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PNM300 TEST 3 PREP REAL EXAM
PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT)
PNM 300 EXAM 3 LATEST 2025/26 PREP
(NEWEST.
A patient newly diagnosed with hypothyroidism received a prescription for a
thyroid drug. In addition to assessing for hypersensitivity and myocardial
infarction, for what should the nurse also assess before administering the
thyroid drug?
a. Infections
b. Diabetes mellitus
c. Lupus erythematosus
d. Adrenal insufficiency - .....ANS...D. Adrenal insufficiency
The nurse is providing teaching to a patient about oral corti-
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costeroid therapy. Which of the following statements by the patient
demonstrates more teaching is needed?
a. "I will report any fever or sore throat symptoms."
b. "I will stay away from anyone who has a cold or infection."
c. "I can stop this medication if I have severe adverse effects."
d. "I will take this drug with food or milk." - .....ANS...C.
The nurse is teaching a patient who is taking a prescribed daily dose of
prednisone (Winipred). Which of the following should the nurse include in the
teaching about the time of day to take the medication to reduce adrenal
suppression?
a. in the morning
b. at lunchtime
c. at dinnertime
d. at bedtime - .....ANS...A.
When giving decongestants, the nurse must remember that these drugs have
α-adrenergic- stimulating effects that may result in which effect?
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a. Fever
b. Bradycardia
c. Hypertension
d. CNS depression - .....ANS...C. Hypertension - alpha cause constriction of
vessels
A patient is taking a decongestant to help reduce symptoms of a cold. The
nurse will instruct the patient to observe for which possible symptom, which
may indicate an adverse effect of this drug?
a. Increased cough
b. Dry mouth
c. Slower heart rate
d. Heart palpitations - .....ANS...D. heart palpitations
A patient with hypothyroidism is given a prescription for levothyroxine
(Synthroid®). When the nurse explains that levothyroxine is a synthetic form
of the thyroid hormone, the patient states that a more natural form of drug
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would be personally preferred. What is the nurse's best explanation to the
patient for the use of levothyroxine?
a. The synthetic form has a stronger effect than the natural forms.
b. Levothyroxine is less expensive than the natural forms.
c. The oral form has fewer adverse effects on the gastrointestinal tract.
d. Because the half-life of levothyroxine is longer than that of the natural
forms, once-a-day dosing is possible. - .....ANS...D.
-levothyroxine has a long half-life and its effects are more predictable than
natural forms
The nurse is discussing thyroid replacement therapy and establishing
treatment goals with a patient. What important adverse effects should the
nurse discuss with the patient?
a. Edema, anemia, and hepatitis
b. Pruritus, myalgia, leukopenia, and paresthesia
c. Tachycardia, dysrhythmias, weight loss, and fever
d. Skin pigment changes, bleeding, and menstrual irregularities - .....ANS...C.
PNM300 TEST 3 PREP REAL EXAM
PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT)
PNM 300 EXAM 3 LATEST 2025/26 PREP
(NEWEST.
A patient newly diagnosed with hypothyroidism received a prescription for a
thyroid drug. In addition to assessing for hypersensitivity and myocardial
infarction, for what should the nurse also assess before administering the
thyroid drug?
a. Infections
b. Diabetes mellitus
c. Lupus erythematosus
d. Adrenal insufficiency - .....ANS...D. Adrenal insufficiency
The nurse is providing teaching to a patient about oral corti-
,2|Page
costeroid therapy. Which of the following statements by the patient
demonstrates more teaching is needed?
a. "I will report any fever or sore throat symptoms."
b. "I will stay away from anyone who has a cold or infection."
c. "I can stop this medication if I have severe adverse effects."
d. "I will take this drug with food or milk." - .....ANS...C.
The nurse is teaching a patient who is taking a prescribed daily dose of
prednisone (Winipred). Which of the following should the nurse include in the
teaching about the time of day to take the medication to reduce adrenal
suppression?
a. in the morning
b. at lunchtime
c. at dinnertime
d. at bedtime - .....ANS...A.
When giving decongestants, the nurse must remember that these drugs have
α-adrenergic- stimulating effects that may result in which effect?
,3|Page
a. Fever
b. Bradycardia
c. Hypertension
d. CNS depression - .....ANS...C. Hypertension - alpha cause constriction of
vessels
A patient is taking a decongestant to help reduce symptoms of a cold. The
nurse will instruct the patient to observe for which possible symptom, which
may indicate an adverse effect of this drug?
a. Increased cough
b. Dry mouth
c. Slower heart rate
d. Heart palpitations - .....ANS...D. heart palpitations
A patient with hypothyroidism is given a prescription for levothyroxine
(Synthroid®). When the nurse explains that levothyroxine is a synthetic form
of the thyroid hormone, the patient states that a more natural form of drug
, 4|Page
would be personally preferred. What is the nurse's best explanation to the
patient for the use of levothyroxine?
a. The synthetic form has a stronger effect than the natural forms.
b. Levothyroxine is less expensive than the natural forms.
c. The oral form has fewer adverse effects on the gastrointestinal tract.
d. Because the half-life of levothyroxine is longer than that of the natural
forms, once-a-day dosing is possible. - .....ANS...D.
-levothyroxine has a long half-life and its effects are more predictable than
natural forms
The nurse is discussing thyroid replacement therapy and establishing
treatment goals with a patient. What important adverse effects should the
nurse discuss with the patient?
a. Edema, anemia, and hepatitis
b. Pruritus, myalgia, leukopenia, and paresthesia
c. Tachycardia, dysrhythmias, weight loss, and fever
d. Skin pigment changes, bleeding, and menstrual irregularities - .....ANS...C.
