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PNM300 FINAL EXAM NEWEST 2026-2027 /PNM300
FINAL EXAM PRACTICE QUESTIONS EXAM
COMPLETE 300 ALL QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES
A 78-year-old patient is in the recovery room after lengthy
hip surgery. While gradually awakening, the patient
requests pain medication. Within 10 minutes after
receiving a dose of morphine sulphate, the patient is very
lethargic; respiration is shallow, at a rate of nine
respirations per minute. What necessary action may the
nurse need to perform?
a. Close observation for signs of opioid tolerance
b. Immediate intubation and artificial ventilation
c. Administration of naloxone, an opioid reversal agent
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d. Administration of an agonist opioid, such as fentanyl
(Duragesic Mat) - ANSWER-C.
Naloxone, an opioid reversal agent, is used to reverse the
effects of acute opioid overdose and is the drug of choice
for reversal of opioid-induced respiratory depression
Metronidazole is widely used for gynecological and intra-
abdominal infections caused by anaerobic organisms.
When administering vancomycin (Vancocin), what
important information should the nurse keep in mind?
a. It is ineffective in the treatment of MRSA.
b. It should be infused over at least 30 minutes.
c. Fluids should be restricted during vancomycin therapy.
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d. Infuse the drug over 1 hour to reduce red man
syndrome. - ANSWER-D.
Which nursing diagnosis is appropriate for the patient who
has started aminoglycoside therapy?
a. Constipation
b. Risk for injury (hearing loss)
c. Disturbed body image related to gynecomastia
d. Imbalanced nutrition, less than body requirements,
related to nausea - ANSWER-B.
When patients are taking aminoglycosides, which are
potent antibiotics, which laboratory result must the nurse
carefully monitor?
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a. Alanine aminotransferase (ALT)
b. Glycosylated hemoglobin
c. Serum creatinine
d. Aspartate aminotransferase (AST) - ANSWER-C.
Nephrotoxicity occurs in 5 to 25% of patients taking
aminoglycosides. The nurse must carefully monitor
increased blood urea nitrogen and serum creatinine levels
and monitor for urinary casts and proteinuria.
Which medication is commonly prescribed to treat
recurrent pulmonary infections associated with cystic
fibrosis?
a. gentamicin sulphate
b. tobramycin
PNM300 FINAL EXAM NEWEST 2026-2027 /PNM300
FINAL EXAM PRACTICE QUESTIONS EXAM
COMPLETE 300 ALL QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES
A 78-year-old patient is in the recovery room after lengthy
hip surgery. While gradually awakening, the patient
requests pain medication. Within 10 minutes after
receiving a dose of morphine sulphate, the patient is very
lethargic; respiration is shallow, at a rate of nine
respirations per minute. What necessary action may the
nurse need to perform?
a. Close observation for signs of opioid tolerance
b. Immediate intubation and artificial ventilation
c. Administration of naloxone, an opioid reversal agent
,2|Page
d. Administration of an agonist opioid, such as fentanyl
(Duragesic Mat) - ANSWER-C.
Naloxone, an opioid reversal agent, is used to reverse the
effects of acute opioid overdose and is the drug of choice
for reversal of opioid-induced respiratory depression
Metronidazole is widely used for gynecological and intra-
abdominal infections caused by anaerobic organisms.
When administering vancomycin (Vancocin), what
important information should the nurse keep in mind?
a. It is ineffective in the treatment of MRSA.
b. It should be infused over at least 30 minutes.
c. Fluids should be restricted during vancomycin therapy.
,3|Page
d. Infuse the drug over 1 hour to reduce red man
syndrome. - ANSWER-D.
Which nursing diagnosis is appropriate for the patient who
has started aminoglycoside therapy?
a. Constipation
b. Risk for injury (hearing loss)
c. Disturbed body image related to gynecomastia
d. Imbalanced nutrition, less than body requirements,
related to nausea - ANSWER-B.
When patients are taking aminoglycosides, which are
potent antibiotics, which laboratory result must the nurse
carefully monitor?
, 4|Page
a. Alanine aminotransferase (ALT)
b. Glycosylated hemoglobin
c. Serum creatinine
d. Aspartate aminotransferase (AST) - ANSWER-C.
Nephrotoxicity occurs in 5 to 25% of patients taking
aminoglycosides. The nurse must carefully monitor
increased blood urea nitrogen and serum creatinine levels
and monitor for urinary casts and proteinuria.
Which medication is commonly prescribed to treat
recurrent pulmonary infections associated with cystic
fibrosis?
a. gentamicin sulphate
b. tobramycin
