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NUR 209 Revised Final Exam 2026 Solved Practice Questions with Verified Answers Graded A+

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NUR 209 Revised Final Exam 2026 Solved Practice Questions with Verified Answers Graded A+ The nurse is preparing to administer bethanechol (Urecholine) to a patient who is experiencing urinary retention. The nurse notes that the patient has a blood pressure of 90/60 mm Hg and a heart rate of 98 beats per minute. The nurse will perform which action? a. Administer the drug and monitor urine output. b. Administer the medication and monitor vital signs frequently. c. Give the medication and notify the provider of the increased heart rate. d. Hold the medication and notify the provider of the decreased blood pressure. - Correct Ans-Answer D: Hold the medication and notify the provider of the decreased blood pressure. The nurse administers bethanechol (Urecholine) to a patient to treat urinary retention. After 30 minutes, the patient voids 800 mL of urine and reports having a loose stool but no cramping or gastrointestinal pain. The patient's blood pressure is 110/70 mmHg. The nurse will perform which action? a. Notify the provider of bethanechol adverse effects. b. Record the urine output and the blood pressure and continue to monitor. c. Request an order for intravenous atropine sulfate. d. Suggest another dose of bethanechol to the provider. - Correct Ans-Answer B: Record the urine output and the blood pressure and continue to monitor. The nurse is teaching a patient who will begin taking bethanechol (Urecholine). Which statement by the patient indicates a need for further teaching? a. "Excessive sweating is a normal reaction to this medication." b. "Excess salivation is a serious side effect." c. "I should get out of bed slowly while taking this drug." d. "I will not take the drug if my heart rate is less than 60 beats per minute." - Correct Ans-Answer A: "Excessive sweating is a normal reaction to this medication." A patient is receiving bethanechol (Urecholine). The nurse realizes that the action of this drug is to treat which condition? a. Glaucoma b. Urinary retention NUR 209 NUR 209 c. Delayed gastric upset d. Gastroesophageal reflux disease - Correct Ans-Answer B: Urinary retention The nurse is preparing to administer a drug and learns that it is an indirect-acting cholinergic agonist. The nurse understands that this drug a. acts on muscarinic receptors. b. acts on nicotinic receptors. c. inhibits cholinesterase. d. inhibits cholinergic receptors. - Correct Ans-Answer C: Inhibits Cholinesterase Cholinergic drugs have specific effects on the body. What are the actions of cholinergic medications? (Select all that apply.) a. Dilate pupils b. Decrease heart rate c. Stimulate gastric muscle d. Dilate blood vessels e. Dilate bronchioles f. Increase salivation g. Constrict pupils - Correct Ans-Answer B, C, D, F, G Children who experience nightmares have these during which stage of sleep? a. Early morning sleep b. Nonrapid eye movement sleep c. Rapid eye movement sleep d. Sleep induction - Correct Ans-Answer B: NREM sleep The nurse performs a preoperative assessment on a patient and asks about alcohol use. The patient asks why this information is important. The nurse will explain that patients who consume increased amounts of alcohol a. may have a prolonged postoperative recovery time. b. may not be eligible for surgery. c. may not receive inhaled gases for anesthesia. require changes in anesthesia drug doses. - Correct Ans-Answer D A patient asks the nurse about taking over-the-counter sleeping aids. The nurse will tell the patient that the active ingredient in these products is often a(n) a. antiemetic. b. antihistamine. c. barbiturate. d. benzodiazepine. - Correct Ans-Answer B: Antihistamine The nurse provides teaching for a patient who will begin taking phenytoin. Which statement by the patient indicates understanding of the teaching? a. "If I develop a rash, I should take diphenhydramine to control the itching." b. "If I experience bleeding gums, I should stop taking the medication immediately." c. "I may develop diabetes while I am taking this medication." NUR 209 NUR 209 d. "I should not be alarmed if my urine turns reddish-brown." - Correct Ans-Answer d: "I should not be alarmed if my urine turns reddish-brown." The nurse is providing teaching for the family of a patient who has been newly diagnosed with Alzheimer's disease (AD). Which statement by the family member indicates understanding of the teaching? a. "Alzheimer's disease is a chronic, progressive condition." b. "Alzheimer's disease affects memory but not personality." c. "The onset of Alzheimer's disease is usually between 65 and 75 years." d. "With proper treatment, symptoms of this disease can