NUR 378 Final Exam Blueprint Review 2026 | Verified Q&A
| Graded A+
1. Which substance is known to interact with atorvastatin and increase the risk of
myopathy?
Ibuprofen
Grapefruit juice
Vitamin C
Amoxicillin
2. What is the recommended amount of water a patient should take with
Alendronate?
8 oz
4 oz
16 oz
12 oz
3. Describe the importance of monitoring ECG in patients receiving
Ondansetron.
Monitoring ECG is necessary for evaluating kidney function.
Monitoring ECG is important to detect potential dysrhythmias
caused by the medication.
Monitoring ECG is used to check for allergic reactions.
Monitoring ECG helps in assessing liver function.
4. A client discovers during their eye exam that the pressure in the left eye is
significantly increased. The eye doctor prescribed latanoprost to both eyes
, BID. The client asks the nurse how this drug will help relieve the pressure in
her eye. Which response by the nurse is best?
This drug cause miosis which will stretch the drainage system of the
eye so more liquid will drain out.
This drug will slow the production of aqueous humor in the eye.
This drug will stop the production of fluid in our eye.
This drug will promote better outflow of fluid from the eye.
5. A patient has been receiving a sodium nitroprusside infusion for the last 4
days for management of severe hypertension. Based on the duration of
therapy, what is most essential for the nurse to evaluate?
The fasting blood glucose level
The 12-lead electrocardiogram (ECG)
The hemoglobin and hematocrit levels
The serum cyanide level
6. What is the priority teaching for a patient who has been prescribed
hydrocortisone for adrenal insufficiency?
importance of adequate sodium in the diet
importance of taking extra doses of corticoids when ill
importance of orthostatic BP precautions
importance of including fresh vegetables and fruits in the diet
7. Which drug interactions should be monitored with dobutamine?
Antibiotics
Nonsteroidal anti-inflammatory drugs (NSAIDs)
, Anticoagulants
MAOIs, TCAs, and certain general anesthetics
8. Which of the following is a common adverse effect of atorvastatin?
Joint pain
Hair loss
Increased appetite
Abdominal pain
9. A client presents to the clinic for a soft tissue injury at the ankle s/p two days
ago. For the past two days the client has been taking Acetaminophen but
states he was doubling the recommended dose because of the pain, totaling
4800 mg/day. Upon further assessment the client reveals he has nausea,
abdominal pain and diarrhea. What is the correct response from the nurse?
"This is Steven-Johnson Syndrome"
"Return to the recommended dose and those symptoms will resolve"
"These are early signs of toxicity and you need immediate medical
attention"
"You need to take this medication with food from now on"
10. The nurse teaches a patient receiving alendronate. Which is the *most*
important instruction to prevent esophageal ulceration?
Swallow the medication with a full glass of water and remain
upright for 30 mins.
Take alendronate with calcium and vitamin D.
Take alendronate in the morning before meals or taking other
medications.
, If a dose is missed, skip the dose that day.
11. What are the class of drugs known as ACE inhibitors commonly prescribed
for?
Anemia
Pain Management
Asthma
Hypertension
12. What is the therapeutic drug level range for Phenytoin that should be
monitored?
15-25
20-30
10-20
5-15
13. Describe the significance of monitoring electrolyte and uric acid levels in
patients taking medications that may affect these levels.
Monitoring these levels only helps in diagnosing kidney disease.
Monitoring these levels is unnecessary as medications do not affect
them.
Monitoring these levels is crucial to prevent complications such as
electrolyte imbalances and gout, which can be worsened by
certain medications.
Monitoring these levels is only important for patients with a history of
heart disease.
| Graded A+
1. Which substance is known to interact with atorvastatin and increase the risk of
myopathy?
Ibuprofen
Grapefruit juice
Vitamin C
Amoxicillin
2. What is the recommended amount of water a patient should take with
Alendronate?
8 oz
4 oz
16 oz
12 oz
3. Describe the importance of monitoring ECG in patients receiving
Ondansetron.
Monitoring ECG is necessary for evaluating kidney function.
Monitoring ECG is important to detect potential dysrhythmias
caused by the medication.
Monitoring ECG is used to check for allergic reactions.
Monitoring ECG helps in assessing liver function.
4. A client discovers during their eye exam that the pressure in the left eye is
significantly increased. The eye doctor prescribed latanoprost to both eyes
, BID. The client asks the nurse how this drug will help relieve the pressure in
her eye. Which response by the nurse is best?
This drug cause miosis which will stretch the drainage system of the
eye so more liquid will drain out.
This drug will slow the production of aqueous humor in the eye.
This drug will stop the production of fluid in our eye.
This drug will promote better outflow of fluid from the eye.
5. A patient has been receiving a sodium nitroprusside infusion for the last 4
days for management of severe hypertension. Based on the duration of
therapy, what is most essential for the nurse to evaluate?
The fasting blood glucose level
The 12-lead electrocardiogram (ECG)
The hemoglobin and hematocrit levels
The serum cyanide level
6. What is the priority teaching for a patient who has been prescribed
hydrocortisone for adrenal insufficiency?
importance of adequate sodium in the diet
importance of taking extra doses of corticoids when ill
importance of orthostatic BP precautions
importance of including fresh vegetables and fruits in the diet
7. Which drug interactions should be monitored with dobutamine?
Antibiotics
Nonsteroidal anti-inflammatory drugs (NSAIDs)
, Anticoagulants
MAOIs, TCAs, and certain general anesthetics
8. Which of the following is a common adverse effect of atorvastatin?
Joint pain
Hair loss
Increased appetite
Abdominal pain
9. A client presents to the clinic for a soft tissue injury at the ankle s/p two days
ago. For the past two days the client has been taking Acetaminophen but
states he was doubling the recommended dose because of the pain, totaling
4800 mg/day. Upon further assessment the client reveals he has nausea,
abdominal pain and diarrhea. What is the correct response from the nurse?
"This is Steven-Johnson Syndrome"
"Return to the recommended dose and those symptoms will resolve"
"These are early signs of toxicity and you need immediate medical
attention"
"You need to take this medication with food from now on"
10. The nurse teaches a patient receiving alendronate. Which is the *most*
important instruction to prevent esophageal ulceration?
Swallow the medication with a full glass of water and remain
upright for 30 mins.
Take alendronate with calcium and vitamin D.
Take alendronate in the morning before meals or taking other
medications.
, If a dose is missed, skip the dose that day.
11. What are the class of drugs known as ACE inhibitors commonly prescribed
for?
Anemia
Pain Management
Asthma
Hypertension
12. What is the therapeutic drug level range for Phenytoin that should be
monitored?
15-25
20-30
10-20
5-15
13. Describe the significance of monitoring electrolyte and uric acid levels in
patients taking medications that may affect these levels.
Monitoring these levels only helps in diagnosing kidney disease.
Monitoring these levels is unnecessary as medications do not affect
them.
Monitoring these levels is crucial to prevent complications such as
electrolyte imbalances and gout, which can be worsened by
certain medications.
Monitoring these levels is only important for patients with a history of
heart disease.
