NR565 FINAL EXAM 2025-2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS RATED A+
A patient is using a metered-dose inhaler containing albuterol for
asthma. The medication label instructs the patient to administer
"two puffs every 4 hours as needed for coughing or wheezing."
The patient reports feeling jittery sometimes when taking the
medication, and she doesn't feel that the medication is always
effective. Which action is most appropriate?
a. Asking the patient to demonstrate use of the inhaler
b. Assessing the patient's exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vitalsigns
d. Suggesting that the patient use one puff to reduce side effects
Correct Answer c.
A patient newly diagnosed with diabetes is to be discharged from
the hospital. Which action should be taken first during medication
education?
a. Asking the patient to demonstrate how to measure and
administer insulin
b. Discussing methods of storing insulin and discarding syringes
,c. Giving information about how diet and exercise affect insulin
requirements
d. Teaching the patient about the long-term consequences of poor
diabetes control Correct Answer a.
The drug manual states that older adult patients are at increased
risk for hepatic side effects. Which action is most important when
prescribing this medication to an 80-year-old patient?
a. Obtain pretreatment laboratory work.
b. Ensure that the drug is given in the correct dose at the correct
time to minimize the risk of
adverse effects.
c. Discontinue the order; the drug is contraindicated for this
patient.
d. Give the medication intravenously so that the drug does not
pass through the liver. Correct Answer a.
A prescriber orders ramipril [Altace] for an obese patient with type
2 diabetes mellitus who has developed hypertension. The nurse
provides teaching before dismissing the patient home. Which
statement by the patient indicates understanding of the teaching?
a. "I am less likely to develop diabetic nephropathy when taking
this medication."
b. "I should check my blood sugar more often, because
hyperglycemia is a side effect of this
drug."
,c. "Taking this medication helps reduce my risk of stroke and
heart attack."
d. "This medication will probably prevent the development of
diabetic retinopathy." Correct Answer c.
A female patient taking an ACE inhibitor learns that she is
pregnant. What will the nurse tell this patient?
a. The fetus most likely will have serious congenital defects.
b. The fetus must be monitored closely while the patient is taking
this drug.
c. The patient's prescriber probably will change her medication to
anARB.
d. The patient should stop taking the medication and contact her
provider immediately. Correct Answer d.
A nurse is reviewing a patient's medications before administration.
Which drug-to-drug interactions will most concern the nurse in a
patient with a history of heart failure and a potassium level of 5.5
mEq/L?
a. Furosemide [Lasix] and enalapril [Vasotec]
b. Amlodipine [Norvasc] and spironolactone [Aldactone]
c. Captopril [Capoten] and spironolactone [Aldactone]
d. Metoprolol [Lopressor] and furosemide [Lasix] Correct Answer
c.
, A patient begins taking an ACE inhibitor and complains of a dry
cough. What does the nurse correctly tell the patient about this
symptom?
a. It indicates that a serious side effect has occurred.
b. It is a common side effect that occurs in almost all patients
taking the drug.
c. It may be uncomfortable enough that the drug will need to be
discontinued.
d. It occurs frequently in patients taking the drug but will subside
over time. Correct Answer c.
A nurse is caring for a patient who is receiving verapamil [Calan]
for hypertension and digoxin [Lanoxin] for heart failure. The nurse
will observe this patient for:
a. AV blockade.
b. gingival hyperplasia.
c. migraine headaches.
d. reflex tachycardia. Correct Answer a.
A nurse is teaching a patient who will begin taking verapamil
[Calan] for hypertension about the drug's side effects. Which
statement by the patient indicates understanding of the teaching?
a. "I may become constipated, so I should increase fluids and
fiber."
EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS RATED A+
A patient is using a metered-dose inhaler containing albuterol for
asthma. The medication label instructs the patient to administer
"two puffs every 4 hours as needed for coughing or wheezing."
The patient reports feeling jittery sometimes when taking the
medication, and she doesn't feel that the medication is always
effective. Which action is most appropriate?
a. Asking the patient to demonstrate use of the inhaler
b. Assessing the patient's exposure to tobacco smoke
c. Auscultating lung sounds and obtaining vitalsigns
d. Suggesting that the patient use one puff to reduce side effects
Correct Answer c.
A patient newly diagnosed with diabetes is to be discharged from
the hospital. Which action should be taken first during medication
education?
a. Asking the patient to demonstrate how to measure and
administer insulin
b. Discussing methods of storing insulin and discarding syringes
,c. Giving information about how diet and exercise affect insulin
requirements
d. Teaching the patient about the long-term consequences of poor
diabetes control Correct Answer a.
The drug manual states that older adult patients are at increased
risk for hepatic side effects. Which action is most important when
prescribing this medication to an 80-year-old patient?
a. Obtain pretreatment laboratory work.
b. Ensure that the drug is given in the correct dose at the correct
time to minimize the risk of
adverse effects.
c. Discontinue the order; the drug is contraindicated for this
patient.
d. Give the medication intravenously so that the drug does not
pass through the liver. Correct Answer a.
A prescriber orders ramipril [Altace] for an obese patient with type
2 diabetes mellitus who has developed hypertension. The nurse
provides teaching before dismissing the patient home. Which
statement by the patient indicates understanding of the teaching?
a. "I am less likely to develop diabetic nephropathy when taking
this medication."
b. "I should check my blood sugar more often, because
hyperglycemia is a side effect of this
drug."
,c. "Taking this medication helps reduce my risk of stroke and
heart attack."
d. "This medication will probably prevent the development of
diabetic retinopathy." Correct Answer c.
A female patient taking an ACE inhibitor learns that she is
pregnant. What will the nurse tell this patient?
a. The fetus most likely will have serious congenital defects.
b. The fetus must be monitored closely while the patient is taking
this drug.
c. The patient's prescriber probably will change her medication to
anARB.
d. The patient should stop taking the medication and contact her
provider immediately. Correct Answer d.
A nurse is reviewing a patient's medications before administration.
Which drug-to-drug interactions will most concern the nurse in a
patient with a history of heart failure and a potassium level of 5.5
mEq/L?
a. Furosemide [Lasix] and enalapril [Vasotec]
b. Amlodipine [Norvasc] and spironolactone [Aldactone]
c. Captopril [Capoten] and spironolactone [Aldactone]
d. Metoprolol [Lopressor] and furosemide [Lasix] Correct Answer
c.
, A patient begins taking an ACE inhibitor and complains of a dry
cough. What does the nurse correctly tell the patient about this
symptom?
a. It indicates that a serious side effect has occurred.
b. It is a common side effect that occurs in almost all patients
taking the drug.
c. It may be uncomfortable enough that the drug will need to be
discontinued.
d. It occurs frequently in patients taking the drug but will subside
over time. Correct Answer c.
A nurse is caring for a patient who is receiving verapamil [Calan]
for hypertension and digoxin [Lanoxin] for heart failure. The nurse
will observe this patient for:
a. AV blockade.
b. gingival hyperplasia.
c. migraine headaches.
d. reflex tachycardia. Correct Answer a.
A nurse is teaching a patient who will begin taking verapamil
[Calan] for hypertension about the drug's side effects. Which
statement by the patient indicates understanding of the teaching?
a. "I may become constipated, so I should increase fluids and
fiber."
