NURS 316 FINAL EXAM NURSING KNOWLEDGE QUESTIONS
AND ANSWERS 2026/2027 | COMPREHENSIVE NURSING
TEST BANK
1. Discharge teaching for a patient sent home on oral tetracycline should
include?
Take the medication only once a day
Take with 2 oz of water
Take on an empty stomach
Hold if pulse is less than 60
2. If a patient requires a higher dose of fluoxetine at 60 mg per day, how many
milliliters of the oral solution would be needed based on the same
concentration?
10
20
5
15
3. Describe how HMG-CoA reductase inhibitors affect cholesterol levels in the
body.
HMG-CoA reductase inhibitors increase bile acid production, leading
to lower cholesterol levels.
HMG-CoA reductase inhibitors prevent the formation of chylomicrons,
thus reducing cholesterol absorption.
HMG-CoA reductase inhibitors enhance energy production, which
indirectly lowers cholesterol levels.
, HMG-CoA reductase inhibitors lower cholesterol levels by blocking
the enzyme responsible for the final step in cholesterol synthesis.
4. Why is it important for the nurse to notify the health care provider if a
patient's digoxin level remains elevated after treatment?
The nurse can manage the situation without notifying the provider.
The elevated level indicates that the patient is responding well to
treatment.
The nurse should wait for the next scheduled lab test before taking
any action.
It is crucial to inform the health care provider to reassess the
patient's treatment plan and prevent potential toxicity.
5. A patient with a 90% blockage in the left anterior descending artery is
asymptomatic. How might collateral circulation be functioning in this patient?
It is preventing any blood from reaching the heart muscle.
It is likely causing increased heart rate due to lack of blood flow.
It may be providing alternative pathways for blood flow to the heart
muscle.
It may be leading to a complete blockage of blood flow.
6. A 19-year-old athlete went out for his first day of football practice. He
experienced sudden cardiac death. The cause of death was determined to
be cardiomyopathy. Which form of cardiomyopathy was it most likely to be?
Hypertrophic
Dystrophic
Restrictive
, Dilated
7. Which of the following is a function of the complement system in the immune
response?
Antibody production
Opsonization
Cellular respiration
Nutrient absorption
8. Why is increasing fiber intake important for a patient starting bile sequestrant
medication?
Increasing fiber intake can lead to dehydration.
Increasing fiber intake is unrelated to lipid levels.
Increasing fiber intake helps to manage lipid levels and supports
digestive health.
Increasing fiber intake is only necessary for patients with diabetes.
9. If a patient reports a history of anaphylaxis to penicillin, what should the
nurse prioritize in the patient's care plan?
Avoidance of penicillin and related antibiotics.
Administering penicillin with a lower dosage.
Monitoring for signs of infection.
Educating the patient on the benefits of penicillin.
10. A nurse was asked by a client, "Why do my hands turn blue when I drive my
car in the winter without gloves?" Which is the best response?
, Your arteries in your hands/fingers are going into spasm, which
decreases blood flow and circulating oxygen.
We better order a CT scan. It might be a blood clot in your radial
artery.
This sounds like inflammation in the lining of your veins. You need to
take some NSAIDs.
Nothing to worry about. We all develop this as we age.
11. What is the initial form of plaque that develops in arteries due to high
cholesterol levels?
Fatty streaks
White blood cells (WBCs)
Foam cells
Platelets and fibrin
12. The client has arrived in the short stay unit for an infusion of tositumomab
with 131 tositumomab. Before beginning the infusion, the nurse assesses the
client's vital signs and finds the client has a temperature of 101.5°F (38.6°C).
What is the nurse's best action?
Administer the infusion as ordered in order to treat the fever.
Treat the fever as ordered before beginning the therapy.
Administer the infusion at one-half of the usual rate.
Document the assessment finding.
