NURS 180 Final Exam Latest update
Questions with Excellent Answers
Graded Perfect Score
A client asks about their medication Lasix and its common side effects. Which of the following should the
nurse NOT include in their teaching? - Answer -Signs of hypoglycemia
A client complains of a severe headache after he receives Nitro. Which should the nurse administer? -
Answer -A PRN dose of Tylenol
A client diagnosed with arterial hypertension is receiving Furosemide (Lasix). Which data indicates the
medication was effective? - Answer -The client's uptake is 1800 mL and the output is 2300 mL
A client has been prescribed Digoxin for CHF. Which data indicates the medication has been effective? -
Answer -the client has clear breath sounds bilaterally
A client who has taken Enalapril is asking the nurse about therapeutic use of this class of medications.
Which of the following statements from the nurse is NOT appropriate to teach the client? -
Answer -ACE inhibitors are used to control cardiac dysrhythmias
A new graduate nurse understands that cardiac glycosides have which of the following expected actions?
- Answer -positive inotropic effect, negative chronotropic
A nurse is caring for a client who is taking Warfarin. Which of the following laboratory values should the
nurse recognize as an effective response to the medication? - Answer -INR 3.0
A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for
methylprednisolone. Which of the following instructions should the nurse include? - Answer --
Blood glucose levels will be monitored during therapy
-Avoid contact with people who have known infections
-Grapefruit juice can increase the effects of the medication
A nurse is reviewing the laboratory results for a client who is receiving heparin via continuous IV infusion
for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the
following client findings? - Answer -Platelets 96,000 mm3
A parent says to the nurse "A doctor prescribed Zartan for my children who has absence seizures, what
does this mean? What is the best response by the nurse? - Answer -Your stutter seizures manifest
into staring into space for a few seconds
A patient is prescribed aminophylline-theophylline. For what adverse effect should the nurse monitor
the patient? - Answer -Increased heart rate
, A patient is receiving intravenous aminophylline. The nurse checks the patient's lab values and sees the
seru, theophylline level is 32 mcg/mL. What action should the nurse take? - Answer -notify the
healthcare provider of the level
A patient says to the nurse, "My doctor says I have epilepsy and I need to take medication for those
seizures I had. Do I really need medicine?" What is the best response by the nurse? - Answer -"Yes,
you need to take the medication on a continual basis to control the seizures"
Absence (petit mal) seizure - Answer --Last a few seconds; seen mostly in children (child stares into
space, does not respond to verbal stimulation, may have fluttering eyelids or jerking)
-Misdiagnosed as ADHD
Acetylcysteine (Mucomyst) - Answer -antidote for acetaminophen
Adverse effects of Diflucan - Answer -hepatotoxicity, exfoliative skin disorder (stevens johnson
syndrome)
Adverse effects of Hydrochlorothiazide - Answer --Potential electrolyte imbalances due to loss of
excessive K+ and Na+
-Hyperuricemia
Precipitate gout attacks
-Hypokalemia
-Wheezes - indication of pulmonary edema - affects oxygenation
Adverse effects: Enalapril (Vasotec) - Answer -swelling around the eyes, difficulty swallowing
(angioedema, hold the drug)
Adverse reaction of Rosuvastatin (Crestor) - Answer -Rhabdomyolysis (Urine output of 30 mL,
increased creatine kinase, calves hurt, difficult walking short distance) myopathy, hyperglycemia
Albuterol (Ventolin) - Answer --Blood in lungs picks up the drug rapidly -> quick relief of symptoms
-Stimulate sympathetic NS (fight or flight)
-When inhaled 15 to 30 mins prior to physical activity, it can prevent exercise-induced bronchospasm
-Adverse: hypokalemia (at high doses)
Albuterol inhaler drug facts - Answer --Should use when symptoms worsen
-Give inhaled, delivered right into the airways, causes fight or flight response
Aminophylline drug facts - Answer --For asthma exacerbations
-Avoid caffeine
-Avoid smoking
Questions with Excellent Answers
Graded Perfect Score
A client asks about their medication Lasix and its common side effects. Which of the following should the
nurse NOT include in their teaching? - Answer -Signs of hypoglycemia
A client complains of a severe headache after he receives Nitro. Which should the nurse administer? -
Answer -A PRN dose of Tylenol
A client diagnosed with arterial hypertension is receiving Furosemide (Lasix). Which data indicates the
medication was effective? - Answer -The client's uptake is 1800 mL and the output is 2300 mL
A client has been prescribed Digoxin for CHF. Which data indicates the medication has been effective? -
Answer -the client has clear breath sounds bilaterally
A client who has taken Enalapril is asking the nurse about therapeutic use of this class of medications.
