NUR 283 Comp 3 Final Exam Review Questions and
Answers
Pharmacology
Pathophysiology
Medical-Surgical Nursing
Maternal & Child Health
Mental Health Nursing
Leadership & Ethics
NCLEX-style Critical Thinking
Advanced NCLEX-style Scenarios
Mixed Reinforcement
1–10: Pharmacology
A patient on digoxin presents with nausea and blurred vision. What is the priority
nursing action?
Hold the dose and check serum digoxin level.
Which medication is contraindicated in asthma patients?
Non-selective beta-blockers (e.g., propranolol).
The nurse is preparing to administer insulin lispro. When should it be given?
Within 15 minutes before meals.
Which lab value should be monitored for a patient on warfarin?
INR.
A patient on furosemide is at risk for which electrolyte imbalance?
Hypokalemia.
Which antibiotic is contraindicated in pregnancy?
Tetracycline.
A patient on lithium reports excessive thirst. What should the nurse check?
Serum sodium levels.
Which medication is used to reverse opioid overdose?
Naloxone.
A patient on ACE inhibitors develops a persistent cough. What should the nurse do?
Notify the provider; consider switching to ARBs.
, Which medication requires monitoring for ototoxicity?
Gentamicin.
11–20: Pathophysiology
Which lab value indicates renal failure?
Elevated creatinine.
A patient with COPD is most likely to have which acid-base imbalance?
Respiratory acidosis.
Which condition is characterized by destruction of myelin in the CNS?
Multiple sclerosis.
What is the hallmark sign of hypoglycemia?
Diaphoresis and tremors.
Which electrolyte imbalance is associated with peaked T waves on ECG?
Hyperkalemia.
A patient with cirrhosis is at risk for which complication?
Ascites.
Which lab finding is expected in iron-deficiency anemia?
Low hemoglobin and hematocrit.
A patient with pancreatitis should avoid which food?
High-fat meals.
Which condition is associated with butterfly rash?
Systemic lupus erythematosus.
What is the primary cause of diabetic ketoacidosis (DKA)?
Insulin deficiency.
21–30: Medical-Surgical Nursing
Which patient should the nurse see first?
Post-op patient with new onset shortness of breath.
A patient with chest pain is given nitroglycerin. What is the expected side effect?
Headache.
Which intervention is priority for a patient with a tracheostomy?
Answers
Pharmacology
Pathophysiology
Medical-Surgical Nursing
Maternal & Child Health
Mental Health Nursing
Leadership & Ethics
NCLEX-style Critical Thinking
Advanced NCLEX-style Scenarios
Mixed Reinforcement
1–10: Pharmacology
A patient on digoxin presents with nausea and blurred vision. What is the priority
nursing action?
Hold the dose and check serum digoxin level.
Which medication is contraindicated in asthma patients?
Non-selective beta-blockers (e.g., propranolol).
The nurse is preparing to administer insulin lispro. When should it be given?
Within 15 minutes before meals.
Which lab value should be monitored for a patient on warfarin?
INR.
A patient on furosemide is at risk for which electrolyte imbalance?
Hypokalemia.
Which antibiotic is contraindicated in pregnancy?
Tetracycline.
A patient on lithium reports excessive thirst. What should the nurse check?
Serum sodium levels.
Which medication is used to reverse opioid overdose?
Naloxone.
A patient on ACE inhibitors develops a persistent cough. What should the nurse do?
Notify the provider; consider switching to ARBs.
, Which medication requires monitoring for ototoxicity?
Gentamicin.
11–20: Pathophysiology
Which lab value indicates renal failure?
Elevated creatinine.
A patient with COPD is most likely to have which acid-base imbalance?
Respiratory acidosis.
Which condition is characterized by destruction of myelin in the CNS?
Multiple sclerosis.
What is the hallmark sign of hypoglycemia?
Diaphoresis and tremors.
Which electrolyte imbalance is associated with peaked T waves on ECG?
Hyperkalemia.
A patient with cirrhosis is at risk for which complication?
Ascites.
Which lab finding is expected in iron-deficiency anemia?
Low hemoglobin and hematocrit.
A patient with pancreatitis should avoid which food?
High-fat meals.
Which condition is associated with butterfly rash?
Systemic lupus erythematosus.
What is the primary cause of diabetic ketoacidosis (DKA)?
Insulin deficiency.
21–30: Medical-Surgical Nursing
Which patient should the nurse see first?
Post-op patient with new onset shortness of breath.
A patient with chest pain is given nitroglycerin. What is the expected side effect?
Headache.
Which intervention is priority for a patient with a tracheostomy?
