NR 568 FINAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) Q&A 2026/2027
INSTANT DOWNLOAD PDF
1. A nurse practitioner is prescribing an ACE inhibitor for a
patient with hypertension. Which adverse effect should the
patient be taught to report immediately?
A. Constipation
B. Dry cough
C. Angioedema
D. Mild fatigue
Correct Answer: C. Angioedema
Rationale: ACE inhibitors can cause life-threatening
angioedema involving swelling of the face, lips, tongue, or
airway. Patients should seek immediate care.
2. Which medication class is considered first-line therapy for
uncomplicated hypertension in many adults?
A. Benzodiazepines
B. Thiazide diuretics
C. Opioid analgesics
D. Anticholinergics
Correct Answer: B. Thiazide diuretics
,Rationale: Thiazide diuretics are commonly recommended as
initial therapy because they reduce cardiovascular events and
effectively lower blood pressure.
3. A patient taking warfarin requires routine monitoring of
which laboratory value?
A. Hemoglobin A1c
B. INR
C. Serum sodium
D. Creatinine kinase
Correct Answer: B. INR
Rationale: Warfarin effectiveness and safety are monitored
using the International Normalized Ratio (INR).
4. Which anticoagulant does not require routine INR
monitoring?
A. Warfarin
B. Heparin
C. Apixaban
D. Enoxaparin
Correct Answer: C. Apixaban
Rationale: Direct oral anticoagulants (DOACs), such as
apixaban, have predictable effects and do not require routine
INR monitoring.
,5. A patient taking metformin should be monitored for which
serious adverse effect?
A. Hypoglycemia only
B. Lactic acidosis
C. Severe hypertension
D. Hyperthyroidism
Correct Answer: B. Lactic acidosis
Rationale: Although uncommon, metformin-associated lactic
acidosis is a serious risk, especially in patients with significant
renal impairment.
6. Which medication is classified as a GLP-1 receptor agonist
for diabetes management?
A. Insulin glargine
B. Semaglutide
C. Metformin
D. Glipizide
Correct Answer: B. Semaglutide
Rationale: GLP-1 receptor agonists improve glucose control,
slow gastric emptying, and may promote weight loss.
, 7. A patient using insulin develops shakiness, sweating, and
confusion. What is the most likely cause?
A. Hyperkalemia
B. Hypoglycemia
C. Hypertension
D. Hyperthyroidism
Correct Answer: B. Hypoglycemia
Rationale: Tremors, sweating, confusion, and altered mental
status are classic symptoms of low blood glucose.
8. Which medication should be avoided in pregnancy due to
fetal risk?
A. Labetalol
B. Methyldopa
C. Lisinopril
D. Nifedipine
Correct Answer: C. Lisinopril
Rationale: ACE inhibitors are contraindicated during pregnancy
because they can cause fetal renal damage and other
complications.
9. Which beta-blocker adverse effect should be monitored in
patients with asthma?
ANSWERS (VERIFIED ANSWERS) Q&A 2026/2027
INSTANT DOWNLOAD PDF
1. A nurse practitioner is prescribing an ACE inhibitor for a
patient with hypertension. Which adverse effect should the
patient be taught to report immediately?
A. Constipation
B. Dry cough
C. Angioedema
D. Mild fatigue
Correct Answer: C. Angioedema
Rationale: ACE inhibitors can cause life-threatening
angioedema involving swelling of the face, lips, tongue, or
airway. Patients should seek immediate care.
2. Which medication class is considered first-line therapy for
uncomplicated hypertension in many adults?
A. Benzodiazepines
B. Thiazide diuretics
C. Opioid analgesics
D. Anticholinergics
Correct Answer: B. Thiazide diuretics
,Rationale: Thiazide diuretics are commonly recommended as
initial therapy because they reduce cardiovascular events and
effectively lower blood pressure.
3. A patient taking warfarin requires routine monitoring of
which laboratory value?
A. Hemoglobin A1c
B. INR
C. Serum sodium
D. Creatinine kinase
Correct Answer: B. INR
Rationale: Warfarin effectiveness and safety are monitored
using the International Normalized Ratio (INR).
4. Which anticoagulant does not require routine INR
monitoring?
A. Warfarin
B. Heparin
C. Apixaban
D. Enoxaparin
Correct Answer: C. Apixaban
Rationale: Direct oral anticoagulants (DOACs), such as
apixaban, have predictable effects and do not require routine
INR monitoring.
,5. A patient taking metformin should be monitored for which
serious adverse effect?
A. Hypoglycemia only
B. Lactic acidosis
C. Severe hypertension
D. Hyperthyroidism
Correct Answer: B. Lactic acidosis
Rationale: Although uncommon, metformin-associated lactic
acidosis is a serious risk, especially in patients with significant
renal impairment.
6. Which medication is classified as a GLP-1 receptor agonist
for diabetes management?
A. Insulin glargine
B. Semaglutide
C. Metformin
D. Glipizide
Correct Answer: B. Semaglutide
Rationale: GLP-1 receptor agonists improve glucose control,
slow gastric emptying, and may promote weight loss.
, 7. A patient using insulin develops shakiness, sweating, and
confusion. What is the most likely cause?
A. Hyperkalemia
B. Hypoglycemia
C. Hypertension
D. Hyperthyroidism
Correct Answer: B. Hypoglycemia
Rationale: Tremors, sweating, confusion, and altered mental
status are classic symptoms of low blood glucose.
8. Which medication should be avoided in pregnancy due to
fetal risk?
A. Labetalol
B. Methyldopa
C. Lisinopril
D. Nifedipine
Correct Answer: C. Lisinopril
Rationale: ACE inhibitors are contraindicated during pregnancy
because they can cause fetal renal damage and other
complications.
9. Which beta-blocker adverse effect should be monitored in
patients with asthma?
