RNSG 1301 Review for Exam 2025

QUESTION 1 A patient is prescribed insulin glargine [Lantus]. Which statement should the nurse include in the discharge instructions? a. The insulin will have a cloudy appearance in the vial. b. The insulin should be injected twice daily (before breakfast and dinner). c. The patient should mix Lantus with the intermediate-acting insulin. d. The patient will have less risk of hypoglycemic reactions with this insulin. 5 points Saved QUESTION 2 A patient is prescribed NPH insulin. Which statement should the nurse include in the discharge instructions? a. The insulin will have a cloudy appearance in the vial. b. The onset of action is rapid. c. The patient should not mix Lantus with short-acting insulin. d. The patient will have no risk of allergic reactions with this insulin. 5 points Saved QUESTION 3 A patient is prescribed metformin. Which statement about metformin does the nurse identify as true? a. Metformin increases absorption of vitamin B12. b. Metformin can delay the development of type 2 diabetes in high-risk individuals. c. Metformin causes patients to gain weight. d. Metformin use predisposes patients to alkalosis. 5 points Saved QUESTION 4 The nurse instructs a patient about taking levothyroxine [Synthroid]. Which statement by the patient indicates the teaching has been effective? a. “To prevent an upset stomach, I will take the drug with food.” b. “If I have chest pain or insomnia, I should call my doctor.” c. “This medication can be taken with an antacid.” d. “The drug should be taken before I go to bed at night.” 5 points Saved QUESTION 5 A patient takes levothyroxine [Synthroid] 0.75 mcg every day. It is most appropriate for the nurse to monitor which laboratory test to determine whether a dose adjustment is needed? a. Thyrotropin-releasing hormone (TRH) b. Thyroid-stimulating hormone (TSH) c. Serum free T4 test d. Serum iodine level 5 points Saved QUESTION 6 A pediatric patient is prescribed somatropin [Humatrope] for growth hormone deficiency. It is most appropriate for the nurse to take which action? a. Perform a venipuncture to give the medication intravenously b. Obtain a straw to prevent staining of the tooth enamel c. Draw up the drug into a syringe and give it subcutaneously d. Mix the medication in 30 mL of fruit juice 5 points Saved QUESTION 7 A child with type 1 diabetes mellitus is diagnosed with growth hormone deficiency and is started on somatropin [Humatrope]. It is most appropriate for the nurse to monitor the child for which condition? a. Renal insufficiency b. Hypertension c. Hyperglycemia d. Hypothyroidism 5 points Saved QUESTION 8 A patient with a urinary creatinine clearance of 55 mL/min is prescribed desmopressin [DDAVP]. It is most important for the nurse to assess the patient for what? a. Irritability, muscle weakness, and back pain b. Drowsiness, listlessness, and headache c. Fever, tachycardia, and hypotension d. Decreased skin turgor, weight loss, and dry skin 5 points Saved QUESTION 9