Test Bank for Applied Pathophysiology for
the Advanced Practice Nurse 1st Edition
Dlugasch Chapter 3 Assessment Quiz and
Answers|Already Graded A+|Sure To Pass|
Latest 2025-2026 Release
**1.** A patient will begin taking fexofenadine [Allegra] for hay fever. The
nurse teaching this patient will tell the patient that:
a. fexofenadine should be taken with food to prevent gastrointestinal (GI)
symptoms.
b. the medication may be taken once or twice daily.
c. tolerance to sedation will occur in a few weeks.
d. with renal impairment, this drug should be taken every other day.
ANS: B
**2.** A patient has a free T4 level of 0.6 ng/dL and a free T3 of 220 pg/dL.
The patient asks the nurse what these laboratory values mean. How will the
nurse respond?
a. "These laboratory values indicate that you may have Graves' disease."
b. "These results suggest you may have hyperthyroidism."
c. "We will need to obtain a total T4 and a total T3 to tell for sure."
d. "We will need to obtain a TSH level to better evaluate your diagnosis."
ANS: D
1
,**3.** A nurse is preparing to administer vaccines to a 1-year-old child. The
parents ask the nurse to give the child acetaminophen before administering
the vaccine to reduce the pain. Which response by the nurse is correct?
a. "Children don't remember pain, so it isn't necessary to give
acetaminophen."
b. "The small needles used to inject the vaccines cause hardly any
discomfort."
c. "You can apply a topical anesthetic when you get home to reduce pain
from the injection."
d. "Your child's immune response may not be as effective if I give
acetaminophen before the vaccine."
ANS: D
**4.** A patient has been taking levothyroxine for several years and reports
that "for the past 2 weeks, the drug doesn't seem to work as well as before."
What will the nurse do?
a. Ask the patient when the prescription was last refilled.
b. Expect the patient to have an elevated temperature and tachycardia.
c. Suggest that the patient begin taking calcium supplements.
d. Tell the patient to try taking the medication with food.
ANS: A
**5.** A patient is given 1 mg of dexamethasone at 11:00 PM; a plasma
cortisol level recorded at 8:00 PM the next day is normal. The nurse knows
that this is an indication that the patient has what condition?
2
,a. Addison's disease
b. Congenital adrenal hyperplasia
c. Cushing's syndrome
d. Secondary adrenal insufficiency
ANS: C
**6.** A nurse is providing teaching for a patient who will begin taking
fludrocortisone [Florinef] as adjunctive therapy to hydrocortisone. Which
statement by the patient indicates understanding of the teaching?
a. "I should move from sitting to standing slowly."
b. "I should report any swelling of my hands and feet."
c. "I should report weight loss to my provider."
d. "I should report excessive urine output."
ANS: B
**7.** A patient is admitted to the hospital and will begin taking
levothyroxine [Synthroid]. The nurse learns that the patient also takes
warfarin [Coumadin]. The nurse will notify the provider to discuss the dose.
a. reducing; levothyroxine
b. reducing; warfarin
c. increasing; levothyroxine
d. increasing; warfarin
ANS: B
3
, **8.** A patient with a history of benign prostatic hyperplasia is admitted to
the unit. The patient is taking multiple medications, including terazosin
[Hytrin]. During the evening rounds, the patient begins to complain of
dizziness and nasal congestion. Upon assessment, the patient is somnolent
and has a blood pressure of 101/42 mm Hg. The nurse is correct to suspect:
a. priapism.
b. sinus infection.
c. allergic reaction.
d. adverse effects.
ANS: D
**9.** A nurse is teaching a patient who has been diagnosed with
hypothyroidism about levothyroxine [Synthroid]. Which statement by the
patient indicates a need for further teaching?
a. "I should not take heartburn medication without consulting my provider."
b. "I should report insomnia, tremors, and an increased heart rate to my
provider."
c. "If I take a multivitamin with iron, I should take it 4 hours after the
Synthroid."
d. "If I take calcium supplements, I may need to decrease my dose of
Synthroid."
ANS: D
**10.** A patient has an abrasion, and the nurse is preparing to cleanse the
area with iodine. Which preparation will the nurse use?
