NURSING 615 EXAM 3 MARYVILLE UNIVERSITY 2026/2027 |
COMPREHENSIVE TEST BANK | HIGH-YIELD EXAM PREP QUESTIONS |
CORRECT & VERIFIED ANSWERS | UPDATED VERSION
1. What instructions should a patient receive about Exenatide (Byetta)?
Discard pen when it reaches expiration date.
Inject this medication within 60 min before breakfast and dinner.
Take this medication shortly after finishing breakfast and dinner.
Take one tablet 30 minutes before breakfast and lunch.
2. A patient with a history of heart disease is prescribed NSAIDs for pain
management. What should be the primary consideration for the healthcare
provider?
Administer the NSAIDs without any additional precautions.
Advise the patient to take NSAIDs only when necessary.
Increase the dosage of NSAIDs to manage pain effectively.
Evaluate the patient's cardiovascular risk and consider alternative
pain management options.
3. Why is it important for patients taking statins to report symptoms such as
muscle weakness or dark urine?
These symptoms may indicate rhabdomyolysis, a serious condition
caused by statins.
These symptoms are common and not concerning.
These symptoms indicate a need for increased dosage of statins.
These symptoms suggest an allergic reaction to the medication.
,4. What enzyme is primarily responsible for the metabolism of Amlodipine?
CYP1A2
CYP3A4
CYP2C19
CYP2D6
5. Signs/Symptoms of Hypoglycemia:
low blood pressure
Cold, clammy, needs some candy
hair loss, cramping
Muscle weakness, pot belly
6. Describe the dosing regimen for colchicine when treating a gout flare.
The regimen involves taking 1.2 mg at the first sign of a flare,
followed by 0.6 mg one hour later.
The regimen consists of a single dose of 1.8 mg.
The regimen starts with 0.6 mg and increases to 1.2 mg if needed.
The regimen requires 0.6 mg every hour until symptoms improve.
7. Describe how the increase in incretin levels by Gliptins affects blood glucose
levels.
Increased incretin levels inhibit glucagon release, which leads to
increased insulin secretion and lower blood glucose levels.
Increased incretin levels have no effect on insulin secretion or blood
glucose levels.
, Increased incretin levels decrease insulin sensitivity, raising blood
glucose levels.
Increased incretin levels stimulate glucagon release, resulting in
higher blood glucose levels.
8. If a patient with diabetes is experiencing postprandial hyperglycemia, which
type of insulin would be most appropriate to administer, and why?
Rapid-acting insulin, because it has a quick onset and peak that
aligns with meal times.
Basal insulin, since it is designed for long-term glucose control.
Long-acting insulin, because it provides a steady release of insulin
throughout the day.
Intermediate-acting insulin, as it helps to prevent nighttime
hypoglycemia.
9. At what time of day would a nurse expect to administer a dose of exenatide
SQ?
Before the patient goes to bed
60 minutes or less before the patient's meal
60 minutes or less after the patient's meal
Immediately after the patient wakes up
10. What is the primary purpose of insulin therapy?
To cure diabetes
To prevent weight gain
To increase blood glucose levels
To regulate blood glucose levels
, 11. A patient has been given a prescription for colchicine 0.6 mg #12. Choose the
correct dosing regimen for colchicine:
1.8 mg orally x 1 dose
1.8 mg orally followed by 0.6 mg in 1 hour (not to exceed a total of 2.4
mg - or 3 doses)
1.2 mg orally followed by 0.6 mg in 1 hour (not to exceed a total of
1.8 mg - or 3 doses)
1.8 mg orally followed by 0.6 mg in 1 hour x 2 (not to exceed a total of
3.2 mg - or 4 doses)
0.6 mg orally followed by 0.6 mg in 1 hour (not to exceed a total of 1.2
mg - or 2 doses)
12. If a patient reports increased gout pain after starting febuxostat, what
should a healthcare provider advise them?
Suggest increasing the dosage of febuxostat right away.
Inform the patient that febuxostat is ineffective for their condition.
Advise the patient to stop taking febuxostat immediately.
Reassure the patient that worsening symptoms can occur before
improvement.
13. What are two potential adverse effects associated with long-term use of
corticosteroids?
Nausea and vomiting.
Weight gain and insomnia.
Osteoporosis and poor diabetic control.
