1|Page
NRNP 6531 FINAL EXAM 2 LATEST
VERSIONS 2025 CONTAINS 200
QUESTIONS AND CORRECT
ANSWERS/ NRNP 6531 WEEK 11
FINAL EXAM|AGRADE(WALDEN)
1. A patient with heart failure is prescribed furosemide. Which electrolyte should the nurse
monitor closely?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Answer: B. Potassium
Rationale: Furosemide is a loop diuretic that causes potassium loss, increasing the risk of
arrhythmias.
2. A patient taking digoxin reports nausea and visual halos. What is the nurse’s priority action?
A. Administer the next scheduled dose
B. Hold the medication and notify the provider
C. Increase the patient’s potassium intake
D. Recheck vital signs in 4 hours
Answer: B. Hold the medication and notify the provider
Rationale: These are classic signs of digoxin toxicity requiring immediate intervention.
3. Which lab value should be monitored for a patient on warfarin therapy?
A. PT/INR
B. aPTT
C. Serum potassium
D. BUN
Answer: A. PT/INR
Rationale: PT/INR monitors therapeutic anticoagulation to prevent bleeding complications.
4. A patient with type 2 diabetes is prescribed metformin. Which condition is a contraindication?
A. Hypertension
B. Renal impairment
2026 2027 GRADED A+
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C. Hyperlipidemia
D. Obesity
Answer: B. Renal impairment
Rationale: Metformin can cause lactic acidosis in patients with poor kidney function.
5. Which is the priority nursing intervention for a patient with hypoglycemia?
A. Administer oral glucose if the patient is conscious
B. Give insulin
C. Encourage exercise
D. Monitor urine ketones
Answer: A. Administer oral glucose if the patient is conscious
Rationale: Immediate glucose replacement prevents neurological damage.
6. A patient is prescribed lisinopril. Which adverse effect should the nurse monitor for?
A. Persistent dry cough
B. Bradycardia
C. Hypoglycemia
D. Muscle cramps
Answer: A. Persistent dry cough
Rationale: ACE inhibitors increase bradykinin levels, causing a nonproductive cough.
7. Which medication should be held if a patient’s apical pulse is less than 60 bpm?
A. Furosemide
B. Digoxin
C. Metformin
D. Warfarin
Answer: B. Digoxin
Rationale: Digoxin slows heart rate and can cause bradycardia; check apical pulse prior to
administration.
8. A patient receiving heparin therapy should have which lab monitored?
A. INR
B. aPTT
C. Serum calcium
D. Creatinine
Answer: B. aPTT
Rationale: aPTT measures heparin’s anticoagulant effect to avoid bleeding or clotting
complications.
2026 2027 GRADED A+
, 3|Page
9. Which vital sign should be monitored closely when administering beta blockers?
A. Temperature
B. Heart rate
C. Respiratory rate
D. Blood glucose
Answer: B. Heart rate
Rationale: Beta blockers decrease heart rate and can cause bradycardia.
10. A patient is prescribed albuterol for asthma. Which instruction is correct?
A. Use only at night
B. Take before exercise to prevent bronchospasm
C. Mix with other inhaled medications in the same dose
D. Take on an empty stomach
Answer: B. Take before exercise to prevent bronchospasm
Rationale: Pre-exercise use prevents exercise-induced asthma attacks.
I can continue generating the remaining 40 questions (Questions 11–50) immediately to
complete the first 50-question practice exam.
Do you want me to continue?
yes
Perfect
Here’s NURS 6531 Final Exam – Week 11, continuing Questions 11–50, multiple-choice with
answers and rationales:
11. A patient is prescribed prednisone. Which adverse effect should the nurse monitor?
A. Hypoglycemia
B. Hyperglycemia
C. Bradycardia
D. Hypotension
Answer: B. Hyperglycemia
Rationale: Corticosteroids increase blood glucose levels and can worsen diabetes.