Which of the following statements from the nurse is NOT appropriate to teach the client? -
Answer -ACE inhibitors are used to control cardiac dysrhythmias
A new graduate nurse understands that cardiac glycosides have which of the following expected actions?
- Answer -positive inotropic effect, negative chronotropic
A nurse is caring for a client who is taking Warfarin. Which of the following laboratory values should the
nurse recognize as an effective response to the medication? - Answer -INR 3.0
A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for
methylprednisolone. Which of the following instructions should the nurse include? - Answer --
Blood glucose levels will be monitored during therapy
-Avoid contact with people who have known infections
-Grapefruit juice can increase the effects of the medication
A nurse is reviewing the laboratory results for a client who is receiving heparin via continuous IV infusion
for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the
following client findings? - Answer -Platelets 96,000 mm3
A parent says to the nurse "A doctor prescribed Zartan for my children who has absence seizures, what
does this mean? What is the best response by the nurse? - Answer -Your stutter seizures manifest
into staring into space for a few seconds
A patient is prescribed aminophylline-theophylline. For what adverse effect should the nurse monitor
the patient? - Answer -Increased heart rate
, A patient is receiving intravenous aminophylline. The nurse checks the patient's lab values and sees the
seru, theophylline level is 32 mcg/mL. What action should the nurse take? - Answer -notify the
healthcare provider of the level
A patient says to the nurse, "My doctor says I have epilepsy and I need to take medication for those
seizures I had. Do I really need medicine?" What is the best response by the nurse? - Answer -"Yes,
you need to take the medication on a continual basis to control the seizures"
Absence (petit mal) seizure - Answer --Last a few seconds; seen mostly in children (child stares into
space, does not respond to verbal stimulation, may have fluttering eyelids or jerking)
-Misdiagnosed as ADHD
Acetylcysteine (Mucomyst) - Answer -antidote for acetaminophen
Adverse effects of Diflucan - Answer -hepatotoxicity, exfoliative skin disorder (stevens johnson
syndrome)
Adverse effects of Hydrochlorothiazide - Answer --Potential electrolyte imbalances due to loss of
excessive K+ and Na+
-Hyperuricemia
Precipitate gout attacks
-Hypokalemia
-Wheezes - indication of pulmonary edema - affects oxygenation
Adverse effects: Enalapril (Vasotec) - Answer -swelling around the eyes, difficulty swallowing
(angioedema, hold the drug)
Adverse reaction of Rosuvastatin (Crestor) - Answer -Rhabdomyolysis (Urine output of 30 mL,
increased creatine kinase, calves hurt, difficult walking short distance) myopathy, hyperglycemia
Albuterol (Ventolin) - Answer --Blood in lungs picks up the drug rapidly -> quick relief of symptoms
-Stimulate sympathetic NS (fight or flight)
-When inhaled 15 to 30 mins prior to physical activity, it can prevent exercise-induced bronchospasm
-Adverse: hypokalemia (at high doses)
Albuterol inhaler drug facts - Answer --Should use when symptoms worsen
-Give inhaled, delivered right into the airways, causes fight or flight response
Aminophylline drug facts - Answer --For asthma exacerbations
-Avoid caffeine
-Avoid smoking
