2026/27 Update Graded A+ | Instant Pdf Download
1. A.patient.is.prescribed.a.DPI.inhaler.for.asthma.management..During.a.follow-
up.visit,.the.patient.reports.difficulty.in.achieving.effective.inhalation..What.advice.should.yo
u.provide.based.on.the.inhaler.type?
. Instruct.the.patient.to.shake.the.inhaler.before.use.
. Advise.the.patient.to.inhale.forcefully.and.ensure.a.tight.seal.around.the.mout
hpiece.
. Recommend.using.the.inhaler.with.a.spacer.for.better.delivery.
. Suggest.that.the.patient.switch.to.an.MDI.inhaler.for.easier.use.
2. Which.of.the.following.is.NOT.a.sign.or.symptom.of.hypokalemia?
. Lethargy
. Increased.urine.output
. High.blood.pressure
. Leg.cramps
3. Explain.why.it.is.important.for.patients.to.avoid.stopping.benzodiazepines.suddenly.
. Because.it.can.lead.to.increased.anxiety.and.withdrawal.symptoms.
. Because.it.is.necessary.to.take.them.with.food.
. Because.they.are.not.effective.if.taken.intermittently.
. Because.they.should. only.be.used.in.emergency.situations.
4. A.patient.is.scheduled.for.a.morning.appointment.and.usually.takes.Levothyroxine.at.
7.AM..If.their.appointment.is.at.8.AM,.what.should.the
, patient.do.to.ensure.optimal.absorption.of.the.medication?
. Take.Levothyroxine.at.6:30.AM.with.breakfast
. Take.Levothyroxine.at.6:00.AM.without.food
. Skip.the.morning.dose
. Take.Levothyroxine.at.7:30.AM.with.a.glass.of.water
5. What.is.the.recommended.duration.for.administering.ciprofloxacin.intravenously
?
. 30.minutes
. 45.minutes
. 60.minutes
. 90.minutes
6. For.routine.vaccination.the.minimum.age.for.receiving.the.MMR.vaccine.is:
. Six.months.old
. 15.months.old
. 4.years.old
. 12.months.old
7. What.is.the.recommended.method.for.taking.Cyclobenzaprine?
. On.an.empty.stomach
. With.food
. Only.at.bedtime
. With.alcohol
,8. What.is.a.key.patient.education.point.regarding.the.use.of.antibiotics?
. Patients.should.take.antibiotics.only.when.they.feel.sick.
. Patients.should.complete.the.entire.course.of.therapy.
. Patients.can.stop.taking.antibiotics.once.they.feel.better.
. Patients.should.only.use.antibiotics.for.viral.infections.
9. Why.is.it.important.to.maintain.lithium.levels.within.the.therapeutic.range.of.0.6-
1.2.mEq/L?
. To.prevent.toxicity.and.ensure.efficacy
. To.enhance.the.absorption.of.the.drug
. To.minimize.the.cost.of.treatment
. To.reduce.the.frequency.of.administration
10. A.patient.with.diabetes.mellitus.and.osteoporosis.is.prescribed.a.new.medication..W
hat.steps.should.the.healthcare.provider.take.to.ensure.patient.safety?
. Administer.the. medication. without.any.adjustments.
. Consult.the.prescribing.guidelines.for.drug.interactions.and.adjust.the.dosa
ge.as.necessary.
. Only.monitor.the.patient.for.side.effects.after.the.medication.is.given.
. Educate.the.patient.on.the.benefits.of.the.medication.without.discussing.risks.
11. Which.vaccine.is.generally.administered.to.the.newborn.before.hospital.discharge?
. Hepatitis.B
, . Chicken.Pox
. Flu.vaccine.(if.born.during.flu.season)
. Newborns.do.not.get.vaccinated.until.they.are.at.least.2.months.old.
12. What.is.the.recommended.time.frame.for.taking.Levothyroxine.to.ensure.optimal.absor
ption?
. Immediately.after.breakfast
. 30-60.minutes.before.breakfast
. With.a.meal
. At.bedtime
13. Which.laboratory.values.are.essential.to.monitor.in.patients.receiving.aminoglycosi
des?
. Hemoglobin. and. hematocrit
. BUN.and.creatinine
. Liver.enzymes.and.bilirubin
. Electrolytes.and.glucose
14. A.patient.on.statin.therapy.presents.with.muscle.pain.and.elevated.liver.enzymes..What.
should.be.the.nurse's.priority.action.based.on.the.known.complications.of.statin.use?
. Continue.the.statin.and.monitor.the.patient
. Discontinue.the.statin.and.notify.the.healthcare.provider
. Increase.the.dosage.of.the.statin
. Switch.the.patient.to.a.different.class.of.lipid-lowering.medication