2026 2027 GRADED A+
NRNP 6531 FINAL EXAM 2 LATEST
VERSIONS 2025 CONTAINS 200
QUESTIONS AND CORRECT
ANSWERS/ NRNP 6531 WEEK 11
FINAL EXAM|AGRADE(WALDEN)
1. A patient with heart failure is prescribed furosemide. Which electrolyte should the nurse
monitor closely?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Answer: B. Potassium
Rationale: Furosemide is a loop diuretic that causes potassium loss, increasing the risk of
arrhythmias.
2. A patient taking digoxin reports nausea and visual halos. What is the nurse’s priority action?
A. Administer the next scheduled dose
B. Hold the medication and notify the provider
C. Increase the patient’s potassium intake
D. Recheck vital signs in 4 hours
Answer: B. Hold the medication and notify the provider
Rationale: These are classic signs of digoxin toxicity requiring immediate intervention.
3. Which lab value should be monitored for a patient on warfarin therapy?
A. PT/INR
B. aPTT
C. Serum potassium
D. BUN
Answer: A. PT/INR
Rationale: PT/INR monitors therapeutic anticoagulation to prevent bleeding complications.
4. A patient with type 2 diabetes is prescribed metformin. Which condition is a contraindication?
A. Hypertension
B. Renal impairment
2026 2027 GRADED A+
,2|Page
C. Hyperlipidemia
D. Obesity
Answer: B. Renal impairment
Rationale: Metformin can cause lactic acidosis in patients with poor kidney function.
5. Which is the priority nursing intervention for a patient with hypoglycemia?
A. Administer oral glucose if the patient is conscious
B. Give insulin
C. Encourage exercise
D. Monitor urine ketones
Answer: A. Administer oral glucose if the patient is conscious
Rationale: Immediate glucose replacement prevents neurological damage.
6. A patient is prescribed lisinopril. Which adverse effect should the nurse monitor for?
A. Persistent dry cough
B. Bradycardia
C. Hypoglycemia
D. Muscle cramps
Answer: A. Persistent dry cough
Rationale: ACE inhibitors increase bradykinin levels, causing a nonproductive cough.
7. Which medication should be held if a patient’s apical pulse is less than 60 bpm?
A. Furosemide
B. Digoxin
C. Metformin
D. Warfarin
Answer: B. Digoxin
Rationale: Digoxin slows heart rate and can cause bradycardia; check apical pulse prior to
administration.
8. A patient receiving heparin therapy should have which lab monitored?
A. INR
B. aPTT
C. Serum calcium
D. Creatinine
Answer: B. aPTT
Rationale: aPTT measures heparin’s anticoagulant effect to avoid bleeding or clotting
complications.
2026 2027 GRADED A+
, 3|Page
9. Which vital sign should be monitored closely when administering beta blockers?
A. Temperature
B. Heart rate
C. Respiratory rate
D. Blood glucose
Answer: B. Heart rate
Rationale: Beta blockers decrease heart rate and can cause bradycardia.
10. A patient is prescribed albuterol for asthma. Which instruction is correct?
A. Use only at night
B. Take before exercise to prevent bronchospasm
C. Mix with other inhaled medications in the same dose
D. Take on an empty stomach
Answer: B. Take before exercise to prevent bronchospasm
Rationale: Pre-exercise use prevents exercise-induced asthma attacks.
I can continue generating the remaining 40 questions (Questions 11–50) immediately to
complete the first 50-question practice exam.
Do you want me to continue?
yes
Perfect
Here’s NURS 6531 Final Exam – Week 11, continuing Questions 11–50, multiple-choice with
answers and rationales:
11. A patient is prescribed prednisone. Which adverse effect should the nurse monitor?
A. Hypoglycemia
B. Hyperglycemia
C. Bradycardia
D. Hypotension
Answer: B. Hyperglycemia
Rationale: Corticosteroids increase blood glucose levels and can worsen diabetes.
2026 2027 GRADED A+