be arrested." - Correct Ans Answer a: "Alzheimer's disease is a chronic, progressive condition." The nurse is teaching a patient who has Parkinson's disease about the side effects of carbidopa-levodopa. Which statement by the patient indicates a need for further teaching? a. "I may experience urinary retention, dry mouth, and constipation." b. "I may feel dizzy at first, but this side effect will go away with time." c. "I should report nightmares and mental disturbances to my provider." d. "I should take the drug with food to increase absorption." - Correct Ans-Answer d: "I should take the drug with food to increase absorption." A patient who has parkinsonism will begin taking carbidopa-levodopa. What information will the nurse include when teaching this patient about this medication? a. "Call your health care provider immediately if your urine or perspiration turn a dark color." b. "Rise slowly from your bed or your chair to avoid dizziness and falls." c. "Take the drug with foods high in protein to improve drug delivery." d. "Discontinue the drug if you experience insomnia." - Correct Ans-Answer b: "Rise slowly from your bed or your chair to avoid dizziness and falls." A client with myasthenia gravis is experiencing a cholinergic crisis. Which symptoms are associated with this condition? (Select all that apply.) a. Bradycardia b. Rash c. Vomiting d. Fever e. Drooling f. Weakness - Correct Ans-Answer A, C, E, F The nurse provides teaching to a patient who will begin taking cyclobenzaprine (Flexeril) to treat muscle spasms. Which statement by the patient indicates a need for further teaching? a. "I may experience dizziness and drowsiness when I take this drug." b. "I should not consume alcohol while taking this medication." c. "I should take this medication with food to decrease stomach upset." NUR 209 NUR 209 d. "I will take this medication for three weeks and then stop taking it." - Correct Ans Answer d: "I will take this medication for three weeks and then stop taking it." The nurse is teaching a group of nursing students about multiple sclerosis (MS). Which statement by the nurse is correct? a. "MS is characterized by degeneration of neurons and nerves in the brain and spinal cord." b. "MS is characterized by lesions or plaques on myelin sheaths of nerves." c. "MS is characterized by neuritic plaques and neurofibrillary tangles in the CNS." d. "MS is characterized by weak muscles and decreased nerve impulses caused by decreased ACh." - Correct Ans-Answer b: "MS is characterized by lesions or plaques on myelin sheaths of nerves." The nurse is teaching a patient about taking colchicine to treat gout. What information will the nurse include when teaching this patient about this drug? a. Avoid all alcohol except beer. b. Include salmon in the diet. c. Increase fluid intake. d. Take on an empty stomach. - Correct Ans-Answer c: Increase fluid intake A patient who has osteoarthritis with mild to moderate pain asks the nurse about taking over-the-counter ibuprofen (Motrin). What will the nurse tell this patient? a. "It may take several weeks to achieve therapeutic effects." b. "Unlike aspirin, there is no increased risk of bleeding with ibuprofen." c. "Take ibuprofen twice daily for maximum analgesic benefit." d. "Combine ibuprofen with acetaminophen for best effect." - Correct Ans-Answer a: "It may take several weeks to achieve therapeutic effects." The nurse is caring for a 6-year-old child who had surgery that morning. The child is awake and lying very still in bed and won't respond when the nurse asks about pain. The nurse will perform which action? a. Ask the child to rate the pain on a scale of 1 to 10. b. Encourage the child to request pain medication when needed. c. Evaluate the child's pain using an "ouch" scale. d. Plan to administer pain medication if the child begins to cry. - Correct Ans-Answer c: Evaluate the child's pain using an "ouch" scale. Which patient may require a higher than expected dose of an opioid analgesic? a. A patient with cancer b. A patient with a concussion c. A patient with hypotension d. A patient 3 days after surgery - Correct Ans-Answer a: A patient with cancer A patient arrives in the emergency department complaining of difficulty breathing, dizziness, sweating, and heart palpitations. The patient reports having had similar episodes previously. The nurse will expect the provider to order which medication? NUR 209 NUR 209 a. Flumazenil (Romazicon) b. Haloperidol (Haldol) c. Lorazepam (Ativan) d. Propranolol (Inderal) - Correct Ans-Answer c: Lorazepam (Ativan) The nurse is caring for a patient who has begun taking chlorpromazine HCl (Thorazine) 75 mg BID to treat schizophrenia. A family member tells the nurse that the patient's agitation, hallucinations, and delusional symptoms have improved, but the patient continues to