NURS 1141 exam Review Questions with
complete guide
b. Administer oral glucose in the form of a semisolid gel. - ANS 6. When checking a
patient's fingerstick blood glucose level, the nurse obtains a reading of 42 mg/dL. The
patient is awake but states he feels a bit "cloudy-headed." After double-checking the
patient's glucose level and getting the same reading, which action by the nurse is most
appropriate?
a. Administer two packets of table sugar.
b. Administer oral glucose in the form of a semisolid gel.
- ANS For a patient taking levothyroxine (Synthroid) and warfarin (Coumadin)
concurrently, the nurse would closely monitIncreased bruising
Anterior Pituitary drugs - ANS CSO cosyntrpin somatropin ocretide
Posterior Pituitary Drugs - ANS Vasopressin
Desmopressin
Pituitary Drugs: Mechanism of Action - ANS it differs depending on the drug they either
augment or decrease effect of Pituitary Hormones
Cosyntropin (Cortrosyn) - ANS stimulates releas of Cortisol from the Adrenal Cortex
- diagnosis of Adrenocorticoid Insufficiency
- wasting associated with HIV Infection
-Promotes renal rentention of NA(sodium) wich leads to EDEMA and HYPERTENSION
Metformin (Glucophage) - ANS
Propylthiouracil - ANS is an antithyroid medication used to treat hyperthyroidism. It
works by inhibiting the synthesis of new thyroid hormone. It does not assist the thyroid
gland or the pituitary gland to synthesize thyroid hormone. It does not inactivate
hormone already present.
,7.6 mg/wk - ANS The health care provider prescribes somatropin (Genotropin) in a
dosage of 0.35 mg/kg/wk intramuscularly for growth hormone deficiency. The patient's
weight is 48 lb. What is the correct dose for the nurse to administer?
0.075 units/wk - ANS The nurse has a prescription to administer vasopressin
(Pitressin) to a pediatric patient for gastrointestinal hemorrhage. The dose prescribed is
0.003 units/kg/min. The patient's weight is 55 lb. What is the correct infusion rate for
vasopressin?
acromegaly
(Somatropin is a synthetic form of human growth hormone. Acromegaly is caused by
excessive growth hormone, and thus this drug would be contraindicated.) - ANS The
nurse would question a prescription for somatropin (Genotropin) in a patient with which
condition?
Growth failure
Hypopituitarism
Acromegaly
Dwarfism
Excess fluid volume
(Desmopressin is a form of antidiuretic hormone, which increases sodium and water
retention, leading to an alteration in fluid volume. Although the other nursing diagnoses
, may be appropriate, they are not a priority using Maslow's hierarchy of needs.) - ANS
Which is a priority nursing diagnosis for a patient receiving desmopressin (DDAVP)?
Deficient knowledge regarding medication
Excess fluid volume
Acute pain
Risk for injury
Decrease in urine output
(Vasopressin increases the water reabsorption in the kidneys, thus decreasing urine
output. It is used to treat DI, which presents with polydipsia, polyuria, and
dehydration.hormone.) - ANS The nurse is caring for a patient with diabetes insipidus
(DI) who is receiving vasopressin (Pitressin). What therapeutic effect does the nurse
expect from this drug?
Decrease in urine output
Increase in thirst
Normal serum albumin level
Improved skin turgor
Octreotide (Sandostatin)
complete guide
b. Administer oral glucose in the form of a semisolid gel. - ANS 6. When checking a
patient's fingerstick blood glucose level, the nurse obtains a reading of 42 mg/dL. The
patient is awake but states he feels a bit "cloudy-headed." After double-checking the
patient's glucose level and getting the same reading, which action by the nurse is most
appropriate?
a. Administer two packets of table sugar.
b. Administer oral glucose in the form of a semisolid gel.
- ANS For a patient taking levothyroxine (Synthroid) and warfarin (Coumadin)
concurrently, the nurse would closely monitIncreased bruising
Anterior Pituitary drugs - ANS CSO cosyntrpin somatropin ocretide
Posterior Pituitary Drugs - ANS Vasopressin
Desmopressin
Pituitary Drugs: Mechanism of Action - ANS it differs depending on the drug they either
augment or decrease effect of Pituitary Hormones
Cosyntropin (Cortrosyn) - ANS stimulates releas of Cortisol from the Adrenal Cortex
- diagnosis of Adrenocorticoid Insufficiency
- wasting associated with HIV Infection
-Promotes renal rentention of NA(sodium) wich leads to EDEMA and HYPERTENSION
Metformin (Glucophage) - ANS
Propylthiouracil - ANS is an antithyroid medication used to treat hyperthyroidism. It
works by inhibiting the synthesis of new thyroid hormone. It does not assist the thyroid
gland or the pituitary gland to synthesize thyroid hormone. It does not inactivate
hormone already present.
,7.6 mg/wk - ANS The health care provider prescribes somatropin (Genotropin) in a
dosage of 0.35 mg/kg/wk intramuscularly for growth hormone deficiency. The patient's
weight is 48 lb. What is the correct dose for the nurse to administer?
0.075 units/wk - ANS The nurse has a prescription to administer vasopressin
(Pitressin) to a pediatric patient for gastrointestinal hemorrhage. The dose prescribed is
0.003 units/kg/min. The patient's weight is 55 lb. What is the correct infusion rate for
vasopressin?
acromegaly
(Somatropin is a synthetic form of human growth hormone. Acromegaly is caused by
excessive growth hormone, and thus this drug would be contraindicated.) - ANS The
nurse would question a prescription for somatropin (Genotropin) in a patient with which
condition?
Growth failure
Hypopituitarism
Acromegaly
Dwarfism
Excess fluid volume
(Desmopressin is a form of antidiuretic hormone, which increases sodium and water
retention, leading to an alteration in fluid volume. Although the other nursing diagnoses
, may be appropriate, they are not a priority using Maslow's hierarchy of needs.) - ANS
Which is a priority nursing diagnosis for a patient receiving desmopressin (DDAVP)?
Deficient knowledge regarding medication
Excess fluid volume
Acute pain
Risk for injury
Decrease in urine output
(Vasopressin increases the water reabsorption in the kidneys, thus decreasing urine
output. It is used to treat DI, which presents with polydipsia, polyuria, and
dehydration.hormone.) - ANS The nurse is caring for a patient with diabetes insipidus
(DI) who is receiving vasopressin (Pitressin). What therapeutic effect does the nurse
expect from this drug?
Decrease in urine output
Increase in thirst
Normal serum albumin level
Improved skin turgor
Octreotide (Sandostatin)
