NUR 112 Final Exam practice questions with
complete solutions
. Patients who are taking corticosteroids would be
expected to report which findings?Select all that
apply.
1. Weight gain
2. Round or "moon face" appearance
3. Feeling of well-being
4. Weight loss
5. Excessive hair growth
6. Fragile skin Correct Answers 1, 2, 3, 6
. The benzodiazepines react with
a. GABA receptor sites in the RAS to cause
inhibition of neural arousal.
b. norepinephrine receptor sites in the sympathetic
nervous system.
c. acetylcholine receptor sites in the
parasympathetic nervous system.
,d. monoamine oxidase to increase norepinephrine
breakdown. Correct Answers a
. The client diagnosed with Cushing's disease has
undergone a unilateral adrenalectomy. Which
discharge instructions should the nurse discuss
with the client?
1. Instruct the client to take the glucocorticoid and
mineralocorticoid medications as prescribed.
2. Teach the client regarding sexual functioning
and androgen replacement therapy.
3. Explain the signs and symptoms of infection and
when to call the health-care provider.
4. Demonstrate turn, cough, and deep-breathing
exercises the client should perform every (2)
hours. Correct Answers 3
. The client with hyperthyroidism is administered
radioactive iodine (I-131). Which intervention
should the nurse implement?
1. Explain that the medication will destroy the
thyroid gland completely.
2. Instruct the client to avoid close contact with
children for 1 week.
3. Discuss the need to take the medication at night
for 7 days.
4. Administer the radioactive iodine in 8 ounces of
cold orange juice. Correct Answers 2
,. Which statement best describes the
pharmacodynamics of insulin?
1. Insulin causes the pancreas to secrete glucose
into the bloodstream.
2. Insulin is metabolized by the liver and muscle
and excreted in the urine.
3. Insulin is needed to maintain colloidal osmotic
pressure in the bloodstream.
4. Insulin lowers blood glucose by promoting use of
glucose in the body cells. Correct Answers 4
. Which statement best describes the scientific
rationale for prescribing the biguanide metformin
(Glucophage)?
1. This medication decreases insulin resistance,
improving blood glucose control.
2. This medication allows the carbohydrates to
pass slowly through the large
intestine.
3. This medication will decrease the hepatic
production of glucose from stored glycogen
4. This medication stimulates the beta cells to
release more insulin into the blood-stream. Correct
Answers 3
.Clients who are using inhalers require careful
teaching about which information?SElect all that
apply.
1. Avoiding food 1 hour before and 2 hours after
dosing
, 2. Storage of the drug
3. Administration techniques to promote
therapeutic effects and avoid adverse effects
4. Lying flat for as long as 2 hours after dosing
5. Timing of administration
6. The difference between rescue treatment and
prophylaxis Correct Answers 2, 3, 5, 6
A 10-month-old girl is admitted to the pediatric unit
with a history of recurrent pneumonia and failure
to thrive. Her sweat chloride test confirms the
diagnosis of cystic fibrosis. She is a frail-appearing
infant with thin extremities and a slightly
protuberant abdomen. She is tachypneic, has
retractions, and coughs frequently. Based on the
limited information given here and your knowledge
of cystic fibrosis, choose three of the categories
below as priorities to focus on when planning her
care:
1. Prevention of bronchospasm
2. Promotion of adequate nutrition
3. Education of the child and family
4. Prevention of pulmonary infection
5. Balancing fluid and electrolytes
6. Management of excess weight gain
7. Prevention of spread of infection
8. Promoting adequate sleep and rest Correct
Answers 2, 3, 4
complete solutions
. Patients who are taking corticosteroids would be
expected to report which findings?Select all that
apply.
1. Weight gain
2. Round or "moon face" appearance
3. Feeling of well-being
4. Weight loss
5. Excessive hair growth
6. Fragile skin Correct Answers 1, 2, 3, 6
. The benzodiazepines react with
a. GABA receptor sites in the RAS to cause
inhibition of neural arousal.
b. norepinephrine receptor sites in the sympathetic
nervous system.
c. acetylcholine receptor sites in the
parasympathetic nervous system.
,d. monoamine oxidase to increase norepinephrine
breakdown. Correct Answers a
. The client diagnosed with Cushing's disease has
undergone a unilateral adrenalectomy. Which
discharge instructions should the nurse discuss
with the client?
1. Instruct the client to take the glucocorticoid and
mineralocorticoid medications as prescribed.
2. Teach the client regarding sexual functioning
and androgen replacement therapy.
3. Explain the signs and symptoms of infection and
when to call the health-care provider.
4. Demonstrate turn, cough, and deep-breathing
exercises the client should perform every (2)
hours. Correct Answers 3
. The client with hyperthyroidism is administered
radioactive iodine (I-131). Which intervention
should the nurse implement?
1. Explain that the medication will destroy the
thyroid gland completely.
2. Instruct the client to avoid close contact with
children for 1 week.
3. Discuss the need to take the medication at night
for 7 days.
4. Administer the radioactive iodine in 8 ounces of
cold orange juice. Correct Answers 2
,. Which statement best describes the
pharmacodynamics of insulin?
1. Insulin causes the pancreas to secrete glucose
into the bloodstream.
2. Insulin is metabolized by the liver and muscle
and excreted in the urine.
3. Insulin is needed to maintain colloidal osmotic
pressure in the bloodstream.
4. Insulin lowers blood glucose by promoting use of
glucose in the body cells. Correct Answers 4
. Which statement best describes the scientific
rationale for prescribing the biguanide metformin
(Glucophage)?
1. This medication decreases insulin resistance,
improving blood glucose control.
2. This medication allows the carbohydrates to
pass slowly through the large
intestine.
3. This medication will decrease the hepatic
production of glucose from stored glycogen
4. This medication stimulates the beta cells to
release more insulin into the blood-stream. Correct
Answers 3
.Clients who are using inhalers require careful
teaching about which information?SElect all that
apply.
1. Avoiding food 1 hour before and 2 hours after
dosing
, 2. Storage of the drug
3. Administration techniques to promote
therapeutic effects and avoid adverse effects
4. Lying flat for as long as 2 hours after dosing
5. Timing of administration
6. The difference between rescue treatment and
prophylaxis Correct Answers 2, 3, 5, 6
A 10-month-old girl is admitted to the pediatric unit
with a history of recurrent pneumonia and failure
to thrive. Her sweat chloride test confirms the
diagnosis of cystic fibrosis. She is a frail-appearing
infant with thin extremities and a slightly
protuberant abdomen. She is tachypneic, has
retractions, and coughs frequently. Based on the
limited information given here and your knowledge
of cystic fibrosis, choose three of the categories
below as priorities to focus on when planning her
care:
1. Prevention of bronchospasm
2. Promotion of adequate nutrition
3. Education of the child and family
4. Prevention of pulmonary infection
5. Balancing fluid and electrolytes
6. Management of excess weight gain
7. Prevention of spread of infection
8. Promoting adequate sleep and rest Correct
Answers 2, 3, 4