withdraw from social interaction and won't bathe unless reminded to do so. The nurse will tell the family member that a. all symptoms will eventually resolve over time with this medication. b. the patient may need an increased dose of the antipsychotic medication. c. these results may indicate that the patient does not have schizophrenia. d. they should consider discussing adding another medication. - Correct Ans-Answer d: they should consider discussing adding another medication A patient who is taking chlorpromazine calls the clinic to report having reddish-brown urine. What action will the nurse take? a. Notify the provider and request orders for creatinine clearance and BUN levels. b. Reassure the patient that this is a harmless side effect of this medication. c. Tell the patient to come to the clinic for a urinalysis. d. Tell the patient to discard any drug on hand and request a new prescription. - Correct Ans-Answer b: Reassure the patient that this is a harmless side effect of this medication. The nurse assesses a patient who is taking lithium (Lithobid) and notes a large output of clear, dilute urine. The nurse suspects which cause for this finding? a. Cardiovascular complications b. Expected lithium side effects c. Increased mania d. Lithium toxicity - Correct Ans-Answer d: Lithium toxicity A patient who has recently begun taking lithium (Lithibid) calls the clinic to report nausea, vomiting, anorexia, and drowsiness. What will the nurse do next? a. Contact the provider to obtain an order for a serum lithium level. b. Reassure the patient that these symptoms are common and transient. c. Tell the patient that the lithium dose is probably too low. d. Tell the patient to stop taking the medication immediately. - Correct Ans-Answer a: Contact the provider to obtain an order for a serum lithium level. The nurse is preparing to administer a dose of lithium (Lithibid) to a patient who has been taking the drug as maintenance therapy to treat bipolar disorder. The nurse assesses the patient and notes tremors and confusion. The patient's latest serum lithium level was 2 mEq/L. Which action will the nurse take? a. Administer the dose. b. Hold the dose and notify the provider. NUR 209 NUR 209 c. Request an order for a higher dose. d. Request an order for a lower dose. - Correct Ans-Answer b: Hold the dose and notify the provider. The nurse is caring for a patient who will begin taking doxycycline to treat an infection. The nurse should plan to give this medication a. 1 hour before or 2 hours after a meal. b. with an antacid to minimize GI irritation. c. with food to improve absorption. d. with small sips of water. - Correct Ans-Answer c: with food to improve absorption. A female patient will receive doxycycline to treat a sexually transmitted illness (STI). What information will the nurse include when teaching this patient about this medication? a. Nausea and vomiting are uncommon adverse effects. b. The drug may cause possible teratogenic effects. c. Increase intake of dairy products with each dose of this medication. d. Use a backup method of contraception if taking oral contraceptives - Correct Ans Answer d: Use a backup method of contraception if taking oral contraceptives. Which person should be treated with prophylactic antitubercular medication? a. A child who attends the same school with a child who has tuberculosis b. A nurse who is working in a hospital c. An individual who is HIV-positive with a negative TB skin test d. A patient who has close contact with someone who has tuberculosis - Correct Ans Answer d: A patient who has close contact with someone who has tuberculosis The nurse is caring for a patient who is diagnosed with tuberculosis. The patient tells the nurse that the provider plans to order a prophylactic antitubercular drug for family members and asks which drug will be ordered. The nurse will expect the provider to order which drug? a. Isoniazid (INH) b. Pyrazinamide c. Rifampin (Rifadin) d. Streptomycin - Correct Ans-Answer a: Isoniazid (INH) A patient who has tuberculosis asks the nurse why three drugs are used to treat this disease. The nurse will explain that multi-drug therapy is used to reduce the likelihood of a. disease relapse. b. drug hypersensitivity reactions. c. drug resistance. d. drug adverse effects - Correct Ans-Answer c: drug resistance. Which diseases are caused by herpes viruses? (Select all that apply.) a. Chicken pox NUR 209 NUR 209 b. Hepatitis c. Influenza d. Mononucleosis e. Shingles - Correct Ans-Answer A, D, E A patient will take an anthelmintic medication and asks the nurse about side effects. The nurse will tell the patient that anthelmintic drugs a. can cause hepatic toxicity. b. cause orthostatic hypotension. c. commonly have gastrointestinal (GI) side effects. d. have many serious adverse reactions - Correct Ans-Answer c: commonly have gastrointestinal (GI) side effects. The provider orders Zostavax for a 60-year-old patient. The patient reports having had chicken pox as a child. Which action will the nurse take? a. Administer the vaccine as ordered. b. Counsel the patient that the vaccine may cause a severe reaction because of previous exposure. c. Hold the vaccine and notify the provider of the patient's history. d. Request an order for a Varivax booster instead of the Zostavax - Correct Ans-Answer a: Administer the vaccine as ordered. Which is an example of acquired passive immunity? a. Administration of IgG to an unimmunized person exposed to a disease b. Administration of an antigen via an immunization c. Inherent resistance to a disease antigen d. Immune response to an attenuated virus - Correct Ans-Answer a: Administration of IgG to an unimmunized person exposed to a disease A patient with cancer is receiving pegfilgrastim (Neulasta). The patient reports bone pain, which the nurse recognizes as a. a sign of cancer metastasis. b. an indication of expansion of bone marrow. c. caused by osteomyelitis. d. worsening neutropenia. - Correct Ans-Answer B: an indication of expansion of bone marrow. A patient will begin using ipratropium bromide (Atrovent), albuterol (Proventil), and an inhaled glucocorticoid medication (steroid) to treat chronic bronchitis. When teaching this patient about disease and medication management, the nurse will instruct the patient to administer these medications in which order? a. Albuterol, ipratropium bromide, steroid b. Albuterol, steroid, ipratropium bromide c. Ipratropium bromide, albuterol, steroid d. Steroid, ipratropium bromide, albuterol - Correct Ans-Answer A: Albuterol, ipratropium bromide, steroid NUR 209 NUR 209 A patient who uses an inhaled glucocorticoid medication reports having a sore tongue. The nurse notes white spots on the patient's tongue and oral mucous membranes. After notifying the provider, the nurse will remind the patient to perform which action? a. Avoid using a spacer with the inhaled glucocorticoid medication. b. Clean the inhaler with hot, soapy water after each use. c. Consume yogurt daily while using this medication. d. Rinse the mouth thoroughly with water after each use. - Correct Ans-Answer D: Rinse the mouth thoroughly with water after each use. A patient will be discharged home with albuterol (Proventil) to use for asthma symptoms. What information will the nurse include when teaching this patient about this medication? a. Failure to respond to the medication indicates a need for a higher dose. b. Monitor for hypoglycemia symptoms when using this medication. c. Palpitations are common with this drug even at normal, therapeutic doses. d. Overuse of this medication can result in airway narrowing and bronchospasm - Correct Ans-Answer D: Overuse of this medication can result in airway narrowing and bronchospasm. The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin) to a patient who has heart failure. The patient reports having blurred vision. The nurse notes a heart rate of 60 beats per minute and a blood pressure of 140/78 mm Hg. Which action will the nurse take? a. Administer the medications and request an order for serum electrolytes. b. Give both medications and evaluate serum blood glucose frequently. c. Hold the digoxin and notify the provider. d. Hold the hydrochlorothiazide and notify the provider. - Correct Ans-Answer C: Hold the digoxin and notify the provider. A patient has begun taking spironolactone (Aldactone) in addition to a thiazide diuretic. With the addition of the spironolactone, the nurse will counsel this patient to a. continue taking a potassium supplement daily. b. recognize that abdominal cramping is a transient side effect. c. report decreased urine output to the provider. d. take these medications at bedtime. - Correct Ans-Answer C: report decreased urine output to the provider. A patient has been taking spironolactone (Aldactone) to treat heart failure. The nurse will monitor for a. hyperkalemia. b. hypermagnesemia. c. hypocalcemia. d. hypoglycemia - Correct Ans-Answer A: hyperkalemia. NUR 209 NUR 209 The nurse is teaching a patient who will begin taking furosemide. The nurse learns that the patient has just begun a 2-week course of a steroid medication. What will the nurse recommend? a. Consume licorice to prevent excess potassium loss. b. Report a urine output greater than 600 mL/24 hours. c. Obtain an order for a potassium supplement. d. Take the furosemide at bedtime. - Correct Ans-Answer C: Obtain an order for a potassium supplement. A patient has a blood pressure of 135/85 mm Hg on three separate occasions. The nurse understands that this patient should be treated with a. a beta blocker. b. a diuretic and a beta blocker. c. a diuretic. d. lifestyle