Rasmussen Final Exam Questions and
Complete Solutions Graded AI+
If you're on a med-surge unit taking care of patients, which patient would you help first? BP 130/90,
pulse 62, penicillin allergy getting vancomycin, glucose of 80 and just received insulin 70/30 - Answer:
Glucose patient
If we have a diabetic patient with elevated glucose and giving insulin Lispro (takes 30 minutes), we want
to give them - Answer: insulin right BEFORE eating to control after meal rise of blood glucose
Lispro is a - Answer: rapid acting insulin, last 3-6 hours, clear in color
Glargine (Lantus) - Answer: long-acting insulin, once a day dosing, clear in color, don't mix with other
insulins
Beta blockers can mask - Answer: symptoms of hypoglycemia
If patient is on anti-diabetic medication, they CANNOT - Answer: drink alcohol
Metformin - Answer: oral medication, contraindications are it should be held for 48 hours before & after
tests using IV contrast dye, to prevent ACUTE RENAL FAILURE
Levothyroxin - Answer: given in the morning before breakfast, take on empty stomach
antibiotics and warfarin - Answer: antibiotics can increase bleeding and PTINR and INR should be closely
monitored
If we think patient is bleeding, they may have bruising
Do we stop medications in pregnancy? - Answer: no
If meds for asthma, seizure, diabetes, thyroid are stopped this can cause harm to the fetus. The health
of the fetus depends on the health of the mother.
, If treating post-menopausal woman with hysterectomy, which hormone replacement therapy have less
side-effects? - Answer: Transdermal has less side-effects than oral preparation
What other risks are there with hormone replacement therapy? - Answer: Ovarian cancer, deep vein
thrombosis, stroke
If a patient is on a hormone replacement, where would they typically use transdermal
creams/ointments - Answer: Thighs, not directly on genitals
If a patient is on an androgen, an oral preparation can affect - Answer: liver and renal systems
If they have acne, we wouldn't be too worried, but if they start to look discolored like jaundiced, we will
have to notify doctor for possibly liver failure.
Patient has Erectile Dysfunction, which medication is contraindicated for ED medication? - Answer:
Nitroglycerin can cause a decrease in blood pressure which can be life threatening.
Patient has symptoms of Benign Prostate Hyperplasia, voiding is difficult, starting stream is difficult,
what medication would we use to help those symptoms that won't affect sexually active patients? -
Answer: Doxazosin
If patient is post-op and they have opiates, must worry about - Answer: respiratory depression and
maintain their airway
Counteract respiratory depression with Narcan (naloxone)
If we give an opiate, prior to administration we need to have - Answer: baseline vitals, respiratory rate
Urinary retention with opiates so foley catheter may be prescribed
We want to have these patients up and moving, 7% body mass loss every day without movement
Stool softener can be given for constipation
If we have patients acutely on opioid and taking PRN, can tolerance be developed? Yes, med may not
work for them the same
Complete Solutions Graded AI+
If you're on a med-surge unit taking care of patients, which patient would you help first? BP 130/90,
pulse 62, penicillin allergy getting vancomycin, glucose of 80 and just received insulin 70/30 - Answer:
Glucose patient
If we have a diabetic patient with elevated glucose and giving insulin Lispro (takes 30 minutes), we want
to give them - Answer: insulin right BEFORE eating to control after meal rise of blood glucose
Lispro is a - Answer: rapid acting insulin, last 3-6 hours, clear in color
Glargine (Lantus) - Answer: long-acting insulin, once a day dosing, clear in color, don't mix with other
insulins
Beta blockers can mask - Answer: symptoms of hypoglycemia
If patient is on anti-diabetic medication, they CANNOT - Answer: drink alcohol
Metformin - Answer: oral medication, contraindications are it should be held for 48 hours before & after
tests using IV contrast dye, to prevent ACUTE RENAL FAILURE
Levothyroxin - Answer: given in the morning before breakfast, take on empty stomach
antibiotics and warfarin - Answer: antibiotics can increase bleeding and PTINR and INR should be closely
monitored
If we think patient is bleeding, they may have bruising
Do we stop medications in pregnancy? - Answer: no
If meds for asthma, seizure, diabetes, thyroid are stopped this can cause harm to the fetus. The health
of the fetus depends on the health of the mother.
, If treating post-menopausal woman with hysterectomy, which hormone replacement therapy have less
side-effects? - Answer: Transdermal has less side-effects than oral preparation
What other risks are there with hormone replacement therapy? - Answer: Ovarian cancer, deep vein
thrombosis, stroke
If a patient is on a hormone replacement, where would they typically use transdermal
creams/ointments - Answer: Thighs, not directly on genitals
If a patient is on an androgen, an oral preparation can affect - Answer: liver and renal systems
If they have acne, we wouldn't be too worried, but if they start to look discolored like jaundiced, we will
have to notify doctor for possibly liver failure.
Patient has Erectile Dysfunction, which medication is contraindicated for ED medication? - Answer:
Nitroglycerin can cause a decrease in blood pressure which can be life threatening.
Patient has symptoms of Benign Prostate Hyperplasia, voiding is difficult, starting stream is difficult,
what medication would we use to help those symptoms that won't affect sexually active patients? -
Answer: Doxazosin
If patient is post-op and they have opiates, must worry about - Answer: respiratory depression and
maintain their airway
Counteract respiratory depression with Narcan (naloxone)
If we give an opiate, prior to administration we need to have - Answer: baseline vitals, respiratory rate
Urinary retention with opiates so foley catheter may be prescribed
We want to have these patients up and moving, 7% body mass loss every day without movement
Stool softener can be given for constipation
If we have patients acutely on opioid and taking PRN, can tolerance be developed? Yes, med may not
work for them the same