13. What is the primary role of opsonization in the immune response?
Coats a microbe to active phagocytosis recognition
Involved lysis of intracellular microbes by cytotoxic T cells
AND ANSWERS 2026/2027 | COMPREHENSIVE NURSING
TEST BANK
1. Discharge teaching for a patient sent home on oral tetracycline should
include?
Take the medication only once a day
Take with 2 oz of water
Take on an empty stomach
Hold if pulse is less than 60
2. If a patient requires a higher dose of fluoxetine at 60 mg per day, how many
milliliters of the oral solution would be needed based on the same
concentration?
10
20
5
15
3. Describe how HMG-CoA reductase inhibitors affect cholesterol levels in the
body.
HMG-CoA reductase inhibitors increase bile acid production, leading
to lower cholesterol levels.
HMG-CoA reductase inhibitors prevent the formation of chylomicrons,
thus reducing cholesterol absorption.
HMG-CoA reductase inhibitors enhance energy production, which
indirectly lowers cholesterol levels.
, HMG-CoA reductase inhibitors lower cholesterol levels by blocking
the enzyme responsible for the final step in cholesterol synthesis.
4. Why is it important for the nurse to notify the health care provider if a
patient's digoxin level remains elevated after treatment?
The nurse can manage the situation without notifying the provider.
The elevated level indicates that the patient is responding well to
treatment.
The nurse should wait for the next scheduled lab test before taking
any action.
It is crucial to inform the health care provider to reassess the
patient's treatment plan and prevent potential toxicity.
5. A patient with a 90% blockage in the left anterior descending artery is
asymptomatic. How might collateral circulation be functioning in this patient?
It is preventing any blood from reaching the heart muscle.
It is likely causing increased heart rate due to lack of blood flow.
It may be providing alternative pathways for blood flow to the heart
muscle.
It may be leading to a complete blockage of blood flow.
6. A 19-year-old athlete went out for his first day of football practice. He
experienced sudden cardiac death. The cause of death was determined to
be cardiomyopathy. Which form of cardiomyopathy was it most likely to be?
Hypertrophic
Dystrophic
Restrictive
, Dilated
7. Which of the following is a function of the complement system in the immune
response?
Antibody production
Opsonization
Cellular respiration
Nutrient absorption
8. Why is increasing fiber intake important for a patient starting bile sequestrant
medication?
Increasing fiber intake can lead to dehydration.
Increasing fiber intake is unrelated to lipid levels.
Increasing fiber intake helps to manage lipid levels and supports
digestive health.
Increasing fiber intake is only necessary for patients with diabetes.
9. If a patient reports a history of anaphylaxis to penicillin, what should the
nurse prioritize in the patient's care plan?
Avoidance of penicillin and related antibiotics.
Administering penicillin with a lower dosage.
Monitoring for signs of infection.
Educating the patient on the benefits of penicillin.
10. A nurse was asked by a client, "Why do my hands turn blue when I drive my
car in the winter without gloves?" Which is the best response?
, Your arteries in your hands/fingers are going into spasm, which
decreases blood flow and circulating oxygen.
We better order a CT scan. It might be a blood clot in your radial
artery.
This sounds like inflammation in the lining of your veins. You need to
take some NSAIDs.
Nothing to worry about. We all develop this as we age.
11. What is the initial form of plaque that develops in arteries due to high
cholesterol levels?
Fatty streaks
White blood cells (WBCs)
Foam cells
Platelets and fibrin
12. The client has arrived in the short stay unit for an infusion of tositumomab
with 131 tositumomab. Before beginning the infusion, the nurse assesses the
client's vital signs and finds the client has a temperature of 101.5°F (38.6°C).
What is the nurse's best action?
Administer the infusion as ordered in order to treat the fever.
Treat the fever as ordered before beginning the therapy.
Administer the infusion at one-half of the usual rate.
Document the assessment finding.
13. What is the primary role of opsonization in the immune response?
Coats a microbe to active phagocytosis recognition
Involved lysis of intracellular microbes by cytotoxic T cells