changes - Correct Ans-Answer D: lifestyle changes. A patient is diagnosed with borderline hypertension and states a desire to make lifestyle changes to avoid needing to take medication. The nurse will recommend which changes? a. Changing from weight bearing exercise to yoga b. Decreased fluid intake and increased potassium intake c. Stress reduction and increased protein intake d. Weight reduction and decreased sodium intake - Correct Ans-Answer D: Weight reduction and decreased sodium intake A patient will begin taking rosuvastatin calcium (Crestor) to treat hyperlipidemia. The patient asks the nurse how to take the medication for best effect. Which statement by the nurse is correct? a. "Increase your fluid intake while taking this medication." b. "Stop taking the medication if you develop muscle aches." c. "Take the medication with food to improve absorption." d. "You may increase dietary fat while taking this medication." - Correct Ans-Answer A: "Increase your fluid intake while taking this medication." A patient begins taking nicotinic acid (Niacin) and reports dizziness and flushing of the skin. The nurse will perform which action? a. Contact the provider to discuss decreasing the dose. b. Counsel the patient to increase fluid intake. c. Request an order for renal function tests. d. Schedule the medication to be taken with meals - Correct Ans-Answer A: Contact the provider to discuss decreasing the dose. The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching this patient? a. The importance of consuming adequate amounts of water b. The need to monitor for systemic side effects NUR 209 NUR 209 c. The onset of action of 30 to 60 minutes after administration d. The need to use the dry form of Metamucil to prevent cramping - Correct Ans-Answer A: The importance of consuming adequate amounts of water An appropriate goal when teaching a patient who has diarrhea is that the patient a. will have less frequent, more formed stools. b. will not have a stool for 1 to 2 days. c. will receive adequate intravenous fluids. d. will receive appropriate antibiotic therapy. - Correct Ans-Answer A: will have less frequent, more formed stools. A patient who recently began having mild symptoms of GERD is reluctant to take medication. What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.) a. Avoiding hot, spicy foods b. Avoiding tobacco products c. Drinking a glass of red wine with dinner d. Eating a snack before bedtime e. Taking ibuprofen with food f. Using a small pillow for sleeping g. Wearing well-fitted clothing - Correct Ans-Answers: A, B, E The nurse is caring for a patient who will begin taking omeprazole (Prevacid) 20 mg per day for 4 to 8 weeks to treat gastroesophageal reflux disease esophagitis. The nurse learns that the patient takes digoxin. The nurse will contact the provider for orders to a. decrease the dose of omeprazole. b. increase the dose of digoxin. c. increase the omeprazole to 60 mg per day. d. monitor for digoxin toxicity. - Correct Ans-Answer D: monitor for digoxin toxicity. The nurse is caring for a patient who is receiving growth hormone. Which assessment will the nurse monitor daily? a. Complete blood count b. Height and weight c. Renal function d. Serum glucose - Correct Ans-Answer D: Serum glucose A patient who takes the oral antidiabetic agent metformin (Glucophage) will begin taking levothyroxine (Synthroid). The nurse will teach this patient to monitor for a. hyperglycemia. b. hypoglycemia. c. hyperkalemia. d. hypokalemia. - Correct Ans-Answer A: hyperglycemia. Which statement by a patient who will begin using an external insulin pump indicates understanding of this device? NUR 209 NUR 209 a. "I will have an increased risk for hypoglycemia." b. "I will leave this on when bathing or swimming." c. "I will not need to count carbohydrates anymore." d. "I will still need to monitor serum glucose." - Correct Ans-Answer D: "I will still need to monitor serum glucose." The patient asks the nurse about storing insulin. Which response by the nurse is correct? a. "All insulin vials must be refrigerated." b. "Insulin will last longer if kept in the freezer." c. "Opened vials of insulin must be discarded." d. "Some combination pens do not require refrigeration." - Correct Ans-Answer D: "Some combination pens do not require refrigeration." A patient has hypocalcemia caused by parathyroid hormone deficiency. Which medication will the nurse anticipate giving to this patient? a. Calcitonin b. Calcitriol c. Calcium d. Vitamin D - Correct Ans-Answer B: Calcitriol Clients with gestational diabetes are usually managed by which of the following therapies? A. diet B. long acting insulin C. oral hypoglycemic drugs D. oral hypoglycemic drugs/insulin - Correct Ans-Answer: a) Diet - Oral hypoglycemics are contraindicated in pregnancy. Long acting insulin