1. Auscultate bilateral lung fields.
2. Continue the ambulation.
3. Put the patient on oxygen by mask.
4. Repeat the nebulizer treatment. - ANS ✔✔1
The nurse is caring for a patient with asthma who is scheduled to start taking a glucocorticoid medication
with a metered-dose inhaler (MDI). The nurse should give the patient which instruction about correct
use of the inhaler?
1. "After you inhale the medication once, repeat until you obtain symptomatic relief."
2. "Wait no longer than 30 seconds after the first puff before taking the second one."
3. "Use a spacer with the inhaler and rinse your mouth after each dose administration."
4. "Breathe in through the nose and hold for 2 seconds just before activating the inhaler." - ANS ✔✔3
, The nurse is caring for a patient who has asthma. The nurse teaches a patient with chronic asthma to use
an inhaled glucocorticoid medication according to which schedule?
1. Only in an emergency.
2. On a continuing, daily basis.
3. To abort an asthma attack.
4. 2 weeks on, 2 weeks off. - ANS ✔✔2
The nurse is providing education to a 35 year old woman who is being prescribed oral contraceptives.
Which risk factor would increase the risk of thromboembolic phenomena (Blood clots) arising from Oral
Contraceptives use in this patient?
1. Alcohol consumption.
2. Asthma.
3. Smoking.
4. Noncompliance. - ANS ✔✔3
A patient is scheduled to start taking sildenafil (Viagra) for erectile dysfunction. A nurse should recognize
that the patient is at risk for developing an adverse cardiac event if the patient's history reveals which
conditions?
1. Angina
2. Hypertension
3. Varicose veins
4. Prosthetic mitral valve - ANS ✔✔1
A patient with deep vein thrombosis is receiving an intravenous (IV) heparin infusion. He asks the nurse
how this medication will help him. The nurse's response is accurately based on which concept?
1. Heparin prevents the activation of vitamin K and thus blocks synthesis of some clotting factors.
2. Heparin suppresses coagulation by helping antithrombin perform its natural functions.
3. Heparin works by converting plasminogen to plasmin, which in turn dissolves the clot matrix.
4. Heparin inhibits the enzyme responsible for platelet activation and aggregation within vessels. - ANS
✔✔2
Which instruction about clopidogrel (Plavix) should be included in the discharge teaching for a patient
who has received a coronary stent?
1. "Constipation is a common side effect of clopidogrel, so take a stool softener daily."
2. "Do not worry if you see blood in your urine or black stools, this is a common side effect."
3. "Check with your healthcare provider before taking any over-the-counter medications for gastric
acidity."
4. "Keep the amounts of foods containing vitamin K, such as mayonnaise, canola and soybean oil, and
green, leafy vegetables, consistent in your diet." - ANS ✔✔3
PRACTICE QUESTIONS & ANSWERS 2026/2027
A patient newly diagnosed with type 1 diabetes asks a nurse, "How does insulin normally work in my
body?" The nurse explains that normal insulin has which action in the body?
1. It stimulates the pancreas to reabsorb glucose.
2. It promotes the synthesis of amino acids into glucose.
3. It stimulates the liver to convert glycogen to glucose.
4. It promotes the passage of glucose into cells for energy. - ANS ✔✔4
The nurse is caring for a client who has diabetes mellitus Type II. Before administering metformin
(Glucophage), the nurse should notify the prescriber about which laboratory value?
1. Creatinine (Cr) level of 2.1 mg/dL
2. Hemoglobin (Hgb) level of 9.5 gm/dL
3. Sodium (Na) level of 131 mEq/dL
4. Platelet count of 120,000/mm3 - ANS ✔✔1
The nurse is providing teaching for a patient receiving glipizide (Glucotrol). Which patient statement
indicates understanding of this medication?
1. "I need to notify my doctor if I have episodes of shakiness and sweating."
2. "Since this is an oral diabetic control medication, I will never have hypoglycemia."
3. "I can eat whatever I wish as long as I take my medication daily as prescribed."
4. "I will not have to test my blood sugars at home because this medication will cure my diabetes." - ANS
✔✔1
The nurse is caring for a patient with asthma. The nurse assess increased wheezes upon asuscultation
after ambulation. The nurse administers an "as needed" dose of Albuterol (Proventil) via nebulizer
treatment. After the treatment, the patient is resting quietly with an SaO2 of 94%. What is the next
action by the nurse?
1. Auscultate bilateral lung fields.
2. Continue the ambulation.
3. Put the patient on oxygen by mask.
4. Repeat the nebulizer treatment. - ANS ✔✔1
The nurse is caring for a patient with asthma who is scheduled to start taking a glucocorticoid medication
with a metered-dose inhaler (MDI). The nurse should give the patient which instruction about correct
use of the inhaler?
1. "After you inhale the medication once, repeat until you obtain symptomatic relief."
2. "Wait no longer than 30 seconds after the first puff before taking the second one."
3. "Use a spacer with the inhaler and rinse your mouth after each dose administration."
4. "Breathe in through the nose and hold for 2 seconds just before activating the inhaler." - ANS ✔✔3
, The nurse is caring for a patient who has asthma. The nurse teaches a patient with chronic asthma to use
an inhaled glucocorticoid medication according to which schedule?
1. Only in an emergency.
2. On a continuing, daily basis.
3. To abort an asthma attack.
4. 2 weeks on, 2 weeks off. - ANS ✔✔2
The nurse is providing education to a 35 year old woman who is being prescribed oral contraceptives.
Which risk factor would increase the risk of thromboembolic phenomena (Blood clots) arising from Oral
Contraceptives use in this patient?
1. Alcohol consumption.
2. Asthma.
3. Smoking.
4. Noncompliance. - ANS ✔✔3
A patient is scheduled to start taking sildenafil (Viagra) for erectile dysfunction. A nurse should recognize
that the patient is at risk for developing an adverse cardiac event if the patient's history reveals which
conditions?
1. Angina
2. Hypertension
3. Varicose veins
4. Prosthetic mitral valve - ANS ✔✔1
A patient with deep vein thrombosis is receiving an intravenous (IV) heparin infusion. He asks the nurse
how this medication will help him. The nurse's response is accurately based on which concept?
1. Heparin prevents the activation of vitamin K and thus blocks synthesis of some clotting factors.
2. Heparin suppresses coagulation by helping antithrombin perform its natural functions.
3. Heparin works by converting plasminogen to plasmin, which in turn dissolves the clot matrix.
4. Heparin inhibits the enzyme responsible for platelet activation and aggregation within vessels. - ANS
✔✔2
Which instruction about clopidogrel (Plavix) should be included in the discharge teaching for a patient
who has received a coronary stent?
1. "Constipation is a common side effect of clopidogrel, so take a stool softener daily."
2. "Do not worry if you see blood in your urine or black stools, this is a common side effect."
3. "Check with your healthcare provider before taking any over-the-counter medications for gastric
acidity."
4. "Keep the amounts of foods containing vitamin K, such as mayonnaise, canola and soybean oil, and
green, leafy vegetables, consistent in your diet." - ANS ✔✔3
