NU 150 EXAM 4 (2026/2027) QUESTIONS AND
CORRECT ANSWERS GRADED A+ GALEN
A patient with Parkinson's disease is prescribed levodopa/carbidopa. Which
statement by the patient indicates the need for further teaching?
"I should take this medication with a high-protein meal."
A patient on phenytoin for epilepsy reports gingival hyperplasia. What is the
nurse's priority teaching?
"Practice good oral hygiene, including regular flossing and dental checkups."
What instruction should the nurse provide to a patient taking alendronate for
osteoporosis?
"Remain upright for at least 30 minutes after taking the medication."
A patient with bipolar disorder is prescribed lithium. What finding indicates the
patient may be experiencing lithium toxicity?
Tremors, confusion, and nausea
Which patient statement indicates a need for further teaching about sildenafil?
"This medication will protect me from sexually transmitted infections."
,A patient prescribed lorazepam for anxiety asks about its side effects. What is the
nurse's best
response?
"You may feel drowsy, so avoid driving until you know how it affects you."
Which side effect should the nurse monitor for in a patient taking amitriptyline?
Orthostatic hypotension
What is the most important teaching point for a patient starting aripiprazole?
"You may experience fewer side effects compared to older antipsychotics."
A patient diagnosed with mild to moderate Alzheimer's disease is prescribed
rivastigmine. Which statement by the patient indicates effective teaching?
"I should take this medication with meals to reduce stomach upset."
What should the nurse include in teaching a patient prescribed allopurinol for
gout?
"Drink at least 2-3 liters of water daily to prevent kidney stones."
,A patient with rheumatoid arthritis is prescribed methotrexate. What should the
nurse monitor to prevent serious complications?
Liver function tests and complete blood count (CBC)
A patient with benign prostatic hyperplasia (BPH) is prescribed tamsulosin. What
side effect should
the nurse educate the patient about?
Orthostatic hypotension
The nurse is teaching a patient who has been prescribed fluoxetine for depression.
Which of the
following should the nurse include in the teaching?
"You may experience sexual dysfunction as a side effect."
A patient is prescribed cyclobenzaprine for muscle spasms. What is the nurse's
priority teaching?
. "Avoid operating machinery or driving while on this medication."
What should the nurse teach a patient who is prescribed zolpidem for insomnia?
"Avoid alcohol while taking this medication."
, A patient taking valproic acid for epilepsy reports abdominal pain and nausea.
What is the nurse's
priority action?
Assess liver function tests.
The nurse is educating a patient starting levetiracetam for seizure control. Which
statement by the
patient requires further teaching?
"I can stop this medication if my seizures improve."
What side effect should the nurse monitor for in a patient taking haloperidol for
schizophrenia?
Extrapyramidal symptoms (EPS)
A patient taking lithium for bipolar disorder reports frequent urination and
increased thirst. What is the
nurse's priority action?
Check the patient's blood lithium level.
What instruction should the nurse provide to a patient taking alendronate for
osteoporosis?
"Take this medication with a full glass of water on an empty stomach."
CORRECT ANSWERS GRADED A+ GALEN
A patient with Parkinson's disease is prescribed levodopa/carbidopa. Which
statement by the patient indicates the need for further teaching?
"I should take this medication with a high-protein meal."
A patient on phenytoin for epilepsy reports gingival hyperplasia. What is the
nurse's priority teaching?
"Practice good oral hygiene, including regular flossing and dental checkups."
What instruction should the nurse provide to a patient taking alendronate for
osteoporosis?
"Remain upright for at least 30 minutes after taking the medication."
A patient with bipolar disorder is prescribed lithium. What finding indicates the
patient may be experiencing lithium toxicity?
Tremors, confusion, and nausea
Which patient statement indicates a need for further teaching about sildenafil?
"This medication will protect me from sexually transmitted infections."
,A patient prescribed lorazepam for anxiety asks about its side effects. What is the
nurse's best
response?
"You may feel drowsy, so avoid driving until you know how it affects you."
Which side effect should the nurse monitor for in a patient taking amitriptyline?
Orthostatic hypotension
What is the most important teaching point for a patient starting aripiprazole?
"You may experience fewer side effects compared to older antipsychotics."
A patient diagnosed with mild to moderate Alzheimer's disease is prescribed
rivastigmine. Which statement by the patient indicates effective teaching?
"I should take this medication with meals to reduce stomach upset."
What should the nurse include in teaching a patient prescribed allopurinol for
gout?
"Drink at least 2-3 liters of water daily to prevent kidney stones."
,A patient with rheumatoid arthritis is prescribed methotrexate. What should the
nurse monitor to prevent serious complications?
Liver function tests and complete blood count (CBC)
A patient with benign prostatic hyperplasia (BPH) is prescribed tamsulosin. What
side effect should
the nurse educate the patient about?
Orthostatic hypotension
The nurse is teaching a patient who has been prescribed fluoxetine for depression.
Which of the
following should the nurse include in the teaching?
"You may experience sexual dysfunction as a side effect."
A patient is prescribed cyclobenzaprine for muscle spasms. What is the nurse's
priority teaching?
. "Avoid operating machinery or driving while on this medication."
What should the nurse teach a patient who is prescribed zolpidem for insomnia?
"Avoid alcohol while taking this medication."
, A patient taking valproic acid for epilepsy reports abdominal pain and nausea.
What is the nurse's
priority action?
Assess liver function tests.
The nurse is educating a patient starting levetiracetam for seizure control. Which
statement by the
patient requires further teaching?
"I can stop this medication if my seizures improve."
What side effect should the nurse monitor for in a patient taking haloperidol for
schizophrenia?
Extrapyramidal symptoms (EPS)
A patient taking lithium for bipolar disorder reports frequent urination and
increased thirst. What is the
nurse's priority action?
Check the patient's blood lithium level.
What instruction should the nurse provide to a patient taking alendronate for
osteoporosis?
"Take this medication with a full glass of water on an empty stomach."