usually is not needed for blood glucose control in the client with GDM. Human insulin is prescribed for those needing coverage. Rosemary has been taking Glargine (Lantus) to treat her condition. One of the benefits of Glargine (Lantus) insulin is its ability to: A. Release insulin rapidly throughout the day to help control basal glucose levels B. Release insulin evenly throughout the day and control basal glucose levels C. Simplify the dosing and better control blood glucose levels during the day D. Cause hypoglycemia with other manifestation of other adverse reactions - Correct Ans-Answer: B) - Rationale: Glargine (Lantus) insulin is designed to release insulin evenly throughout the day and control basal glucose levels An elderly client with rheumatoid arthritis is being treated with prednisone (Deltasone). Which conditions can occur with long-term prednisone therapy? A. Breast and uterine cancer NUR 209 NUR 209 B. Osteoporosis and diabetes mellitus C. Deep vein thrombosis (DVT), pulmonary embolism (PE), and stroke D. Weight loss and lactose intolerance - Correct Ans-Answer: B) Long term prednisone therapy can increase the loss of calcium from bones, slow down the formation of new bone tissue (resulting in osteoporosis), and alter glucose metabolism (resulting in diabetes mellitus). The other choices are not common adverse effects from long-term prednisone therapy. The nurse recognizes that glucocorticoids are contraindicated in patients with what condition? A. Heart failure B. Systemic fungal infection C. Hypertension D. Rheumatoid arthritis - Correct Ans-Answer: B) Corticosteroids may exacerbate systemic fungal infections and therefore should not be used in the presence of such infections unless they are needed to control life-threatening drug reactions. There have been cases reported in which concomitant use of amphotericin B and hydrocortisone was followed by cardiac enlargement and congestive heart failure When teaching a patient about OTC drugs, which points should the nurse include? these drugs are very safe and can be used freely to relieve your complaints. A. These drugs are very safe and can be used freely to relieve your complaints. B. These compounds are called drugs, but they aren't really drugs. C. Some of these drugs were once prescription drugs but are now thought to be safe when used as directed. D. reading the label of these drugs is very important; the active ingredient is very prominent;you should always check the ingredient name. E. It is important to read the label and to see what the recommended dose of the drug is; some of these drugs can cause serious problems if too much of the drug is taken. F. It is important to report the use of any OTC drug to your healthcare provider because many of them can interact with drugs that might be prescribed for you. - Correct Ans Answer: C, D, E, F What is the most important thing for the nurse to teach the client with a history of diabetes and asthma who has started on albuterol PRN? A. Take Tylenol for headaches when taking albuterol. B. Monitor for orthostatic hypotension every 2 hours when taking albuterol. NUR 209 NUR 209 C. Monitor blood glucose levels every 4 hours when taking albuterol. D. An antianxiety agent may be prescribed to help with nervousness. - Correct Ans Answer: C - Monitor blood glucose levels every 4 hours when taking albuterol. The nurse is aware that age-related changes in the stomach that can cause increased drug absorption and possibly toxicity include: A. Decreased gastric motility. B. Gastric reflux disease. C. Inability of gastric cells to transport the drug. D. Decreased peristalsis. - Correct Ans-Answer: A - Decreased motility leaves the drug in contact with the gastric mucosa for a longer period of time, which leads to increased absorption. Peristalsis is rhythmic movements of the bowels. The nurse frequently assesses the older adult who is on a psychotropic drug for an overdose because: A. Older adults are less active. B. The older adult has fewer cognitive capabilities. C. Brain receptors have become hypersensitive. D. Receptor sites have lower perfusion. - Correct Ans-Answer: C - Brain receptors in the older adult become hypersensitive as age increases, resulting in an exaggerated response to pharmacologic therapy. In the administration of a drug such as levothyroxine (Synthroid), the nurse should teach the client: A. That therapy typically lasts about 6 months. B. That weekly laboratory tests for T4 levels will be required. C. To report weight loss, anxiety, insomnia, and palpitations. D. That the drug may be taken every other day if diarrhea occurs. - Correct Ans Answer: C - all signs of hyperthyroidism What does beta2-adrenergic agonist what effects could it have on blood glucose? - Correct Ans-Albuterol is a beta2-adrenergic agonist and can increase BG

