NU 136 EXAM PREP QUESTIONS AND
ANSWERS 100% VERIFIED (2026/2027)
GALEN COLLEGE OF NURSING
1. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following findings should the nurse identify as a manifestation of digoxin toxicity?
A. Yellow-tinged vision
B. Hyperkalemia
C. Increased appetite
D. Tachycardia
Answer: A
Conceptual Explanation: Yellow-tinged vision or ‘halos’ are classic signs of digoxin
toxicity. Other signs include bradycardia, nausea, and anorexia, rather than tachycardia or
increased appetite.
2. A client is prescribed a new medication that has a high first-pass effect. Which route of
administration should the nurse expect the provider to avoid for this drug?
A. Intravenous
B. Oral
C. Sublingual
,D. Transdermal
Answer: B
Conceptual Explanation: The first-pass effect occurs when a drug is metabolized by the
liver before reaching systemic circulation, which happens primarily with oral
administration.
3. The nurse is caring for a client receiving heparin via continuous IV infusion. The client’s
aPTT is 110 seconds. Which of the following medications should the nurse anticipate
administering?
A. Protamine sulfate
B. Vitamin K
C. Glucagon
D. Acetylcysteine
Answer: A
Conceptual Explanation: Protamine sulfate is the antidote for heparin. Vitamin K is for
warfarin, glucagon for beta-blockers, and acetylcysteine for acetaminophen toxicity.
4. A nurse is teaching a client about a new prescription for levothyroxine. Which of the
following instructions should the nurse include?
A. Take the medication 30 minutes before breakfast.
B. Take the medication with a full meal.
, C. Take the medication at bedtime.
D. Expect the full effect of the drug within 24 hours.
Answer: A
Conceptual Explanation: Levothyroxine should be taken on an empty stomach, usually
30-60 minutes before breakfast, to ensure optimal absorption.
5. A client is receiving vancomycin for a MRSA infection. The nurse notes the client’s neck and
face are becoming flushed. Which of the following actions should the nurse take first?
A. Apply oxygen via nasal cannula.
B. Administer diphenhydramine.
C. Slow the infusion rate.
D. Document the finding.
Answer: C
Conceptual Explanation: Red Man Syndrome is a common infusion-related reaction to
vancomycin. The first action is to slow the infusion rate.
6. When calculating a pediatric dose based on body weight, a child weighs 44 lbs. How many
kilograms does the child weigh?
A. 10 kg
B. 88 kg
C. 22 kg
ANSWERS 100% VERIFIED (2026/2027)
GALEN COLLEGE OF NURSING
1. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following findings should the nurse identify as a manifestation of digoxin toxicity?
A. Yellow-tinged vision
B. Hyperkalemia
C. Increased appetite
D. Tachycardia
Answer: A
Conceptual Explanation: Yellow-tinged vision or ‘halos’ are classic signs of digoxin
toxicity. Other signs include bradycardia, nausea, and anorexia, rather than tachycardia or
increased appetite.
2. A client is prescribed a new medication that has a high first-pass effect. Which route of
administration should the nurse expect the provider to avoid for this drug?
A. Intravenous
B. Oral
C. Sublingual
,D. Transdermal
Answer: B
Conceptual Explanation: The first-pass effect occurs when a drug is metabolized by the
liver before reaching systemic circulation, which happens primarily with oral
administration.
3. The nurse is caring for a client receiving heparin via continuous IV infusion. The client’s
aPTT is 110 seconds. Which of the following medications should the nurse anticipate
administering?
A. Protamine sulfate
B. Vitamin K
C. Glucagon
D. Acetylcysteine
Answer: A
Conceptual Explanation: Protamine sulfate is the antidote for heparin. Vitamin K is for
warfarin, glucagon for beta-blockers, and acetylcysteine for acetaminophen toxicity.
4. A nurse is teaching a client about a new prescription for levothyroxine. Which of the
following instructions should the nurse include?
A. Take the medication 30 minutes before breakfast.
B. Take the medication with a full meal.
, C. Take the medication at bedtime.
D. Expect the full effect of the drug within 24 hours.
Answer: A
Conceptual Explanation: Levothyroxine should be taken on an empty stomach, usually
30-60 minutes before breakfast, to ensure optimal absorption.
5. A client is receiving vancomycin for a MRSA infection. The nurse notes the client’s neck and
face are becoming flushed. Which of the following actions should the nurse take first?
A. Apply oxygen via nasal cannula.
B. Administer diphenhydramine.
C. Slow the infusion rate.
D. Document the finding.
Answer: C
Conceptual Explanation: Red Man Syndrome is a common infusion-related reaction to
vancomycin. The first action is to slow the infusion rate.
6. When calculating a pediatric dose based on body weight, a child weighs 44 lbs. How many
kilograms does the child weigh?
A. 10 kg
B. 88 kg
C. 22 kg
