NUR 2811 Module 6 Capstone Exam |
Questions, Answers & Rationales |
International College of Health Sciences |
2026/2027
NUR 2811 Capstone Module 6
100-Question Practice Exam
International College of Health Sciences | 2026/2027 Study Edition
Note: This is an original study/practice exam, not a copy of an actual or leaked examination.
Questions 1–25: Pharmacology, Medication Safety & Endocrine
1. Why should a client rotate insulin injection sites?
A. To increase insulin resistance
B. To prevent lipodystrophy and unpredictable absorption
C. To eliminate the need for glucose monitoring
D. To make insulin act immediately
Answer: B
Rationale: Repeated injections in the same location can cause lipohypertrophy or lipoatrophy, which
may make insulin absorption unpredictable. Rotation helps maintain consistent absorption.
2. Which instruction is appropriate for a client taking levothyroxine?
A. Take it with breakfast
B. Take it first thing in the morning on an empty stomach
C. Take it only when symptoms occur
D. Take it with an iron supplement
Answer: B
Rationale: Levothyroxine is generally taken consistently on an empty stomach, commonly 30–60
minutes before breakfast. Calcium and iron can interfere with absorption.
3. Which finding is most consistent with hypothyroidism?
,A. Heat intolerance
B. Tachycardia
C. Cold intolerance
D. Diarrhea
Answer: C
Rationale: Hypothyroidism decreases metabolic activity and commonly causes cold intolerance, fatigue,
constipation, weight gain, and bradycardia.
4. Which finding is expected with hyperthyroidism?
A. Bradycardia
B. Heat intolerance
C. Constipation
D. Cold intolerance
Answer: B
Rationale: Increased thyroid hormone activity can cause heat intolerance, tachycardia, weight loss,
diarrhea, anxiety, and tremors.
5. Which finding is associated with Cushing syndrome?
A. Hypoglycemia
B. Hyperglycemia
C. Severe weight loss
D. Hypotension
Answer: B
Rationale: Excess cortisol promotes glucose production and can cause hyperglycemia. Other findings
may include hypertension and central weight gain.
6. Which finding is associated with Addison disease?
A. Hypertension
B. Hypotension
C. Hyperglycemia
D. Fluid overload
Answer: B
Rationale: Adrenal insufficiency can cause hypotension, weakness, weight loss, hypoglycemia,
hyponatremia, and hyperkalemia.
, 7. A client taking metformin is scheduled for a CT scan with iodinated contrast. What should the nurse
anticipate?
A. Continue metformin without consideration
B. Follow the prescribed protocol for temporarily withholding metformin
C. Double the metformin dose
D. Give metformin intravenously
Answer: B
Rationale: Iodinated contrast can contribute to acute kidney injury in susceptible clients. Metformin
management around contrast administration depends on renal function and current clinical
guidance/protocol.
8. Which medication is used as a rapid-acting rescue bronchodilator?
A. Albuterol
B. Levothyroxine
C. Warfarin
D. Digoxin
Answer: A
Rationale: Albuterol is a short-acting beta-2 agonist used for rapid relief of bronchospasm.
9. Which adverse effect may occur with albuterol?
A. Bradycardia
B. Tremor and tachycardia
C. Severe sedation
D. Hypothermia
Answer: B
Rationale: Beta-2 agonists can cause tremor, nervousness, palpitations, and tachycardia.
10. Which instruction is important for a client taking warfarin?
A. Eliminate vitamin K completely
B. Maintain a consistent vitamin K intake
C. Double the dose after missing one
D. Avoid all vegetables
Answer: B
Questions, Answers & Rationales |
International College of Health Sciences |
2026/2027
NUR 2811 Capstone Module 6
100-Question Practice Exam
International College of Health Sciences | 2026/2027 Study Edition
Note: This is an original study/practice exam, not a copy of an actual or leaked examination.
Questions 1–25: Pharmacology, Medication Safety & Endocrine
1. Why should a client rotate insulin injection sites?
A. To increase insulin resistance
B. To prevent lipodystrophy and unpredictable absorption
C. To eliminate the need for glucose monitoring
D. To make insulin act immediately
Answer: B
Rationale: Repeated injections in the same location can cause lipohypertrophy or lipoatrophy, which
may make insulin absorption unpredictable. Rotation helps maintain consistent absorption.
2. Which instruction is appropriate for a client taking levothyroxine?
A. Take it with breakfast
B. Take it first thing in the morning on an empty stomach
C. Take it only when symptoms occur
D. Take it with an iron supplement
Answer: B
Rationale: Levothyroxine is generally taken consistently on an empty stomach, commonly 30–60
minutes before breakfast. Calcium and iron can interfere with absorption.
3. Which finding is most consistent with hypothyroidism?
,A. Heat intolerance
B. Tachycardia
C. Cold intolerance
D. Diarrhea
Answer: C
Rationale: Hypothyroidism decreases metabolic activity and commonly causes cold intolerance, fatigue,
constipation, weight gain, and bradycardia.
4. Which finding is expected with hyperthyroidism?
A. Bradycardia
B. Heat intolerance
C. Constipation
D. Cold intolerance
Answer: B
Rationale: Increased thyroid hormone activity can cause heat intolerance, tachycardia, weight loss,
diarrhea, anxiety, and tremors.
5. Which finding is associated with Cushing syndrome?
A. Hypoglycemia
B. Hyperglycemia
C. Severe weight loss
D. Hypotension
Answer: B
Rationale: Excess cortisol promotes glucose production and can cause hyperglycemia. Other findings
may include hypertension and central weight gain.
6. Which finding is associated with Addison disease?
A. Hypertension
B. Hypotension
C. Hyperglycemia
D. Fluid overload
Answer: B
Rationale: Adrenal insufficiency can cause hypotension, weakness, weight loss, hypoglycemia,
hyponatremia, and hyperkalemia.
, 7. A client taking metformin is scheduled for a CT scan with iodinated contrast. What should the nurse
anticipate?
A. Continue metformin without consideration
B. Follow the prescribed protocol for temporarily withholding metformin
C. Double the metformin dose
D. Give metformin intravenously
Answer: B
Rationale: Iodinated contrast can contribute to acute kidney injury in susceptible clients. Metformin
management around contrast administration depends on renal function and current clinical
guidance/protocol.
8. Which medication is used as a rapid-acting rescue bronchodilator?
A. Albuterol
B. Levothyroxine
C. Warfarin
D. Digoxin
Answer: A
Rationale: Albuterol is a short-acting beta-2 agonist used for rapid relief of bronchospasm.
9. Which adverse effect may occur with albuterol?
A. Bradycardia
B. Tremor and tachycardia
C. Severe sedation
D. Hypothermia
Answer: B
Rationale: Beta-2 agonists can cause tremor, nervousness, palpitations, and tachycardia.
10. Which instruction is important for a client taking warfarin?
A. Eliminate vitamin K completely
B. Maintain a consistent vitamin K intake
C. Double the dose after missing one
D. Avoid all vegetables
Answer: B