Content preview

NUR 209




NUR 209 Revised Final Exam 2026 Solved
Practice Questions with Verified Answers
Graded A+

The nurse is preparing to administer bethanechol (Urecholine) to a patient who is
experiencing urinary retention. The nurse notes that the patient has a blood pressure of
90/60 mm Hg and a heart rate of 98 beats per minute. The nurse will perform which
action?
a. Administer the drug and monitor urine output.
b. Administer the medication and monitor vital signs frequently.
c. Give the medication and notify the provider of the increased heart rate.
d. Hold the medication and notify the provider of the decreased blood pressure. -
Correct Ans-Answer D: Hold the medication and notify the provider of the decreased
blood pressure.

The nurse administers bethanechol (Urecholine) to a patient to treat urinary retention.
After 30 minutes, the patient voids 800 mL of urine and reports having a loose stool but
no cramping or gastrointestinal pain. The patient's blood pressure is 110/70 mmHg. The
nurse will perform which action?
a. Notify the provider of bethanechol adverse effects.
b. Record the urine output and the blood pressure and continue to monitor.
c. Request an order for intravenous atropine sulfate.
d. Suggest another dose of bethanechol to the provider. - Correct Ans-Answer B:
Record the urine output and the blood pressure and continue to monitor.

The nurse is teaching a patient who will begin taking bethanechol (Urecholine). Which
statement by the patient indicates a need for further teaching?
a. "Excessive sweating is a normal reaction to this medication."
b. "Excess salivation is a serious side effect."
c. "I should get out of bed slowly while taking this drug."
d. "I will not take the drug if my heart rate is less than 60 beats per minute." - Correct
Ans-Answer A: "Excessive sweating is a normal reaction to this medication."

A patient is receiving bethanechol (Urecholine). The nurse realizes that the action of this
drug is to treat which condition?
a. Glaucoma
b. Urinary retention

NUR 209

, NUR 209


c. Delayed gastric upset
d. Gastroesophageal reflux disease - Correct Ans-Answer B: Urinary retention

The nurse is preparing to administer a drug and learns that it is an indirect-acting
cholinergic agonist. The nurse understands that this drug
a. acts on muscarinic receptors.
b. acts on nicotinic receptors.
c. inhibits cholinesterase.
d. inhibits cholinergic receptors. - Correct Ans-Answer C: Inhibits Cholinesterase

Cholinergic drugs have specific effects on the body. What are the actions of cholinergic
medications? (Select all that apply.)
a. Dilate pupils
b. Decrease heart rate
c. Stimulate gastric muscle
d. Dilate blood vessels
e. Dilate bronchioles
f. Increase salivation
g. Constrict pupils - Correct Ans-Answer B, C, D, F, G

Children who experience nightmares have these during which stage of sleep?
a. Early morning sleep
b. Nonrapid eye movement sleep
c. Rapid eye movement sleep
d. Sleep induction - Correct Ans-Answer B: NREM sleep

The nurse performs a preoperative assessment on a patient and asks about alcohol
use. The patient asks why this information is important. The nurse will explain that
patients who consume increased amounts of alcohol
a. may have a prolonged postoperative recovery time.
b. may not be eligible for surgery.
c. may not receive inhaled gases for anesthesia.
d.may require changes in anesthesia drug doses. - Correct Ans-Answer D

A patient asks the nurse about taking over-the-counter sleeping aids. The nurse will tell
the patient that the active ingredient in these products is often a(n)
a. antiemetic.
b. antihistamine.
c. barbiturate.
d. benzodiazepine. - Correct Ans-Answer B: Antihistamine

The nurse provides teaching for a patient who will begin taking phenytoin. Which
statement by the patient indicates understanding of the teaching?
a. "If I develop a rash, I should take diphenhydramine to control the itching."
b. "If I experience bleeding gums, I should stop taking the medication immediately."
c. "I may develop diabetes while I am taking this medication."

NUR 209

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