1|Page
PNM300 TEST 3 NEWEST 2025 ACTUAL EXAM TEST
BANK| PNM300 EXAM 3 PREP WITH 450 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (BRAND NEW!!)
When assessing for potential serious adverse effects to propylthiouracil
(PTU), the nurse will monitor which laboratory test?
a. Complete blood count (CBC)
b. Brain natriuretic peptide
c. Serum electrolytes
d. Kidney function – Correct Answer - a. Complete blood count (CBC)
With antithyroid medications, the nurse should monitor for possible
serious adverse reactions such as agranulocytosis, leukopenia, and
thrombocytopenia. These would be present in a complete blood count
(CBC) as abnormal values and indicate bone marrow dysfunction.
The nurse is assessing an older adult patient for nonspecific symptoms
of hypothyroidism. Which of the following would make the nurse follow
up with the health care provider?
a. Leukopenia, anemia
b. Loss of appetite, polyuria
c. Weight loss, dry cough
d. Cold intolerance, depression – Correct Answer - d. Cold intolerance,
depression
pg. 1
,2|Page
Which condition may be caused by low levels of thyroid hormone in
youth?
a. Goiter
b. Myxedema
c. Cretinism
d. Addison's disease – Correct Answer - C. cretinism = abnormal
physical + mental development
When teaching about hypoglycemia, the nurse will make sure that the
patient is aware of the early signs of hypoglycemia, including:
a. hypothermia and seizures.
b. nausea and diarrhea.
c. confusion and sweating.
d. fruity, acetone odor to the breath. – Correct Answer - C
Early symptoms of hypoglycemia include the central nervous system
manifestations of confusion, irritability, tremor, and sweating.
Hypothermia and seizures are later symptoms of hypoglycemia. The
other options are incorrect.
A patient with type 2 diabetes self-administers insulin injections as part
of therapy. What should the nurse tell this patient to do if she has
hypoglycemia?
a. Call the physician.
b. Administer regular insulin.
pg. 2
,3|Page
c. Take an oral form of glucose.
d. Rest until the symptoms pass. – Correct Answer - C.
The patient can take glucose tablets (liquid or gel), corn syrup, or honey;
drink fruit juice or a nondiet soft drink; or eat a small snack, such as
crackers or half a sandwich.
A 48-year-old male patient is diagnosed with metabolic syndrome and is
started on biguanide metformin (Glucophage®). He asks the nurse why
he needs this drug. The nurse's best explanation of the purpose of the
metformin is that it
a. increases the pancreatic secretion of insulin.
b. decreases glucose production by the liver.
c. increases intestinal absorption of glucose.
d. decreases the pancreatic secretion of insulin. – Correct Answer - B.
decreases glucose production by the liver.
Metformin works by decreasing glucose production by the liver. It may
also decrease intestinal absorption of glucose and improve insulin
receptor sensitivity. This results in increased peripheral glucose uptake
and use and in decreased liver production of triglycerides and
cholesterol.
Which types of insulin can be administered intravenously?
a. Regular insulin
b. NPH insulin
c. insulin glargine (Lantus®)
pg. 3
, 4|Page
d. insulin detemir (Levemir®) – Correct Answer - A. Regular insulin
Regular insulin is the only insulin product that can be administered
intravenously.
Regular insulin is the usual insulin product to be dosed via intravenous
bolus, intravenous infusion, or even intramuscularly. These routes,
especially the intravenous infusion route, are often used in cases of
diabetic ketoacidosis, or coma associated with uncontrolled type 1
diabetes.
When monitoring a patient's response to oral antidiabetic drugs, the
nurse knows that which laboratory result would indicate a therapeutic
response?
a. Random blood glucose level 12 mmol/L
b. Blood glucose level of 11 mmol/L after meals
c. Fasting blood glucose level is 6 mmol/L
d. Evening blood glucose level below 3 mmol/L – Correct Answer - c.
Fasting blood glucose level is 6 mmol/L
therapeutic effect range btw 4 to 7 mmol/L before meal btw 5.0 to 10.0
mmol/L 2hrs after meal
The nurse is reviewing the adverse effects of antithyroid medications for
a patient prescribed propylthiouracil (PTU). What potential serious
adverse effects would the nurse discuss with the patient during discharge
teaching? (Select all that apply.)
a. Bone marrow toxicity
pg. 4
PNM300 TEST 3 NEWEST 2025 ACTUAL EXAM TEST
BANK| PNM300 EXAM 3 PREP WITH 450 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (BRAND NEW!!)