Hypertension and liver damage.
COMPREHENSIVE TEST BANK | HIGH-YIELD EXAM PREP QUESTIONS |
CORRECT & VERIFIED ANSWERS | UPDATED VERSION
1. What instructions should a patient receive about Exenatide (Byetta)?
Discard pen when it reaches expiration date.
Inject this medication within 60 min before breakfast and dinner.
Take this medication shortly after finishing breakfast and dinner.
Take one tablet 30 minutes before breakfast and lunch.
2. A patient with a history of heart disease is prescribed NSAIDs for pain
management. What should be the primary consideration for the healthcare
provider?
Administer the NSAIDs without any additional precautions.
Advise the patient to take NSAIDs only when necessary.
Increase the dosage of NSAIDs to manage pain effectively.
Evaluate the patient's cardiovascular risk and consider alternative
pain management options.
3. Why is it important for patients taking statins to report symptoms such as
muscle weakness or dark urine?
These symptoms may indicate rhabdomyolysis, a serious condition
caused by statins.
These symptoms are common and not concerning.
These symptoms indicate a need for increased dosage of statins.
These symptoms suggest an allergic reaction to the medication.
,4. What enzyme is primarily responsible for the metabolism of Amlodipine?
CYP1A2
CYP3A4
CYP2C19
CYP2D6
5. Signs/Symptoms of Hypoglycemia:
low blood pressure
Cold, clammy, needs some candy
hair loss, cramping
Muscle weakness, pot belly
6. Describe the dosing regimen for colchicine when treating a gout flare.
The regimen involves taking 1.2 mg at the first sign of a flare,
followed by 0.6 mg one hour later.
The regimen consists of a single dose of 1.8 mg.
The regimen starts with 0.6 mg and increases to 1.2 mg if needed.
The regimen requires 0.6 mg every hour until symptoms improve.
7. Describe how the increase in incretin levels by Gliptins affects blood glucose
levels.
Increased incretin levels inhibit glucagon release, which leads to
increased insulin secretion and lower blood glucose levels.
Increased incretin levels have no effect on insulin secretion or blood
glucose levels.
, Increased incretin levels decrease insulin sensitivity, raising blood
glucose levels.
Increased incretin levels stimulate glucagon release, resulting in
higher blood glucose levels.
8. If a patient with diabetes is experiencing postprandial hyperglycemia, which
type of insulin would be most appropriate to administer, and why?
Rapid-acting insulin, because it has a quick onset and peak that
aligns with meal times.
Basal insulin, since it is designed for long-term glucose control.
Long-acting insulin, because it provides a steady release of insulin
throughout the day.
Intermediate-acting insulin, as it helps to prevent nighttime
hypoglycemia.
9. At what time of day would a nurse expect to administer a dose of exenatide
SQ?
Before the patient goes to bed
60 minutes or less before the patient's meal
60 minutes or less after the patient's meal
Immediately after the patient wakes up
10. What is the primary purpose of insulin therapy?
To cure diabetes
To prevent weight gain
To increase blood glucose levels
To regulate blood glucose levels
, 11. A patient has been given a prescription for colchicine 0.6 mg #12. Choose the
correct dosing regimen for colchicine:
1.8 mg orally x 1 dose
1.8 mg orally followed by 0.6 mg in 1 hour (not to exceed a total of 2.4
mg - or 3 doses)
1.2 mg orally followed by 0.6 mg in 1 hour (not to exceed a total of
1.8 mg - or 3 doses)
1.8 mg orally followed by 0.6 mg in 1 hour x 2 (not to exceed a total of
3.2 mg - or 4 doses)
0.6 mg orally followed by 0.6 mg in 1 hour (not to exceed a total of 1.2
mg - or 2 doses)
12. If a patient reports increased gout pain after starting febuxostat, what
should a healthcare provider advise them?
Suggest increasing the dosage of febuxostat right away.
Inform the patient that febuxostat is ineffective for their condition.
Advise the patient to stop taking febuxostat immediately.
Reassure the patient that worsening symptoms can occur before
improvement.
13. What are two potential adverse effects associated with long-term use of
corticosteroids?
Nausea and vomiting.
Weight gain and insomnia.
Osteoporosis and poor diabetic control.
Hypertension and liver damage.
