N180 MIDTERM EXAM 2026/2027 – NURSING STUDY GUIDE, PRACTICE
QUESTIONS, EXAM REVIEW & TEST PREP
Glucocorticoids have the ability to - correct answer ✔✔suppress inflammation
Glucocorticoids can mask - correct answer ✔✔symptoms of infection; should NOT be given to pts with
actual infection
pt using glucocorticoids should avoid being around... - correct answer ✔✔pts that are sick with
infections
Cushing - correct answer ✔✔will only happen with LONG TERM therapy of glucocorticoids
what is Levothyroxine - correct answer ✔✔synthetic thyroid hormone; chemically identical to thyroxine
(T4)
what does Levothyroxine treat - correct answer ✔✔hypothyroidism; nurse should prepare to instruct pt
w hypothyroidism on use of this medication (take 30 min before food and other meds, swallow capsule
whole with whole glass of water)
what is reglan - correct answer ✔✔GI stimulant used to relieve nausea, vomiting, heartburn, stomach
pain, bloating, and a persistent feeling of fullness after meals
what type of drug is reglan? - correct answer ✔✔prokinetic drug
how does reglan work? - correct answer ✔✔promotes gastric emptying
what do Loop diuretics do? - correct answer ✔✔inhibit sodium and chloride reabsorption in loop of
Henle and increase urine output; excretes potassium
What do thiazide diuretics do? - correct answer ✔✔block sodium and chloride in distal tubule and
nephron
What do potassium sparing diuretics do? - correct answer ✔✔block aldosterone, does not allow for
excretion of potassium --> pts should STAY AWAY from high K+ containing foods
Fosamax (alendronate) - correct answer ✔✔needs to be taken on empty stomach 30 min before
breakfast with full glass of water; pt SIT UPRIGHT for at least 30 min after taking med
when prioritizing care.... - correct answer ✔✔ALWAYS check safety first, then ABC, then pain
what to do with liquid form potassium - correct answer ✔✔dilute in water because it is irritating to
mucosal lining
what is aspirin? - correct answer ✔✔antiplatelet; if pt having surgery, MDs will educate pt to STOP
aspirin 1 WEEK prior to surgery
, if you have orders to give oral meds, what do we do prior to adminstering? - correct answer ✔✔ASSESS
PT'S ABILITY TO SWALLOW
if pt has renal condition, what should the nurse identify? - correct answer ✔✔nephrotoxic medications
pt may be taking and let MD know (ampicillin, ciprofloxacin, methotrexate)
what should the nurse know prior to administering a drug? - correct answer ✔✔reason med was
prescribed, how med is to be administered, how med is supplied by pharmacy, NAME OF MED
what are the names of the prototype diuretics? - correct answer ✔✔Hydrochlorothiazide, furosemide,
spironolactone
What is colchicine used for? - correct answer ✔✔acute gout attacks
what does colchicine do? - correct answer ✔✔reduces uric acid crystals in the joint
what should a pt with gout avoid? - correct answer ✔✔beef, sardines, liver, organ meet, salmon, high
purine foods, alcohol
what is the primary reason for oral drugs to be administered with food? - correct answer ✔✔helps
protect gastric mucosa
symptoms of Cushing syndrome - correct answer ✔✔round face (moon face), ecchymosis (discoloration
of skin bc bleeding underneath [bruising]) in arms and other areas of body
what to do if pt with Cushing's starts showing signs of infection (temperature - even if it's low) - correct
answer ✔✔go to clinic to see physician right away to get ANTIBIOTICS
Rheumatoid arthritis presentation - correct answer ✔✔inflammation in MULTIPLE joints
what does complementary alternative medicine used in conjunction with drug therapy allow for? -
correct answer ✔✔lower doses of drugs with fewer side effects
oral med routes vs IV med routes - correct answer ✔✔oral carries less side effects than IV version of
same drug
what do pts with positive CTs for hemorrhage require? - correct answer ✔✔LOC monitoring every 15
minutes to ensure intracranial pressure isn't increasing
pts w positive hemorrhage CTs should not take - correct answer ✔✔OPIATES - morphine =
contraindicated
how can hyperkalemia be easily treated? - correct answer ✔✔Insulin therapy; administer glucose IV as
well so pt does not become hypoglycemic
how does insulin therapy treat hyperkalemia? - correct answer ✔✔insulin IV will push potassium to