When assessing for potential serious adverse effects to propylthiouracil
(PTU), the nurse will monitor which laboratory test?
a. Complete blood count (CBC)
b. Brain natriuretic peptide
c. Serum electrolytes
d. Kidney function – Correct Answer - a. Complete blood count (CBC)
With antithyroid medications, the nurse should monitor for possible
serious adverse reactions such as agranulocytosis, leukopenia, and
thrombocytopenia. These would be present in a complete blood count
(CBC) as abnormal values and indicate bone marrow dysfunction.
The nurse is assessing an older adult patient for nonspecific symptoms
of hypothyroidism. Which of the following would make the nurse follow
up with the health care provider?
a. Leukopenia, anemia
b. Loss of appetite, polyuria
c. Weight loss, dry cough
d. Cold intolerance, depression – Correct Answer - d. Cold intolerance,
depression
pg. 1
,2|Page
Which condition may be caused by low levels of thyroid hormone in
youth?
a. Goiter
b. Myxedema
c. Cretinism
d. Addison's disease – Correct Answer - C. cretinism = abnormal
physical + mental development
When teaching about hypoglycemia, the nurse will make sure that the
patient is aware of the early signs of hypoglycemia, including:
a. hypothermia and seizures.
b. nausea and diarrhea.
c. confusion and sweating.
d. fruity, acetone odor to the breath. – Correct Answer - C
Early symptoms of hypoglycemia include the central nervous system
manifestations of confusion, irritability, tremor, and sweating.
Hypothermia and seizures are later symptoms of hypoglycemia. The
other options are incorrect.
A patient with type 2 diabetes self-administers insulin injections as part
of therapy. What should the nurse tell this patient to do if she has
hypoglycemia?
a. Call the physician.
b. Administer regular insulin.
pg. 2
,3|Page
c. Take an oral form of glucose.
d. Rest until the symptoms pass. – Correct Answer - C.
The patient can take glucose tablets (liquid or gel), corn syrup, or honey;
drink fruit juice or a nondiet soft drink; or eat a small snack, such as
crackers or half a sandwich.
A 48-year-old male patient is diagnosed with metabolic syndrome and is
started on biguanide metformin (Glucophage®). He asks the nurse why
he needs this drug. The nurse's best explanation of the purpose of the
metformin is that it
a. increases the pancreatic secretion of insulin.
b. decreases glucose production by the liver.
c. increases intestinal absorption of glucose.
d. decreases the pancreatic secretion of insulin. – Correct Answer - B.
decreases glucose production by the liver.
Metformin works by decreasing glucose production by the liver. It may
also decrease intestinal absorption of glucose and improve insulin
receptor sensitivity. This results in increased peripheral glucose uptake
and use and in decreased liver production of triglycerides and
cholesterol.
Which types of insulin can be administered intravenously?
a. Regular insulin
b. NPH insulin
c. insulin glargine (Lantus®)
pg. 3
, 4|Page
d. insulin detemir (Levemir®) – Correct Answer - A. Regular insulin
Regular insulin is the only insulin product that can be administered
intravenously.
Regular insulin is the usual insulin product to be dosed via intravenous
bolus, intravenous infusion, or even intramuscularly. These routes,
especially the intravenous infusion route, are often used in cases of
diabetic ketoacidosis, or coma associated with uncontrolled type 1
diabetes.
When monitoring a patient's response to oral antidiabetic drugs, the
nurse knows that which laboratory result would indicate a therapeutic
response?
a. Random blood glucose level 12 mmol/L
b. Blood glucose level of 11 mmol/L after meals
c. Fasting blood glucose level is 6 mmol/L
d. Evening blood glucose level below 3 mmol/L – Correct Answer - c.
Fasting blood glucose level is 6 mmol/L
therapeutic effect range btw 4 to 7 mmol/L before meal btw 5.0 to 10.0
mmol/L 2hrs after meal
The nurse is reviewing the adverse effects of antithyroid medications for
a patient prescribed propylthiouracil (PTU). What potential serious
adverse effects would the nurse discuss with the patient during discharge
teaching? (Select all that apply.)
a. Bone marrow toxicity
pg. 4
