NURS 3365 STUDY GUIDE 2026 EXAM QUESTIONS AND
ANSWERS RATED A+
✔✔. Mrs. F. is 5 feet tall and weighs 180 pounds. During
a routine physical, laboratory studies indicate an elevated fasting blood glucose level
and a hemoglobin
A1C level of 6.6%. The nurse's assessment of Mrs.
F. reveals that she is a smoker with mild hypertension. The physician suspects type 2
diabetes. What
initial treatment is indicated for Mrs. F.? Explain
your answer. - ✔✔Mrs. F. needs to make some significant lifestyle
changes. She must stop smoking, lose weight, and
exercise regularly, which will help with both the
high blood glucose level and the hypertension. The
American Diabetes Association also recommends
that, in addition to lifestyle changes, the oral biguanide drug metformin (Glucophage) be
started as
initial therapy for lowering blood glucose levels.
✔✔The nurse who is providing patient teaching about
antihistamine use will include which information?
(Select all that apply.)
a. Antihistamines are best tolerated when taken
with meals.
b. The patient can chew gum if he or she experiences dry mouth.
c. Drowsiness is a frequent side effect of
antihistamines.
d. Over-the-counter medications are generally safe
to use with antihistamines.
e. The patient should avoid drinking alcoholic beverages while on these drugs. -
✔✔Antihistamines are best tolerated when taken with meals.
The patient can chew gum if he or she experiences dry mouth.
Drowsiness is a frequent side effect of antihistamines
The patient should avoid drinking alcoholic beverages while on these drugs
✔✔A patient asks the nurse about the newer antihistamines. He wants one that does
not cause drowsiness.
Which of these drugs is appropriate?
a. loratadine (Claritin)
b. diphenhydramine (Benadryl)
c. dimenhydrinate (Dramamine)
, d. meclizine (Antivert) - ✔✔loratadine
✔✔Which drugs are considered first-line drugs for the
treatment of nasal congestion? (Select all that apply.)
a. Antihistamines such as diphenhydramine
b. Decongestants such as naphazoline
c. Antitussives such as dextromethorphan
d. Expectorants such as guaifenesin
e. Inhaled corticosteroids such as beclomethasone - ✔✔Decongestants such as
naphazoline
Inhaled corticosteroids such as beclomethasone
✔✔When giving an antitussive, the nurse remembers
that they are used primarily for what reason?
a. To relieve nasal congestion
b. To thin secretions to ease removal of excessive
secretions
c. To stop the cough reflex when the cough is
nonproductive
d. To suppress productive and nonproductive
coughs - ✔✔To stop the cough reflex when the cough is
nonproductive
✔✔The nurse is administering an expectorant and will
provide which teaching?
a. Avoid fluids for 30 to 35 minutes after the dose.
b. Drink extra fluids, unless contraindicated, to aid
in expectoration of sputum.
c. Avoid driving or operating heavy machinery
while taking this medication.
d. Expect secretions to become thicker. - ✔✔Drink extra fluids, unless contraindicated,
to aid in expectoration of sputum
✔✔A patient has been self-medicating with diphenhydramine (Benadryl) to help her
sleep. She calls the clinic nurse to ask, "Why do I feel so tired during the day after I take
this pill? I get a good night's sleep!"
Which statement by the nurse is correct?
a. "You are probably getting too much sleep."
b. "You are taking too much of the drug."
c. "This drug is not really meant to help people
ANSWERS RATED A+
✔✔. Mrs. F. is 5 feet tall and weighs 180 pounds. During
a routine physical, laboratory studies indicate an elevated fasting blood glucose level
and a hemoglobin
A1C level of 6.6%. The nurse's assessment of Mrs.
F. reveals that she is a smoker with mild hypertension. The physician suspects type 2
diabetes. What
initial treatment is indicated for Mrs. F.? Explain
your answer. - ✔✔Mrs. F. needs to make some significant lifestyle
changes. She must stop smoking, lose weight, and
exercise regularly, which will help with both the
high blood glucose level and the hypertension. The
American Diabetes Association also recommends
that, in addition to lifestyle changes, the oral biguanide drug metformin (Glucophage) be
started as
initial therapy for lowering blood glucose levels.
✔✔The nurse who is providing patient teaching about
antihistamine use will include which information?
(Select all that apply.)
a. Antihistamines are best tolerated when taken
with meals.
b. The patient can chew gum if he or she experiences dry mouth.
c. Drowsiness is a frequent side effect of
antihistamines.
d. Over-the-counter medications are generally safe
to use with antihistamines.
e. The patient should avoid drinking alcoholic beverages while on these drugs. -
✔✔Antihistamines are best tolerated when taken with meals.
The patient can chew gum if he or she experiences dry mouth.
Drowsiness is a frequent side effect of antihistamines
The patient should avoid drinking alcoholic beverages while on these drugs
✔✔A patient asks the nurse about the newer antihistamines. He wants one that does
not cause drowsiness.
Which of these drugs is appropriate?
a. loratadine (Claritin)
b. diphenhydramine (Benadryl)
c. dimenhydrinate (Dramamine)
, d. meclizine (Antivert) - ✔✔loratadine
✔✔Which drugs are considered first-line drugs for the
treatment of nasal congestion? (Select all that apply.)
a. Antihistamines such as diphenhydramine
b. Decongestants such as naphazoline
c. Antitussives such as dextromethorphan
d. Expectorants such as guaifenesin
e. Inhaled corticosteroids such as beclomethasone - ✔✔Decongestants such as
naphazoline
Inhaled corticosteroids such as beclomethasone
✔✔When giving an antitussive, the nurse remembers
that they are used primarily for what reason?
a. To relieve nasal congestion
b. To thin secretions to ease removal of excessive
secretions
c. To stop the cough reflex when the cough is
nonproductive
d. To suppress productive and nonproductive
coughs - ✔✔To stop the cough reflex when the cough is
nonproductive
✔✔The nurse is administering an expectorant and will
provide which teaching?
a. Avoid fluids for 30 to 35 minutes after the dose.
b. Drink extra fluids, unless contraindicated, to aid
in expectoration of sputum.
c. Avoid driving or operating heavy machinery
while taking this medication.
d. Expect secretions to become thicker. - ✔✔Drink extra fluids, unless contraindicated,
to aid in expectoration of sputum
✔✔A patient has been self-medicating with diphenhydramine (Benadryl) to help her
sleep. She calls the clinic nurse to ask, "Why do I feel so tired during the day after I take
this pill? I get a good night's sleep!"
Which statement by the nurse is correct?
a. "You are probably getting too much sleep."
b. "You are taking too much of the drug."
c. "This drug is not really meant to help people