intracellular space
QUESTIONS, EXAM REVIEW & TEST PREP
Glucocorticoids have the ability to - correct answer ✔✔suppress inflammation
Glucocorticoids can mask - correct answer ✔✔symptoms of infection; should NOT be given to pts with
actual infection
pt using glucocorticoids should avoid being around... - correct answer ✔✔pts that are sick with
infections
Cushing - correct answer ✔✔will only happen with LONG TERM therapy of glucocorticoids
what is Levothyroxine - correct answer ✔✔synthetic thyroid hormone; chemically identical to thyroxine
(T4)
what does Levothyroxine treat - correct answer ✔✔hypothyroidism; nurse should prepare to instruct pt
w hypothyroidism on use of this medication (take 30 min before food and other meds, swallow capsule
whole with whole glass of water)
what is reglan - correct answer ✔✔GI stimulant used to relieve nausea, vomiting, heartburn, stomach
pain, bloating, and a persistent feeling of fullness after meals
what type of drug is reglan? - correct answer ✔✔prokinetic drug
how does reglan work? - correct answer ✔✔promotes gastric emptying
what do Loop diuretics do? - correct answer ✔✔inhibit sodium and chloride reabsorption in loop of
Henle and increase urine output; excretes potassium
What do thiazide diuretics do? - correct answer ✔✔block sodium and chloride in distal tubule and
nephron
What do potassium sparing diuretics do? - correct answer ✔✔block aldosterone, does not allow for
excretion of potassium --> pts should STAY AWAY from high K+ containing foods
Fosamax (alendronate) - correct answer ✔✔needs to be taken on empty stomach 30 min before
breakfast with full glass of water; pt SIT UPRIGHT for at least 30 min after taking med
when prioritizing care.... - correct answer ✔✔ALWAYS check safety first, then ABC, then pain
what to do with liquid form potassium - correct answer ✔✔dilute in water because it is irritating to
mucosal lining
what is aspirin? - correct answer ✔✔antiplatelet; if pt having surgery, MDs will educate pt to STOP
aspirin 1 WEEK prior to surgery
, if you have orders to give oral meds, what do we do prior to adminstering? - correct answer ✔✔ASSESS
PT'S ABILITY TO SWALLOW
if pt has renal condition, what should the nurse identify? - correct answer ✔✔nephrotoxic medications
pt may be taking and let MD know (ampicillin, ciprofloxacin, methotrexate)
what should the nurse know prior to administering a drug? - correct answer ✔✔reason med was
prescribed, how med is to be administered, how med is supplied by pharmacy, NAME OF MED
what are the names of the prototype diuretics? - correct answer ✔✔Hydrochlorothiazide, furosemide,
spironolactone
What is colchicine used for? - correct answer ✔✔acute gout attacks
what does colchicine do? - correct answer ✔✔reduces uric acid crystals in the joint
what should a pt with gout avoid? - correct answer ✔✔beef, sardines, liver, organ meet, salmon, high
purine foods, alcohol
what is the primary reason for oral drugs to be administered with food? - correct answer ✔✔helps
protect gastric mucosa
symptoms of Cushing syndrome - correct answer ✔✔round face (moon face), ecchymosis (discoloration
of skin bc bleeding underneath [bruising]) in arms and other areas of body
what to do if pt with Cushing's starts showing signs of infection (temperature - even if it's low) - correct
answer ✔✔go to clinic to see physician right away to get ANTIBIOTICS
Rheumatoid arthritis presentation - correct answer ✔✔inflammation in MULTIPLE joints
what does complementary alternative medicine used in conjunction with drug therapy allow for? -
correct answer ✔✔lower doses of drugs with fewer side effects
oral med routes vs IV med routes - correct answer ✔✔oral carries less side effects than IV version of
same drug
what do pts with positive CTs for hemorrhage require? - correct answer ✔✔LOC monitoring every 15
minutes to ensure intracranial pressure isn't increasing
pts w positive hemorrhage CTs should not take - correct answer ✔✔OPIATES - morphine =
contraindicated
how can hyperkalemia be easily treated? - correct answer ✔✔Insulin therapy; administer glucose IV as
well so pt does not become hypoglycemic
how does insulin therapy treat hyperkalemia? - correct answer ✔✔insulin IV will push potassium to
intracellular space
