NU 578 Exam 1 Practice Questions and
Answers
Pharmacology
Which of the following is a beta-blocker commonly used to treat hypertension?
a) Lisinopril
b) Metoprolol
c) Furosemide
d) Amlodipine
The therapeutic range for digoxin is:
a) 0.1–0.5 ng/mL
b) 0.5–2.0 ng/mL
c) 2.5–5.0 ng/mL
d) 5.0–10.0 ng/mL
Pathophysiology
Which electrolyte imbalance is most associated with cardiac arrhythmias?
a) Hypokalemia
b) Hypernatremia
c) Hypocalcemia
d) Hypermagnesemia
In type 2 diabetes mellitus, insulin resistance primarily occurs at the level of:
a) Pancreatic beta cells
b) Skeletal muscle
c) Liver hepatocytes
d) Adipose tissue
Nursing Interventions
When administering IV potassium, the nurse should:
a) Give as a rapid IV push
b) Dilute and infuse slowly
c) Mix with calcium gluconate
d) Administer intramuscularly
The most effective intervention to prevent ventilator-associated pneumonia is:
a) Frequent oral care
b) Routine chest X-rays
c) Daily sputum cultures
d) Prophylactic antibiotics
Patient Safety
The most effective way to reduce hospital-acquired infections is:
,a) Routine antibiotic prophylaxis
b) Hand hygiene
c) Daily chest X-rays
d) Isolation of all patients
When a patient is at risk of falls, the nurse should:
a) Restrain the patient
b) Keep the bed in the lowest position
c) Remove all mobility aids
d) Encourage ambulation without supervision
Health Assessment
A positive Babinski reflex in an adult indicates:
a) Normal neurological function
b) Upper motor neuron lesion
c) Lower motor neuron lesion
d) Peripheral neuropathy
The most reliable method to assess fluid balance is:
a) Daily weight
b) Skin turgor
c) Blood pressure
d) Urine color
Pathophysiology
Which condition is characterized by destruction of myelin in the CNS?
a) Parkinson’s disease
b) Multiple sclerosis
c) Alzheimer’s disease
d) Myasthenia gravis
In left-sided heart failure, the primary symptom is:
a) Peripheral edema
b) Pulmonary congestion
c) Jugular vein distension
d) Hepatomegaly
Pharmacology
Which antibiotic is contraindicated in children due to risk of teeth discoloration?
a) Penicillin
b) Tetracycline
c) Cephalosporin
d) Macrolide
The antidote for opioid overdose is:
a) Flumazenil
b) Naloxone
, c) Atropine
d) Protamine sulfate
Section H: Nursing Interventions
When caring for a patient with a chest tube, the nurse should:
a) Clamp the tube routinely
b) Keep the drainage system below chest level
c) Strip the tubing every hour
d) Remove the tube if bubbling occurs
The best position for a patient experiencing dyspnea is:
a) Supine
b) High Fowler’s
c) Trendelenburg
d) Prone
Ethics & Professionalism
A nurse who refuses to participate in assisted suicide is exercising:
a) Beneficence
b) Autonomy
c) Justice
d) Nonmaleficence
Confidentiality in nursing practice is primarily based on:
a) Patient autonomy
b) Beneficence
c) Justice
d) Fidelity
Critical Care
The first priority in managing anaphylaxis is:
a) Administer antihistamines
b) Secure airway
c) Provide IV fluids
d) Monitor vital signs
In shock, the most reliable indicator of tissue perfusion is:
a) Blood pressure
b) Urine output
c) Heart rate
d) Respiratory rate
Pharmacology
Which diuretic is potassium-sparing?
a) Furosemide
b) Hydrochlorothiazide
c) Spironolactone
Answers
Pharmacology
Which of the following is a beta-blocker commonly used to treat hypertension?
a) Lisinopril
b) Metoprolol
c) Furosemide
d) Amlodipine
The therapeutic range for digoxin is:
a) 0.1–0.5 ng/mL
b) 0.5–2.0 ng/mL
c) 2.5–5.0 ng/mL
d) 5.0–10.0 ng/mL
Pathophysiology
Which electrolyte imbalance is most associated with cardiac arrhythmias?
a) Hypokalemia
b) Hypernatremia
c) Hypocalcemia
d) Hypermagnesemia
In type 2 diabetes mellitus, insulin resistance primarily occurs at the level of:
a) Pancreatic beta cells
b) Skeletal muscle
c) Liver hepatocytes
d) Adipose tissue
Nursing Interventions
When administering IV potassium, the nurse should:
a) Give as a rapid IV push
b) Dilute and infuse slowly
c) Mix with calcium gluconate
d) Administer intramuscularly
The most effective intervention to prevent ventilator-associated pneumonia is:
a) Frequent oral care
b) Routine chest X-rays
c) Daily sputum cultures
d) Prophylactic antibiotics
Patient Safety
The most effective way to reduce hospital-acquired infections is:
,a) Routine antibiotic prophylaxis
b) Hand hygiene
c) Daily chest X-rays
d) Isolation of all patients
When a patient is at risk of falls, the nurse should:
a) Restrain the patient
b) Keep the bed in the lowest position
c) Remove all mobility aids
d) Encourage ambulation without supervision
Health Assessment
A positive Babinski reflex in an adult indicates:
a) Normal neurological function
b) Upper motor neuron lesion
c) Lower motor neuron lesion
d) Peripheral neuropathy
The most reliable method to assess fluid balance is:
a) Daily weight
b) Skin turgor
c) Blood pressure
d) Urine color
Pathophysiology
Which condition is characterized by destruction of myelin in the CNS?
a) Parkinson’s disease
b) Multiple sclerosis
c) Alzheimer’s disease
d) Myasthenia gravis
In left-sided heart failure, the primary symptom is:
a) Peripheral edema
b) Pulmonary congestion
c) Jugular vein distension
d) Hepatomegaly
Pharmacology
Which antibiotic is contraindicated in children due to risk of teeth discoloration?
a) Penicillin
b) Tetracycline
c) Cephalosporin
d) Macrolide
The antidote for opioid overdose is:
a) Flumazenil
b) Naloxone
, c) Atropine
d) Protamine sulfate
Section H: Nursing Interventions
When caring for a patient with a chest tube, the nurse should:
a) Clamp the tube routinely
b) Keep the drainage system below chest level
c) Strip the tubing every hour
d) Remove the tube if bubbling occurs
The best position for a patient experiencing dyspnea is:
a) Supine
b) High Fowler’s
c) Trendelenburg
d) Prone
Ethics & Professionalism
A nurse who refuses to participate in assisted suicide is exercising:
a) Beneficence
b) Autonomy
c) Justice
d) Nonmaleficence
Confidentiality in nursing practice is primarily based on:
a) Patient autonomy
b) Beneficence
c) Justice
d) Fidelity
Critical Care
The first priority in managing anaphylaxis is:
a) Administer antihistamines
b) Secure airway
c) Provide IV fluids
d) Monitor vital signs
In shock, the most reliable indicator of tissue perfusion is:
a) Blood pressure
b) Urine output
c) Heart rate
d) Respiratory rate
Pharmacology
Which diuretic is potassium-sparing?
a) Furosemide
b) Hydrochlorothiazide
c) Spironolactone
