NURS 323 Midterm Exam Questions with Verified Solutions Graded A+
The nurse knows that TSH levels in patients with primary hypothyroidism who are not on thyroid
replacement therapy will be - Answers elevated
The nurse will teach patients on levothyroxine (T4) to take the medication ________________
when they ask about whether the medication should be taken with or without food - Answers
without
The nurse knows that medications from the oral antidiabetic drug family sulfonylureas lower
blood sugar by doing this - Answers increasing insulin release form beta cells of the pancreas
The nurse known that when a patient is on spironolactone (aldactone) that they must be careful
about consuming too much of this electrolyte - Answers potassium
The nurse knows that the minimum amount of urine output that a patient should have per hour
is - Answers 30 mL/hr
When caring for a patient on methimazole (tapazole), the nurse should monitor for which
concerning and serious side affect of tixucuty - Answers agranulocytosis
Which two diuretics cause the most concern for hypokalemia? - Answers HCTZ and furosemide
(lasix)
Fastest IV potassium can be given is - Answers 10 mEq/hr
The nurse knows that patients on medications like metformin (glucophage) from the biguanides
family of antidiabetic drugs need to monitor for toxicity of this organ - Answers kidney
The lab value of concern to the nurse when assessing a patient's long term of maintenance of
blood sugar level is - Answers HGB A1C
Why could beta blockers be given to a patient with hyperthyroidism? - Answers treat symptoms
When is PTU preferred over tapazole? - Answers first trimester of pregnancy and thyroid storm
The nurse knows that the difference between cardio selective and nonselective beta blockers is
that nonselective beta blockers also block which receptors? what does that cause? - Answers
beta 2 blocking causes bronchoconstriction and inhibits glycogenolysis
This is the best way to treat severe hypoglycemia in patients who are not awake, alert, or
oriented is by giving what? - Answers IV Dextrose D5O
The nurse knows that some insulins can be mixed in one syringe for ease of administration,
which can not be mixed? - Answers long acting insulins glargine/lantus
When reviewing labs for a patient who is being switched from furosemide to HCTZ, the nurse
, knows that this organ needs to be functioning adequately in order to do this - Answers kidney
Which drug do we become concerned about a patient taking in the presence of hypokalemia
related to diuretic use? - Answers digoxin, as K+ decreases, digoxin levels increase causing
toxicity risk
What is the prototype drug for nonselective beta blockers? - Answers propranolol (inderal)
Alpha 1 agonists will do this to blood vessels - Answers vasoconstrict
What is the prototype drug for cardio selective beta blockers? - Answers metoprolol
Nonselective beta blockers are problematic in diabetic patients because they can cause this
side effect related to blood sugar - Answers hypoglycemia
epinephrine - Answers stimulated all alpha and beta receptors - nonselective
norepinephrine - Answers stimulates all alpha receptors and beta 1
albuterol - Answers beta 2 agonist
Neosynephrine (phenylephrine) - Answers alpha 1 agonist
When your body can't use glucose for energy it uses ? - Answers fats
What is the byproduct of fat? - Answers ketones
If ketones increase, Ph ? - Answers decreases
electrolyte abnormality in DKA due to lack of inculin - Answers hyperkalemia
What of the following may indicate your patient is hypoglycemic? Select all that apply
a) confusion
b) seizures
c) diaphoresis
d) bradycardia
e) tachycardia - Answers a, b, c, e
Fastest onset insulin - Answers humalog
Slowest onset insulin - Answers lantus
Which of the following oral agents for diabetes treatment puts a patient at the greatest risk for
hypoglycemia?
The nurse knows that TSH levels in patients with primary hypothyroidism who are not on thyroid
replacement therapy will be - Answers elevated
The nurse will teach patients on levothyroxine (T4) to take the medication ________________
when they ask about whether the medication should be taken with or without food - Answers
without
The nurse knows that medications from the oral antidiabetic drug family sulfonylureas lower
blood sugar by doing this - Answers increasing insulin release form beta cells of the pancreas
The nurse known that when a patient is on spironolactone (aldactone) that they must be careful
about consuming too much of this electrolyte - Answers potassium
The nurse knows that the minimum amount of urine output that a patient should have per hour
is - Answers 30 mL/hr
When caring for a patient on methimazole (tapazole), the nurse should monitor for which
concerning and serious side affect of tixucuty - Answers agranulocytosis
Which two diuretics cause the most concern for hypokalemia? - Answers HCTZ and furosemide
(lasix)
Fastest IV potassium can be given is - Answers 10 mEq/hr
The nurse knows that patients on medications like metformin (glucophage) from the biguanides
family of antidiabetic drugs need to monitor for toxicity of this organ - Answers kidney
The lab value of concern to the nurse when assessing a patient's long term of maintenance of
blood sugar level is - Answers HGB A1C
Why could beta blockers be given to a patient with hyperthyroidism? - Answers treat symptoms
When is PTU preferred over tapazole? - Answers first trimester of pregnancy and thyroid storm
The nurse knows that the difference between cardio selective and nonselective beta blockers is
that nonselective beta blockers also block which receptors? what does that cause? - Answers
beta 2 blocking causes bronchoconstriction and inhibits glycogenolysis
This is the best way to treat severe hypoglycemia in patients who are not awake, alert, or
oriented is by giving what? - Answers IV Dextrose D5O
The nurse knows that some insulins can be mixed in one syringe for ease of administration,
which can not be mixed? - Answers long acting insulins glargine/lantus
When reviewing labs for a patient who is being switched from furosemide to HCTZ, the nurse
, knows that this organ needs to be functioning adequately in order to do this - Answers kidney
Which drug do we become concerned about a patient taking in the presence of hypokalemia
related to diuretic use? - Answers digoxin, as K+ decreases, digoxin levels increase causing
toxicity risk
What is the prototype drug for nonselective beta blockers? - Answers propranolol (inderal)
Alpha 1 agonists will do this to blood vessels - Answers vasoconstrict
What is the prototype drug for cardio selective beta blockers? - Answers metoprolol
Nonselective beta blockers are problematic in diabetic patients because they can cause this
side effect related to blood sugar - Answers hypoglycemia
epinephrine - Answers stimulated all alpha and beta receptors - nonselective
norepinephrine - Answers stimulates all alpha receptors and beta 1
albuterol - Answers beta 2 agonist
Neosynephrine (phenylephrine) - Answers alpha 1 agonist
When your body can't use glucose for energy it uses ? - Answers fats
What is the byproduct of fat? - Answers ketones
If ketones increase, Ph ? - Answers decreases
electrolyte abnormality in DKA due to lack of inculin - Answers hyperkalemia
What of the following may indicate your patient is hypoglycemic? Select all that apply
a) confusion
b) seizures
c) diaphoresis
d) bradycardia
e) tachycardia - Answers a, b, c, e
Fastest onset insulin - Answers humalog
Slowest onset insulin - Answers lantus
Which of the following oral agents for diabetes treatment puts a patient at the greatest risk for
hypoglycemia?