4
the Advanced Practice Nurse 1st Edition
Dlugasch Chapter 3 Assessment Quiz and
Answers|Already Graded A+|Sure To Pass|
Latest 2025-2026 Release
**1.** A patient will begin taking fexofenadine [Allegra] for hay fever. The
nurse teaching this patient will tell the patient that:
a. fexofenadine should be taken with food to prevent gastrointestinal (GI)
symptoms.
b. the medication may be taken once or twice daily.
c. tolerance to sedation will occur in a few weeks.
d. with renal impairment, this drug should be taken every other day.
ANS: B
**2.** A patient has a free T4 level of 0.6 ng/dL and a free T3 of 220 pg/dL.
The patient asks the nurse what these laboratory values mean. How will the
nurse respond?
a. "These laboratory values indicate that you may have Graves' disease."
b. "These results suggest you may have hyperthyroidism."
c. "We will need to obtain a total T4 and a total T3 to tell for sure."
d. "We will need to obtain a TSH level to better evaluate your diagnosis."
ANS: D
1
,**3.** A nurse is preparing to administer vaccines to a 1-year-old child. The
parents ask the nurse to give the child acetaminophen before administering
the vaccine to reduce the pain. Which response by the nurse is correct?
a. "Children don't remember pain, so it isn't necessary to give
acetaminophen."
b. "The small needles used to inject the vaccines cause hardly any
discomfort."
c. "You can apply a topical anesthetic when you get home to reduce pain
from the injection."
d. "Your child's immune response may not be as effective if I give
acetaminophen before the vaccine."
ANS: D
**4.** A patient has been taking levothyroxine for several years and reports
that "for the past 2 weeks, the drug doesn't seem to work as well as before."
What will the nurse do?
a. Ask the patient when the prescription was last refilled.
b. Expect the patient to have an elevated temperature and tachycardia.
c. Suggest that the patient begin taking calcium supplements.
d. Tell the patient to try taking the medication with food.
ANS: A
**5.** A patient is given 1 mg of dexamethasone at 11:00 PM; a plasma
cortisol level recorded at 8:00 PM the next day is normal. The nurse knows
that this is an indication that the patient has what condition?
2
,a. Addison's disease
b. Congenital adrenal hyperplasia
c. Cushing's syndrome
d. Secondary adrenal insufficiency
ANS: C
**6.** A nurse is providing teaching for a patient who will begin taking
fludrocortisone [Florinef] as adjunctive therapy to hydrocortisone. Which
statement by the patient indicates understanding of the teaching?
a. "I should move from sitting to standing slowly."
b. "I should report any swelling of my hands and feet."
c. "I should report weight loss to my provider."
d. "I should report excessive urine output."
ANS: B
**7.** A patient is admitted to the hospital and will begin taking
levothyroxine [Synthroid]. The nurse learns that the patient also takes
warfarin [Coumadin]. The nurse will notify the provider to discuss the dose.
a. reducing; levothyroxine
b. reducing; warfarin
c. increasing; levothyroxine
d. increasing; warfarin
ANS: B
3
, **8.** A patient with a history of benign prostatic hyperplasia is admitted to
the unit. The patient is taking multiple medications, including terazosin
[Hytrin]. During the evening rounds, the patient begins to complain of
dizziness and nasal congestion. Upon assessment, the patient is somnolent
and has a blood pressure of 101/42 mm Hg. The nurse is correct to suspect:
a. priapism.
b. sinus infection.
c. allergic reaction.
d. adverse effects.
ANS: D
**9.** A nurse is teaching a patient who has been diagnosed with
hypothyroidism about levothyroxine [Synthroid]. Which statement by the
patient indicates a need for further teaching?
a. "I should not take heartburn medication without consulting my provider."
b. "I should report insomnia, tremors, and an increased heart rate to my
provider."
c. "If I take a multivitamin with iron, I should take it 4 hours after the
Synthroid."
d. "If I take calcium supplements, I may need to decrease my dose of
Synthroid."
ANS: D
**10.** A patient has an abrasion, and the nurse is preparing to cleanse the
area with iodine. Which preparation will the nurse use?
4
